Test 2 Review

1
Test 2 Review

• Where should I spend
• most of my time?

2
Ground Rules

• This review is not all-inclusive
• You are still responsible for
• Extra notes, comments added in class to clarify a
  concept, etc

3
Test 2 is Cumulative

• Expect 5 questions from Test 1 material
• Usually commonly missed concepts

4
Basics

• Flexed tone
• Symmetry
• Expected posture
• Infant kyphosis (until they can sit)
• Toddler lumbar lordosis, belly

5
Milestones
6
Newborn

• Pes planus
• Tibial torsion
• Metatarsus adductus
• If persists

Fetal positioning
7
For each age group/body region/etc
8
Congenital Hip Dysplasia

• What is it?
• dysplasia, subluxation, dislocation
• How do you evaluate it?
• Know how to perform each part.

9
Things that cause toe in

• Tibial torsion
• Femoral anteversion
• Reverse tailor sitting
• Metatarsus adductus
• Talipes
• Ex ilium
• Muscle patterns

10
For each condition

• What is it?
• How do you evaluate for it?
• Expected resolution? Treatment?
• Eg. Pes planus
• -flat foot
• -weightbearing/not
• -should resolve by 3 years

11
Genu valgum

• What is it?
• How do you evaluate for it?
• Expected resolution? Treatment?

12
Nursemaids Elbow

• What is it?
• How do you evaluate for it?
• Expected resolution? Treatment?

13
Make lists

• Muscular dystrophy
• Genetic
• Degeneration of muscle
• Progressive weakness
• Muscle atrophy
• Pseudohypertrophy
• fatty infiltrates
• Gowers sign
• Please make sure to include management

14
Infant cranial nerve exam

• CN II, III, IV, VI
• Blink reflex
• Dolls eye
• V
• Rooting
• Sucking
• VII
• Facial expressions

• VIII
• Acoustic blink
• Dolls eye
• IX,X
• Swallow, gag
• XII
• Suck, swallow
• Tongue midline

15
Automatisms

• Most disappear by 6 months
• Replaced with more advanced skills
• Babinski (up to 2 years)
• Fencers (peak at 2-4 months)

16
Automatisms

• Know how to elicit them
• What do you expect to see?
• What info can the test give you?
• Clavicle fracture
• Cranial nerves
• Etc.

17
Neuro exam Child

• Cranial nerves
• Necessary adaptations?
• DTRs
• Soft signs
• Whats normal, whats not
• Should all be gone by 10 yoa

18
Things that jump out

• Meningitis
• Nuchal rigidity is not seen until 6-9 months
• Seizures
• 75 of new cases develop during childhood and
  adolescence
• Rett syndrome
• Girls 6-18 months
• Hands

19
Pediatric Radiology

• Normal Anatomy
• Normal variants
• Pseudospread
• Psuedosubluxation
• ADI
• Etc.
• Common Injuries

20
Chiropractic Assessment

• Reverse fencer
• Determine a listing? Occ/C1
• Atlas
• Reverse fencer
• Atlas fossa
• Leg checks
• Sacrum? Pelvis?

21
Plagiocephaly

• Pos. Head Deformity

• Synostosis

22
Autism

• Prevalence
• Cause?
• Associated behaviors, signs
• Diagnosis
• Etc.
• vs. Aspergers

23
SIDS

• There will be a bonus question regarding the
  assigned reading
• What is it?
• Risk factors
• Recommendations