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An Alert, Irritable 12-Month-Old Child Is Brought to the Emergency

Question 1

Multiple Choice

An alert, irritable 12-month-old child is brought to the emergency department by a parent who reports that the child fell into a coffee table. The child has epistaxis, periorbital ecchymosis, and nasal edema. Nares are patent, and the examiner palpates instability and point tenderness of the nasal septum. The orbital structures appear intact. What is an urgent action for this patient?


A) Assessment of tetanus vaccination
B) Ice, head elevation, and analgesia
C) Immediate nasal reduction surgery
D) Involvement of social services

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