Joanna is a 2-year-old who presents at the urgent care clinic with a transverse fracture of the right tibia.
Joanna is a 2-year-old who presents at the urgent care clinic with a transverse fracture of the right tibia. On examination, she is withdrawn and cries when touched by anyone other than her mother. On radiographs, she has had a previous fracture of the right tibia and of the anterior ribs on the left. Her mother does not recall any accidents that would have produced these injuries.
In this discussion:
1. Discuss the possible causes of Joanna’s injuries. Develop a list of differential diagnoses with your clinical reasoning for each to share with your classmates.
2. Describe and detail any evaluations you would need to perform to make a clinical decision.
3. Provide a proposed treatment plan for each of your diagnoses.
4. What teaching would you provide to this family?
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