The patient is a healthy 37-year-old who reports falling on his hand, with his thumb outstretched. Upon examination, you find local mild swelling and tenderness and decreased range of motion of the thumb. There is no snuffbox tenderness, however. View the x-rays taken (Figure 1) and consider what your next steps would be. Resolution of the case is described on the next page.
Read MoreAbstracts in Urgent Care October 2006
Each month, Dr. Nahum Kovalski will review a handful ofabstracts from, or relevant to, urgent care practices and practitioners. For the full reports, go to the source cited under each title. Dexamethasone Has Advantage Over Prednisolone in Children with Croup Citation: Sparrow A, Geelhoed G. Arch Dis Child. 2006;91:580-583. Children with croup who are treated with prednisolone are more likely than those treated with dexamethasone to return for additional medical care, researchers in Australia reported …
Read MoreOn Croup, Wet Sutures, Fast Tracking the ED, Acetaminophen and ALT, and Stone Formation
NAHUM KOVALSKI, BSc, MDCM
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