SAQ 942 – Paediatrics – young child with leg pain, analgesia and safeguarding

A 2-year-old girl is brought to ED by her mother because she is reluctant to weight bear. The mother reports that the child pulled a drawer full of cutlery onto her foot yesterday afternoon.

The femur and knee X-ray is shown below.

Outline four key points in your physical examination of this patient.

(Marked out of 4.0)

/ 4

Describe the X-ray finding.

(Marked out of 1.0)

/ 1

Describe three pharmacological options for analgesia, including drug name, dose, interval, route and possible adverse effects.

(Marked out of 9.0)
</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;">Drug</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Dose, interval and route</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Possible adverse effects</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Option 1</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></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;">Option 2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></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;">Option 3</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 9

List five features that might suggest a non-accidental cause of injury.

(Marked out of 5.0)

/ 5

The mother decides to discharge the child against medical advice before formal splinting and orthopaedic referral. Outline four steps you will take to protect the child.

(Marked out of 4.0)

/ 4

Total Score: 0 / 23

Percentage: 0%