Question

Brad presents with report of foreign object in right eye.Brad Pittman is a 35 year old welder.While at work welding , a metal splinter lodged in his eye.

Scenario: .The patient is afebrile and appears in moderate distress,clutching his face.Respirations increased .Heart rate elevated.Patient is slightly diaphoretic.No obvious debris lodged in the face,neck or hands.Nares clear.Ipsilateral lids normal.Sclera grossly inflamed .Upon examinatiuon with slit lamp,the metal splinter is embedded in the cornea but does not enter the anterior chamber.Splinter removed without complications .Contralateral eye is unaffected.Identify the examination elements in this note by body area.

A. Head, Neck, Chest & extremities

B. Abdomen, back, chest

C, Extremities only

D. all of the above

Answer 1

Answer

Option A - Head, Neck, Chest and extremities.

The examinations elements conducted on the patient can be grouped under the following body areas:

Head:

• afebrile and moderate distress
• clutching his face
• Nares clear
• Ipsilateral lids are normal
• Sclera inflamed
• splinter embedded in the cornea
• contralateral eye is unaffected.

Chest:

• Increased respirations
• Elevated heart rate
• Slightly diaphoretic

Extremities:

• No debris on face, neck and hands.

Therefore the correct answer is Option A.  

Option B: There are no examinations conducted on the abdomen and back. Hence this option is incorrect.

Option C: The examination elements include other body areas apart from only the extremities. Hence this option is incorrect.

Option D: The elements belong to only the head, chest, neck and limbs, but does not include back and abdomen. Hence this option is incorrect.