Wow, how time flies when you are having [insert proper description of emotional experience of exam week].
And the “fun” is not over yet, official kick off of Spring Break after the Pediatrics exam Friday morning. Woooooooooo!
Today I learned a very important grown-up lesson: life just isn’t fair sometimes (*pout) but if you just let that frustration go, you may just have a wonderful day. We had a “snow day” in DC today, GW was closed, clinics were closed, the metro was a mess… but you know what doesn’t close? Hospitals (yes, this is a good thing). I had my clinical observation at Children’s National Hospital today. So, I may have missed out on a whole day of studying for my pediatrics exam…but instead of reading about Spastic Diplegia…I got to experience the REAL THING!
So, what does this have to do with horses?
Spastic Diplegia is the most common form of Cerebral Palsy (CP). You can read a bit more about CP in my post about a special visitor we had in class: Jack, the boy with the basketball braces.
If you look at the typical gait pattern of a child with spastic diplegia, you may notice that they walk up on their toes. This is called: “EQUINUS”
A “True Equinus” is spasticity of the gastroc-soleus muscles (the calf muscles) causing the ankle to be >90*
However, not all four legged, hoofed mammals are horses. These children could also have “Apparent Equinus” where they appear to be walking on their toes; but the spasticity is the hamstrings, rectus femoris, and iliopsoas muscles and the ankle is really more in a neutral position (=90*).
Well, this was truly another wonderful and invigorating day at clinic…however, I just got home, sat down, and realized….those kiddos were exhausting! I think I need a nap before I get back to the books.