SAQ 1577 – Paediatric hand injury with clinical photograph

A 14-year-old boy presents to the ED with a painful right hand. He injured his index finger 2 days earlier while climbing a tree. He has type 1 diabetes mellitus. A clinical photograph of the right hand is shown below.

His vital signs are temperature 38.5 degrees, pulse 90/min, and BP 110/75 mmHg.

List four abnormalities in the photograph.

(Marked out of 4.0)

/ 4

State the most likely diagnosis.

(Marked out of 1.0)

/ 1

List and justify three investigations you would perform.

(Marked out of 3.0)

/ 3

State five management steps, including doses and endpoints where relevant.

(Marked out of 5.0)

/ 5

Total Score: 0 / 13

Percentage: 0%