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Pediatrics-Musculoskeletal

AB
Condition where the head of the femur is improperly seated in the acetabulumHip Dysplasia
Hip dysplasia occurs because of thisLaxity of ligaments around the hip
Asymmetry of the gluteal and thigh skinfolds can be seen in hip dysplasia when the child is positioned this wayProne on the examining table
Hip dysplasia will show limited ROM whereThe affected hip
Two maneuvers that will assess for hip dysplasiaBarlow or Ortolani
In the walking child, look for this as a signal of hip dysplasiaTrendelenburg sign
Intervention of hip dysplasia in the neonatePavlik harness
Following the neonatal period, this is done for hip dysplasiaTraction and surgery
Education for parents and child for hip dysplasiaProper care of a Pavlik harness or spica cast
A congenital malformation of the lower extremitiesClubfoot
Which side does clubfoot affectUnilateral or bilateral
Appearance of clubfootPlantar flexion, inverted heel, and adducted forefoot
Time period for treatment of clubfootAs soon after birth as possible
Manipulation and recasting are done this often for clubfootWeekly
Check this in a patient with hip dysplasia or clubfootNeurovascular status of lower extremities
A lateral curvature of the spineScoliosis
Surgical treatment for scoliosisPlacement of internal rods
Non-surgical treatment for scoliosisBrace worn 16-23 hours a day
Post op care after rod placement for scoliosisProper alignment, logroll, no twisting, neurovascular status of extremities and the usual post op care
Complication of surgery for scoliosisSuperior mesenteric artery syndrome
An inflammatory disease affectng the jointsFuvenile Rheumatoid Arthritis (JRA)
Rare complication that may occur with JRAIridocyclitis
Therapy for JRAMedications, physical, and occupational therapy
Reason surgical interventions would be employed for JRAJoint contractures or unequal growth of extremities
Symptoms of JRAMorning stiffness, swelling, and limited ROM of affected joints
Medications for JRAASA and NSAIDs


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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