(NRNP 6541) i Human: Andrew Chen CASE STUDY latest update
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I Human: Andrew Chen
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I Human: Andrew Chen
(NRNP 6541) i Human: Andrew Chen CASE STUDY latest update
i Human: Andrew Chen
PRIMARY DIAGNOSIS:
S89.021A: Salter-Harris type2physeal fractureof therightdistal tibia.
The Salter-Harris (SH) Classification System is a way to grade fractures that involve the growth plate
(physis). Seventy-fiv...
(NRNP 65 41) i Human: Andrew Chen latest update 2023 -
2024
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i Human: Andrew Chen
PRIMARY DIAGNOSIS:
S89.021A: Salter -Harris type 2 physeal fracture of the right distal tibia.
The Salter -Harris (SH) Classification System is a way to grade fractures that involve the growth plate
(physis). Seventy -five % of lower extremity fractures in children are SH type 2. (Levine et al., 2022) When a
Pt presents with ankle symptoms a detailed history and physical examination are crucial. Although a nurse
practitioner ma y provide initial care and refer to a pediatric orthopedic specialist, obtaining details about
the trauma may help narrow down the differentials and testing needed. In addition, a basic understanding
of the pediatric anatomy can lead to a better understanding of the mechanism of injury. Bone growth is
not complete for a male until somewhere between the ages of 14 to 17 years old. Growth plates are made
of cartilage and as the child ages, the cartilage hardens into bone which is less fl exible and rubbery. (Su &
Larson, 2015) AC is 14 years old and because his growth plates are still primarily cartilage, the risk of SH
fracture is high. AC presented with right ankle pain, swelling and bruising. On exam, his inability to
walk/bear weight a nd the presence of right ankle bony tenderness make a fracture much more likely.
(Levine et al., 2022) Powered by TCPDF (www.tcpdf.org)
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