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1. Rovsing sign apply pressure to lower left ab-
domen. Pain felt on right side
of abdomen when pressure re-
leased.
2. + Ant/ Post Drawer sign assess for injury of ant/post cru-
ciate ligament
3. Osgood- Schlatter disease most common in later childhood
and early adolescence. Painful
swelling and tenderness of tib-
ial tuberosity. Most common in
children in sports. *initial TX is
stretching.
4. TX for sprained ankle apply cold for 20 min, off for
20-45 min. Repeat 1st 24-48hrs.
Rest, elevate, compress (RICE)
5. Legg-calve perthes idiopathic osteonecrosis of
femoral head. 4x more common
in males. Hip pain, knee pain,
painless limp that is worse at end
of day. Frog leg xray best to diag-
nose.
6. Viral gastroenteritis Most common complication is
dehydration.Tx is small, frequent
amounts of oral rehydration solu-
tion.
7. BG for 4y/o goal of 90-130
8. Suspected growth hormone deficiency short, slow growth. Childlike
faces with prominent forehead.
*Initial eval include TSH, BG (hy-
poglycemia), GI illness, CBC,
sed rate, UA, growth factor.
9. Initial eval in cases of isolated menarche
