USMLEGladiator
ck, CS Finish by Feb09
Topics: 126
Posts: 583
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12. An 18-month-old boy is brought to the emergency department 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 examination, he holds his left upper extremity at his side with 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. Which of the following is the most appropriate initial step in management?
A ) Passive hypersupination of the forearm
B ) Application 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
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| USMLEGladiator
ck, CS Finish by Feb09
Topics: 126
Posts: 583
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why A? EXPLN PLS
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Be confident,do hard work,forget past failures and success is yours.......
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| Eagle_303
Forum Guru
Topics: 57
Posts: 462
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It is "nursemaid's elbow"= subluxation of the radial head.
Treatment is supination /flexion of the arm
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| neuroblastoma
Forum Guru
Topics: 102
Posts: 1,031
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actually frst step is to bring the joint in place. by passive suppination.and later u can give supportive treatment ice/analgesics/ straps/splints for supoort.
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