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Pediatric emergency medicine trisk 0867 0867

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exacerbates the pain. Ask the patient about any distal paresthesias, associated
pain, and trauma (especially neck). Consider the possibility of abuse in young
children, especially if the injury is unexplained, the history is implausible or
inconsistent between caregivers, or the seeking of medical care was delayed
unreasonably.
Observe the patient without clothes for positioning of the arm, swelling,
deformity, or any asymmetry. Ask the patient to point with one finger to the most
painful area. This observation period before the formal physical examination is
especially important in a young, anxious child and helps prioritize the rest of the
evaluation.



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