You are the highest ranking EMS provider on the scene of a train derailment. What position should you assume?

True. It is common practice to continuously monitor a patient's hemodynamic status, including blood pressure, during hemodialysis.

Hemodialysis is a medical treatment for patients with kidney failure that involves removing waste and excess fluids from the blood. The process of hemodialysis can cause changes in a patient's blood pressure, so it is important to monitor their hemodynamic status to ensure that their blood pressure remains within safe levels. By continuously monitoring blood pressure during hemodialysis, healthcare providers can detect and respond to any changes in a patient's condition promptly, potentially preventing serious complications such as hypotension or hypertension.

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The patients are incapacitated and unable to provide consent for emergency medical care, healthcare providers may rely on implied consent. Implied consent means that in the absence of explicit refusal of care, patients are assumed to have given consent for treatment.

This is typically used in emergency situations where the patient is unable to communicate their wishes, such as when they are unconscious or experiencing a medical emergency. While implied consent may be used in emergency situations, healthcare providers are still required to act in the best interests of the patient and provide care that is medically necessary. This may include providing treatment that the patient would refuse if they were able to provide informed consent. However, healthcare providers must also consider the patient's wishes and consult with family members or other caregivers if possible. It is important to note that the use of implied consent may vary depending on the laws and regulations of a particular jurisdiction. Healthcare providers should be familiar with local laws and regulations governing consent and emergency medical care to ensure they are providing appropriate care to their patients.

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When assisting a client in resolving grievances, the nurse aide should report the grievance to the administrator. Grievances are formal complaints made by patients or their families regarding their healthcare experience, and it is the responsibility of healthcare providers to address and resolve these complaints.

The doctor may not be the appropriate person to report grievances to, as they may not have the authority or knowledge to address the issue effectively. The family may be informed about the grievance, but the administrator is ultimately responsible for addressing and resolving the complaint. The nurse in charge may be informed, but the grievance should still be reported to the administrator as they are responsible for overseeing and ensuring the quality of care provided to patients. It is important for nurse aides to report grievances promptly and accurately to the appropriate authority to ensure that patients' concerns are addressed and resolved appropriately.

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HCV RNA can detect the virus at an earlier stage than HCV antibody. Anti-HCV becomes positive in 6 weeks, but it does not necessarily imply recovery, as it may become negative after recovery.

HCV RNA is a test that detects the genetic material of the virus itself, while HCV antibody detects the body's immune response to the virus.

HCV RNA can be detected within 1-2 weeks after infection, while HCV antibody may take up to 6 weeks to become positive.

Therefore, HCV RNA is considered to be a more sensitive test for early detection of HCV infection.
Regarding the different stages of HCV infection, acute HCV refers to the first 6 months after infection, where the virus is actively replicating in the body. Resolved HCV refers to cases where the body has cleared the virus, either with or without treatment.

Chronic HCV refers to cases where the virus persists in the body for more than 6 months, which can lead to liver damage and other complications if left untreated.

Hence , HCV RNA is a more sensitive test for early detection of HCV infection than HCV antibody. The different stages of HCV infection include acute HCV, resolved HCV, and chronic HCV.

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Based on the symptoms described, which include abdominal discomfort, jaundice, epigastric/back pain, painless jaundice, and an enlarged gallbladder, the most likely diagnosis is pancreatic cancer, specifically in the head of the pancreas.

To confirm the diagnosis and further investigate the condition, a combination of imaging and lab tests would be utilized. Initial tests may include abdominal ultrasound or CT scan to visualize the pancreas and identify any abnormalities. A more detailed MRI or endoscopic ultrasound (EUS) can also be used to assess the extent of the disease and involvement of nearby structures.
Additionally, blood tests to check for elevated levels of tumor markers, such as CA19-9, may be ordered. A biopsy may be performed, either through a fine needle aspiration (FNA) during EUS or surgically, to confirm the presence of cancerous cells. Once a diagnosis is confirmed, staging and treatment options will be determined based on the individual case.

