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HPI

HPI. 75 yo male otherwise healthy playing tennis. Ran into the boards with outstretched hand. C/o shoulder pain/swelling. Brought to the ER with a pulseless RUE. Numb and unable to move the hand. No doppler signals. PMHx. Hypothyroidism on synthroid. HPI.

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HPI

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  1. HPI 75 yo male otherwise healthy playing tennis. Ran into the boards with outstretched hand. C/o shoulder pain/swelling. Brought to the ER with a pulseless RUE. Numb and unable to move the hand. No doppler signals.

  2. PMHx • Hypothyroidism on synthroid

  3. HPI • Reduced at bedside by Ortho PAMF • Return of sensation and motor • At times, diminished pulses are present related to position of the arm • Hand was pink , CR<2 sec, O2 sat 96%

  4. Operation ORIF humerus fx RUE Angiogram Right axillary-brachial artery bypass (SVG)

  5. Hospital course • POD#0 Transferred to the floor • Placed in a shoulder immobilizer by Ortho PAMF • Discharged on POD#1 with palpable pulses in the RUE and motor/sensation intact.

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