MedBugs: SAQ #441

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Case: Wrist injury

A 30-year-old male presents to your rural Emerg. Dept. with a painful and swollen right wrist after a fall.

1. State (2) abnormalities, related to his fall, on this Xray. (2 marks) 2 marks

2. List (2) other structures that you would assess for complications of this injury. (2 marks) 2 marks

3. List (2) indications for urgent referral to a centre with an orthopaedic service. (2 marks) 2 marks

The orthopaedical team at the referral centre has asked you to manipulate the wrist.

4. List (2) methods to manage the pain during the manipulation and give (1) pro and (1) con for each method (in addition to pain management) 0 marks

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Case: Wrist injury

1. State (2) abnormalities, related to his fall, on this Xray. (2 marks) 2 marks

2. List (2) other structures that you would assess for complications of this injury. (2 marks) 2 marks

3. List (2) indications for urgent referral to a centre with an orthopaedic service. (2 marks) 2 marks

4. List (2) methods to manage the pain during the manipulation and give (1) pro and (1) con for each method (in addition to pain management) 0 marks

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