Ortho 2

llbgurl's version from 2015-10-02 16:04

Section 1

Question Answer
inflammation of a joint due to bacterial infection (other than gonorrhea) which is extremely painfulseptic arthritis
can occur at any ageseptic arthritis
high fever, malaise, joint pain and irritabilityseptic arthritis
joint may be red, warm and swollenseptic arthritis
painful ROM of hipseptic arthritis
diagnosis made by culture of joint fluidseptic arthritis
staph aeureus # 1 causeseptic arthritis
important to get sensitivities septic arthritis
refer to ortho, abxseptic arthritis
toxic synovitisseptic athritis

Section 2

Question Answer
painful, inflammatory hip condition of children (3-8 yrs) tha tis often unilateral that lasts about one weektransient synovitis
must be differentied from septic arthritis transient synovitis
young child with mild-moderate fever or viral illness within previous 1-2 weeks in 50% of casestransient synovitis
limp, limited hip ROM and pain on examtransient synovitis
tylenol or NSAID for management, rest, self-limitingtransient synovitis

Section 3

Question Answer
absent bicep reflex with absent moro on affected sidebrachial plexus injury
erbs palsy - waiters tip palsybrachial plexus injury
absent bicep reflex with absent moro reflex on affected sidebrachial plexus injury
limp wrist and hand with absent grasp reflexbrachial plexus injury
hand paralysis with normal shoulder movementbrachial plexus injury
x-ray, MRI, CXRbrachial plexus injury
brachial plexus injury CXR to r/ophrenic nerve involvement
95% recover complete function with just PT; treatment very conservativebrachial plexus injury

Section 4

Question Answer
pain with shoulder movementclavicle fracture
decreased arm movement or absent moro reflexclavicle fracture
swelling or deformity over boneclavicle fracture
bi-lateral clavicle xrayclavicle fracture
immoblize for comfort 3-4 weeksclavicle fracture
surgery if: open fracture, neurovascular compromise, rib cage fracture or 100% skin discplacement with severe tentingclavicle fracture

Section 5

Question Answer
toddler intoeinginternal tibial torsion
tibia is internally rotated resulting in intoeinginternal tibial torsion
uterine packing position where legs are flexed and crossed tightlyinternal tibial torsion
full neuro and musculoskeltal exam crucialInternal Tibial Torsion
1/2 to 3/4 of malleolus is seen or medial malleolus is posterior to the lateral malleolusInternal Tibial Torsion
lateral malleolusoutside ankle joint
medial malleolusinside ankle joint
sit on exam table knees flexed 90 degrees and feet relaxed internal tibial torsion
growth alone will correct 99% of cases by 4 year of age internal tibial torsion
dennis-brown nigh splintsdo NOT help internal tibial torsion
intoeing interferes with ability to run or walkrefer to ortho
bowing of the legsGenu Varum
inhertible conditions: marfans syndrome, osteogenesis imperfectica, ricketsGenu Varum
tibial-femoral angle >15 Genu Varum
lower extremity length discrepancyGenu Varum
joint laxityGenu Varum
resolves by itself, reassurance TXGenu Varum
knock kneesGenu Valgum
high incident females, normal valgus reached by age 4 variations up to age 6Genu Valgum
developemental or physiologicalGenu Valgum
joint pain or stiffnessGenu Valgum
bilateral tibial femoral angle < 15 degreesGenu Valgum
normal until age 7Genu Valgum
unilateral, awkward gait, short statureGenu Valgum
deformity >15 degrees and occuring after age 7 unlikely to correct self and need surgeryGenu Valgum