WAS THE BOY IN CRISIS DAY 4:

                           Today a brand new day. being Monday we expected maximum crowd in the O.P.as we were seeing at the patients many patients came with the complaint of cough with cold and fever. One boy came around 9 am and he was crying. on enquiry he said that the hand has been hit in the wall and hand is swollen . On examination we found that the 3rd metacarpophalengeal joint is swollen in the dorsal aspect. so what is the big thing in the case is that THE BOY HAD 10TH PUBLIC EXAM IN JUST 60 MINUTES FROM THE TIME HE CAME TO OUR OP. so we decided to take immediate action considering the urgency of the situation. one of his Tamil teacher came with him to accompany and he was complaining that the boy had got the swelling while fighting with the other boy. i decided to take him to the pediatric OP though he was 15 years . in the Pedia OP one sir said to give him diclo and asked him to write exam. i was expecting some topical pain re liefer.

MY QUESTION WAS?? WAS THE BOY MALINGERING IN FEAR OF EXAM?? WAS HIS INJURY SELF INDUCED??My answer would be though there might be a chance of malingering it is better that we consider this kind of cases where something damn important for the patient(in this case the 10th board), its better to consider the case genuine and treat it with 200% .CAUSE THERE MIGHT BE A GENUINE CASE WHO MIGHT NEED OUR LOVE. WHO KNOWS THIS TIMELY HELP COULD HAVE SAVED THE BOYS FUTURE!!!