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Medicine (MD/DO)
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USMLE Step 2
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Pediatrics
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Musculoskeletal (Orthopedics)

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Pediatrics | Medicine (MD/DO) School Study Aid

Musculoskeletal (Orthopedics)
14 Picmonics to Learn | 35 mins
Developmental Dysplasia of the Hip
Cause
Abnormal Femoral Head in Acetabulum
Newborn Assessment
Positive Barlow Sign
Clicking with Adduction
Positive Ortolani Sign
Clicking with Abduction
Asymmetrical Limb Lengths and Folds (Gluteal and Thigh)
Older Child Assessment
Trendelenburg Sign
Interventions
Abduction Device
Pavlik Harness
Closed Reduction
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3 mins
Muscular Dystrophy
Mechanism
X-linked Recessive
Signs and Symptoms
Muscle Weakness
Motor Problems
Gower Sign
Large Calves
Waddling Gait
Loss of Ambulation
Consideration
Cardiac and Respiratory Failure
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2 mins
Slipped Capital Femoral Epiphysis (SCFE)
Pathophysiology
Separation of Femoral Epiphysis from Femoral Neck
Through Growth Plate (Physeal Plate)
Obesity
Male Adolescents
African American
Growth and Sex Hormone Imbalances
Signs & Symptoms
Thigh or Knee Pain
Inability to Bear Weight
Decreased Internal Rotation of Hip
Obligate External Rotation of Hip with Flexion
Diagnosis
Frog Leg Lateral X-ray
Treatment
Surgical Pinning
Complications
Avascular Necrosis of Femoral Head
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3 mins
Legg-Calve-Perthes Disease
Pathophysiology
Idiopathic Avascular Necrosis of Femoral Head
Boys 5-7 Years of Age
Symptoms < 18 Months
Signs & Symptoms
Painless Limp
Limited Range of Motion
Intermittent Anterior Thigh Pain
Insidious Pain in Knee
Atrophy of Upper Thigh
Diagnosis
AP and Frog Leg Lateral X-ray
Compression and Deformity of Femoral Head
Treatment
Bed Rest
NSAIDs
Containment with Brace or Cast
Surgery
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4 mins
Osgood-Schlatter Disease (Tibial Tubercle Apophysitis)
Pathophysiology
Apophysitis of Tibial Tubercle
Active, Young Boys
Running and Jumping
Overuse Injury
Recent Growth Spurt
Signs and Symptoms
Diagnosis Made on History
Anterior Knee Pain
Enlarged Tibial Tubercle
Edema
Treatment
Rest
NSAIDs
Activity Restriction
Self-limiting
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2 mins
Osteosarcoma
Pathophysiology
Osteogenic Sarcoma
Peak incidence men 10-20 years old
Metaphysis of Long Bones
Knee Region
Radiation
Familial Retinoblastoma
Paget's Disease
Diagnosis
Codman Triangle
Sunburst Pattern from Elevated Periosteum
Grave Prognosis
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2 mins
Patellofemoral Pain Syndrome (PFPS)
Pathophysiology
Young Female Athletes
Runners
Overuse Injury
Idiopathic Patellar & Retinacular Pain
Signs & Symptoms
Chronic Anterior Knee Pain
Increased with Squatting or Running
Increased with Prolonged Sitting or Climbing Stairs
Diagnosis
Patellofemoral Compression Test
Apprehension Sign
Treatment
NSAIDs
Conservative Therapy
Bracing
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3 mins
Types of Fractures
Nondisplaced
Displaced
Incomplete
Complete
Closed
Open
Direction of Fracture Line
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2 mins
Abusive Head Trauma (Shaken Baby Syndrome)
Presentation
Subdural Hemorrhage
Retinal Hemorrhages
Bruising and Fractures
Diagnosis
CT of Head
Skeletal Survey
Treatment
Document Injuries
Notify Child Protective Services
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1 min
Clubfoot
Cause/Mechanism
Multifactorial Congenital Anomalies
Fetal Position
Assessment
Deformed Foot and Ankle Position
Talipes Equinovarus
Interventions
Serial Casting
Ponseti Method
Early Surgery
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2 mins
Systemic Juvenile Idiopathic Arthritis Characteristics and Presentation
Characteristics
Idiopathic
Still's Disease
Autoimmune Joint Destruction
Onset < 16 Years Old
Presentation
Arthritis
Quotidian Fever
Evanescent Exanthem
Lymphadenopathy
Hepatosplenomegaly
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2 mins
Systemic Juvenile Idiopathic Arthritis Diagnosis and Management
Laboratory Findings
Increased Ferritin
Management
Glucocorticoids
Tocilizumab
Anakinra
Complications
Joint Deformities
Limb-Length Discrepancy
Uveitis
Macrophage Activation Syndrome
Considerations
Variable Prognosis
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2 mins
Langerhans Cell Histiocytosis
Characteristics
Antigen Presentation Defect
Lytic Bone Lesions
Skull
Presentation
Hypopituitarism
Diabetes Insipidus
Skin Rash
Recurrent Otitis Media
Diagnosis
Birbeck Granules
"Tennis Racket" Appearance
S100 Positive
Management
Observation
Prednisone +/- Vinblastine
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4 mins
Osteoid Osteoma and Osteoblastoma
Characteristics
Benign Bone Tumors
Osteoid Osteoma
Osteoid Osteoma
Cortex of Long Bones
Pain Relieved by NSAIDs
Pain Worse at Night
<2 cm
Radiolucent Nidus with Surrounding Sclerosis
Osteoblastoma
Osteoblastoma
Spine
Pain Not Relieved by NSAIDs
> 2 cm
Radiolucent Nidus without Surrounding Sclerosis
Management
Surgery
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3 mins

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