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The patient is a 3-year-old girl who fell from a bicycle, receiving a blow to the elbow a short time before presentation.

You note marked swelling and local tenderness over the elbow. The only other remarkable finding is a pulse of 132.
View the x-rays taken and consider what your diagnosis or next steps would be.

3-year-old girl falls from bicycle and recieves blow to elbow

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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