joint pains in paeds

Question 1

rf for developemental dysplasia of hips

Answer 1

frank breech
family history
first born
female sex

Question 2

when does developmental dtsplasia occur

Answer 2

less than 3 months it is when the acebaulum doesn adequately cover the femoral head

Question 3

presentation of DDH

Answer 3

1. assymetry at buttock level
2. limited leg movement
3. uneven skin formation
4. limited leg movement

Question 4

diagnostis of DDH

Answer 4

USS

Question 5

Barlow and ortholini means

Answer 5

barlow bad push down and Ortholini push dOwn

Question 6

amanagment of DDH

Answer 6

pavlik harness for three month then surgery if pavlik fails

Question 7

what is irritable hip

Answer 7

random pain acute onset sometimes felt in thigh or knee indicates underlying transcient synovitis or osteomyeitis or septic artheritis

Question 8

symptoms of irritable hip

Answer 8

hip pain joint stiffness limp and non weight bearing

Question 9

irritable hip managment

Answer 9

self limiting amit if broken bown infected joing 2 weeks no better pain bback get wrose

Question 10

what is kocher criteria

Answer 10

fever, non weight bearing raised ESR and WCC - it is the criteria for septic artreritis

Question 11

how does a venour hum sound

Answer 11

continuous blowing noise heard below the clavicles

Question 12

how does a pul flow murmur sound

Answer 12

benign on the upper left sternal border

Question 13

How does a still murmur sound

Answer 13

LLSE and is low pitched

Question 14

what does raised conjugated bilrubin indicate

Answer 14

biliary atresia which need surgical intervention

Question 15

what is characteristic of stills disease and what is it

Answer 15

salmon pink rash - it is a JIA in which ANA is positive and EF is negative

Question 16

transcient synovitis / irritable hip an acute hip pain associated with viral infection and is the commonest type of hip pain - what is the managment

Answer 16

self limiting so rest and analgesia - he is systemically well and mild effusion is not a sign of infection

Question 17

guthrie heal prick test

Answer 17

hypothyroidism, PKU, met disease, CF , medium chain acyl co a dehydrogenase deficiency (MCADD)

Question 18

after birth how many times visit gp for check

Answer 18

only once at 6-8 weeks

Question 19

moro reflex

Answer 19

disappears at 4 month

Question 20

grassping

Answer 20

4-5 months

Question 21

rooting

Answer 21

4 months

Question 22

stepping reflex

Answer 22

present from 2 months

Question 23

what causes a slapped cheek appearance

Answer 23

parovirus b19 or ertheme nodosum fifith disease or slapped cheek syndrome

Question 24

cardinal sign of scarlet fever

Answer 24

after a sore throat/tonsilitis fever malaise and you guessed it STRAWBERRY TONGUE

Question 25

WHAT IS THE nitrogen wash out test

Answer 25

when the infant is given 100% oxygen for ten minites then abg are done and hypoxia suggests congential heart disease. The test is done to differentiate between cardiac and non cardiac causes of cyanosis

Question 26

where is pDA heard

Answer 26

under the left clavicle

Question 27

where does measles start

Answer 27

behind the ears and to the rest of the body