Q:

A 3 year old child brought to the emergency department with a swelling over the left arm. X- ray shows multiple callus formation in the ribs. Exam: bruises on childs back. What is the most appropriate next step?

waelhammad
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2022-11-04
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A 3 year old child brought to the emergency department with a swelling over the left arm. X- ray shows multiple callus formation in the ribs. Exam: bruises on childs back. What is the most appropriate next step?

  1. Check child protection register
  2. Coagulation profile
  3. Skeletal survey
  4. Serum calcium
  5. DEXA scan
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waelhammad
2022-11-04
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The key is C. Skeletal survey. [Skeletal survey is a series of x-ray which is usually used in NAI]. [after survey should think of child protection].

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