M4 Exam With 100% Correct Answers

A 54 year old male comes to the emergency department complaining of intermittent pain, swelling and constant burning sensation involving his right leg. He tells you that six months ago he injured his leg in a car accident and his x-rays were negative. The symptoms have gradually worsened over the past few months. He is presenting to the emergency department because he doesn't have a primary care doctor. On physicalexamination you notice that his leg is edematous, erythematous, dry and warm. The leg is also characterized by hair loss, allodynia and hyperesthesia. Of the following, which is the most appropriate emergency department course? Answers: 1.Arrange follow-up for presumed complex regional pain syndrome 2.Obtain a CT scan of his leg to rule out osteomyelitis 3.Order a venogram to rule out a deep venous thrombosis 4.Perform a femoral nerve block to control his pain {Ans: 1.Arrange follow-up for presumed complex regional pain syndrome}Incomplete angulated fractures of long bones are denoted by the term: Answers: 1.greenstick fracture 2.march fracture 3.open fracture 4.Salter-Harris fracture {Ans: 1.greenstick fracture}A 65-year-old female presents 2 weeks after an MI complaining of chest pain, fever, and shortness of breath. She has a new friction rub on exam