Gastroschisis and Omphalocele

Rx for large defects
silastic "silo" to protect the bowel and manual replacement of the bowel daily until complete closure. Provide TPN in the meantime.

Salter-Harris fractures

Type I, II: conservative txt
III-V: Surgical repair

Rashes

Osteogenic sarcoma vs. Ewing sarcoma

Osteogenic sarcoma





Ewing Sarcoma

Osteogenesis Imperfecta

Defect in Type I collagen

Nursemaid elbow

Torticollis

Scoliosis

Adam Test


Treatment:
brace if <40 degree
surgery if >45 degree

Pediatric knee disorder

Osgood-Schlatter disease


Popliteal cyst (Baker Cyst)

Intoeing

Metatarsus Adductus



Congenital talipes equinovarus (Club foot)



Internal femoral torsion(Femoral anteversion) & Internal tibial torsion

Child with a limp

Age is a key factor for diagnosis
0-3 years: developmental dysplasia of hip (DDH) more female
4-12 years: Legg-Calve-Perthe disease more male
>12: slipped capital femoral epiphysis

1. DDH
Barlow test
Ortolani
Galeazzi sigh

Dx: dynamic ultrosound
treatment: Pavilk harness, surgery, cast
complication : acetabular dysplasia

2. LCP
avascular necrosis of femoral head
painless limp
cast and bed rest

3. SCFE
check LH, FSH, TSH
Txt: pinning

Pediatric dermatology

Erythema multiforme: characteristic target lesion



molluscum contagiosum



Erysipela

Tanner Stage

Male pubic hair stage


Female


Breast Stage: Key to tell 3, 4, 5 is areola

Testes size