NAI Flashcards
1
Q
When will you see a callus formation?
A
7-14 days old
2
Q
When will you see no callus?
A
up to 14 days old
3
Q
What is a suspicious history?
A
fractures at various stages of healing
skull fractures - multiple eggshell fractures
4
Q
What fractures are high specificity for child abuse?
A
Bucket handle or corner fx ribs posterior metaphyseal fractures torus fx or buckle fractures acromion spinous processes sternum
5
Q
What x-ray is requested for an NAI?
A
skeletal survey
6
Q
Why are f/u xrays after 2 weeks done after skeletal surveys?
A
To see if bony calluses are formed
7
Q
What happens in a bucket handle fx?
A
Bone actually sears off the epiphyseal plate. Similar to a corner fx.
8
Q
What happens in a corner fracture?
A
You just pull a little bone off, like you do on a fifth toe and thumb
9
Q
What additionally views do you do for an NAI paed skull fracture?
A
CT because it will show resolved blood at the edge of the brain.
