Is this a little one? Chapped hands, FB in ear, lacerated lip...... But most importantly a potential for lead poisoning? This is serious.
I don't know the setting? If Office, New Vs. Est.? Or ED?
I'm going to guess Est. Office:
The FB to the ear is most likely a new problem (no additional workup). +3
The other conditions (on the low end) are multiple stable est. problems. +2
Extensive number of management options
Minimal amount of Data (lab)
Don't know the background for the lead levels. Unable to determine if the pt is symptomatic or not, so can't really determine risk to patient. However, FB's are often considerd complicated injuries and a Mod Risk to the pt.
Moderate Risk to Pt.
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