CT of the neck with and without contrast
Closed reduction of a suspected thyroid cartilage fracture in the ED
To the OR to secure the airway and perform direct laryngoscopy
Reference: Roland, PS. Chapter 3. Blunt Neck Trauma. Otolaryngology Clinical Case Studies. 1st ed. Columbus, OH: Anadem Publishing, Inc.; 2007.
Question 2: A 6-month-old baby boy is brought in by his mother for a dog bite. She says the boy was lying on a blanket in the living room when the family dog just ran up and bit him on the arm. The child has no PMH. Vitals are normal upon arrival. Upon exam, you see this. What should you do for this patient?
Treat with amoxicillin-clavulanate and discharge
Report this to child protective services
Cleanse the area and reassure the mother
Order a CBC, blood, and wound cultures
X-ray the left humerus
References: Schwab RA, Powers RD. Chapter 50. Puncture Wounds and Bites. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e. New York, NY: McGraw-Hill; 2011. Shapiro RA, Schubert CJ, Makoroff KL, McGraw ML. Chapter 15. Child Abuse. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. eds. The Atlas of Emergency Medicine, 3e. New York, NY: McGraw-Hill; 2010.
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