“Dr. Margo Kessler, medical director, stood by her bed going over her chart. “Bruising over her face with swelling …” From the air bag, she thought but didn’t say. “A 3.5 linear laceration of the right shoulder overlying the deltoid, running transverse to the axis of her arm and extending down to the muscle fascia.” From a loose object in the vehicle. “Right knee is diffusely edematous, but without evidence of joint space effusion. There is deep ecchymosis in the suprapatellar region.” Just like... last time. Interesting that the patient’s clothing had no tears even though the shoulder was lacerated. She looked at the patient’s face, the expression marred by the bruising and troubled by the dispute over what really happened. The paramedics said she’d fallen down some stairs, but they got that from witnesses on the scene. The patient herself, seemingly intoxicated and erratic, insisted otherwise. For now, Kessler simply noted, “Obtunded mental status secondary to presumed concussion.”MoreLessRead More Read Less
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