Distal Femur Fractures Pathway Posted: 3/22/2022 ID: (C102024)

Distal Femur Fracture in 25M

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CASE DESCRIPTION

AGE	25 / Male
CC	Left thigh and knee pain
HPI	A 25-year-old male had an ATV accident and injured his left leg. He presents to the trauma bay complaining of isolated left knee and thigh pain. He was unable to ambulate immediately after the accident. He denies any pain in any other extremity. He denies any head trauma or loss of consciousness.
PMH	No significant past medical history
PE	A focused physical exam reveals intact skin without open wounds. Swelling and deformity are present over the distal thigh. Tenderness to palpation is present over the distal thigh and knee. Thigh and leg compartments are compressible. Pain with range of motion is present at the knee. No pain with palpation of the leg or ankle. Sensation and motor are intact distally. Distal pulses are palpable and present.

AGE/GENDER:

25 / Male

CHIEF COMPLAINT:

Left thigh and knee pain

HISTORY OF PRESENT ILLNESS:

A 25-year-old male had an ATV accident and injured his left leg. He presents to the trauma bay complaining of isolated left knee and thigh pain. He was unable to ambulate immediately after the accident. He denies any pain in any other extremity. He denies any head trauma or loss of consciousness.

PAST MEDICAL HISTORY:	No significant past medical history
PHYSICAL EXAM:	A focused physical exam reveals intact skin without open wounds. Swelling and deformity are present over the distal thigh. Tenderness to palpation is present over the distal thigh and knee. Thigh and leg compartments are compressible. Pain with range of motion is present at the knee. No pain with palpation of the leg or ankle. Sensation and motor are intact distally. Distal pulses are palpable and present.
DIAGNOSIS:	Distal Femur Fracture in 25M