Authors: Edward Barnard, James Harper / Editor: Jason M Kendall / Reviewer: Jolene Rosario, Mark Brown / Codes: EP6, RP1, SLO5 / Published: 16/12/2023
A 4-year-old girl presents to the Emergency Department (ED) with a four-day history of fever and sore throat. Today her mother has noticed that she is holding her head to one side, refuses to eat and thinks that her voice sounds different.
The Emergency Nurse Practitioner (ENP) initially sees the patient; she reports that the girl looks unwell, has a fever of 39.5°C and a torticollis. The ENP thought an x-ray might help and shows it to you asking for an opinion on the case.
The x-ray is shown:
Module Content
Cervical Spine Injury
Cervical spine injuries are rare but potentially devastating. Immobilisation of the cervical spine on the slightest suspicion of injury is recommended by most resuscitation courses.
Dental Emergencies
This session describes the different types of dental infection and the pathophysiology of their development.
Acute Sore Throat
This session covers the assessment, investigation and management of the patient who presents to the ED with a sore throat. It also covers the more serious conditions that can present in this way.
18 Comments
Interesting case,
Not uncommon
Good one
Good concise module.
Very good one
Interesting case
Good case
interesting case
very interesting
Interesting case. Enjoyed reading this history and following management.
INFORMATIVE
Uncommon but useful info
nice case
Very important case.
Have seen one case who we were debating sending home or getting X-ray done. Luckily did the X-ray and admitted the child. It was a 8 year old boy. Very difficult to assess due to autism.
Great case!
Can be life threatening if not detcted early.
Good x-ray