11-13-2007, 12:45 PM
7y old boy brought to ER after falling on his outstretched hand. on exam , there is minimal swelling at the right elbow. the skin on the right forearm appears tense, and severe pain is present. the brachial pulses are good bilaterally , and sensations are intact in both upper limbs. X ray of the right upper limb show a displaced anterior fat pad. which of the following statements is true about this condition?
a. the presence of brachial pulse on the right side rules out the possibility of vascular compromise.
b. fracture of forearm bones is responsible for the swelling
c. the Rx. should consist of immediate cast placement
d. suspect child abuse and report the case to child protection services
e. forearm swelling is due to ischemia of the forearm soft tissues
a. the presence of brachial pulse on the right side rules out the possibility of vascular compromise.
b. fracture of forearm bones is responsible for the swelling
c. the Rx. should consist of immediate cast placement
d. suspect child abuse and report the case to child protection services
e. forearm swelling is due to ischemia of the forearm soft tissues