| Show Learning Points most relevant to Phase 1: |
Forearm / wrist injury
| Clinical Discipline(s)/Organ System(s) Musculoskeletal System, Orthopaedics | Progress Test Topic(s) Musculoskeletal |
Description
A 24 year old male Māori forestry worker presents with severe and worsening left forearm and wrist pain after his arm was crushed between two heavy logs of wood at work. An X-ray shows comminuted mid-shaft fractures of the radius and ulna. He develops compartment syndrome. This is not diagnosed immediately and despite surgical decompression he goes on to suffer serious disability.
Progress Test-Type Questions: Question 1 | Question 2Applied Science for Medicine
- Anatomy of the elbow, forearm and wrist
- Common fractures of forearm and wrist
- Pathophysiology of compartment syndrome
- Healing processes for bones and joints
- Anatomy of the elbow, forearm and wrist
- Common fractures of forearm and wrist
- Pathophysiology of compartment syndrome
- Healing processes for bones and joints
Clinical and Communication Skills
- History of a musculoskeletal trauma
- Perform neurovascular assessment of periphery and examination of the joints of the upper limb
- Interpretation of X-rays of the wrist and forearm and identify common fracture patterns
- Recognise the features of compartment syndrome and outline its management
- Indications for urgent fasciotomy and effects of delay in treatment
- History of a musculoskeletal trauma
- Perform neurovascular assessment of periphery and examination of the joints of the upper limb
- Interpretation of X-rays of the wrist and forearm and identify common fracture patterns
- Recognise the features of compartment syndrome and outline its management
- Indications for urgent fasciotomy and effects of delay in treatment
Personal and Professional Skills
- Appropriateness of prompt analgesia prior to detailed history and examination
- Recognition that ongoing severe pain requires immediate review
- Open disclosure and apology in the event of medical error
- The role of ACC, Health and Disability Commissioner and NZ Medical Council in medical misadventure claims
- Appropriateness of prompt analgesia prior to detailed history and examination
- Recognition that ongoing severe pain requires immediate review
- Open disclosure and apology in the event of medical error
- The role of ACC, Health and Disability Commissioner and NZ Medical Council in medical misadventure claims
Hauora Māori
- ACC evidence of reduced delivery of care for Māori
- Root causes of educational disparities that result in Māori being more likely to be employed in occupational groups with a higher incidence of work-related injury (manual labour, machine operating, agriculture, fisheries)
- ACC evidence of reduced delivery of care for Māori
- Root causes of educational disparities that result in Māori being more likely to be employed in occupational groups with a higher incidence of work-related injury (manual labour, machine operating, agriculture, fisheries)
Population Health
- Workplace accidents; the role of the Department of Health and Safety and ACC
- Societal costs of injuries and associated long-term disability
- Preventive strategies for work-related injuries
- Workplace accidents; the role of the Department of Health and Safety and ACC
- Societal costs of injuries and associated long-term disability
- Preventive strategies for work-related injuries
Conditions to be considered relating to this scenario
