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PEDS WK6 DB

Week 6 Discussion Part I

Table 1

Differential Diagnosis Pediatric Limp

Complete the table. CC limp

Condition

Age

Pain (+ or -)

Historical Findings

Clinical Findings

Causative Factors

Management

Developmental Dysplasia of Hip

Leg-length Inequality

Juvenile Arthritis

Slipped capital femoral epiphysis (SCFE)

Legg-Calve-Perthes disease

Transient synovitis

Trauma

Neoplasm

Septic arthritis

Acute hematogenous osteomyelitis


Table 2

Differential Diagnosis Pediatric Headaches

Complete the table.

Common Types

Diagnostic Criteria Based on History

Treatment/Management

Pediatric Migraine Headache

Tension Headache

Chronic Tension Headache

Other Differentials: List 3 additional differentials for headache

Characteristics

Management

1.

2.

3.


Table 3

Musculoskeletal Disorders and Sports-Related Injuries

Complete the table.

Adolescent Idiopathic Scoliosis

Osgood-Schlatter Disease

Meniscal Tear

Quadriceps Contusion

Sprain of MCL

Osteochondritis dissecans

Description

Screening Test?

How do you perform the screening test?

Imaging?

Treatment Plan

Jim is a 17-year-old who was brought into the clinic today for a headache. He reports nausea and an increase in stress from school and after-school activities (basketball practice and debate team). His vital signs are within normal limits and his BMI is 24.

· What more should you know about Jim?

· What information in your history and exam would be red flags suggestive of secondary or pathologic headaches

· What education would you provide for Jim and his parents?

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