Flashcards in Pediatrics musculoskeletal exam Deck (73)
during what months can a baby raise head
during what months can a baby roll from prone to supine
during what months will a baby sit using tripod position
during what months does a child begin creeping
during what months should a child stand without support momentarily
a child in extension prone on the floor that keeps its hands from touching the ground may have
what is the cutoff for walking?
when talking about sequence of motor development what is the most important
that babies hit their milestones in order! no skipping
a healthy newborn will exibit some resistance to what position
how do you get a newborns fingers open
stimulate the ulnar aspect of their hand and they will open their hands.
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
looking for normal flexion/ muscle tone.
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
a single crease extending across the entire palm
simian crease, down syndrome
in what position should you inspect the spine of a toddler
posture and movement of a toddler should be symmetric, what shouldn't you see
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
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
should the child be undressed during inspection?
yes, unless they are of age then use a gown
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
what are the three grades of developmental hip dysplaisa
1. acetabular displaisa
is plain film good for an infant under 6 months?
what is best used to catch subtle signs of hip dislocation
who should you check for hip dysplasia
every pediatric under 1 year old, developmental hip dysplasia.
hip symmetry and no symmetric fat folds or deeper on one side are signs of ?
congenital hip dysplasia
when a hip dislocates what length change happens
leg become shorter.
what type of abduction is sign of hip dysplasia
decreased hip abduction
this test tests for leg length inequality only, not dislocation
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
what means a positive test for hip dislocation, click or clunk
clunk. clicks are normal