Pediatric Padlet by https://padlet.com/deannadevauld1/jwmntcs19myj1dek en-us 2024-03-23 05:13:56 UTC 2024-04-02 22:42:06 UTC hello@padlet.com https://padlet.net/icons/png/1f48a.png Patient FS deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930750932 13-Year-Old Male

The patient jumped vertically during a basketball game, landing on the right leg. They heard a loud snap, and obvious deformity was noted.

Resulted in Right Tib Fib #

Previous Left Ankle Injury

NKDA

Otherwise Healthy


]]> 2024-03-23 05:18:15 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930750932 Social deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930751250 Grade 8. Active basketball player.

Lives with Mom, Dad and Younger Sister

Dad is a teacher with a previous job as a care aid. Mom travels for work.


]]> 2024-03-23 05:19:31 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930751250 Vital Signs deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930753331 Arrival at Emergency Room BP156/78 P55 O2 100% RA T37.1

Pre Reduction BP148/81 P69 O2 99% 4LO2 via NP

Post Reduction BP135/64 P51 O2 100% RA

Post Surgery BP 138/63 P52 O2 98% RA

Post Mobilization (Pain 7/10) BP 161/68 P82


]]> 2024-03-23 05:28:52 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930753331 Neurological deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930753414 Alert and Orientated to Person Place Date/Time and Situation

]]> 2024-03-23 05:29:14 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930753414 Cardiovascular deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930753443 Heart Rate regular

Bilat Pedal pulses present

Cap Refill <3 seconds to all extremities

]]> 2024-03-23 05:29:24 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930753443 Respiratory deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761388 Lungs clear bilaterally

]]> 2024-03-23 06:05:15 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761388 GI deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761503 Indepentently using urinals

No concerns

]]> 2024-03-23 06:05:46 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761503 GU deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761555 No abdominal discomfort. Voiding regularly and independently with urinal.

Eating small amounts of food.

]]> 2024-03-23 06:05:58 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761555 Integumentary deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761612 Surgical incision to right leg, covered with 4 aquacel and wrapped with tensor


IV to Left ACF, Saline Locked, removed in the afternoon

]]> 2024-03-23 06:06:15 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761612 Neurovascular deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761691 Pre Surgery

Initial reports of decreased sensation

Colour Warmth and Some movement are present.


Post Surgery

CWMS intact, decreased movement, possibly due to increased edema

]]> 2024-03-23 06:06:43 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761691 Pain deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761728 Arrival at Emergency Room: 7/10

Pre Reduction: 6-7/10

Post Reduction: reported "no pain"

Pre Surgery: 3-4/10

Post Surgery: 4-5/10

While mobilizing: 7/10


Analgesic

Morphine IV or PO 2.5mg-5mg

Advil 400mg PO q4-6h

Tylenol 1000mg PO q6h

]]> 2024-03-23 06:06:52 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2930761728 Medical Imaging deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937161484 Xray: Comminuted transverse fractures through the distal 1/3 of the right tibia and fibula is noted with moderate lateral and mild anterior displacement of the distal fracture fragments is noted with some impaction as well.


Post Surgical Xray: Status post IM nailing of the distal tibial shaft fracture, with near anatomic osseous alignment.  The hardware is satisfactory.

The fracture of the distal fibular shaft is in improved alignment, with mild lateral displacement of the distal portion compared with the proximal component

]]> 2024-03-29 02:01:37 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937161484 Surgery deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937161727 Intramedullary Nailing of Right Tibia

]]> 2024-03-29 02:01:53 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937161727 Physiotherapy deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937207850 Patient has 4 steps into their home and a full flight of stairs up to bedroom.

Crutch and 2 wheeled walker education provided

Patient demonstrated good understanding on use and safety

Also able to use stairs effectively with crutches.

]]> 2024-03-29 02:46:07 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937207850 Lab Work deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937753137 All blood work within normal values

]]> 2024-03-29 22:07:57 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937753137 Family deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937754417 The patient lives in Coquitlam with their Mom, Dad and younger sister.

Hs in grade 8, actively plays basketball


Mom travels for work.

Dad is a School Teacher (Previous Care Aid)


Currently patient has just started Spring break, Dad is able to be home with the patient for 2 weeks


]]> 2024-03-29 22:13:55 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937754417 Grief/Loss deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937755181 Patient is upset that he has a broken leg before summer, as well as the challenges this may pose when getting back into basketball.

]]> 2024-03-29 22:17:32 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937755181 Stress/Coping deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937755336 Patient has a strong network of friends as per mom, and a strong family support system.

]]> 2024-03-29 22:18:12 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937755336 Developmental deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937758119 Adolescent

Piaget - Formal Operations

Erikson - Identity VS Role Confusion


Physical Growth

Puberty/Hormonal Changes, sexual maturation, dramatic growth


Motor Development (fine and gross)

Reaching Maturity


Language

Nothing Significant


Social/Cognition

Abstract Thinking

]]> 2024-03-29 22:33:12 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937758119 Strength deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937759866 This patient from conversation with him and family, shows that he is hard working and resillient, as he wants to get back to playing basketball.

He shows independence by trying to get up first on his own before asking for help, and cooperates with his care.

]]> 2024-03-29 22:35:37 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937759866 Resources deannadevauld1 https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937759993 Patients dad is a teacher, and off during spring break so able to be at home with him in the initial stages of recovery


Mom is attentive to patients needs, food water, repositiong


Sister is able to help when needed, and provides social stimulation


Patient has a large friend network and stayes in touch via his iPad.

]]> 2024-03-29 22:36:26 UTC https://padlet.com/deannadevauld1/jwmntcs19myj1dek/wish/2937759993