A 12-Year-Old Boy Is Brought to the Emergency Department by His

question 60

Multiple Choice

A 12-year-old boy is brought to the emergency department by his parents to evaluate pain and swelling in his right ankle.  The boy was riding his skateboard when he attempted a jump and landed awkwardly on his foot.  He has not been able to put weight on his leg since the injury.  On examination, there is diffuse swelling of the right ankle with no visible deformity.  Examination is limited as any attempted motion of the ankle causes severe pain.  Bilateral distal pulses are normal.  Sensation is intact.  Radiographs of the ankle partially visualize a fracture of the distal tibia.  A CT scan of the fracture is shown below: This patient's fracture places him at increased risk for which of the following complications?

• A)Acute limb ischemia
• B)Avascular necrosis
• C)Compartment syndrome
• D)Limb-length discrepancy
• E)Persistent foot drop

---

Definitions:

Direct Order Plan

An organizational structure for messages that starts with the main idea or conclusion, followed by supporting details.

Organizing Information

Organizing information involves systematically arranging data or details in a structured manner to improve accessibility, understanding, or utilization.

Planning Stage

Refers to the initial phase in a project or process where objectives are defined, resources are allocated, and the approach is formulated.

Revising

The process of reviewing and altering a document or artwork to improve it or to reflect changes.