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    Overuse Syndrome or Septic Joint? - Clinical Patient Case of the Week

    Overuse Syndrome or Septic Joint? - Clinical Patient Case of the Week

    Try this free Overuse Syndrome Case Q&A courtesy of Med-Challenger.

    This vascular disorders of the eye case comes from our Emergency Medicine review course.

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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).

    overuse syndrome versus septic joint, septic olecranon bursitis -

    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. 


    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


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