Practice Management
The patient is a 35-year-old male who presents to urgent care with acute pain in his left shoulder after falling during a bicycle ride. Pain is worse with movements, but he is able to range the shoulder somewhat. You observe bruising and swelling at the impact site. View the images taken and consider what your diagnosis and next steps would be.
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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 …
Read MoreCase A 23-year-old man presents to an urgent care with pain at the distal end of his left clavicle that began the previous day after he fell onto his left shoulder while mountain biking. His pain is constant and sharp and worse when moving his left arm and shoulder. He does not have fever, vomiting, chest pain, shortness of breath, or abdominal pain, and he has no head injury, no head or neck pain, and …
Read MoreAn 11-year-old boy presents with pain over the right clavicle that developed the previous day while he was playing football and another player fell on him. He has pain with range of motion of the right shoulder as well as with movement of the torso. He has no shortness of breath, chest pain, dizziness, or numbness of the arm. View the image taken (Figure 1) and consider what your diagnosis would be.
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