Diagnosis – Subluxation of Radial Head

Diagnosis – Subluxation of Radial Head

A 5-year-old boy presents to your clinic with a 1-day history of refusing to use his left arm. His father states that his son and his older sister were cared for by a babysitter the previous day.

The babysitter said she had been playing with the children in the front yard when the patient ran after a ball that was rolling toward the street. She grabbed the patient’s left forearm and pulled him away from the street. Thereafter, the patient was irritable and holding his left arm close to his body with the elbow in a flexed position.

On physical examination, the child has no bony tenderness, erythema, or swelling of the joints, but on passive motion, the child resists and cries in pain. Today, his vitals are as follows: weight 40.5 lbs, height 43.0 inches, BP 110/76, HR 100, RR 26, and Temperature is 98.6 F.

• Provide 3 differential diagnoses for subluxation of the radial head, with ICD 10 code
•  Review of systems ( what symptoms the patient is stating they have based on subluxation of radial head and case scenario.).
• Objective/physical examination- What are the findings as a nurse you will find in a patient with Subluxation of Radial Head, also see case study information to include.
• Labs: what labs will you do for this patient and why. What results do you have for this patient with Subluxation of Radial Head?
• Studies/Radiology: what types of study and radiology will you have and what are the results.Include NATIONAL
• CLINICAL GUIDELINES: List the guidelines you will use to guide your treatment and management plan, Include 3 from reliable sources within 5 years.
• TREATMENT & MANAGEMENT PLAN: include for Subluxation of Radial Head detail with medication treatment to take.
• A follow-up appointment with a detailed plan for f/u and any referrals for the patient with Subluxation of Radial Head