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HPI
55-year-old female presents to the ED after being struck by a vehicle while crossing the street. Patient is amnestic to the event but EMS reports that she was attempting to cross the street when a vehicle struck her causing her to fall to the ground. They estimate the vehicle was traveling 10 MPH. She was unable to ambulate on scene. Patient reports pain localized to her right knee. Denies any numbness/tingling.
PMH
Anxiety, Depression, HTN, DM2
PE
Focused exam of the RLE: Moderate swelling about the right knee with diffuse TTP. There is a palpable effusion as well as a small abrasion anteriorly. No attempt was made to have the patient straight leg raise secondary to pain. Motor is grossly intact EHL/FHL/GSC. Sensation intact to all distributions of the right foot. PT/DP pulses are palpable. Compartments are soft and compressible.
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ORIF Patella Fracture, CPT 27524