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Systems 2nd Year: MSK > Paediatric Limp > Flashcards

Paediatric Limp Flashcards

1
Q

Common cause of Limp in Child

A

Toxic Synovitis

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2
Q

Limp age 0-5 Reasons

A 
‘Normal variant’
Trauma 
Transient synovitis 
Osteomyelitis
Septic arthritis 
DDH 
JIA
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3
Q

Limp age 5-10 Years Reasons

A 
Trauma 
Transient synovitis 
Osteomyelitis
Septic arthritis 
Perthes disease
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4
Q

Limp age 10-15 reasons

A 
Trauma 
Osteomyelitis
Septic arthritis 
SUFE 
Chondromalacia 
Neoplasm
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5
Q

Septic Arthritis in Child presentation

A 
Limp
pseudoparalysis
swollen red joint
refuse to move joint
pain temp
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6
Q

Septic arthritis in child route of entry

A

Haematogenous
Dissemination from Osteomyelitis
Spread from soft tissue

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7
Q

Tests in Septic Arthritis

A 
FBC WCC Raised
ESR >50
CRP
Blood Cultures
Ultrasound
X-Ray
Synovial Fluid Raised WCC
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8
Q

Septic Arthritis name of criteria for clinical prediction

A

Kocher Criteria

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9
Q

Four Criteria for Septic Arthritis Clinical Prediction

A

Pyrexia >38
No Weight Bear
WBC >12,000
ESR >40

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10
Q

Bacteria causing Septic Arthritis in Child

A

Staph Aureus

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11
Q

Treatment of Staph Aureus

A

Aspiration
Arthroscopy
Arthrotomy
Antibiotics for 2 Weeks IV then 4 Weeks oral

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12
Q

Osteomyelitis in children mean age

A

6

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13
Q

Osteomyelitis risk factors

A

Blunt Trauma

Recent infection

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14
Q

Pathogenesis of Acute Haematogenous Osteomyelitis

A

Vascular Anatomy
Inhibited Phagocytosis (Low Po2)
Trauma

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15
Q

Presentation of Osteomyelitis in Children

A 
Pain
Localised Signs/Symptoms
Fever
Reduced ROM
Reduced Weight Bear
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16
Q

Tests for Osteomyelitis in Children

A

Raised WCC, ESR and CRP

17
Q

Bacteria causing Osteomyelitis in Children

A

Staph Aureus

18
Q

Other tests for Osteomyelitis in child

A

MRI
Bone Scan
CT
Bone Biopsy

19
Q

Indications for surgery in osteomyelitis

A 
Aspiration for culture
Drainage of subperiosteal abscess
Drainage of joint sepsis
Debridement of dead tissue
Failure to improve
Biopsy in equivocal cases
20
Q

When is it transient synovitis in children

A 
Limping, often touch weight bearing
Slightly unwell
History of viral infection eg URTI/ ear
Apyrexial
Allowing joint to be examined
Low CRP, normal WCC
May have joint infusion
Not that unwell

Systems 2nd Year: MSK (75 decks)

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