Pediatrics musculoskeletal exam Flashcards Preview

OB/PEDS Unit II > Pediatrics musculoskeletal exam > Flashcards

Flashcards in Pediatrics musculoskeletal exam Deck (73)
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1

during what months can a baby raise head

2 months

2

during what months can a baby roll from prone to supine

4 months

3

during what months will a baby sit using tripod position

6 months

4

during what months does a child begin creeping

9 months

5

during what months should a child stand without support momentarily

12 months

6

a child in extension prone on the floor that keeps its hands from touching the ground may have

neurological problems

7

what is the cutoff for walking?

18months

8

when talking about sequence of motor development what is the most important

that babies hit their milestones in order! no skipping

9

a healthy newborn will exibit some resistance to what position

full extension

10

how do you get a newborns fingers open

stimulate the ulnar aspect of their hand and they will open their hands.

11

you bring a babies arm across their chest in the front to touch the other shoulder what is it called and why do you use it

scarf test,
looking for normal flexion/ muscle tone.

12

holds arms in flexion, for five seconds, suddenly extend them and release them they will come back in flexion what test is this, what is it testing for

arm recoil test, normal flexion tone

13

a single crease extending across the entire palm

simian crease, down syndrome

14

in what position should you inspect the spine of a toddler

standing

15

posture and movement of a toddler should be symmetric, what shouldn't you see

twitching

16

child rises from a sitting position by placing hands on the legs and pushing the trunk up. Crawl up their legs

Gower sign, muscular dystrophy

17

why may muscular dystrophy effected children look like they are strong even when they have muscle atrophy?

the patient will have fatty infiltrates that make the child appear stronger, pseudohypertrophy due to fatty infiltrates

18

should the child be undressed during inspection?

yes, unless they are of age then use a gown

19

what are the evaluateions for developmental hip dysplasia

1. asymmetrical thigh and buttocks skin folds or creases
2. decreased hip abduction > 3 mohts - most reliable sign
3. allis' test
4. ortolani's

20

what are the three grades of developmental hip dysplaisa

1. acetabular displaisa
2. subluxation
3. dislocation

21

is plain film good for an infant under 6 months?

no, ultrasound

22

what is best used to catch subtle signs of hip dislocation

ultrasound

23

who should you check for hip dysplasia

every pediatric under 1 year old, developmental hip dysplasia.

24

hip symmetry and no symmetric fat folds or deeper on one side are signs of ?

congenital hip dysplasia

25

when a hip dislocates what length change happens

leg become shorter.

26

what type of abduction is sign of hip dysplasia

decreased hip abduction

27

this test tests for leg length inequality only, not dislocation

allis sign

28

what is the most reliable sign of hip dysplasia in a child under 3 months old and why

decreased hip abduction
after 3 months child becomes so strong you can get false negatives

29

what means a positive test for hip dislocation, click or clunk

clunk. clicks are normal

30

Test one hip at a time, stabilizing the pelvis with the other hand  Infant supine, doctor at infant’s feet  Flex the hips & knees to 90 degrees
 Grasp the leg with your thumb on the inside of the thigh, the base of the thumb on the knee, and your fingers gripping the outer thigh with your fingertips resting on the greater trochanter  Adduct the thigh and gently apply downward pressure on the femur

Barlows maneuver,