A 16-Year-Old Boy Is Brought to the Emergency Department Due

question 440

Multiple Choice

A 16-year-old boy is brought to the emergency department due to left shoulder and hand pain after he fell on his outstretched hand while playing soccer.  He immediately heard a crunching sound and had intense pain in the left shoulder following the injury.  Blood pressure is 105/72 mm Hg and pulse is 85/min.  On examination, he is holding his left arm with his right hand.  There is bruising around the left shoulder and a small hematoma is noted at the base of the neck.  Neurologic examination reveals intact sensation in the left upper extremity.  The right radial pulse is easily palpable, and the left radial pulse is slightly decreased.  X-ray of the left shoulder and chest reveals a displaced fracture of the clavicle with a normal cardiac silhouette.  Which of the following is the best next step in management of this patient?

• A)Closed reduction with figure of eight brace
• B)CT angiogram
• C)Nerve conduction studies
• D)Open reduction of the clavicle
• E)Upper extremity venous duplex scan

---

Definitions:

New Deal

A series of programs, public work projects, financial reforms, and regulations enacted by President Franklin D. Roosevelt in the United States during the 1930s in response to the Great Depression.

Global Economic Crisis

A period of worldwide financial instability, which can lead to a downturn in the global economy affecting multiple countries and economies.

Adolf Hitler

The leader of the National Socialist German Workers' Party (Nazi Party), whose fascist policies led to World War II and the genocide of millions, known as the Holocaust.

Franklin Delano Roosevelt

The 32nd President of the United States, who served four terms and led the country through the Great Depression and World War II.