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HPI
A 24-year-old male that presents as a trauma after being involved in a motorcycle accident. He presents to the trauma bay with an obvious open wound on his right thigh and complaining of isolated right thigh pain. He denies any pain in any other extremities. No head trauma or loss of consciousness.
PMH
No significant past medical history
PE
A focused physical exam reveals a gross deformity at the right thigh with a 4x6 cm wound over the lateral aspect of the thigh and active bleeding. There is tenderness to palpation at the wound site. No tenderness to palpation at the knee or leg. Compartments are compressible. Sensation and motor are intact distally. Pulses are intact distally. CT scan was obtained and showed no femoral neck fracture.
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Right femur irrigation and debridement, open reduction and internal fixation