A 25-Year-Old Man Comes to the Emergency Department with Pain

question 584

Multiple Choice

A 25-year-old man comes to the emergency department with pain in his right hand and wrist.  A few hours earlier, he fell forward and landed on his outstretched right hand while playing football.  He could not continue playing due to intolerable pain.  The patient has no other medical problems and does not use tobacco, alcohol, or illicit drugs.  Examination shows mild swelling in the dorsum of the right hand with preserved range of motion.  Right hand grip strength is reduced.  There is severe tenderness on palpation of the radial dorsal aspect of the wrist. Subsequent assessment confirms a nondisplaced scaphoid fracture.  The patient is managed by a short arm cast and returns to his physician for follow-up in 2 weeks.  Inadequate management of this injury is most likely to produce which of the following potential complications?

• A)Carpal tunnel syndrome
• B)Complex regional pain syndrome
• C)Dupuytren contracture
• D)Malunion with wrist deformity
• E)Nonunion

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Definitions:

Increase And Decrease

General terms referring to the upward or downward movement in value, quantity, or level of something over time.

Compound Journal Entry

An accounting journal entry that involves more than two accounts, where there is at least one debit and two or more credits, or vice versa.

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Financial transactions that increase assets or decrease liabilities or equity on a company's balance sheet.

Credits

Accounting entries that increase liabilities or decrease assets, representing the source of value in transactions.