A 9-Year-Old Boy Is Brought to the Emergency Department by His

question 761

Multiple Choice

A 9-year-old boy is brought to the emergency department by his aunt with right arm pain and swelling after falling in his backyard.  The aunt says that the boy fell off the monkey bars and landed on his right hand.  There was no head injury or vomiting.  On physical examination, the child screams in pain and feels tingling in his right fifth digit.  The right elbow is swollen and deformed.  The right radial pulse is 1+ and sensation is intact.  Radiographs are obtained.  The boy's aunt is not his legal guardian but would like him to be treated for this injury.  His parents are currently out of town and cannot be reached by phone.  The aunt mentions that the boy was treated at this hospital 3 months ago and his mother gave consent for treatment at that time.  Which of the following is the most appropriate next step in the management of this patient?

• A)Do not treat the child until the parents are contacted
• B)Treat the child because child abuse is suspected
• C)Treat the child because of the underlying diagnosis
• D)Treat the child because the aunt requested treatment
• E)Treat the child because the mother gave consent 3 months ago

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