NR 603 Week 5 Virtual Interactive Student - VISE Call Transcript
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knee or ankle. The limb is warm to the touch, pink in color, and there is good capillary refill. On palpation, the child is not tender to the tibia or other bony structures of the leg. Range of motion of the knee, ankle, and foot is full and without discomfort. There is no pain on passive movement of the left leg, and there are 2+ peripheral pulses in the left foot. The gait is slightly antalgic (an- tal-jik) but functional. There is no tenderness over the growth plate area or surrounding structures." Diagnostic Testing and Results: "Given the clinical suspicion of a possible fracture, I ordered an x-ray of the left lower extremity. The x-ray results show a Salter- Harris Type II fracture involving the distal tibial growth plate. There is no involvement of the joint space or displacement, and the fracture appears stable. The fracture is isolated to the distal tibial metaphysis(ma-taf-asis), sparing the epiphysis (a-pif-isis). There is no evidence of soft tissue injury, and the bony architecture is otherwise normal." Treatment Already Prescribed and Outcome of Treatment Plan: Anticipated Actions of the Consulting Provider: "I anticipate that you may want to assess the fracture more closely and may request further imaging, such as a CT scan or an MRI, to better evaluate the extent of involvement of the growth plate. Please consider casting or additional splinting options, or if deemed necessary, depending on the degree of displacement or stability. If there are any additional guidelines for weight-bearing and a more structured follow-up plan to monitor for growth- related complications please inform me. Closing: "Thank you for your time and consideration. I look forward to your guidance on how best to manage this case and ensure optimal healing and recovery for this young patient."
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