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The generic name for Lipitor is Atorvastatin. It belongs to a class of medications called statins, which are used to lower cholesterol levels in the blood.

Another commonly prescribed statin is Rosuvastatin. Both Atorvastatin and Rosuvastatin work by blocking the enzyme responsible for producing cholesterol in the liver, which in turn lowers the amount of cholesterol in the bloodstream. While both medications are effective at reducing cholesterol levels, they may have different side effects and dosing instructions. It is important to follow your healthcare provider's recommendations and regularly monitor your cholesterol levels when taking these medications. Lipitor and Rosuvastatin are both medications used to help lower cholesterol levels, with Rosuvastatin being the generic name for the brand name drug Crestor. These drugs belong to a class called statins, which also include Lovastatin and Pravastatin. Statins work by reducing the production of cholesterol in the liver, thus helping to lower overall cholesterol levels and maintain cardiovascular health.

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The technique used by the doctor in the given scenario is most likely cognitive behavioral therapy.

This type of therapy focuses on the connection between thoughts, emotions, and behaviors, and helps individuals change negative thought patterns and behaviors to improve their mental health.

In Lenny's case, the doctor is asking her to write down her negative thoughts and then practice positive self-talk to combat them. This is a common technique used in cognitive behavioral therapy.

The term that refers to the conscious control of thoughts, emotions, and actions to accomplish goals or solve problems is executive function. Executive function involves skills such as planning, organizing, prioritizing, and self-monitoring.

These skills are important for daily functioning and can be impacted by various mental health conditions, including depression and anxiety. Improving executive function can be a goal of therapy and can lead to improved overall functioning and well-being.

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This clinical manifestation is suggestive of cardiac tamponade, a condition in which the heart is compressed by fluid buildup in the pericardial sac, resulting in decreased cardiac output and hypotension.

For the tamponade to be released, immediate action is required. A quick diagnosis and course of treatment are necessary for cardiac tamponade, a medical emergency. Hypotension, tachycardia, muffled heart sounds, and jugular venous distension are all characteristics of the typical presentation. These symptoms are brought on by the pericardial sac filling up with fluid, which compresses the heart and lowers cardiac output. Cardiovascular tamponade can be brought on by trauma, cancer, infections, and autoimmune disorders. Emergent pericardiocentesis to remove the fluid and alleviate the tamponade is required for management. Prompt diagnosis is often achieved utilising echocardiography. Serious hemodynamic compromise, shock, and even death, can result from delayed diagnosis and treatment.

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The main difference between depolarizing and non-depolarizing neuromuscular blocking agents.

Depolarizing neuromuscular blocking agents are drugs that act by initially stimulating, then subsequently blocking the nicotinic acetylcholine receptors (nAChRs) at the neuromuscular junction. The most common example of a depolarizing agent is succinylcholine. These agents cause a sustained depolarization of the motor endplate, preventing further nerve impulses and leading to muscle paralysis.

Non-depolarizing neuromuscular blocking agents, on the other hand, work by competitively inhibiting the binding of acetylcholine to nAChRs without causing depolarization. Examples include rocuronium and vecuronium. They prevent muscle contraction by blocking the transmission of nerve impulses without stimulating the receptor.

In summary, the main difference between depolarizing and non-depolarizing neuromuscular blocking agents is their mechanism of action. Depolarizing agents cause sustained depolarization of the motor endplate, while non-depolarizing agents competitively inhibit acetylcholine binding without causing depolarization. Both types of agents ultimately result in muscle paralysis, but they achieve this effect through distinct mechanisms.

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Yes, 6 weeks post-partum is generally considered an appropriate time to perform an elective procedure on a patient.

It depends on the nature of the elective procedure and the patient's individual circumstances. Generally, it is recommended to wait until after the postpartum check-up at 6 weeks to ensure that the patient has fully recovered from childbirth and that any complications have been addressed. However, if the elective procedure is non-invasive and does not require anesthesia, it may be possible to perform it earlier. It is important to consult with the patient's healthcare provider to determine the best timing for any elective procedures, taking into account the patient's overall health and well-being.

