1
Q
A
2
Q
Def of Floppy Infant
A
3
Q
Etiology of Floppy Infant
A
4
Q
Etiology of Floppy Infant
- Central
A
5
Q
Etiology of Central “Cerebral” Floppy Infant
- Congenital
A
6
Q
Etiology of Central “Cerebral” Floppy Infant
- Traumatic
A
7
Q
Etiology of Central “Cerebral” Floppy Infant
- Infection
A
8
Q
Etiology of Central “Cerebral” Floppy Infant
- Chromosomal
A
9
Q
Etiology of Central “Cerebral” Floppy Infant
- Metabolic
A
10
Q
Etiology of Central “Cerebral” Floppy Infant
- Drugs
A
11
Q
Etiology of Floppy Infant
- Peripheral
A
12
Q
Etiology of Peripheral Floppy Infant
- AHCs
A
13
Q
Etiology of Peripheral Floppy Infant
- Peripheral Nerves
A
14
Q
Etiology of Peripheral Floppy Infant
- NMJ
A
15
Q
Etiology of Peripheral Floppy Infant
- Muscle
A
16
Q
Etiology of Peripheral Floppy Infant
- Others
A
17
Q
Etiology of Floppy Infant
- Most Common Causes in each category
A
18
Q
CP of Werdnig-Hoffman Disease (SMA I)
A
19
Q
CP of Atonic Cerebral Palsy
A
20
Q
Which Sign is specific for Atonic Cerebral Palsy?
A
21
Q
CP of Floppy Infant
A
22
Q
CP of Floppy Infant
- Abnormal Posture
A
23
Q
CP of Floppy Infant
- Frog-Leg Position
A
24
Q
CP of Floppy Infant
- Rag-Doll position
A
25
CP of **Floppy Infant**
- Abnormal Movements
26
CP of **Floppy Infant**
- Pull to Sit Maneuver (Traction response)
27
CP of **Floppy Infant**
- Vertical Suspension???
28
CP of **Floppy Infant**
- Scarf Sign
29
CP of **Floppy Infant**
- Heel to Ear Test
30
CP of **Floppy Infant**
- Hamstring Test
31
Local Examination in **Floppy Infant**
32
Local Examination in **Floppy Infant**
- Muscle Power
- Deep Reflexes
- Fasiculations
33
Compare Between Central Causes & Peripheral Causes of floppy Infant in Terms of:
- Muscle State
- muscle Power
- Deep Reflexes
- Pantar Reflexes
- Features
34
Clues to Specific Cause of **Floppy Infant**
35
Clues to Specific Cause of **Floppy Infant**
- Hepatosplenomegay
36
Clues to Specific Cause of **Floppy Infant**
- Renal cysts, high forehead, wide fontanelles
37
Clues to Specific Cause of **Floppy Infant**
- Hepatomefaly, Retinitis Pigmentosa
38
Clues to Specific Cause of **Floppy Infant**
- Abnormal Odour
Metabolic Disorders
39
Clues to Specific Cause of **Floppy Infant**
- Hypopigmentation, Undesended Testes
Prader Wili Syndrome
40
Clues to Specific Cause of **Floppy Infant**
- Examination of the mother
- Congenital myotonic dystrophy
- Myasthenia gravis
41
From x & Examination if you found:
* Hypotonia + a degree of strength ----> .......
* Hypotonia + weakness ------> .........
- Central cause is most likely
- Peripheral cause is possible
42
Investigations for **Floppy Infant**
Investigations for:
- Central Causes
- Peripheral Causes
43
Investigations for Central Causes of **Floppy Infant**
44
Investigations for Central Causes of **Floppy Infant**
- Neuroimaging
- Ultrasound scan in the first instance
- MRI for structural abnormality
- EEG: if seizures suspected
45
Investigations for Central Causes of **Floppy Infant**
- Genetic
46
Investigations for Central Causes of **Floppy Infant**
- STORCH
47
Investigations for Central Causes of **Floppy Infant**
- DNA Methylation Studies or FISH
48
Investigations for Central Causes of **Floppy Infant**
- Metabolic Workup
49
Investigations for Peripheral Causes of **Floppy Infant**
- Peripheral Causes
50
Investigations for Peripheral Causes of **Floppy Infant**
- Molecular Genetics
51
Investigations for Peripheral Causes of **Floppy Infant**
- Creatine Kinase
52
Investigations for Peripheral Causes of **Floppy Infant**
- NCS
53
Investigations for Peripheral Causes of **Floppy Infant**
- Muscle Bx
54
Managment of Floppy Infant
55
Managment of Floppy Infant
- Main Line
56
Managment of Floppy Infant
- Physiotherapy
57
Managment of Floppy Infant
- Occupational Therapy
58
Managment of Floppy Infant
- Orthopedic therapy
59
Managment of Floppy Infant
- Chest Infections
- Feeding
- During Anasthetia
- Genetic Counseling
Pediatrics I - OSCE
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