MedBugs: SAQ #22

Case: 4yo fall and neck pain

You are assessing a 4-year-old girl in your emergency department. She fell from the monkey bars at her school, and the ambulance was called. She is complaining of neck pain. The paramedics have maintained C-spine precautions.

The patient goes on to have a plain X-ray series of their C-spine. The lateral film is shown.

1. List (4) key features on your history and/or examination that would be risk factors for cervical spine injury in this patient, suggesting need for imaging. 4 marks

2. State the main abnormality seen on this X-ray. 1 mark

3. What is the likely diagnosis causing this X-ray finding? 1 mark

You have requested further orthopaedic consultation. They have you to maintain C-spine immobilisation.

4. Complete the following table regarding C-spine immobilisation in children. 6 marks

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Case: 4yo fall and neck pain

1. List (4) key features on your history and/or examination that would be risk factors for cervical spine injury in this patient, suggesting need for imaging. 4 marks

2. State the main abnormality seen on this X-ray. 1 mark

3. What is the likely diagnosis causing this X-ray finding? 1 mark

4. Complete the following table regarding C-spine immobilisation in children. 6 marks

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