Crunch the Numbers
+/- 10% points, the amount of patients who will have benign nocturnal limb pains of childhood
What is 33%
This annular displacement of the radial head is commonly fixed by what motion
What is hyperpronation (then supination with flexion)
This bony abnormality presents most commonly in pre-adolescent males - can be especially seen in Sickle Cell Disease
This is the most common form of child maltreatment
What is neglect (60% of prosecuted maltreatment)
This 1997 film follows Matt Damon's journey as a patient recovering from adverse childhood experiences with counselor Robin Williams
What is "Good Will Hunting" - Those who experience childhood maltreatment are far less likely to graduate high school
This percentage of patients will need to drive more than 40 miles for their rheumatologic disease within 5% points
What is 50%
The most common nutritional deficiency that can manifest as non-specific long bone and/or joint pain
What is Vitamin C
This occurs when the femoral head is displaced posteriorly and inferiorly to the femoral neck secondary to a fracture parallel to the growth plate.
What is SCFE
People who experience this type of abuse are more likely to carry a gun in adolescence
What is Physical or Sexual
This 1994 film follows the life of Tom Hank's titular character, who is seen throughout the movie to be in love with a woman who grew up with an alcoholic father
What is "Forrest Gump" - concurrent substance abuse increases the risk of abuse
+/- 5% points, the amount of times musculoskeletal complaints are the reason for visits to Primary Care
What is 5-7%
This is the most common infection related cause of acute joint pain with approximately 3% of children being affected over their course of life.
What is Transient Synovitis/Toxic Synovitis
This is the most common vitamin deficiency found in patients with pediatric fractures
What is vitamin D
This is the governing agency that any form of child maltreatment is reported to
Child Protection Services
This 2012 film stars Logan Lerman (Charlie), Emma Watson, and Ezra Miller and explores the life of an adolescent suffering from PTSD due to sexual abuse from his aunt
What is the Perks of Being a Wallflower - Sexual Abuse is most commonly associated with someone the victim knows
This is the background positivity rate of ANA in healthy children and adolescents within 5% points
What is 15-20% - this and RF/CCP are not diagnostic for JIA, an initial workup includes CBC w/diff, CMP, ESR, CRP, and UA
This is the basic treatment for JIA
What are NSAIDs
Fractures of these bones are the most specific to abuse and should raise suspicion
What are the posterior ribs, scapula, spinous process, and sternal fractures
These 5 parental risk factors increase your likelihood of sustaining child maltreatment (will accept 3/5)
What is being a teen parent, having a history of substance abuse, previous child maltreatment, single parenthood, cognitive deficit/other mental illness. Other risks include poverty, children with mental illness, multiple children under the age of 5, intimate-partner violence, disabled, children of multiple gestations
This 2015 film stars Brie Larson who has been held captive for 7 years with her 5 year old son
What is "Room" - increased risk of abuse with domestic violence
This is the percentage of female children who will experience sexual abuse in childhood within 5%
What is 30-40%
These are the Four Kocher Criteria for septic arthritis
What are the inability to bear weight (TS can sometimes have a limp), Fever > 38.3C, ESR > 40, WBC count > 12,000.
This genetic disease may sometimes be mistaken for child abuse, commonly seen with blue sclera
What is Osteogenesis Imperfecta
These 3 things distinguish corporeal punishment from physical abuse (accept 1 answer)
What are hitting with an object other than the hand, striking with intensity hard enough to leave a mark for more than a few minutes, anger
This 1982 film follow a group of girls at an orphanage as they experience the hard knock life associated with poverty.
What is "Annie" - Increased risk of abuse with poverty