Child With a Limp | Cheat Sheet

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

276

Pages:

7
Author:

Mariam A. A.

Child with a limp Definitions of limp Antalgic limps Painful limps Painful limps Trendelenburg limp Indicated a dislocated limp hence waddling Scissor limp First thing to ask about when there is a limp Have they hurt themselves or have had a trauma Osteomyelitis Case that has an X ray Calcficiation under the osteom Caused by irritation of the osteom Major sign of osteomyelitis But can get it from other things as well There are bilateral lines Can also happen when fathers throw and cath their babies Causes little trauma Lysis of the bone Loss of tubercular pattern Why do we need to be specific about if it is osteomyelitis or septic arthritis This is because it impacts management For septic arthritis -> we would need an aspiration and a wash out This is an emergency How long does it take for signs on X rays will become positive Can take up to 10 days Trauma Viral infection Known the above in this order Transient synovitis DDH Need to pee more frequently and fecal retention Both happen or one? Breech delivery Can be unilateral or bilateral But most commonly unilateral Osgood Schlatter A common condition that causes knee pain especially in those involved in sports Occurs with overuse injury affecting the growth plate at the top of the tibia/ Characterised by inflammation and pain at the tibial tubercle The bony attachment where the patellar tendon attaches Pain is made worse by movement SUFE it is mainly unilateral klein’s line use to assess for slippage of the femoral head this line is drawn along the superior border of the femoral neck on AP hip radiograph common in obese children Perthes disease common in 6 year old boys DMD congenital HSP immune disease personability triggered by infections can run un families on history collection of leukocytes most common expressed in the lower limps three things purpuric palpable rash arthralgia intussusception bowel things that the skin lumps and feaces bowel goes into bowel also causes IgA nephritis -> haematuria we only use steroids because it makes the pain go away Hypertension can also cause haematuria RF Sydenham chorea firstly starts very subtly affects school performance the erythema marginatum spares the face JIA rare can get systemic lumps erythamous signs with it persistent joint arthritis does not migrate often associated with a high fever and a funny rash may get changes with eyes – iritis enlargement of liver and spleen transient pyomyositis he said we give 10 to 20, he prefers that we give 10, and then if that does not work we can give another 10 the reason that Whitehall does not like giving 20 straight away because you may give too much fluid which impacts Na+ -> hyponatremia -> impacts the brain badly in the exam if it is skills and you get Whitehall say the above if mcq do 10 and 20 as well and see which is the answer