Adult Skin Problems Slideshow Pictures Gallery of Skin Problems and Image Collection

Medical Author:

Andrew P Baniukiewicz, MD

Coauthor:

Daniel DiSandro, MD

Medical Editor:

Scott H Plantz, MD, FAAEM

Medical Editor:

Francisco Talavera, PharmD, PhD

Medical Editor:

Jerry R. Balentine, DO, FACEP

Jerry R. Balentine, DO, FACEP

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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Exams and Tests

The initial evaluation by any physician, in the office or in the emergency department, begins with a thorough history and physical exam. By finding out the details of the accident, the doctor is able to determine what damage was done based on the mechanism of the trauma.

After taking a history, the physician will do a complete physical exam with special focus on the painful areas. The doctor is looking for signs of a fracture (such as swelling or deformity) and checking for possible nerve or blood vessel damage.

X-rays are typically the test used to assess for broken bones. At least 2 views of the arm are taken. Initially, most broken bones will have an apparent fracture or other abnormality on the x-ray. Some fractures are not always visible on the first set of x-rays. In those instances, a CT scan or MRI may be done immediately for further evaluation, or follow-up x-rays may be obtained at a later date.