Impacted 2

Musculoskeletal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young man has presented following significant trauma. As per ATLS guidelines, we should begin with a primary survey to ensure no immediate threats to life. In this case, there are none.\n \nWe may now take a detailed history and perform a comprehensive assessment. The first priority is to rule out the most dangerous possibilities - particularly intra-cerebral hemorrhage. Our patient\u0027s history is reassuring in this regard; he denies headache, vomiting or loss of consciousness.\n \nWe also need to exclude injury to the cervical spine; as per the Canadian C-Spine rules, this cannot be performed clinically, given the high-force mechanism of injury. We must therefore immobilize the spine and arrange for an X-ray, which is fortunately normal.\n\nC"}]}

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