itial Post: An 11-year-old boy presents to the emergency room (ER) with a 4-inch laceration on...

itial Post:

An 11-year-old boy presents to the emergency room (ER) with a 4-inch laceration on his right arm. He was with his friends doing bicycle stunts when he fell off his bike and cut his arm on a rusty nail from the ramp. In addition, his wrist is swollen, bruised, tender to touch, and warm, with limited mobility. He will most likely need stitches to close the laceration and a splint for the sprain.

In your initial post answer the following questions:

After treatment, as he prepares to leave, you give him last-minute care instructions for laceration and sprain. What would be important for this boy to know to prevent further health concerns with his injuries?
The boy concernedly asks you, “My uncle lost his foot because he got gangrene in it. Am I going to lose my arm if I get an infection in this cut?” How would you respond?

Expert Solution

1. This boy is on early adolescence period and the developmental tasks of competitive and cooperative play. Children are active and play with their peer groups and motivated with their peer groups. They try to stay on their own legs and they try to seek advice from friends than parents. Their attention span is increased and able to understand opinions of others. They try to involve games rather than toys. These types of children involve games in running, climbing, that is muscle used activity.

2. Explain the boy regarding the infection that causes earlier signs and symptoms such as fever, abscess, pain, skin color changes. He chances to have gangrene as a result of an injury if he has weak immune system such as diabetes, poor nutrition. Children chances to have septicemia because of infection and depend on the immune system, taking precaution, follow up care, type of injury, immunization such as tetanus vaccine. If he has weak immune system as a result of diabetes mellitus, smoking history, obesity, faulty nutrition can precipitous infection and cause loss of limbs due to low circulation to the affected limbs. In addition if untreated and inadequate precaution earlier it causes tissue destruction and disability.

Nightingale answered 10 months ago

An 11-year-old boy presents to the emergency room (ER) with a 4-inch laceration on his right...

An 11-year-old boy presents to the emergency room (ER) with a 4-inch laceration on his right arm. He was with his friends doing bicycle stunts when he fell off his bike and cut his arm on a rusty nail from the ramp. In addition, his wrist is swollen, bruised, tender to touch, and warm, with limited mobility. He will most likely need stitches to close the laceration and a splint for the sprain. a. After treatment, as he prepares to...

An 11-year-old boy presents to the emergency department with low back pain and a palpable mass...

An 11-year-old boy presents to the emergency department with low back pain and a palpable mass on his right side near his hip. His parent also reports intermittent, low grade fever and weight loss over the past 3 months. After a careful physical examination, laboratory studies, and imaging studies, a diagnosis of Ewing sarcoma is determined. 1. Outline the process that has most likely occurred in his body. 2. What would you expect for clinical manifestations? 3. What diagnostic tests...

4. A 4-year-old girl presents with her parents to the emergency room you work at. Her...

4. A 4-year-old girl presents with her parents to the emergency room you work at. Her parents explain that the flu is going around her daycare and that their daughter began to feel sick 4 days ago. She has been unable to eat since then, with prolonged vomiting for 3 days. She is admitted to the hospital for rehydration and correction of her acid-base disturbance. a. Her parents are highly concerned about how she could have developed an acid-base disturbance...

An 8 year-old child is brought to the emergency room (ER) with a fractured right femur....

An 8 year-old child is brought to the emergency room (ER) with a fractured right femur. The parents report that the child was playing baseball and while sliding into home plate, he collided with another player on the opposing team. The child requires surgery to repair the fracture. After surgery, the child will be in skeletal traction for two weeks and must remain on bedrest. Following skeletal traction, the child will be placed in a long leg cast. Upon assessment,...

Veldora is a 63-year-old female that was brought to the emergency room (ER) in acute respiratory...

Veldora is a 63-year-old female that was brought to the emergency room (ER) in acute respiratory distress. She was showing signs of sepsis including hypotension, tachycardia, and a temperature of 39oC. Her lactic acid level and white blood cell (WBC) count came back elevated. She was admitted to the intensive care unit (ICU) with a diagnosis of severe sepsis secondary to pneumonia. She was put on vancomycin, ceftriaxone, levophed and morphine for pain. Veldora had to be intubated on her...

An 8 year old boy was admitted to the emergency room with severe breathing problems. He...

An 8 year old boy was admitted to the emergency room with severe breathing problems. He had previously been playing at a friends house and developed nausea, vomiting and respiratory difficulty several hours after returning home. The following lab data were obtained upon admission: Sodium: 143 mmol/L Potassium: 3.6 mmol/L Chloride: 96 mmol/L Bicarbonate: 10 mmol/L pCO2: 25 mmHg BUN: 31 mg/dL Glucose: 82 mg/dL pH: 7.22 Measured Osmolality: 292 mOsm/kg Additional laboratory testing revealed the following data: Drug screen...

A 45 year old man presents in the Emergency Room with a two day history of...

A 45 year old man presents in the Emergency Room with a two day history of black covered stools and recurrent nosebleeds. His history reveals both a recent as well as past history of ethanol abuse. His coagulations studies reveal: Platelet Count: 60,000/cumm PT: 20 sec APPT: 52 sec Thrombin Time: 11 sec Fibrinogen: 201 mg% FDP greater than 40 ?g.ml 1. What is the probable diagnosis? 2. What additional tests should be performed to confirm the diagnosis?

William is an 17-year old boy who arrived in the emergency room. He was playing football...

William is an 17-year old boy who arrived in the emergency room. He was playing football and during a tackle an opposing player drove his helmet into William's abdominal area. William complained of pain in his left side and had visible signs of shock including: anxiety, nausea, and a pale complexion, with a hard and distended abdominal area. As a result of the injury and symptoms, William underwent a splenectomy. What consequence(s), if any, apply in the future for this...

A mother brings her three-year-old son into the emergency room of a local hospital. The boy...

A mother brings her three-year-old son into the emergency room of a local hospital. The boy is crying hysterically. The mother says that earlier that day the boy was playing in the back yard with his older sisters. He had gone over to pick a rose off of a rosebush when he suddenly started screaming and crying. There is a region of swelling and redness on his arm and the doctor who examines him says that it looks like the...

A 50-year-old man, who is a chronic alcoholic, presents to the emergency room with a sudden...

A 50-year-old man, who is a chronic alcoholic, presents to the emergency room with a sudden onset of abdominal pain that radiates to the back. A blood test reveals elevated serum pancreatic lipase levels and a CT abdomen suggests inflamed pancreas. Both of these findings together confirm the diagnosis of acute pancreatitis. The patient was admitted and appropriately managed. The pain reduces over the next two days. On day 3, the patient reports worsening of pain, nausea, and vomiting. An...

Question