pediatric variations
what "unique" appearance of the back/spine is seen in infants and toddlers?
kyphosis=infants
lordosis=toddlers
administer paaaaaaain medzzzzz
should weights be on the floor hanging out chillin?
NO! they should be hanging freely at the prescirbed weight while the child lays
a concaved chest, possible SOB, cardiopulmonary problems, exercise intolerance, respiratory distress are all signs of....
pectus excavatum!!!!!!
diagnosed with xray, PFT, CT, echo
avoid side lying and rolling, keep that spine straight. be aware of self esteem issues and puffy nips
this is congential sorry....
fat kids and early walkers but mostly fat kids
tibia vara! blount disease!
must wear braces for 23 hours a day, asymmetirc growth in legs, bow legged.
ligaments are more relaxed in males or females?
females! (buss it wide open)
what are some things we can do to promote skin integrity?
pad boneys, turn, keep clean linens, clean N dry! assess the skeeeeen
how can we prevent contractures in the unaffected limb??!?!?!?!
exercise the unaffected limb!!!!
what is the difference between polydactyl and syndactyl and what do we do for these?
poly-extra digit
syn-webbing between digits
imaging to determine what the defect is made of and palpate
as a child i never saw the sun and never drank milk, my bones are weak and my mom feeds me fish and liver. WHAT DO I HAVE
rickets!!!!!
i need calcium, vitamin D, phosphorus, and better parents
what components of a child's health history is important in muskyskely disorders?
changes in mobility, birth trauma, breech position, injury at birth, prematurity
what medications would we edcuate parents on that decrease muscle spasms when a child is in traction?
me and renzo rollin in a benzo!
IV-pamidronatem, zoledronic acid
PO-alendronate, riserdronate
what is the best way to care for external pins?
clean as ordered with chlorhexidine solution or NS, remove crust for free drainage, wear snap on clothing, report excessive drainage! use a nonshedding material for cleaning and dressing
you can't use it on the 9th hole and it's not a sandwich but you can cast it every 2 weeks, brace it, and wear braces for a long time. it's....
CLUBFOOT
my femur has slipped off the bone, they place a rod to hold in there, i have external rotation and hip/groin/knee pain. they told me not to bear weight for a whole week and told me my friends can visit. what do i have?
slipped capital femoral epiphysis!!!!!
when assessing muscle tone, what terms would be used for excess muscle tone or lack of muscle tone?
hypertonia and hyptonia
before applying a cast, what would we do?!
baseline neurovascular check, show items used, premedicate, distract
name the common fractures HEHEHEHEH
and name a potential sign for abuse type fracture
BOWING-bending with no break
BUCKLE-compressions
GREENSTICK-incomplete
COMPLETE-broke in 2
TWISTING!!!! bone is twisted and snaps, report abuse
im short, my face is a triangle, my sclera is blue, my bones break and you shouldn't lift me by the pits or my ankles to change me. what am i?
a child with osteogenesis imperfecta!
"brittle bones break easy"
genetic testing, bisphosphonates, rods in long bones.
my ESR, CRP, and WBCs are evelvated, i need 4-6 weeks of antibiotics. a few weeks ago I have a big pimple and impetigo, there is swelling, hurts to walks, warmth, and a fever. WHAT DO I HAVE
osteomylitis
what diagnositc tests are commonly used to diagnose muscyskelly variations?
xrays, ultrasounds, MRI, CT, EMG, arthrography, genetic testing
as the nurse, what do we need to teach parents at home regarding cast care?
watch for the 5 p's! don't put anything in the cast, keep it clean and dry, use a cool setting on a hair dryer if it itches.
name the 5 ps of compartment syndrome
pain
paresthesia
pallor
pulses
paralysis
and they threw in temperature but ok
well strap me in a harness and wear me for 23 hours a day, watch my booty cheeks for the uneven folds
a pavlik harness and DHD!!!!
I have asymmetry of the shoulder scapula, hips, and waist. rib displacement is noticed, they said I have a positive adams test, and a curve greater than 50 degrees. WHAT AM I AND WHAT ARE WE DOING
scoliosis!!!!! for curves greater than 45 degrees we are doing surgery and log rolling post op. for curves 25-45 we are bracing for 18 hours a day and wearing shirts under the braces and being cute