PEDS240 Lecture Notes - New Approach, Synovial Sheath, Nonsteroidal Anti-Inflammatory Drug

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April 5 ch 19 elbow, forearm, wrist and hand. Fall on flexed elbow or from direct blow. Fracture can occur in any one or more of the bones. Foosh often fractures humerus above condyles or between condyles. Signs of an elbow fracture: may or may not result in visual deformity, hemorrhaging, swelling, muscle spasm. Ice and sling for support refer to physician. Flexors are on anterior aspect of the forearm and attach at the medial epicondyle: extensors are the opposite (posterior and lateral) Observation: visually inspect for deformities, swelling and skin defects, rom, pain with motion. Palpation: palpated at distant sites and at points of injury, can reveal tenderness, edema, fracture, deformity, changes in skin temperature, a false joint, bone fragments, or lack of bone continuity. Recognition and management of injuries to the forearm. Causes of forearm contusions: ulnar side receives majority of blows due to arm blocks, can be acute or chronic.

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