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% Document Info
\author{Siffi (Siffi)}
\pdfinfo{
  /Title (rationale-for-paediatric-msk-care.pdf)
  /Creator (Cheatography)
  /Author (Siffi (Siffi))
  /Subject (Rationale for paediatric MSK care Cheat Sheet)
}

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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Rationale for paediatric MSK care Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/22895/}}}
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Siffi (Siffi) \\
  \uline{cheatography.com/siffi} \\
  \end{tabulary}
\vfill
\columnbreak
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 31st May, 2020.\\
   Page {\thepage} of \pageref{LastPage}.
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
\raggedright
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{1.84149 cm} x{3.13551 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Ages}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Newborns}} & {\bf{Premature }}(\textless{}38 weeks) \{\{nl\}\} {\bf{Term }}(\textgreater{}38 weeks) \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{Neonate}} & 0-30 days \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
{\bf{Infant}} & {\bf{Early}} (1-12 months), \{\{nl\}\} {\bf{Late}} (13-24 months) \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
{\bf{Young child/toddler}} & 2-6 years \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
{\bf{Child/school child}} & 6-12 years \tn 
% Row Count 11 (+ 2)
% Row 5
\SetRowColor{white}
{\bf{Adolescent}} & 12-18 years \tn 
% Row Count 12 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.38896 cm} x{2.58804 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{General MSK in utero conditions}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{MSK from intrauterine environment}} & Pathologies, uterus differences, growth restriction and arthrogryposis \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
{\bf{Congenital contractures}} & AROM + PROM reduced with structural and or functional abnormalities of soft tissues \tn 
% Row Count 9 (+ 5)
% Row 2
\SetRowColor{LightBackground}
{\bf{Congenital anomalies}} & Malformations, disruptions, deformations, dysplasia \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Arthrogryposis:}} Abnormal contracture of joints - curved joints}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.04057 cm} x{2.93643 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Signs that a child needs manual therapy}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Signs of a neck problem}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Decreased cx ROM & Decreased neck tone + strength \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Asymmetric head shape & Difficulty sleeping supine \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Palpable lesion in joints/muscles of the cx spine} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Swaddling}}  \tn
% Row 0
\SetRowColor{LightBackground}
Increases risk of SID - more likely to be prone & Negative effect on mother-infant relationship compared to skin to skin \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
Later breastfeeding & Developmental hip dysplasia \tn 
% Row Count 6 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Acute respiratory infection & Vitamin D deficiency \tn 
% Row Count 8 (+ 2)
% Row 3
\SetRowColor{white}
Decreases pain scores & Decreases spontaneous awakening and arousability, greater quality sleep \tn 
% Row Count 12 (+ 4)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Increased risk of hyperthermia} \tn 
% Row Count 13 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Pain in later life}}  \tn
% Row 0
\SetRowColor{LightBackground}
Pain - increased heart rate & Hypothalamic pituitary adrenal axis reprogramming \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Higher risk of maladaptive responses to anxiety \& stress provoking stimuli & Anxiety, depression, OCD,  panic \& PTSD \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
{\bf{Cognitive functioning}} & Reduced cognition and visual motor integration \tn 
% Row Count 10 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Increased size of amygdala} \tn 
% Row Count 11 (+ 1)
% Row 4
\SetRowColor{LightBackground}
{\bf{Periaqueductal grey}} & Immediate \& permanent changes \tn 
% Row Count 13 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Increased endorphin \& encephalin protein} \tn 
% Row Count 14 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Prevention:}} \newline Non pharma therapies : Kangeroo care, massage, skin to skin contact, breastfeeding, NNS, oral sweeteners \newline Parents: \newline  Increase emotional sensitivity \newline Increase education \newline Lower parental stress}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.33919 cm} x{2.63781 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Foetal akinesia}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{Lasting \textgreater{}3 weeks:} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
{\bf{Lack of normal muscle stretching}} & Reduced compliance of the capsule and peri-articular ligaments \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
{\bf{Causing:}} & Fibrosis and contractures of the affected joints \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
{\bf{Assessed by:}} & PROM \tn 
