Case 54: Torticollis
Terms in this set (10)
If a 2 week old infant post difficult vaginal delivery presents with head tilted to the right, chin rotated toward the left, and a firm right sternocleidomastoid muscle mass, what is the most likely diagnosis?
What is the best treatment for this condition?
Passive stretching of the sternocleidomastoid muscle
Which infants are at increased risk for torticollis?
Infants that were breech, had hip dysplasia, or metatarsus adductus
What is Kippel-Feil syndrome?
Congenital fusion of portions of the cervical vertebrae, restricted neck movement, short neck, and low hairline, it is associated with Sprengel deformity which is congenital elevation of the scapula
What is Sandifer Syndrome?
GERD, hiatal hernia, and posturing of the head
What is the Sprengel deformity?
Congenital elevation of the scapula
Which way does the head and chin turn in a patient with torticollis?
The head rotates towards the side of the tight SCM, and the chin tilts in the opposite way
What can persistent torticollis lead to?
What are some other causes of torticollis beyond infancy?
Traumatic torticollis following cervical spine injury, inflammatory torticollis following an upper respiratory tract illness, and neurological conditions
What are some medications that may cause torticollis?
First generation anti-psychotics such as phenothiazine and haloperidol, and metaclopramide
YOU MIGHT ALSO LIKE...
Medical Surgical Nursing | Picmonic Nursing Guide
Ortho Review Peds (5 of 6)
Chapter 13 - Head, Face, and Neck, including Regional Lymphatics
Clinical DX final
OTHER SETS BY THIS CREATOR
Case 58: Child Abuse
Case 57: Immune Thrombocytopenic Purpura
Case56: Severe Hearing Loss
Case 55: Congenital cataracts
THIS SET IS OFTEN IN FOLDERS WITH...
Case 11: Organophosphate Poisoning
Case 27: Vitamin B12 Deficiency Anemia
Case 43: Neonatal Herpes
Case 12: Rectal Bleeding