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HPI
A 48-year-old male presents after a GSW to the left thigh. He reports being in his auto shop when he was assaulted by unknown individuals. He was shot in the left thigh and sustained blunt trauma to his head. He denies any loss of consciousness. Denies blood thinner use. The patient denies any numbness or tingling to the ipsilateral lower extremity. The remainder of the exam is unremarkable.
PMH
Obesity, HTN, HLD
PE
A focused physical exam of the left lower extremity demonstrates external rotation positioning of the left leg. There is an open wound to the anterior proximal thigh with oozing blood present. He has pain with logrolling of the hip and has TTP to proximal femur, traveling down into the distal thigh. Compartments are soft to palpation. He is neurovascularly intact.
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Recon intramedullary nail left femur