Approach to common musculoskeletal injuries (pediatrics) Quiz: Ace Your Exams
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An 11-year-old boy presents to the emergency department for evaluation of right lower leg pain. The patient was pole-vaulting and fell awkwardly on the right leg. The patient heard a “pop” and experienced immediate, severe pain. Parents report that the child is otherwise healthy and does not take any daily medication. Temperature is 37°C (98.6°F), heart rate is 120/min, blood pressure is 100/60 mmHg, respiratory rate is 22/min, and oxygen saturation is 99% on room air. The patient appears to be in severe pain. Examination of the right lower extremity reveals an obvious deformity with bone protruding through the anterior shin. Dorsalis pedis pulse is 2+, sensation is intact, and the child can move all toes. Intravenous access is established, and fentanyl is administered for pain. Which of the following is the best next step in management?
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