Right Thumb Pain Child Treatment Case Study Example | Topics and Well Written Essays - 2500 words

Right Thumb Pain Child Treatment - Case Study Example Attending day care with other children. At home, he is left under the care of a house-help who is employed to take care of an ailing grandparent living with the family.Playful and loves pets, has two pet cats at home. He likes playing with other children and sometimes takes his two pets with him to play.O/E: The child is in pain, with an open wound on the dorsal side of the right thumb. The bite is 2 cm long and canine marks are also visible on the frontal side of the thumb. The hand is inflamed from the carpal tunnel distally. The patient however guards the whole hand and does not agree to be touched. Only the mother can touch.HEAD AND NECK: No abnormality detected.Hands: Both hands are strong, with normal range of motion and symmetry. The right hand is inflamed from wrist joint downwards and the patient guards the entire hand and reports pain.No other abnormal observation on assessment.Right Wrist and thumb: NADRt. Thumb: superficial wound on anterior aspect of proximal phalanx abo ut 0.5cm in diameter. 1cm in depth (Dealey 2005, p.57).No bleeding noted, slight swelling around the bite wound, no erythema, no atrophy, no sign of infection, no bruising.ROM: Active: Flexion- full range; with minimal pain on anterior aspect of distal phalanx Extension- full range; pain free movementAdduction- full range; with minimal pain on anterior aspect of distal phalanxMedial Rotation- full range; with minimal pain on anterior aspect of distal phalanx