i Human Case Study Andrew Chen All Sections
Involved (Feedback from the Professor) (2 Merged
Version) NRNP 6541 C8 Walden University i Human:
Andrew Chen
i Human Case Study Andrew Chen All
Sections Involved (Feedback from the
Professor) (2 Merged Version) NRNP
6541 C8 Walden University i Human:
Andrew Chen
i Human:
Andrew Chen
MAY 2023 NRNP
6541 C8
Dr. Lisa Rinsdale
PRIMARY DIAGNOSIS:
, 1
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 may
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 flexible 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 and the presence of right ankle bony tenderness make a fracture
Involved (Feedback from the Professor) (2 Merged
Version) NRNP 6541 C8 Walden University i Human:
Andrew Chen
i Human Case Study Andrew Chen All
Sections Involved (Feedback from the
Professor) (2 Merged Version) NRNP
6541 C8 Walden University i Human:
Andrew Chen
i Human:
Andrew Chen
MAY 2023 NRNP
6541 C8
Dr. Lisa Rinsdale
PRIMARY DIAGNOSIS:
, 1
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 may
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 flexible 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 and the presence of right ankle bony tenderness make a fracture