% Row Count 8 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Was your baby moving all throughout the pregnancy or staying still? \newline Movements are important for normal MSK development}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Risk factors for intrauterine constraint}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{Primigravida ( first pregnancy)} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Small maternal size} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Uterine malformation} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Uterine Fibromata} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Early Pelvic engagement of the foetal head} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Aberrant foetal positioning} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Oligohydramnios (too much amniotic fluid)} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Multiple gestations} \tn 
% Row Count 8 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Birthing injuries}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Forceps + perineal pressure}} & Nasal septal deviation \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{Mild injuries}} & Head Asymmetry \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
 & Facial asymmetry \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
 & Torticollis \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
 & Mandibular asymmetry \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
 & Spinal, rib, clavicular dysfunction \tn 
% Row Count 8 (+ 2)
% Row 6
\SetRowColor{LightBackground}
{\bf{Moderate injuries}} & Clavicular f\# \tn 
% Row Count 10 (+ 2)
% Row 7
\SetRowColor{white}
 & Facial nerve injury \tn 
% Row Count 11 (+ 1)
% Row 8
\SetRowColor{LightBackground}
 & Bruising \& tearing spinal nerve root \tn 
% Row Count 13 (+ 2)
% Row 9
\SetRowColor{white}
 & Brachial plexus \tn 
% Row Count 14 (+ 1)
% Row 10
\SetRowColor{LightBackground}
{\bf{Severe injuries}} & Extra/sub-dural haemorrhages into joint capsules, torn ligaments, dura \tn 
% Row Count 18 (+ 4)
% Row 11
\SetRowColor{white}
 & Haemorrhages of vertebral arteries \tn 
% Row Count 20 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.04057 cm} x{2.93643 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Types of birth interventions + Risks}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Vaginal Birth}} & Clavicular f\# \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{Forceps}} & Skull f\# \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
 & CN palsy \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
 & Brachial plexus injuries \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
 & Facial nerve palsy \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
 & Torticollis \tn 
% Row Count 8 (+ 1)
% Row 6
\SetRowColor{LightBackground}
{\bf{Ventouse}} & Cephalohaematoma \tn 
% Row Count 9 (+ 1)
% Row 7
\SetRowColor{white}
 & Cranial f\# \tn 
% Row Count 10 (+ 1)
% Row 8
\SetRowColor{LightBackground}
{\bf{Risks}} & Male (larger) \tn 
% Row Count 11 (+ 1)
% Row 9
\SetRowColor{white}
 & First born \tn 
% Row Count 12 (+ 1)
% Row 10
\SetRowColor{LightBackground}
 & Assisted delivery \tn 
% Row Count 13 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Ventouse:}} Cup like suction device, attaches to the baby's head}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.55618 cm} x{2.15119 cm} x{0.86963 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Non-pharma pain management}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Environment}} & {\bf{Feeding methods}} & {\bf{Other}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Skin to Skin contact & Non-Nutritive sucking (NNS) & \seqsplit{Acupuncture} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Swaddling(?) & Breast Feeding & \seqsplit{Sucrose} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{3}{x{5.377cm}}{Tucking} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{Touch, massage} \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{3}{x{5.377cm}}{Music} \tn 
% Row Count 8 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{{\bf{Non-Nutritive sucking:}} \newline Sucking not for the purpose of feeding \newline {\bf{Benefits:}} \newline Improved digestion \newline Behavioral organization (able to settle down after crying) \newline Pain management \newline Prevention of aspiration \newline Decreased risk of SIDs}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.53827 cm} x{2.43873 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{NNS if baby resists}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Consider:}} & Because of early breast weaning? \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Shortened breastfeeding duration? & Nipple confusion \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Otitis media & Dental malocculusions \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Suffocation & Allergies \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Poisoning & Infection \tn 
% Row Count 8 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Recommended:}}  \newline Minimise pacifier use \newline Delay introduction up to 1 month of age \newline Limit use for soothing \newline Wean from pacifier from 2-6 months of age}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{NP \& NC pain}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1589888338_dff.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Neuropathic (NP) \newline Nociceptive (NC)}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}