08-27-2014, 01:04 PM
8.
A 6-year-old boy with autistic disorder is brought to the emergency department by his parents 20 minutes after his right arm got caught in a truck door. The arm is swollen and bruised and the patient is in moderate pain. His parents appear to be concerned about his injury. Vital signs are temperature 37.0°C (98.6°F), pulse 110/min, and respirations 24/min. Physical examination discloses contusion on the dorsal and ventral surfaces of the right forearm; no open lacerations are present. The arm is tender to palpation. X-rays of the right forearm show no fracture, but significant soft tissue swelling is noted. Which of the following is the most likely serious complication of this patient's condition?
A) Compartment syndrome
B) Hematoma formation
C) Median nerve palsy
D) Secondary infection
E) Volkmann contracture
A 6-year-old boy with autistic disorder is brought to the emergency department by his parents 20 minutes after his right arm got caught in a truck door. The arm is swollen and bruised and the patient is in moderate pain. His parents appear to be concerned about his injury. Vital signs are temperature 37.0°C (98.6°F), pulse 110/min, and respirations 24/min. Physical examination discloses contusion on the dorsal and ventral surfaces of the right forearm; no open lacerations are present. The arm is tender to palpation. X-rays of the right forearm show no fracture, but significant soft tissue swelling is noted. Which of the following is the most likely serious complication of this patient's condition?
A) Compartment syndrome
B) Hematoma formation
C) Median nerve palsy
D) Secondary infection
E) Volkmann contracture