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HPI
A 23-year-old female, right-hand-dominant, presents to the ED after sustaining a GSW to the left elbow. She reports her husband was cleaning a gun when it accidentally discharged. She denies any numbness/tingling in the hand.
PMH
Noncontributory
PE
A focused physical exam of the left upper extremity reveals a small entry wound on the posterior/medial elbow and a large exit wound on the volar forearm. She is motor intact to the hand as demonstrated by the cardinal hand motions and active flexion/extension of the DIP/PIP/MCP of all fingers. Her sensation is intact distally. Her compartments are soft. Her capillary refill is less than 2 seconds and her radial pulse is palpable.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Left Elbow Irrigation and debridement and Left Olecranon Open Reduction Internal Fixation