First one with correct answer with justification win.
A two-year old child presents with a gunshot wound to the left flank. Work up on admission shows a moderate size lead bullet fragment in the left paraspinous muscle with a benign abdomen, no concern for penetration of the peritoneal cavity, no fractures of ribs or vertebrae and no damage to retroperitoneal structures. A screening serum lead level is 5 μg/dL. The parents ask if you need to remove the bullet to prevent lead poisoning from the retained lead fragment. You tell them
A serum lead level should be repeated in one month.
B paraspinous muscle location increases risk of cerebrospinal fluid contamination and infection and the fragment should be surgically removed.
C there is no risk of lead poisoning.
D lead level is too high and the lead fragment should be surgically removed.
E paraspinous muscle location increases risk of serum absorption and the fragment should be surgically removed.
A two-year old child presents with a gunshot wound to the left flank. Work up on admission shows a moderate size lead bullet fragment in the left paraspinous muscle with a benign abdomen, no concern for penetration of the peritoneal cavity, no fractures of ribs or vertebrae and no damage to retroperitoneal structures. A screening serum lead level is 5 μg/dL. The parents ask if you need to remove the bullet to prevent lead poisoning from the retained lead fragment. You tell them
A serum lead level should be repeated in one month.
B paraspinous muscle location increases risk of cerebrospinal fluid contamination and infection and the fragment should be surgically removed.
C there is no risk of lead poisoning.
D lead level is too high and the lead fragment should be surgically removed.
E paraspinous muscle location increases risk of serum absorption and the fragment should be surgically removed.
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