Floppy Infant Flashcards

(59 cards)

1
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2
Q

Def of Floppy Infant

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3
Q

Etiology of Floppy Infant

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4
Q

Etiology of Floppy Infant

  • Central
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5
Q

Etiology of Central “Cerebral” Floppy Infant

  • Congenital
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6
Q

Etiology of Central “Cerebral” Floppy Infant

  • Traumatic
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7
Q

Etiology of Central “Cerebral” Floppy Infant

  • Infection
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8
Q

Etiology of Central “Cerebral” Floppy Infant

  • Chromosomal
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9
Q

Etiology of Central “Cerebral” Floppy Infant

  • Metabolic
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10
Q

Etiology of Central “Cerebral” Floppy Infant

  • Drugs
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11
Q

Etiology of Floppy Infant

  • Peripheral
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12
Q

Etiology of Peripheral Floppy Infant

  • AHCs
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13
Q

Etiology of Peripheral Floppy Infant

  • Peripheral Nerves
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14
Q

Etiology of Peripheral Floppy Infant

  • NMJ
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15
Q

Etiology of Peripheral Floppy Infant

  • Muscle
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16
Q

Etiology of Peripheral Floppy Infant

  • Others
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17
Q

Etiology of Floppy Infant

  • Most Common Causes in each category
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18
Q

CP of Werdnig-Hoffman Disease (SMA I)

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19
Q

CP of Atonic Cerebral Palsy

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20
Q

Which Sign is specific for Atonic Cerebral Palsy?

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21
Q

CP of Floppy Infant

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22
Q

CP of Floppy Infant

  • Abnormal Posture
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23
Q

CP of Floppy Infant

  • Frog-Leg Position
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24
Q

CP of Floppy Infant

  • Rag-Doll position
25
CP of **Floppy Infant** - Abnormal Movements
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CP of **Floppy Infant** - Pull to Sit Maneuver (Traction response)
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CP of **Floppy Infant** - Vertical Suspension???
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CP of **Floppy Infant** - Scarf Sign
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CP of **Floppy Infant** - Heel to Ear Test
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CP of **Floppy Infant** - Hamstring Test
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Local Examination in **Floppy Infant**
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Local Examination in **Floppy Infant** - Muscle Power - Deep Reflexes - Fasiculations
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Compare Between Central Causes & Peripheral Causes of floppy Infant in Terms of: - Muscle State - muscle Power - Deep Reflexes - Pantar Reflexes - Features
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Clues to Specific Cause of **Floppy Infant**
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Clues to Specific Cause of **Floppy Infant** - Hepatosplenomegay
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Clues to Specific Cause of **Floppy Infant** - Renal cysts, high forehead, wide fontanelles
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Clues to Specific Cause of **Floppy Infant** - Hepatomefaly, Retinitis Pigmentosa
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Clues to Specific Cause of **Floppy Infant** - Abnormal Odour
Metabolic Disorders
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Clues to Specific Cause of **Floppy Infant** - Hypopigmentation, Undesended Testes
Prader Wili Syndrome
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Clues to Specific Cause of **Floppy Infant** - Examination of the mother
- Congenital myotonic dystrophy - Myasthenia gravis
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From x & Examination if you found: * Hypotonia + a degree of strength ----> ....... * Hypotonia + weakness ------> .........
- Central cause is most likely - Peripheral cause is possible
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Investigations for **Floppy Infant**
Investigations for: - Central Causes - Peripheral Causes
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Investigations for Central Causes of **Floppy Infant**
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Investigations for Central Causes of **Floppy Infant** - Neuroimaging
- Ultrasound scan in the first instance - MRI for structural abnormality - EEG: if seizures suspected
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Investigations for Central Causes of **Floppy Infant** - Genetic
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Investigations for Central Causes of **Floppy Infant** - STORCH
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Investigations for Central Causes of **Floppy Infant** - DNA Methylation Studies or FISH
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Investigations for Central Causes of **Floppy Infant** - Metabolic Workup
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Investigations for Peripheral Causes of **Floppy Infant** - Peripheral Causes
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Investigations for Peripheral Causes of **Floppy Infant** - Molecular Genetics
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Investigations for Peripheral Causes of **Floppy Infant** - Creatine Kinase
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Investigations for Peripheral Causes of **Floppy Infant** - NCS
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Investigations for Peripheral Causes of **Floppy Infant** - Muscle Bx
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Managment of Floppy Infant
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Managment of Floppy Infant - Main Line
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Managment of Floppy Infant - Physiotherapy
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Managment of Floppy Infant - Occupational Therapy
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Managment of Floppy Infant - Orthopedic therapy
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Managment of Floppy Infant - Chest Infections - Feeding - During Anasthetia - Genetic Counseling