NURS 3012 Study Guide - Midterm Guide: Femoral Head, Fibrous Joint, Medulla Oblongata
Document Summary
Umbilical: not immediate risk if less than 1-2cm or younger that 4-6yrs. Diaphragmatic: stomach contents in chest d/t diaphragm deformity. Subluxation: loose joint allows femoral head to move partway out of acetabulum. Dislocation: flat acetabulum allows femoral head to fully slip out of joint. Diagnosis: positive ortoloni/barlow test (click/clunk), galleazzi sign (one leg shorter than other), limp, toe walking, abnormal gait, xrays, positive trendelemburg, ultrasound. 6mos to 18mos: traction, open/closed reduction w spica casting & brace up to 6yrs: open reduction & spica casting. Infant manifestations: macrocephaly, bulging/tense fontanels, dilated scalp veins, separated cranial sutures, irritability/lethargy/poor feeding, shrill cry, setting-sun eyes (rotated down), decreased responsiveness lethargy comatose death. Children manifestations: macrocephaly if under 10/12, headache, visual disturbances (papilledema/strabismus), ataxia, apathy, irritability/lethargy/confusion/incoherence/diminished loc. Management: removal (obstruction), shunt (initial: blood tinged change to clear), evd, vp, va. Evd: monitor drip chamber 0 @ auditory meatus. Bed flat (chamber at 0), don"t pump unless ordered. Correct deformities, prevent joint contractures, minimize sensory/motor deficits.
