The Maid's Room has got to be one of the most confused thrillers I can remember seeing. Matters did take a predictable course but could I predict the conclusion. Old Maid is a fun easy to play card game that can be played with a standard 52 card deck. It's one of the more simple card games for kids. Setting up the Game First you need to remove three of the queens from the deck. Nursemaid's Elbow. Signs and Symptoms. A child might have nursemaid's elbow if: The child refuses to use an arm. A child won't be able to use the injured arm without pain. So the arm usually is kept in a fixed, straight position to the child's side or with a slight bend in the elbow. While the arm is in this fixed position, the child seems to have only mild pain or discomfort. There's no swelling or deformity. A child with nursemaid's elbow probably won't look injured because the injury does not cause the arm to have an obvious deformity or swelling at the elbow. An arm or elbow injury that causes severe pain may indicate an elbow fracture (broken bone) or contusion (bruise). It can be hard for a parent to tell whether an injury is nursemaid's elbow or a fracture, so it's important to call your doctor if your child has injured an elbow. In some cases of nursemaid's elbow, the bone will move back into place on its own, such when a child does something that moves the joint, like putting on a coat. Even if you think the bone has moved back into place, it's still important to see a doctor to make sure that nothing else is wrong with the arm. Do not try to put the bone back into place yourself. Treatment. Your doctor may be able to treat a nursemaid's elbow injury or might refer you to the emergency room for treatment. The doctor will first see whether your child is likely to have nursemaid's elbow based on the cause of injury and the physical exam. The arm, hand, and shoulder will be felt to make sure there's no swelling, tenderness, or other abnormality, which could point to a fracture instead. X- rays are only needed if a fracture is suspected. If there's no obvious swelling or other injury, the doctor will perform a gentle maneuver that allows the bone to go back into its normal place. The medical term for this is a reduction. This procedure is very quick and takes only a few seconds. A child is usually asked to sit on a parent's lap while the doctor attempts to reduce the displacement of the ligament. During the procedure, the arm is taken from a straight position and bent upwards in a swift motion. The doctor will listen for a . Most kids have full use of the arm within 5 to 1. Some cases may require more than one try to successfully reduce the elbow. Occasionally, a child may avoid using the arm after the reduction for a brief time, fearing it will be painful. If discomfort continues, the doctor may put the arm in a sling and recommend acetaminophen or ibuprofen for pain relief. Prevention. It's important to remember that sometimes nursemaid's elbow can happen for no obvious reason. Some kids are just more prone to the injury than others. And those who get nursemaid's elbow may get it again. So be mindful of the risks and, whenever possible, avoid tugging, swinging, or jerking on your child's hands or arms, and be sure to tell caregivers to do the same.
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December 2016
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