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Kaplan Qbank USMLE



Author10 Posts
  #1

An 18-month-old boy is brought to the ER because he has not used his left arm since he fell while walking and holding hands with his 8-year-old sister 2 hours ago. On exam, he holds his left upper extremity at his side w/ his forearm pronated. There is no tenderness of the left lower extremity, but there is restricted movement of the elbow. The remainder of the examination shows no abnormalities. The most appropriated initial step?
A. Passive hypersupination of the forearm
B. Applicatino of figure-of-8 strap
C. Administration of analgesics and application of ice
D. Aspiration of the elbow joint
E. In-place splint immobilization of the elbow

Please explain.

  #2

(A),
Nursemaid’s Elbow, or Annular Ligament Displacement

___________________
Don't live in a town where there are no doctors

  #3

A is the answer. you will find details of it in Surgery Uworld, its not given in Kaplan notes.

  #4

It's in Kaplan as well.

  #5

yup in kaplan as well see peadiatrics book last line in orthopedics...

  #6

A

  #7

nod

___________________
Traveler, there are no roads. Roads are made by walking.

  #8

its A big time

  #9

nurse maid elbow-----> A big time

  #10

jeez!!! this question is so hard!!!
grin









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