HPI: Young male otherwise healthy presenting today status post fall. Right hand dominant. Patient fell awkwardly with his arm slightly outstretched backwards off a trampoline and landed with his left arm under him. Patient had isolated pain at his left elbow. Ambulatory. No head injury or LOC.
Physical Exam: Mild swelling present at the left elbow region with tenderness at the olecranon. Patient had limited range of motion at the elbow secondary to pain. Radial pulses strong and equal bilaterally. Able to give thumbs up, cross fingers, and make okay signs bilaterally. No neurologic deficits in median, radial or ulnar nerve distributions.
CMC ER Residents
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