L2: Floppy Infant Flashcards
(93 cards)
1
Q
Def of Floppy Infant
A
2
Q
Etiology of Floppy Infant
A
3
Q
Etiology of Floppy Infant
- Central
A
4
Q
Etiology of Central “Cerebral” Floppy Infant
- Congenital
A
5
Q
Etiology of Central “Cerebral” Floppy Infant
- Traumatic
A
6
Q
Etiology of Central “Cerebral” Floppy Infant
- Infection
A
7
Q
Etiology of Central “Cerebral” Floppy Infant
- Chromosomal
A
8
Q
Etiology of Central “Cerebral” Floppy Infant
- Metabolic
A
9
Q
Etiology of Central “Cerebral” Floppy Infant
- Drugs
A
10
Q
Etiology of Floppy Infant
- Peripheral
A
11
Q
Etiology of Peripheral Floppy Infant
- AHCs
A
12
Q
Etiology of Peripheral Floppy Infant
- Peripheral Nerves
A
13
Q
Etiology of Peripheral Floppy Infant
- NMJ
A
14
Q
Etiology of Peripheral Floppy Infant
- Muscle
A
15
Q
Etiology of Peripheral Floppy Infant
- Others
A
16
Q
Etiology of Floppy Infant
- Most Common Causes in each category
A
17
Q
Types of SMA
- Age
- Inheritance
- CP
- Progression
A
18
Q
Another Name of SMA I
A
19
Q
Etiology of Werdnig-Hoffman Disease (SMA I)
A
20
Q
CP of Werdnig-Hoffman Disease (SMA I)
A
21
Q
CP of Atonic Cerebral Palsy
A
22
Q
Which Sign is specific for Atonic Cerebral Palsy?
A
23
Q
CP of Infantile Botulism
A
24
Q
Dx of Infantile Botulism
A
25
Def of **Myasthenia Gravis**
26
Pathophysiology of **Myasthenia Gravis**
27
Types of **Myasthenia Gravis**
28
Etiology of **Transient Myasthenia**
29
CP of **Transient Myasthenia**
30
TTT of **Transient Myasthenia**
31
Etiology of **Congenital Myasthenia**
32
CP of **Congenital Myasthenia**
33
TTT of **Congenital Myasthenia**
34
Etiology of **Congenital Myopathies**
35
CP of **Congenital Myopathies**
36
Dx of **Congenital Myopathies**
37
Nemaline myopathy is the most common variant & often associated with feeding problems
38
**Muscular Dystrophy**
39
CP of **Muscular Dystrophy**
40
**Muscular Dystrophy**
- Examination of Mother's Face
41
CP of **Floppy Infant**
42
CP of **Floppy Infant**
- Abnormal Posture
43
CP of **Floppy Infant**
- Frog-Leg Position
44
CP of **Floppy Infant**
- Rag-Doll position
45
CP of **Floppy Infant**
- Abnormal Movements
46
CP of **Floppy Infant**
- Pull to Sit Maneuver (Traction response)
47
CP of **Floppy Infant**
- Vertical Suspension???
48
CP of **Floppy Infant**
- Scarf Sign
49
CP of **Floppy Infant**
- Heel to Ear Test
50
CP of **Floppy Infant**
- Hamstring Test
51
Dx of **Floppy Infant**
52
Dx of **Floppy Infant**
- What items of history to focus on?
53
Dx of **Floppy Infant**
- Family Hx
54
Dx of **Floppy Infant**
- Maternal Hx
55
Dx of **Floppy Infant**
- Hx of Pregnancy & Delivery
56
Dx of **Floppy Infant**
- Hx Since Deivery
57
Dx of **Floppy Infant**
- Items of Examination
58
Dx of **Floppy Infant**
- Identification of Hypotonia
59
Dx of **Floppy Infant**
- General Examination
60
General Examination in **Floppy Infant**
- Pectus Excavatum
61
General Examination in **Floppy Infant**
- Hip Dislocation & Multiple Contractures
62
General Examination in **Floppy Infant**
- Cry
63
General Examination in **Floppy Infant**
- MR
64
Local Examination in **Floppy Infant**
65
Local Examination in **Floppy Infant**
- Muscle Power
- Deep Reflexes
- Fasiculations
66
Compare Between Central Causes & Peripheral Causes of floppy Infant in Terms of:
- Muscle State
- muscle Power
- Deep Reflexes
- Pantar Reflexes
- Features
67
Clues to Specific Cause of **Floppy Infant**
68
Clues to Specific Cause of **Floppy Infant**
- Hepatosplenomegay
69
Clues to Specific Cause of **Floppy Infant**
- Renal cysts, high forehead, wide fontanelles
70
Clues to Specific Cause of **Floppy Infant**
- Hepatomefaly, Retinitis Pigmentosa
71
Clues to Specific Cause of **Floppy Infant**
- Abnormal Odour
Metabolic Disorders
72
Clues to Specific Cause of **Floppy Infant**
- Hypopigmentation, Undesended Testes
Prader Wili Syndrome
73
Clues to Specific Cause of **Floppy Infant**
- Examination of the mother
- Congenital myotonic dystrophy
- Myasthenia gravis
74
From x & Examination if you found:
* Hypotonia + a degree of strength ----> .......
* Hypotonia + weakness ------> .........
- Central cause is most likely
- Peripheral cause is possible
75
Investigations for **Floppy Infant**
Investigations for:
- Central Causes
- Peripheral Causes
76
Investigations for Central Causes of **Floppy Infant**
77
Investigations for Central Causes of **Floppy Infant**
- Neuroimaging
- Ultrasound scan in the first instance
- MRI for structural abnormality
- EEG: if seizures suspected
78
Investigations for Central Causes of **Floppy Infant**
- Genetic
79
Investigations for Central Causes of **Floppy Infant**
- STORCH
80
Investigations for Central Causes of **Floppy Infant**
- DNA Methylation Studies or FISH
81
Investigations for Central Causes of **Floppy Infant**
- Metabolic Workup
82
Investigations for Peripheral Causes of **Floppy Infant**
- Peripheral Causes
83
Investigations for Peripheral Causes of **Floppy Infant**
- Molecular Genetics
84
Investigations for Peripheral Causes of **Floppy Infant**
- Creatine Kinase
85
Investigations for Peripheral Causes of **Floppy Infant**
- NCS
86
Investigations for Peripheral Causes of **Floppy Infant**
- Muscle Bx
87
Managment of Floppy Infant
88
Managment of Floppy Infant
- Main Line
89
Managment of Floppy Infant
- Physiotherapy
90
Managment of Floppy Infant
- Occupational Therapy
91
Managment of Floppy Infant
- Orthopedic therapy
92
Managment of Floppy Infant
- Chest Infections
- Feeding
- During Anasthetia
- Genetic Counseling
93
Algorithm for managment of **Floppy Infant**
