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3 Cards in this Set
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- Back
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Name all the fractures you can - site or pattern - suspicious for NAI
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Proximal numeral or humeral shaft <3y
Fractures with shearing or distracting mechanism Corner or bucket handle metaphyseal injuries see picture Femoral fractures infants Rib fractures Complex skull fractures Multiple esp differently aged fractures |
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See picture
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You see a child of 14 months with the following fracture. Describe it, and suggest the likelihood of NAI
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Toddler fracture
Undisplaced distal tibial shaft spiral fracture, due to rotational shearing in newly ambulance child. Presents non weight bearing or with limp, DDx includes other pathologies e.g. Septic arthritis and irritable hip. Initial radiology may be NORMAL, but if local tenderness and suspicion persists, POP and repeat in 10 days. NOT NAI |
