Practice Management
A 57-year-old man climbs a tree in his yard to trim branches, and then falls to the ground and onto his shoulder. In presenting to his local urgent care center, he reports that he has pain over his right shoulder and scapula area that is sharp and worsens when he moves through the range of motion. He says that he took 600 mg of ibuprofen after he was injured but that his pain did not …
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Urgent message: Mechanism of injury – in case being thrown from a slow-moving vehicle – provides essential clues to the extent of injuries, even if the patient initially thought them to be relatively minor. Proper evaluation requires a thorough history. Shannon Dowler, MD The Case The patient is a 23-year-old female who presented to urgent care with an approximately 36-hour history of “shoulder pain.” She is otherwise well-appearing. Discussion with the patient reveals that she …
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