This vascular disorders of the eye case comes from our Emergency Medicine course, part of Med-Challenger's library of board exam review and CME question banks.
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Try this case and test your knowledge of overuse syndromes.
A 34-year-old man presents complaining of 12 hours of intense pain in his left elbow (see below).
He is a construction worker and recently sustained a laceration/abrasion on his left forearm for which he did not seek medical treatment.
He states that he feels the pain is rapidly increasing in his elbow.
On examination, he has a decreased range of motion in his right elbow due to pain in the posterior elbow area.
He has a large, boggy mass on the posterior elbow that is warm and erythematous.
Question:
What is the next best step in the management of this patient’s condition?
Answer Options:
cold compresses applied to the elbow every 2 hours for the next 24 hours
corticosteroid injection into the large boggy mass
magnetic resonance imaging of the elbow joint
aspiration of the bursa with discharge to home and follow-up the next day
aspiration of the bursa with Gram stain and culture
See the Answer:
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