FRCS Paediatric Ortho — improved notes
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030. Genu varum

visual-inline rebuild0 extracted figuresvisible slide text fallback33 study lines5 Q&A

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Clean FRCS notes with inline figures

Genu varum

•Bilateral genu varum
•Differential diagnosis
•Physiological (in 0-2 y.o.)
•Metabolic: early onset rickets
•Neuromuscular (polio)
•Neoplastic
•Dysplastic (MED OI)
•Developmental: Blount
•Unilateral Genu varum
•Not physiological
•Differential diagnosis
•Physeal bar (trauma/ infection)
•Tumour (fibrous dysplasia)
•Developmental (blount)
•focal fibrocartilageous dysplasia
•Hx: PMHx, FMHx of rickets, age start walking, obese
•Examination
•Possible cause: facies, scars, CP
•Screening: body proportions, arm span etc
•Measure TFA, IC distance
•ROM, collateral laxity
•Rotational profile
•LLD
•Gait
•Systems: hip and feet, spine
•Special test: cover and uncover

Xray:

•zoning to determine severity, tibiofemoral angle
•feature of rickets (paint brush irregular physis, metaphyseal cupping, looser zone)

blount disease (Langenskiöld classification)

•Achondroplasia (pelvics, physis, spine)
•Blood test: CaPO4, PTH, ALP, Vit D

Direct Q&A

Q1 What are the differential diagnoses for Genu varum?
•Physiological (in 0-2 y.o.)
•Metabolic: early onset rickets
•Neuromuscular (polio)
•Neoplastic
•Dysplastic (MED OI)
•Developmental: Blount
•Unilateral Genu varum
•Not physiological
Q2 What examination findings should be assessed in Genu varum?

Possible cause: facies, scars, CP

Q3 What screening evidence or recommendation is listed for Genu varum?

Measure TFA, IC distance

•ROM, collateral laxity
•Rotational profile
•LLD
•Gait
•Systems: hip and feet, spine
•Special test: cover and uncover
Q4 What are the radiographic findings for Genu varum?

zoning to determine severity, tibiofemoral angle

•feature of rickets (paint brush irregular physis, metaphyseal cupping, looser zone)
Q5 How is Genu varum classified here?

Achondroplasia (pelvics, physis, spine)

•Blood test: CaPO4, PTH, ALP, Vit D

Raw speaker-note hierarchy audit

#lvlmarLindentlogicaloriginal note line

Improved semantic hierarchy used for the study notes

#semantic levelsection?rewritten line
10Genu varum
21Bilateral genu varum
30yesDifferential diagnosis
41Physiological (in 0-2 y.o.)
51Metabolic: early onset rickets
61Neuromuscular (polio)
71Neoplastic
81Dysplastic (MED OI)
91Developmental: Blount
101Unilateral Genu varum
111Not physiological
120yesDifferential diagnosis
131Physeal bar (trauma/ infection)
141Tumour (fibrous dysplasia)
151focal fibrocartilageous dysplasia
161Hx: PMHx, FMHx of rickets, age start walking, obese
170yesExamination
181Possible cause: facies, scars, CP
190yesScreening: body proportions, arm span etc
201Measure TFA, IC distance
211ROM, collateral laxity
221Rotational profile
231LLD
241Gait
251Systems: hip and feet, spine
261Special test: cover and uncover
270yesXray:
281zoning to determine severity, tibiofemoral angle
291feature of rickets (paint brush irregular physis, metaphyseal cupping, looser zone)
300yesblount disease (Langenskiöld classification)
311Achondroplasia (pelvics, physis, spine)
321Blood test: CaPO4, PTH, ALP, Vit D
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