Additionally, it is important to consider whether the patient has had adequate time to recover and adjust to the demands of caring for a newborn, as performing a procedure too soon could potentially increase the risk of complications or delay the healing process. Ultimately, the decision to perform an elective procedure at 6 weeks postpartum should be made on a case-by-case basis, based on the patient's individual circumstances and the risks and benefits of the procedure.

Yes, 6 weeks post-partum is generally considered an appropriate time to perform an elective procedure on a patient. After this period, the body has typically recovered from the stresses of pregnancy and childbirth, making it safer for the patient to undergo an elective procedure. However, the specific timing may vary depending on the patient's overall health and the type of procedure. It's important to consult with the patient's healthcare provider to determine the best course of action.

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When a client is paralyzed on the right side, it is essential to place the signaling device in a location that is accessible to them. In this case, the best option would be (A) on the left side of the bed near the client's hand. This positioning allows the client to easily reach and use the signaling device with their functional hand.

As a nurse aid, it is important to be aware of a client's physical limitations and make accommodations accordingly. In the case of a client who is paralyzed on the right side, it would be best to place the signaling device on the left side of the bed near the client's hand. This placement ensures that the client can easily reach and activate the device if they need assistance. Placing the signaling device on the right side would not be practical as the client would not be able to access it due to their paralysis. Similarly, placing the device under the pillow or at the foot of the bed would not be effective as the client may not be able to reach or see it in these locations. It is also important to ensure that the signaling device is within the client's line of sight and easily visible. The nurse aid should check in with the client regularly to ensure they are comfortable and have access to the signaling device if needed.

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Accrediting fire service certification systems is a process of evaluating and recognizing that the certification programs offered by a particular organization meet certain standards and requirements.

Accreditation is typically conducted by an independent third-party organization that evaluates the certification system against established criteria, which may include program design, quality assurance, and assessment methods

Accreditation can provide a number of benefits for fire service certification programs, including increased credibility and recognition, improved program design and effectiveness, and enhanced quality assurance and accountability. It can also provide assurance to fire departments and other stakeholders that certified individuals have demonstrated the knowledge, skills, and abilities necessary to perform their duties effectively and safely.

Some examples of organizations that provide accreditation for fire service certification programs include the International Fire Service Accreditation Congress (IFSAC), the Pro Board Fire Service Professional Qualifications System, and the National Board on Fire Service Professional Qualifications (NBFSPQ).

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Diagnostic studies for Legionella pneumonia include urine antigen testing, PCR, culture, and serology.

Legionella pneumonia is a severe form of pneumonia caused by the bacterium Legionella pneumonia. Diagnostic studies for Legionella pneumonia include urine antigen testing, which detects a specific Legionella antigen in the urine, PCR testing, which detects the bacterial DNA in respiratory secretions or lung tissue, culture, which involves growing the bacteria in a laboratory setting, and serology, which measures the body's immune response to the infection. These tests are not always immediately available, and treatment is often initiated empirically based on clinical suspicion. A prompt diagnosis and treatment with appropriate antibiotics are crucial for improving outcomes in patients with Legionella pneumonia.

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During cocaine withdrawal, a client is likely to exhibit a powerful craving for more of the substance (option D). Cocaine is a highly addictive stimulant drug that affects the central nervous system.

It produces intense feelings of euphoria, increased energy levels, and high self-esteem. However, these effects are short-lived, leading users to seek more of the drug to maintain those feelings.

When a person stops using cocaine or goes through withdrawal, they may experience the opposite of these effects. The cravings for cocaine can be intense due to the strong psychological dependence it creates. The client may also experience other withdrawal symptoms, such as fatigue, depression, agitation, anxiety, and difficulty concentrating. These symptoms can last from several days to weeks, depending on the individual's history of use and the severity of their addiction.

