NAME______________________ Musculoskeletal Preparatory Rationales Lecture assistants: S Demetry: 6 P’s cast care review N Dreyer: skin vs skeletal traction care S Evergin: Duchene's diagnosis and treatment D Ferrini: Developmental Hip s/s diagnosis T Fuss: Developmental Hip management Mark G club foot: diag, incidence, management M Gwilym: osteomyelitis: etiol, diagnosis RX A Harrington: Legg Calve Perthes: etiol, stages (briefly), age presents, s/s Musculoskeletal answer rationales in preparation for class is required are worth two points. Think why on these select all questions and give rationales. You may be called on in class Two points is for completion on time, class presence and class participation or lecture assist

Usually presents with no pain in lower back down leg All the following are true of idiopathic scoliosis: (Give rationales from text book) Usually presents with no pain in lower back down leg A curve needs to be at least than ? degrees for diagnosis.? Degrees for bracing and ? For surgery? Scoliosis is characterized by a lateral curvature and spinal rotation Bracing is a preventative treatment if the brace is left on 23 hours a day. What is taught about skin care with the brace?

Idiopathic Presents with what physical signs and symptoms? Scoliosis: Idiopathic Presents with what physical signs and symptoms?

Clinical assessment for scoliosis?

What degree of curvature requires surgery? What is a spinal fusion? The following are true about spinal fusion surgery. (Read text and give rationales) Used for curvature greater than 45 degrees. The nurse needs to assess skin for pressure areas. The nurse needs to log roll the patient. The patient may ambulate to the bathroom how soon after surgery? Lower body sensation needs checked frequently

Other care post op spinal fusion includes: 1 2. 3. 4. 5.

Complications post op spinal fusion are the following: (including interventions) 1.Breathing Difficulties 2. Low self esteem 3. Constipation 4. Infection 5. Paralysis 6. Pain

The following are true about osteomyelitis: Select all: (Give Answers/Rationales) The patient have pain/R 2. IV antibiotics will be needed for weeks/R 4. Infection is often in the long bones/R 5. A Joint or bone biopsy may be needed/R 6. Most common organism? And treatment? 7. May be endogenous or exogenous etiology

The following are true about cast application are: Select all: (Give rationales) 1. Plaster casts are very warm, heavy and not water resistant and dry in 10 hr. The cast may be elevated above the heart to prevent swelling in the first twenty four hours/R 3. A hair dryer is not used to dry the cast/R 4. Turn the the patient with palms until cast dries/R 5. Turn the patient every two hours with palms of hands/R 6. Do not put anything inside the cast for itching/R 7. Do not wash cast or get wet/R

The following are true about Legg-Calve-Perthes Disease: (Answer and give rationales from text) 1. This is ____________________________ 2. This is diagnosed by ____________________________ 3. Symptoms may be__________ 4. This disease usually affects: 6. Casts, abduction braces or traction may be used for treatment 7. The surgical intervention is:

A nurse is caring for a child with Bryant’s Traction A nurse is caring for a child with Bryant’s Traction. Which of the following are appropriate actions for the nurse to take? Select all: (Give answers/ rationales) 1. 2. 3. 4. 5. 6.

What age does Leg-Calve Perthes usually present? What age does Slipped Capital Epiphysis present in? What is the difference in pathology and presenting symptoms?