Your examination of a 5-year-old child reveals limited abduction and internal rotation of the child's right hip accompanied by muscle spasm, proximal thigh atrophy, and a painless limp. These findings indicate
a. dislocated hip. c. juvenile rheumatoid arthritis.
b. Duchenne muscular dystrophy. d. Legg-Calvé-Perthes disease.
D
Legg-Calvé-Perthes disease occurs in young male children (2 to 12 years old) and presents as a painless limp accompanied by limited abduction and internal rotation of the hip, muscle spasm, and proximal thigh atrophy. It is caused by interruption in the blood supply to the capital femoral epiphysis. Avascular necrosis of the femoral head results. In Duchenne muscular dystrophy, there is a degeneration of the skeletal muscles that control movement. The pelvic muscles degenerate first and progression occurs upward to the trunk and shoulders. Life expectancy is only through adolescence or the early 20s. Juvenile rheumatoid arthritis is characterized by swollen, inflamed, painful joints.
You might also like to view...
You need to give a person oral hygiene. Because the person is unconscious, she is at risk for:
a. Periodontal disease b. Plaque c. Tartar d. Aspiration
The nurse knows that the peripheral vascular status must be checked frequently when bandages or binders are applied. What is the best recommended frequency that the peripheral vascular status has to be completed on a client?
A) At least every hour B) At least every 2 hours C) At least every 3 hours D) At least every 4 hours
MC In an economically disadvantaged city, many people receive their health care through charity systems that are set up by local physicians. This can contribute to rising health care costs by
A. Uncompensated care which can lead to cost shifting. B. Increased use of technology in diagnostic tests. C. Utilizing hospital beds. D. Affecting the consumer price index.
Which of the following behaviors is not associated with the opportunistic leadership style?
a. The leader shifts his or her style to gain personal advantage. b. The leader may be perceived as ruthless and cunning. c. The leader may be perceived as adaptable and strategic. d. The leader puts self-interest ahead of other-interest. e. The leader stresses the importance of social needs.