Exam (elaborations)
i Human: Andrew Chen MAY 2023 NRNP 6541 C8 Dr. Lisa Rinsdale PRIMARY DIAGNOSIS:
- Course
- Institution
i Human: Andrew Chen MAY 2023 NRNP 6541 C8 Dr. Lisa Rinsdale PRIMARY DIAGNOSIS:
[Show more]
Content preview
1i Human:
Andrew Chen
MAY 2023 NRNP
6541 C8
Dr. Lisa Rinsdale
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 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
, 2
much more likely. (Levine et al., 2022)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller wambuip578. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $27.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now