It is essential for the practical nurse to be aware of these withdrawal symptoms and provide appropriate care and support for the client during this challenging time. This may include monitoring the client's vital signs, providing a safe and comfortable environment, offering emotional support, and collaborating with other healthcare professionals to develop an appropriate treatment plan for the client's recovery.

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Nurses and health professionals who use crisis intervention are providing immediate, short-term support to individuals experiencing a health crisis.

This support aims to stabilize the situation, reduce emotional distress, and promote healthy coping mechanisms. Nurses and health professionals who use crisis intervention are providing immediate and focused support to individuals who are experiencing a health crisis. Crisis intervention is a type of intervention that is designed to address acute and immediate health needs, with the goal of stabilizing the individual and preventing further harm or deterioration. This type of support is critical in promoting health and well-being and can help individuals to navigate challenging circumstances and overcome obstacles that may be impacting their overall health and well-being. By providing crisis intervention support, nurses and other health professionals are playing a critical role in helping individuals to achieve better health outcomes and to live healthier, more fulfilling lives.

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Intellectual impairment due to chronic conditions includes developmental disabilities, dementia, and degenerative disorders.

1. Developmental disabilities: These are conditions that affect a person's intellectual functioning and adaptive behavior, resulting in difficulties with learning, communication, and daily living skills. Examples include Down syndrome, autism spectrum disorder, and cerebral palsy.

2. Dementia: This is a progressive condition that affects memory, thinking, and behavior. It can occur as a result of various chronic conditions such as Alzheimer's disease, Parkinson's disease, and Huntington's disease.

3. Traumatic brain injury (TBI): This is a type of injury that occurs as a result of a blow or jolt to the head, which can cause damage to the brain. Depending on the severity of the injury, TBI can result in cognitive impairment, memory loss, and other intellectual challenges.

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The 4th step in the process of producing X-rays involves the interaction of accelerated electrons with a target material, typically made of tungsten or a similar high-Z (high atomic number) element.

To summarize the process leading up to this step:

1. Electron production: A heated filament, usually made of tungsten, releases electrons through a process called thermionic emission.
2. Electron acceleration: A high voltage, typically in the range of tens to hundreds of kilovolts, is applied between the cathode (filament) and anode (target), creating an electric field that accelerates the electrons toward the target.
3. Electron focusing: A focusing cup surrounding the filament helps to focus the electron beam onto a small area on the target.

4. Interaction with the target: When the accelerated electrons collide with the target, their kinetic energy is converted into X-rays through two primary mechanisms: Bremsstrahlung and characteristic radiation. Bremsstrahlung radiation occurs when electrons are deflected by the strong electric field around the target atoms' nuclei, emitting X-rays in the process. Characteristic radiation is produced when an incident electron ejects an inner shell electron from the target atom, creating an electron vacancy. An electron from a higher energy level then fills the vacancy, releasing energy in the form of an X-ray photon.

These X-rays then pass through a filter and collimator to remove low-energy photons and shape the beam, making it suitable for various applications such as medical imaging or material analysis.

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The actions should the nurse perform to limit casual access to the identity of clients are maintain confidentiality, use secure communication channels, Implement privacy screens, secure paper documents, and establish access controls

To limit casual access to the identity of clients, the nurse should perform the following actionn such as 1. Maintain confidentiality, nurses should always protect client information by discussing it only with authorized personnel and in designated areas. 2. Use secure communication channels, utilize encrypted email, messaging apps, or phone calls when discussing client information to prevent unauthorized access. 3. Implement privacy screens, install privacy screens on computer monitors or electronic devices to prevent unauthorized individuals from viewing sensitive client information.

4. Secure paper documents, keep all hard copies of client documents in locked cabinets, and follow the facility's protocols for proper disposal or shredding of sensitive materials. 5. Establish access controls, implement a system to restrict access to client information, such as utilizing usernames and passwords, and limit access only to authorized personnel.  By performing these actions, nurses can effectively limit casual access to the identity of clients, protecting their privacy and adhering to ethical standards.

