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Flashcards in Pediatric HA LBP Deck (35)
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1

single episode of head pain wothout history of previous events

acute headache

2

pattern of head pain separated by symptom- free intervals

acute-recurrent headache most commonly migraine

3

acute-recurrent headach usually migraine superimposed on a chronic-progressive headache

mixed headache

4

two examples of primary headaches

migraine and tension type

5

some causes of secondary headaches

SOL
inflammation
increased ICP

6

what type of headache has a bandlike sensation around the head and is associated with neck and shoulder pain. is also associated with stressfull events

Tension-type primary headaches

7


what could be two causes of infectious back pain in pre-pubertal kids

diskitis
osteomyelitis

8

kids with a diskitis may have pain refered where

hip

9

age range for back pain in kids

greater than 12

10

Gender bias for back pain in children

females

11

what are a few thinks the predispose kids to back pain

previous back injury, sitting at school, carry back packs, familial tendenct

12

what are the top three most common causes of LBP in children

schuermann's disease
facet tropism
spondylolysis

13

what disease
fatigue and pain in the upper back
exaggerated mid-thoracic kyphosis, cervical and lumbar lordosis and anterior pelvic tilt

Scheuermann's

14

how do you diagnose Scheuermanns

X-ray: anterior vertebral body wedging, loss of disc height and irregularity of the vertebral end-plates, 3 or more adjacent vertebrae

15

what is the management for scheuermann's

adjustments and soft tissue therapy
stretch hamstrings and strengthen abdominal msucles

strengthening exercises for back

16

what facet in a facet tropism vertebra that has one in the sagittal plane and one in the coronal plane

avoid the sagittal facet- it is already hypermobile. slides ant and posterior no prob

17

what movements should you avoid when you have a facet tropism in the typical place

avoid hyperextension and rotation of the lumbar spine

18

how does scheuermanns disease present

fatigue and pain in the upper back
exaggerated mid-thoracic kyphosis, vervical and lumbar lordosis and anterior pelvic tilt

19

a kid who cannot quite get comfortable in their seat may have what

scheuermanns disease

20

how does a spondylo present

LBP aggravated by acitivity asymptomatic in some cases,

increased lumbar lordosis, hamstring tightness, gait abnormalities

21

COuld you use a brace for a spondylo?

yes

22

how often in adolescence do you xray a spondy

every 6 months

23

what is the most common cause of back pain seen in the chiropractors office

subluxation

24

infections and neoplasms are common causes of back pain in what age group

less than 4

25

duration of how many weeks is a warning sign for pediatric back pain

greater than 4 weeks

26

Birth trauma with resultant hamatoma formation followed by muscular contracture

Congenital muscular torticollis

27

what is the most common way children get congenital muscular torticollis

Breech or difficult forceps delivery MC

28

up to 20% of children with congenital muscular torticollis have what as well

congenital hip dysplasia

29

infant presentation for Sternomastoid tumor aka Pseudotumor

visible sometimes palable swelling in the SCM
painless hard mass
appears 2-3 weeks
rearly bilateral

30

what is the scm finding with older children with torticolis and pseudotumor

tumor is less discrete
SCM appears thickened and foreshortended along its entire length.