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PEDs Final CP

Cerebral Palsy and Duchene Muscular Dystrophy

What is scissoring? Legs in crossed position, knees, hips, and ankles stiff. Children make a crossing or "scissoring" movement with legs
What is the significance of tonic neck reflex persisting past 4-6 months One of the early clues to CP. A persistent infantile rest/sleeping posture is a sign of spasticity when it remains constant after 4-5 months of age.
Why does the child with CP need more calories? Spasticity burns more calories and energy than a normal child.
What are the causes of CP? Neonatal encephalopathy, traumatic brain injury, carbon monoxide poisoning, respiratory distress/obstruction, drowning, insulin reaction, brain abbess, granuloma, hemorrhage, embolus/thrombus, meningitis, encephalitis
What are prenatal causes of CP? Teratogens, genetic syndromes/chromosomal abnormalities, brain malformation, intrauterine infections, maternal factors
What are perinatal causes of CP? Sepsis, CNS infection, asphyxia, prematurity
What are characteristics of spastic cerebral palsy? Scissoring of the legs, hypertonicity, poor control of posture, and coordination
What is the role of baclofen in CP? Effective in decreasing overall spasticity
What is the role of botox in CP? Reduces contracture deformities and pain management
Why does the child with CP need range of motion? Early efforts focus on alleviating abnormal posture by positioning, exercising, and prevention of contracture deformities.
How does spasticity impact feeding issues? The child has persistent gagging, choking, and pushing tongue out of mouth with possible drooling and aspiration.
What is ataxic CP? A wide based gait, rapid repetitive movement performed poorly, disintegration of movement of upper extremities when child reaches for an object.
What is dyskinetic CP? Abnormal involuntary movement, AKA athetosis: slow-worm-like writhing movements involving the extremities, trunk, neck, facial muscles, and tongue.
What is mixed CP? A combination of Spasticity and Athetosis (Dyskinetic)
What is Gower's sign? A characteristic way of rising from a squatting or sitting position on the floor
Why does the calf muscles enlarge in Duchene Muscular Dystrophy? From fatty infiltration
What are clinical manifestations of Duchene Muscular Dystrophy? Lordosis, waddling gait, progressive muscle weakness, and Gower's sign
Is there a link between mental retardation and cerebral palsy? No. Some children have both, but there is no link between the two.
Created by: Keller_KI