Sore elbow after a fall

Instructions

You are a medical student on placement in the emergency department at Kununurra Hospital. Your next patient is Ruby Carlton, aged 6, brought in by her mother and grandmother after a fall. She is crying and holding her right arm.

1. 1

   Take a focused history from her mother

2. 2

   Examine the child

3. 3

   Outline to the examiner:

   • Your most likely diagnosis
   • Next steps in management

• You do not need to summarise your findings to the examiner
• Please verbalise your examination; findings will be provided on request
• Ruby is in the room; the examiner will answer for her if you speak to her