In message <[log in to unmask]>, Goat
<[log in to unmask]> writes
>3-year old female child, pinned face-up onto soft ground across chest by
>tree trunk which rolled on to her form back of a pick-up. Cyanosed and
>unconscious 5-10 minutes. On arrival, fully recovered apparently. Only
>sign: densely-spaced petechiae in SVC distribution.
>
>Your management suggestions please:
>Discharge / admit?
>Investigate / observe?
>
>Dr G Ray
>A&E
>Sussex
>Reply to [log in to unmask]
Safest thing to do would be admit and observe overnight. CXR and U/SS
(done by oneself, of course!) of the abdomen would be reassuring if you
were to investigate.
--
Stephen Hughes SpR Anything & Everything
N E Thames
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