Jennifer I Chapman, Children’s National Medical Center This 10 yo boy fell back onto his hand. He has pain around his elbow, which is mildly swollen. He can flex his arm but has pain with pronation/supination Xray from your triage colleague: The Orthopedic faculty will provide clinical pearls related to elbow injuries in 1 week. […]
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 #2 discussion
Jennifer Chapman, MD Children’s National Medical Center Case of a 2yo with a painful swollen elbow after falling out of bed. Your responses: Respondents: 9 PEM fellows, 1 NP, 3 Associates, 7 faculty Diagnosis: 21 respondents No injury 5% Fracture of lateral epicondyle 60% Type 1 SCFx with elbow effusion 20% Radial neck fracture 10%Other: Ulnar dislocation 5% […]
Orthopedics- Upper extremity #2
Jennifer I Chapman, Children’s National Medical Center This 2yo boy healthy boy fell off out of bed. He is crying, refusing to move the left elbow, which is swollen. He has pain with all movement of his elbow and tenderness to palpation of the lateral elbow. Xray from your triage colleague: The Orthopedic faculty will […]
Orthopedics- Upper extremity #1 discussion
Jennifer Chapman, MD Children’s National Medical Center Case of a 12yo boy with upper chest pain after football collision. Your responses: Respondents: 4 PEM fellows and 2 faculty, no Associate/PA Diagnosis: 7 votes – No injury (0) Fracture of clavicle (60%) Other: R SC separation (12% ) Other: Sternoclavicular joint dislocation (28%) Is Orthopedic consult […]
Orthopedics- Upper extremity #1
Jennifer Chapman, MD Children’s National Medical Center A 12yo boy football player is complaining of right upper chest pain after being tackled and struck in that area by another helmeted player. It is painful to raise his arm anteriorly or to abduct. An Xray is ordered: Our Orthopedic colleague will share clinical pearls related to […]