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Thls 16-year-old girl had been thrown from a motorcycle earlier today and sustained an injury to her forearm. She was seen by the ER physician and noted to have a nondisplaced fracture of the junction of the mid and distal one-third of the ulna and was referred to me for definitive treatment, Distat neurovasculature was intact to the hand. There was minimal swelling. Sne naO an abrasion on the left knee and complained of some discomfort over the point of the left ribs anteriorly. There was a small contused area on the abdominal wall. There was no localizing tenderness to palpation. Bouret sounds u,ere normat, She had no flank tenderness. She was taken to the fracture room where a well-padded, long arm plaster cast was applied in the usual position. Discussed with her that many times healing is prolonged with fractures of the ulna, but recommended return to see me in 7-10 days for follow-up. She was given a prescription for Empirin Compound #3 p.o. q, 4 hours p.r.n. for pain, #25 x2, and p.r,n, if any further problems develop. 0ther treatment for abrasions per ER physician. Diagnosis: Fracture of the right ulna, treated without reduction. Coding: Based on the.
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