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21. Emergency Department SUBJECTIVE Brandy presents to the...

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21. Emergency Department SUBJECTIVE Brandy presents to the...

21. Emergency Department SUBJECTIVE Brandy presents to the emergency department complaining of pain at the right carpal-metacarpal joint. She was rollerblading at the park when she fell, hurting her hand. The patient previously underwent joint replacement arthroplasty at the base of the right thumb. She rates the pain a 7 on a scale of 1-10. OBJECTIVE There is dislocation of the right thumb with limitation of motion, including 1/5 opposition. There is considerable weakness of the right hand when compared to the left. There is a decrease in the right radial reflex. ASSESSMENT Carpometacarpal joint dislocation, probably secondary to the absence of methyl methacrylate cement in the original fixation. PLAN Obtain orthopedic consultation for removal of loose component and insertion of cemented trapezium component, abductor tendon transfer. E/M: _____

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um dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet

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