MedBugs: SAQ #180

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Case: Non-accidental injury – metaphyseal fracture

A 3-month-old boy presents as unsettled. On examination he appears to have a painful leg and an X-ray is performed.

$Non-accidental injury – metaphyseal fracture$

1. State the main abnormality on this X-ray and the mechanism of this type of injury. 2 marks

2. In addition to the above injury, list five fracture types which are deemed highly specific for non-accidental injury in children. 5 marks

3. State five management priorities for this child. 5 marks

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Case: Non-accidental injury – metaphyseal fracture

1. State the main abnormality on this X-ray and the mechanism of this type of injury. 2 marks

2. In addition to the above injury, list five fracture types which are deemed highly specific for non-accidental injury in children. 5 marks

3. State five management priorities for this child. 5 marks

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