Had a child who fell from a tree, bystanders stated he fell flat on his back. 12y/o male, No significant vital signs worth reporting, obvious deformity to the left shoulder.
BUT
On the right arm, there was a loss of light touch sensation to the phalanges. But pain and motor functions remained the same. Checked PMS on both pedals, and it all checked out fine, and the left phalanges had loss of pain, but kept light touch and motor functions. Cap refill on this patients right phalange was 3 seconds.
I suspected an incomplete spinal cord injury known as brown-sequared syndrome. Come to find out later, his increased refill was due to hyper extension of the right phalanges..
But how do you explain the unbalanced PMS in the hands? (they returned in the ER) :wacko:
BUT
On the right arm, there was a loss of light touch sensation to the phalanges. But pain and motor functions remained the same. Checked PMS on both pedals, and it all checked out fine, and the left phalanges had loss of pain, but kept light touch and motor functions. Cap refill on this patients right phalange was 3 seconds.
I suspected an incomplete spinal cord injury known as brown-sequared syndrome. Come to find out later, his increased refill was due to hyper extension of the right phalanges..
But how do you explain the unbalanced PMS in the hands? (they returned in the ER) :wacko:
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