Pediatrie Flashcards

(43 cards)

1
Q

Classificatie spasticiteit

A

Modified Ashword: traag en normale snelheid
Tarideu: normale en snelle snelheid

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2
Q

Rossolimo reflex

A

Rossolimo’s sign is a clinical sign in which percussion of the tips of the toes causes an exaggerated flexion of the toes.

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3
Q

Classificatie Osteogenesis imperfecta

A

Sillence classificatie

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4
Q

Metafysaire chondrodysplasie: 3 soorten

A

Mc Kusick
Jansen
Schmid

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5
Q

Classificatie preaxial polydactyly

A

Wassel classification

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6
Q

Chirurgie preaxial polydactyly wassel 2

A

Bilhaut Clocquet procedure

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7
Q

Charcot marie tooth inheritance

A

Type 1 en 2: AD
Ook AR en X-linked
Chromosoom 17

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8
Q

syringomyelia

A

a syrinx (fluid filled cavity) within the spinal cord that progressively expands and leads to neurologic deficits

craniocervical junction abnormalities

spinal cord trauma

spinal cord tumors

post-infectious (e.g. meningitis)

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9
Q

Klippel-Feil Syndrome (KFS)

A

is a rare congenital condition caused by failure of normal segmentation or formation of cervical somites during embryological development that leads to abnormalities in multiple cervical segments.
Diagnosis is made from physical examination, medical history and imaging findings including congenital fusion of 2 or more cervical vertebrae.

Congenital scoliosis and sprengel deformity

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10
Q

Welke brace bij scoliose?

A

Boston brace: Apex onder T8
Milwaukee brace: Apex boven T8

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11
Q

Criteria Neurofibromatose

A

Two or more:
- six or more café-au-lait macules over 5 mm in greatest diameter in prepubertal individuals and over 15 mm in postpubertal individuals.
- two or more neurofibromas of any type or one plexiform neurofibroma.
- freckling in the axillary or inguinal region.
- optic glioma.
- two or more Lisch nodules (iris hamartomas).
- a distinctive osseous lesion such as sphenoid dysplasia or thinning of long bone cortex with or without pseudarthrosis.
- a first-degree relative (parent, sibling, or offspring) with NF-1

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12
Q

Anteromedial tibia bowing

A

Fibulaire hemimellie (longitudinal deficiency of fibula)

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13
Q

Baumann angle

A

Radio-capitellaire hoek. Voor opvolging van supracondylaire humerusfractuur bij kinderen => cubitus varus? 64-81°

R/ Closing wedge valgiserende osteotomie

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14
Q

Gen therapie SMA

A

Nusinersen - intrathecaal gentherapie - Stimuleert productie van SMN2

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15
Q

Chorea

A

Onbedoelde, niet ritmische bewegingen, snel, schokkerig

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16
Q

Athetose

A

Langzaam onwillekeurige bewegingen

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17
Q

Dystonie

A

Continue of repitieve spiercontracties

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18
Q

Baclofen

A

Gaba agonist - vermindert excitatie op ruggenmergniveau

19
Q

Catabole status

A

Keto-acidose, hypoglycemie, hypokaliemie

20
Q

Ludloff approach

A

Tussen pectineus lateraal en adductor longus en brevis mediaal

21
Q

Classificatie voor CP patiënten bovenste lidmaat

A

House classification (9 graden)

22
Q

Zancolli classificatie

A

Bij CP: De Zancolli classificatie beschrijft een aantal patronen van de mate van actieve strekking van pols en vingers.

23
Q

Green&Banks peestransfer

A

FCU naar ECRB

  • Vermindering polsflexie/pronatie/deviatie
  • Augmentatie polsextensie
  • Actieve supinatie
24
Q

Volkmann angle

A

Bij CP: Assessing a wrist flexion contracture is done by extending all the fingers with the wrist in maximal flexion, then extending the wrist. The degree to which the wrist cannot fully extend is the Volkmann angle.

25
Vroege neonatale reflexen
De Moro reactie Assymetrische Tonische NekReflex Tonische Labyrinth Reflex: With this reflex, tilting the head back (extension) while lying on the stomach causes the back to stiffen and even arch backwards, the legs to straighten, stiffen, and push together, the toes to point, the arms to straighten (not bend at the elbows and wrists, and the hands to become fisted or the fingers to curl).
26
Cozen fractuur
Proximale metafysaire tibia fractuur. Opvolgen genu valgus.
27
Open hemiepiphysiodese met botblokje
Phemistet
28
Chiari osteotomy
Osteotomy starts above the acetabulum to the sciatic notch and ileum is shifted lateral beyond the edge of the acetabulum Depends on fibrocartilage metaplasia for successful results
29
Salter osteotomy
Single transverse cut above the acetabulum through the ilium to sciatic notch Acetabulum hinges through the pubic symphysis
30
Pao Ganz osteotomy
Involves multiple osteotomies in the pubis, ilium, and ischium near the acetabulum Allows for improved 3D correction of the acetabulum configuration Technically the most challenging Posterior column and pelvic ring remain intact Patients are allowed to weight bear early
31
Dega osteotomy
Osteotomy from acetabular roof to triradiate cartilage (incomplete cuts through pericapsular portion of the innominate bone) Acetabulum hinges through the triradiate cartilage Does not enter the sciatic notch and is therefore stable and does not need internal fixation
32
Classificaties LCP
- Waldenstrom: evolutie tijd - Herring: laterale pijler - Conway-Diaz: serial pin hole botscan
33
Skew foot
Valgus achtervoet Adductie voorvoet
34
Amyoplasie
Arthrogryposis multiplex congenita (Ander type is “distal arthrogryposis syndrome” en “larsen syndrome”)
35
Chromosoom CMT
Chromosoom 17
36
Chromosoom SMA
Chromosoom 5q
37
Classifactie functioneel spina bifida
Rancho classifiactie
38
Twister cables
Opvangen rotationele deformiteiten bij MMC
39
Sharrard procedure
Bij MMC heup stabilisatie. Psoas transfer => flexor wordt extensor. Psoas door ilium window.
40
Glucose synoviaal vocht bij septische artritis
50mg minder dan serum glucose level
41
Behandelinh septische artritis
Ceftriaxone + Clindamycine
42
Inhalatie anaesthetica DMD
RYR1 related congenital myopathy: rhabdomyolyse + hyperthermie
43
DMD gentherapie
Exin skipping