20-year-old man with left elbow pain and swelling

20-year-old man with left elbow pain and swelling

The patient, a 20-year-old man, presented with left elbow pain and swelling since last night. He was at a heavy metal concert, was pushed by the crowd and fell backward onto the elbow. On physical exam, the patient’s left elbow was swollen and tender over the olecranon process with no other points of tenderness. His elbow pain increased with any attempts at range of motion testing and he was reluctant to fully extend the elbow.

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Clinical Challenge: October, 2009

  A 57-Year-Old Woman with Acute Pain After a Fall The aptient is a 57-year-old woman who presented to urgent care complaining of severe pain in her right foot, leg, hip, and elbow. She reported that she fell three to four hours prior to presentation while outside walking her dog; she was “tripped up” in the pet’s leash. She presented ambulatory, but was unable to bear any weight on her right leg. Past medical history …

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