Peds MD Lecture
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Definition of MD | show 🗑
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| show | Destruction of Myofibrils
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| show | Dystrophin
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| Duchenne | show 🗑
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| show | 5-10 yo; Slow progression; Gait to early teens; Lifespan into 30s; X-linked
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| show | More pronounced in adulthood; Proximal wkness
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| Conegnital | show 🗑
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| Facioscapulohumeral | show 🗑
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| Myotonic | show 🗑
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| Emery-Dreifus | show 🗑
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| show | Onset 40-50; Wkness of eyelids & throat, facial & limb mm later; Swallowing & keeping eyes open are difficult
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| Distal | show 🗑
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| show | 4 or 5 but parent concern prior to that age
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| Dx of Duchenne | show 🗑
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| show | Generalized proximal wkness; Enlarge calves (pseudohypertrophy); Delayed motor skills (ambulation); Frequent falls; Difficulty getting off floor; (+) Gowers sign
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| Complication- Contractures | show 🗑
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| show | Increased side to side sway
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| Complication- Decreased mobility& | show 🗑
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| Other complications | show 🗑
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| Dx Progression | show 🗑
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| Typical Progression | show 🗑
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| show | Hx/MD notes; Parent assessment; ROM/strength; Posture; Gait; Fxnal mobility; Balance; Motor milestone attainment
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| PT Intervention- Educate family & pt | show 🗑
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| Treatment areas for concern | show 🗑
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| show | Splint/night splints; Tight gastroc/soleus increases ankle sprain risk leading to gait loss; Increased lumbar lordosis to compensate poor balance; Scoliosis common (affects respiration)
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| Treatment | show 🗑
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| show | Posture; Safety; Allow person being transferred to help as much as possible; Slide boards/discs; Gait belts; Hoyer/track lifts
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| Sensory Integration | show 🗑
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| Sensory Integration | show 🗑
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| show | Diaphragm breathing; Intercostals; Upper rib cage; Manual assistance; Mechanical ex's latera (cough assist, active breathing cycle, autogenic drainage)
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| show | Daily
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| show | Resting, Night; AFO's for gait; Serial casting; No intervention; Orthotics; Ankle supports
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| AD's/Equipment | show 🗑
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| show | Steroids (prednisone, deflazicort); Respiratory meds; Pain mgmt; Vitamins (coQ10)
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| SMA- Type I (Acute Childhood) | show 🗑
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| SMA- Type II (Chronic Childhood) | show 🗑
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| show | First decade onset; Calf pseudohypertophy; Do gait but if sx noted by age 2, most likely use scooter/WC for primary mobility during school age; Vocational planning; Live into adulthood
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| show | Brain development- seizures, progressive decreasing cognitions (not decreasing, just not developing); Herat problems; Pulmonary fxn
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| Helping prepare parents for _____ is important but so is what? | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
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You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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