MedU Clipp 17

Question 1

Risk factors for Developmental Dysplasia of the Hip?

Answer 1

• Female Sex
• Breech Delivery
• Family History of DDH

Question 2

Important screening physical for DDH?

Answer 2

• Ortolani-Barlow Maneuver

Question 3

What causes Lyme Disease?

Answer 3

Borrelia burgdorferi

Question 4

What are the characteristic features of Lyme Disease?

Answer 4

• Fever
• Malaise
• Fatigue
• Headache

Question 5

(6) DDx of Acute Refusal to Walk?

Answer 5

• Leukemia
• Osteomyelitis
  
  • Staphylococcus aureus
  • Haemophilus influenzae (Hib)
• Reactive Arthritis
• Septic Arthritis
• Transient Synovitis
• Trauma

Question 6

(4) Methods of Measuring Temperature?

Answer 6

• Rectal (Infants and Todlers)
• Axillary
• Oral (Older children and adolescents)
• Tympanic Membrane

Question 7

How is Septic Arthritis Pain in the Hip Reduced?

Answer 7

• Relievd when the patient “opens” her hip capsule by holding her hip in flexion and external rotation

Question 8

How is Osteomyelitis pain demonstrated?

Answer 8

• Increase w/ weight-bearing - tend to avoid standing or bearing weight on the affected joint

Question 9

What is the most common caner in childhood?

Answer 9

• Leukemia
• Abnormal WBC production in Bone Marrow
• Tumor cells gather in Lymph nodes, Liver, and Spleen
• Lymphadenopathy
• Hepatosplenomegaly

Question 10

Signs of Systemic Juvenile Idiopathic Arthritis?

Answer 10

• Evanescent (Fleeting) Salmon-colored Rash
• Discrete, Small Macules on Trunk and Extremities

Question 11

Signs and Symptoms of Osteomyelitis?

Answer 11

• Fever
• Pain
• Refusal to Bear Weight

Question 12

What does CRP measure?

Answer 12

• Direct quantification of an Acute Phase Response
• Discovered in Blood from Patients w/ Pneumococcal pneumonia and named such because it reacted with C-polysaccharide on the cell wall of Strep peumo

Question 13

What is the time course of CRP?

Answer 13

• Beginning 4 - 6 hours after the Initial insult
• Peaks 36 - 50 hours
• Returns to normal w/in 3 - 7 days after stimulus is withdrawn

Question 14

What are the Most useful Labs for Evaluation of a Painful Hip?

Answer 14

• WBC via CBC
• CRP
• ESR

Question 15

Most Comon Causative Organisms of Septic Arthritis?

Answer 15

• Staphylococcus aureus
• Streptococcus
  
  • ​Neonate –> Group B
  • Infant / Child –> Group A
• Haemophilus influenzae type b
  
  • Unimmunized children
• Neisseria gonorrhea
  
  • ​Adolescents