Peds Emergency kate

Question 0

Cushing’s Triad for vital signs

Answer 0

wide pulse pressure
bradycardia
abn resp

Question 1

neuro status exam should include (4)

Answer 1

Glasgow Coma Scale (15/15)
pupils
sucking reflex (infants)
muscle tone

Question 2

how to decide for CT?

Answer 2

PECARN, CHALICE, CATCH

or any substance use

Question 3

low pressure bleed, associated w/ LOC, lingering symptoms

Answer 3

subdural hematoma

Question 4

subdural hematoma is what kind of bleed

Answer 4

venous bleed

Question 5

CT findings: crescent-shaped, usually in the parietal area, crosses suture lines

Answer 5

subdural hematoma

Question 6

CT finding: elliptical shape, doesn’t cross sutures

Answer 6

epidural hematoma

Question 7

head injury w/ brief LOC –> lucid period –> deterioration

Answer 7

epidural hematoma

Question 8

bleed of parenchymal & subarachnoid vessels

Answer 8

subarachnoid hemorrhage

Question 9

CT: small, dense “slivers” of blood in cisterns, sulci, & fissures. Blood in CSF

Answer 9

subarachnoid hemorrhage

Question 10

blood in CSF?

Answer 10

subarachnoid hemorrhage

Question 11

epiphyseal separation through the physis

Answer 11

Salter-Harris I

Question 12

fracture through a portion of the physis but exiting across the metaphysis

Answer 12

salter-harris II

Question 13

salter-harris mnemonic

Answer 13

Separation
Above
Lower
Thru
Reduction

Question 14

fracture through the physis but exiting across the epiphysis into the joint

Answer 14

salter harris III

Question 15

fracture through metaphysis, physis, and epiphysis

Answer 15

salter harris IV

Question 16

crush injury to the physis

Answer 16

salter harris V

Question 17

non-displaced spiral fracture of the tibia. Inability/refusal to walk

Answer 17

Toddler’s fx

Question 18

concerns for abuse with which fractures?

Answer 18

multiple healed fxs
corner or bucket handle fracture
femur fracture
spiral fracture

Question 19

best exam for osteomyelitis

Answer 19

MRI

Question 20

fever, constant worsening joint pain, warm & swollen joint, pain on ROM, won’t voluntarily move joint at all

Answer 20

acute septic arthritis

Question 21

difference between acute septic synovitis & transient synovitis

Answer 21

TS is inflammatory- no fever, WBC & ESR can be normal

Question 22

Kocher criteria for sepsis

Answer 22

WBC > 12,000
ESR > 40
Fever > 101.3
Non-weight bearing on the affected side
2/4 --> Joint Aspiration

Question 23

Legg-Calve-Perthes disease

Answer 23

Idiopathic avascular necrosis of the femoral head

Question 24

SCFE

Answer 24

femoral head "slips," exposes the anterior/superior aspects of the femoral neck

Question 25

acute or subacute knee (referred) or hip pain in an obese male on imaging, "the ice cream has fallen off the cone"

Answer 25

SCFE- surgical emergency