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The section of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 that most directly affects Emergency Medical Services (EMS) relates to the Privacy Rule. This rule is focused on the protection of patients' personal health information (PHI) and mandates strict confidentiality and accountability measures for all entities handling such sensitive data.

EMS providers, as part of the healthcare system, are required to adhere to the Privacy Rule's guidelines to ensure that patients' PHI is properly safeguarded. This affects how EMS personnel collect, store, and share PHI during the course of providing medical care and assistance. HIPAA compliance is crucial for EMS providers as they must maintain trust with patients and avoid potential legal consequences resulting from mishandling PHI.

In summary, the Privacy Rule within HIPAA is the section that most directly affects EMS by mandating strict guidelines for protecting patients' personal health information. This involves maintaining confidentiality and accountability measures while handling sensitive data, ultimately promoting patient trust and compliance with legal requirements.

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HIPAA Privacy and Security Rule requires financial institutions to develop written medical identity theft programs. The correct answer is D. HIPAA Privacy and Security Rule.

safeguarded health information (PHI), as defined in the Privacy Rule, is individually identifiable health information that is safeguarded by the HIPAA Privacy Rule. All individually identifiable health information that a covered entity generates, acquires, retains, or transmits electronically is a subset of information protected by the Security Rule and is thus a subject matter of the Privacy Rule. The term "electronic protected health information" (e-PHI) is used to describe this data in the Security Rule.3 PHI transmitted verbally or in writing is exempt from the Security Rule.

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The brand name of pitavastatin is Livalo. Livalo is a medication used to treat high cholesterol levels in the blood.

It belongs to a class of drugs called statins, which work by blocking the production of cholesterol in the liver. Livalo is specifically designed to lower low-density lipoprotein (LDL) cholesterol, commonly known as "bad" cholesterol, which can contribute to the development of cardiovascular disease. Livalo is available in tablet form and is usually taken once a day, with or without food. It is important to follow the dosage instructions provided by your doctor and to let them know if you experience any side effects or if you are taking any other medications that may interact with Livalo. While Livalo can be an effective treatment for high cholesterol, it is not a substitute for a healthy diet and lifestyle. It is important to maintain a balanced diet, exercise regularly, and avoid smoking and excessive alcohol consumption to reduce your risk of heart disease.

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Isolate the area are correct answer.

In the event of a chemotherapy medication spill, the immediate priority is to ensure the safety of everyone present. By isolating the area, you are preventing exposure to the hazardous substance and containing the spill. After isolating the area, you should consult the SDS (Safety Data Sheet) for specific guidance on proper clean-up procedures, as well as utilize appropriate personal protective equipment.

Pouring water on the liquid or soaking it up with a towel should not be done without first consulting the SDS, as it may not be the recommended method for handling the specific chemical involved.

In the case of a chemotherapy medication spill, the first step is to isolate the area to protect everyone from exposure to the hazardous substance. Subsequent steps, such as consulting the SDS and using appropriate clean-up methods, should be taken to ensure the safe and proper handling of the situation.

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Carbon monoxide is a poisonous gas that can negatively affect the body in several ways. When inhaled, it replaces the oxygen in the bloodstream, leading to a lack of oxygen supply to the vital organs of the body.

This can cause symptoms such as headache, dizziness, weakness, nausea, and confusion. In severe cases, it can lead to unconsciousness, seizures, and even death. The effects of carbon monoxide depend on several factors, including the concentration of the gas, the duration of exposure, and the health of the individual. Those with pre-existing conditions such as heart disease, anemia, or respiratory problems may be more vulnerable to the effects of carbon monoxide. Prolonged exposure to carbon monoxide can cause long-term health problems such as brain damage, memory loss, and personality changes. It can also affect the reproductive system and cause birth defects in unborn babies. It is important to take precautions to avoid exposure to carbon monoxide, such as ensuring proper ventilation in living spaces, regularly maintaining gas appliances, and using carbon monoxide detectors. If you suspect carbon monoxide poisoning, seek medical attention immediately.

