Elbow Swelling
Age: years old
Gender:
HISTORY:
Presents with a - history of elbow swelling
Onset was ,
Worsening factors:
Alleviating factors: ,
Occupation:
Dominant hand:
Associated symptoms: *Try using right-click for negatives*
, up to °, over
Contributing factors:
no history of: , ,
no use of:
EXAM:
Elbow:
Inspection:
Palpation: on
Range of motion:
- Flexion:
- Extension:
- Pronation:
- Supination:
- Resisted wrist flexion:
- Resisted wrist extension:
Strength: , except on
Neurovascular: , distal pulses , cap refill sec, sensation , Tinel sign at elbow
ASSESSMENT:
DDx: olecranon bursitis, inflammatory olecranon bursitis, septic olecranon bursitis, elbow effusion, gout, septic arthritis, hemarthrosis, cellulitis, elbow fracture, tumor or mass, lymphedema
PLAN:
Investigations:
- Elbow X-ray
- MRI of the elbow
- Blood work: , , , , ,
- Bursa aspiration
Treatments:
- Avoid leaning on elbow
- Rest and elevation
- Ice application
- Compression bandage
-
- Steroid injection
- Physical therapy
Further care:
- Referral to orthopedic surgeon
- Referral to rheumatologist
- Follow-up in
- Return if swelling worsens, if new symptoms develop such as redness or fever, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Elbow: ASSESSMENT: PLAN: