Emergency Department Report Patient AGE : 32 Male CHIEF COMPLAINT : Left arm pain . HPI : This is a male man who fell on his left arm . This happened about 2 hours ago . He was playing with his kids , at his single family private home , and tripped over one of them and fell . He has some numbness in his fingers at baseline due to a history of frostbite . However , he has no new paresthesias . He did not take any medication for it . He denies any other trauma including head trauma . He denies loss of consciousness .