11-29-2011, 08:19 AM
quys help me out with this question
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q 278 - doctor7
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11-29-2011, 08:19 AM
A 34 year old mother brings her 18 month old child to the emergency room. She is in tears and reports that the child was playing on the sofa and has fallen down 1 day ago landing on his left foot and since then has not been moving his left lower extremity. The child is crying incessantly. Physical examination reveals tenderness and swelling in the left mid-thigh. An x-ray of the left lower extremity shows a non-displaced hair line fracture of the femur shaft and the fracture age consistent with reported history of time of injury. Which of the following is the most appropriate next step in management?
A) Contact Child Protection Services B) Skeletal Survey C) Open reduction and internal fixation D) Bone scan E) CT head
03-04-2013, 02:03 PM
B
no other bruises noted,atypical injury,a day late to visit Dr ( for a child that is still crying ),need to make a stronger case if you suspect.
03-04-2013, 02:32 PM
skeletal survey, 1st.
CT scan if baby has irritable . |
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