Oops! We have a fracture.
We see a lot of injuries in the peds ED. From minor bumps and bruises to sprains, fractures and dislocations, hardly a day goes by without one. Here we see a fracture of a bone in the lower leg known as the fibula (next to the larger bone known as the tibia). These can happen in various settings- during contact sports, downhill winter sports, trampoline falls, etc. Any part of the fibula can be fractured, here we see the lower portion of the bone is broken. This can also occur with ankle injuries involving twisting the ankle. The fibula bears a negligible amount of weight while the tibia is the main weight-bearing bone in the lower leg. Regardless, we typically still recommend crutches at least initially and a splint to immobilize the injured region until the patient is seen by an orthopedist for a cast. Most of these can be managed non-surgically unless there’s a more complicated fracture pattern. Most will heal within 4-6 weeks and patients can return to play based on their followup with their orthopedist. If you suspect an ankle sprain or fracture, it’s reasonable to give Tylenol or Motrin for pain, apply ice to the site to help with inflammation and see your physician or go to the ER if concerns for a fracture.
If the abdominal pain is severe and unrelenting, your stomach is tender to the touch, or if the pain extends to your back, you should immediately visit the closest emergency department. You should also seek emergency care if severe stomach pain is accompanied by any of the following symptoms: ⠀
-Unable to eat without vomiting⠀
-Difficulty breathing or chest pain⠀
-A feeling of lightheadedness or that you could faint⠀
-Dark or black stool⠀
That's a wrap. Done with my work in Melbourne. Finished with 18 shifts in a row while commuting back and forth between Melbourne and Albury.
I actually enjoyed myself. The hospital in Melbourne was friendly and they practice good medicine. The people were welcoming. I can't thank them enough.
It has been a strain on my family though, and so I am thrilled to have a few weeks off with wifey, the boys, and my parents who arrive tomorrow. Off to Tasmania on Friday for two weeks of sightseeing and 4x4 driving. Adventure!
Made it back to MN and my car actually started. Shout out to my brother Erik for driving us home and getting us back safely. Gearing up for the seven hour drive back home. See ya soon Mizzou family! #vacayover#back2reality#adulting#erdoc
"Anthem Blue Cross Blue Shield is placing policy holders in Kentucky, Missouri and Georgia on notice that they could be responsible for covering the cost for such ER visits. It turns out that Anthem has developed a specific list of diagnoses that it will not cover, such as “chest pain on breathing” and blood in the urine, even if the patient thought it was a medical emergency."