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An x-ray of a finger with a subungual hematoma is usually performed when there is concern that the underlying bone may be fractured.

A subungual hematoma is a collection of blood under the nail that can be caused by trauma to the fingertip. It can cause pain, swelling, and discolouration of the nail. If there is no evidence of a fracture, then an X-ray is typically not necessary. However, if there is significant pain, deformity of the finger, or other signs of a possible fracture, an X-ray may be recommended to rule out any underlying bone injury. It's important to note that not all subungual hematomas require an x-ray, and the decision to perform one should be made on a case-by-case basis by a qualified healthcare provider.

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As the first medically trained person to arrive at the scene of a motor vehicle crash, it is crucial to act quickly and effectively. The patient is conscious and bleeding heavily from the head while still being in the vehicle, which poses a risk with power lines draped across the hood.

In this situation, the most appropriate action to take would be to advise the patient to remain still and immediately contact the power company. The presence of the power lines makes it extremely dangerous to move the patient or the vehicle. The power company needs to be notified immediately, and they will take the necessary steps to cut the power supply to the lines.Under no circumstances should the patient be removed from the vehicle without professional assistance or contact with the power company. Direct contact with metal could lead to electrocution, which could potentially be fatal. It is also not advisable to move the power lines without proper equipment and training.It is important to note that while waiting for assistance from the power company, the patient should be kept comfortable and monitored for any changes in their condition. If the patient's condition worsens, or they become unconscious, CPR should be administered if trained to do so until additional help arrives.In conclusion, the best course of action in this situation is to advise the patient to remain still and immediately contact the power company to avoid any further danger. It is important to prioritize the patient's safety and well-being while waiting for professional assistance.

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True, the nurse plays a more directive role when caring for those in crisis. In such situations, nurses need to provide guidance, and support, and ensure the safety of the patient.

In a crisis situation, the nurse's role becomes more directive in order to provide the necessary support and interventions. The nurse must be skilled in crisis management, including assessment and intervention strategies, to ensure the safety and well-being of the patient. The nurse must also be able to recognize and respond to the emotional and psychological needs of the patient and their family members. Communication is critical, and the nurse must be able to communicate effectively with both the patient and the interdisciplinary team. Additionally, the nurse must be prepared to work collaboratively with other healthcare professionals, such as social workers and psychiatrists, to provide comprehensive care. Finally, the nurse must prioritize self-care to maintain their own physical and emotional health while caring for patients in crisis.

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The nurse will place the vibrating tuning fork on the patient's mastoid process behind the ear to assess for bone conduction of sound during the Rinne test.
To perform the Rinne test using a vibrating fork, the nurse will assess the patient's hearing by evaluating bone conduction of sound. To do this, the nurse will follow these steps:

1. Strike the tuning fork gently to make it vibrate.
2. Place the base of the vibrating tuning fork on the patient's mastoid process, which is the bony prominence located behind the ear.
3. The patient will be asked to indicate when they no longer hear the sound.

This placement allows the nurse to assess the bone conduction of sound, which is an essential part of the Rinne test.

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Slipped Capital Femoral Epiphysis (SCFE) is a hip disorder commonly seen in adolescents. The most common demographics for SCFE are overweight males between the ages of 12-15 and females between the ages of 10-13.

Slipped Capital Femoral Epiphysis (SCFE) is a condition that typically affects adolescent males who are overweight or obese. The majority of patients with SCFE are between the ages of 10 and 16, with a peak incidence at age 12. African American and Hispanic males have a higher incidence of SCFE than Caucasian males. The presentation of a patient with SCFE includes hip or knee pain, limping, and decreased range of motion in the affected hip. The pain may be intermittent at first, but can progress to constant and severe. Physical examination may reveal limited hip abduction and internal rotation, and an externally rotated gait. Imaging studies, such as x-rays or MRI, can confirm the diagnosis and assess the severity of the slip.

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