MDM //

otherwise healthy involved in restrained MVA with airbag deployment. Patient with pain predominantly to L paraspinal and L clavicular area_. Hemodynamically appropriate with nonfocal neurologic exam. Given exam and history, low suspicion for traumatic dissection or ICH. CT c-spine without overt fracture or dislocation with low suspicion for ligamentous injury on re-examination. Serial abdominal exam without tenderness and FAST initially unremarkable. Observed for several hours in ED with clinical improvement. Stable gait and tolerating PO. Cautious return precautions discussed w/ full understanding. Prompt follow up with primary care physician discussed.



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