Overuse Syndrome or Septic Joint? – Clinical Patient Case of the Week

Andrea Eberly, MD, MS, FAAEMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

Overuse syndrome or Septic Joint, Overuse Syndromes, Tendinopathy and Bursitis - Clinical Patient Case of the Week

Overuse Syndrome or Septic Joint? - Clinical Patient Case of the Week

Try this free Overuse Syndrome Case Q&A courtesy of Med-Challenger.

This vascular disorders of the eye case comes from our Emergency Medicine course, part of Med-Challenger's library of board exam review and CME question banks.

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Try this case and test your knowledge of overuse syndromes.

A 34-year-old man presents complaining of 12 hours of intense pain in his left elbow (see below).

overuse syndrome versus septic joint, septic olecranon bursitis - challengercme.com

He is a construction worker and recently sustained a laceration/abrasion on his left forearm for which he did not seek medical treatment.

He states that he feels the pain is rapidly increasing in his elbow.

On examination, he has a decreased range of motion in his right elbow due to pain in the posterior elbow area.

He has a large, boggy mass on the posterior elbow that is warm and erythematous. 

Question:

What is the next best step in the management of this patient’s condition?

Answer Options:

cold compresses applied to the elbow every 2 hours for the next 24 hours

corticosteroid injection into the large boggy mass

magnetic resonance imaging of the elbow joint

aspiration of the bursa with discharge to home and follow-up the next day

aspiration of the bursa with Gram stain and culture

See the Answer:

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This case is a sample from the following Med-Challenger exam prep and continuing medical education package.

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