Olecranon Bursitis
Age: years old
Gender:
HISTORY:
Presents with a - history of elbow swelling
Onset was , started
Rated at / 10
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: traumatic olecranon bursitis, inflammatory olecranon bursitis, septic olecranon bursitis, gout-induced olecranon bursitis, rheumatoid arthritis, lateral epicondylitis, medial epicondylitis, elbow sprain, elbow osteoarthritis, cellulitis, fracture, tumor
PLAN:
Investigations:
- X-ray of elbow
- MRI of elbow
- Blood work: ,
- Bursa aspiration
Treatments:
- Ice application
- Avoid leaning on elbow
- Elbow pad for protection
-
-
-
- Steroid injection
Further care:
- Referral to orthopedic surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or swelling, or if symptoms do not improve with treatment
- Referral to ER if severe pain, inability to move the elbow, or fever occurs
HISTORY: Associated symptoms: EXAM: Elbow: ASSESSMENT: PLAN: