Peds1.
 
Legg-Calve-
Perthes;
 XR = wide
articular space
+ necrosis
femoral head;
self-limited; tx
by maintaining
joint mobility
(use brace to
keep hip
inacetabulum)
or surgical tx w/
osteotomies;
exam = limited
abduction
andinternal
rotation
2.
 
CP =
nonprogressive
motor
impairment; cog
disability, MR,
vision
problem,skeletal
, seizures, poor
PO, poor
growth/develop
ment; most
likely to
haveproblems
w/ constipation
3.
 
DTaP
 given @ 2,
4, between 15
–
 18mo, final =
between 4-
6years;
4.
 
Roseola
HHV6-7:
high F

 defervesce

 rose-pink
macular rash
(trunk-
>extreme)a.
 
Measles
 = rare because
of universal
vaccination;
morbiliform
w/koplikb.
 
Rubella =
head to toe rash;
prodromal
lymphadenopath
y andlowgrade
fever
5.
 
Recurrent UTI

 anatomic

 
US
 (look for urinary
tract
abnormality
andhydronephro
sis) and
VCUG
(dx and evaluate
severity of
reflux)a.
 
DMSA scan
looks for renal
scarring
6.
 
Infantile
Hemangioma
s
 = most common
benign tumor
(can be on skin
or onorgans e.g.
liver) in kids,
resolves/involut
es by 18mo;
usually
asymptomaticbu
t large ones
assoc. w/
high output
cardiac
failure
 (bc of incr
vascularflow