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OB/PEDS Unit II > Pediatric HA LBP > Flashcards

Pediatric HA LBP Flashcards

1
Q

single episode of head pain wothout history of previous events

A

acute headache

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2
Q

pattern of head pain separated by symptom- free intervals

A

acute-recurrent headache most commonly migraine

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3
Q

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

A

mixed headache

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4
Q

two examples of primary headaches

A

migraine and tension type

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5
Q

some causes of secondary headaches

A

SOL
inflammation
increased ICP

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6
Q

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

A

Tension-type primary headaches

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7
Q

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

A

diskitis

osteomyelitis

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8
Q

kids with a diskitis may have pain refered where

A

hip

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9
Q

age range for back pain in kids

A

greater than 12

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10
Q

Gender bias for back pain in children

A

females

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11
Q

what are a few thinks the predispose kids to back pain

A

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

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12
Q

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

A

schuermann’s disease
facet tropism
spondylolysis

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13
Q

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

A

Scheuermann’s

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14
Q

how do you diagnose Scheuermanns

A

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

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15
Q

what is the management for scheuermann’s

A

adjustments and soft tissue therapy
stretch hamstrings and strengthen abdominal msucles

strengthening exercises for back

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16
Q

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

A

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

17
Q

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

A

avoid hyperextension and rotation of the lumbar spine

18
Q

how does scheuermanns disease present

A

fatigue and pain in the upper back

exaggerated mid-thoracic kyphosis, vervical and lumbar lordosis and anterior pelvic tilt

19
Q

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

A

scheuermanns disease

20
Q

how does a spondylo present

A

LBP aggravated by acitivity asymptomatic in some cases,

increased lumbar lordosis, hamstring tightness, gait abnormalities

21
Q

COuld you use a brace for a spondylo?

A

yes

22
Q

how often in adolescence do you xray a spondy

A

every 6 months

23
Q

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

A

subluxation

24
Q

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

A

less than 4

25
Q

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

A

greater than 4 weeks

26
Q

Birth trauma with resultant hamatoma formation followed by muscular contracture

A

Congenital muscular torticollis

27
Q

what is the most common way children get congenital muscular torticollis

A

Breech or difficult forceps delivery MC

28
Q

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

A

congenital hip dysplasia

29
Q

infant presentation for Sternomastoid tumor aka Pseudotumor

A

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

30
Q

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

A

tumor is less discrete

SCM appears thickened and foreshortended along its entire length.

31
Q

what is the standard treatment for torticollis that parents can do

A

parental physiotherapy 90% respond within one year.

32
Q

premature closure of the lambdoidal suture

A

synostotic plagiocephaly

33
Q

external pressures on the rapidly developing skull from prolonged exposure to one positionq

A

nonsynostotic plagiocephaly

34
Q

what is the problem

suture palpates WNL
ear on flat side appears more anterior
ipsilateral forhead protrudes
Bald spot on sie of flattening

A

Position Head deformity

35
Q 
what is the problem
palpable ridge
ear on flat side appears more posterior
forhead does not protrude
no bald spot
no sign of external pressure
A

Craniosynostosis

OB/PEDS Unit II (8 decks)

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