Jennifer Chapman, MD Children’s National Medical Center Case of a 5yo girl who fell and has forearm pain. Your responses: Respondents: 5 PEM fellows, 1 Associate, 9 faculty, 2 not categorized Diagnosis options: (17 respondents) Proximal ulnar fracture 6% Elbow effusion Type 1 SCFx 0 Radial neck fracture with elbow effusion 23% Forearm fracture with […]
Author: Jennifer Chapman
After some years in Montreal (go Canadiens!), Chicago and Columbus, Ohio, Jennifer returned to the city in which she grew up. She has had the opportunity to travel to wonderful countries including China, Swaziland, and Armenia to both practice and teach pediatrics. She traces her love for international health to her father, on the one hand, whose work as a diplomat took her to Laos and France and to her mother, on the other, who raised her 3 children with a passionate belief in the oneness of all people.
Orthopedics- Upper extremity #5
Jennifer I Chapman, Children’s National Medical Center This 5yo girl fell forward onto her outstretched hand and has forearm pain. There is no deformity, swelling, or severe pain, but she holds her arm to her side protectively. Your triage colleague orders Xrays: The Orthopedic faculty will provide clinical pearls related to this case 1 week […]
Orthopedics- Upper extremity #4 discussion
Jennifer Chapman, MD Children’s National Medical Center This is a case of a 10yo child who injured his forearm after tripping. The Xrays show: Your responses: Respondents: 3 PEM fellows and 7 faculty, 1 PA Is Orthopedic consult needed in ED: Yes = 45 % No = 55% Follow-up: 3-6 days: 18% 7-10 days: 55% […]
Orthopedics- Upper extremity # 4
Jennifer I Chapman, Children’s National Medical Center This 10yo child tripped while playing in the yard at school. He has pain over his distal forearm, with mild swelling over same. Xrays from your triage colleague are obtained: The Orthopedic faculty will provide clinical pearls around forearm injuries next week. Thank you!
Orthopedics- Upper extremity #3 discussion
Jennifer Chapman, MD Children’s National Medical Center This 10 yo boy fell back onto his hand and has elbow pain and swelling, with limited pronation/supination. There were 17 respondents, with injuries described as: Elbow effusion Type 1 SCFx 7 40% Lateral condyle fracture 6 35% Radial neck fracture 4 25% Other, describe: — Diagnosis: fracture […]