SAQ 684 – Paediatrics – supracondylar elbow fracture assessment and analgesia

You are the consultant for the paediatric area in the emergency department on a Thursday evening. A 5-year-old girl presents after falling off a trampoline. She has severe right elbow pain and is very distressed. Her elbow X-rays are shown below.

State four (4) abnormal findings in this series of X-rays.

(Marked out of 4.0)

/ 4

List three (3) structures at risk from this fracture and how you would examine for each.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Structure at risk</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Examination findings</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 6

State three (3) analgesic options for this patient, including dose and route.

(Marked out of 6.0)

/ 6

Total Score: 0 / 16

Percentage: 0%