A 69 year old female presented to the Emergency Department with swelling of her right arm and elbow, one week following a fall which resulted in a fracture of the middle third of her right clavicle (Figure 1). The forearm was hot and tender and the arm and hand function were somewhat impaired by swelling, but sensation was intact. Initial bloods were unremarkable, apart from a mild neutrophilia.
Walker H.K. The origins of the history and physical examination. In: Walker H.K., Hall W.D., Hurst J.W. eds. Clinical Methods: the history, physical and laboratory examinations, 3rd Edition. Boston: Butterworths; 1990: 5-21
Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ 2007; 335: 1210–2.
Smith GB, Poplett N. Knowledge of aspects of acute care in trainee doctors. Postgrad Med J 2002; 78: 335–8.
Mackowiak PA. Fever: blessing or curse? A unifying hypothesis. Ann Intern Med 1994; 120: 1037–40.
Skrastins R., Merry G.M., Rosenberg G.M., et al. Recognition and assessment of critical illness. Clinical assessment of the elderly patient. CMAJ 1982; 127: 203-206
Pompei P, Charlson ME, Douglas RG Jr. Clinical assessments as predictors of one year survival after hospitalization: implications for prognostic stratification. J Clin Epidemiol 1988; 41: 275-84.
Smith G.B., Prytherch D.R., Schmidt P.E., et al. Review and performance evaluation of aggregate weighted “track and trigger” systems. Resuscitation 2008; 79: 11-21.
Kellett J. Prognostication – the lost skill of medicine. European Journal of Internal Medicine 2008; 19: 155-164.
A 69 year old female presented to the Emergency Department with swelling of her right arm and elbow, one week following a fall which resulted in a fracture of the middle third of her right clavicle (Figure 1). The forearm was hot and tender and the arm and hand function were somewhat impaired by swelling, but sensation was intact. Initial bloods were unremarkable, apart from a mild neutrophilia.
Walker H.K. The origins of the history and physical examination. In: Walker H.K., Hall W.D., Hurst J.W. eds. Clinical Methods: the history, physical and laboratory examinations, 3rd Edition. Boston: Butterworths; 1990: 5-21
Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ 2007; 335: 1210–2.
Smith GB, Poplett N. Knowledge of aspects of acute care in trainee doctors. Postgrad Med J 2002; 78: 335–8.
Mackowiak PA. Fever: blessing or curse? A unifying hypothesis. Ann Intern Med 1994; 120: 1037–40.
Skrastins R., Merry G.M., Rosenberg G.M., et al. Recognition and assessment of critical illness. Clinical assessment of the elderly patient. CMAJ 1982; 127: 203-206
Pompei P, Charlson ME, Douglas RG Jr. Clinical assessments as predictors of one year survival after hospitalization: implications for prognostic stratification. J Clin Epidemiol 1988; 41: 275-84.
Smith G.B., Prytherch D.R., Schmidt P.E., et al. Review and performance evaluation of aggregate weighted “track and trigger” systems. Resuscitation 2008; 79: 11-21.
Kellett J. Prognostication – the lost skill of medicine. European Journal of Internal Medicine 2008; 19: 155-164.
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Problem based review: The patient presenting with an acutely swollen arm
Cite this article as:
Dwivedi R, Ham-Ying L, Snape J. Problem based review: the patient presenting with an acutely swollen arm. Acute Med. 2012;11(2):113-6. PMID: 22685702.
Problem based review: The patient presenting with an acutely swollen arm
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