Differential Diagnosis for "Arms Broken"

• Single most likely diagnosis:
  • Fracture of one or both arms: This is the most straightforward diagnosis given the symptom, as it directly correlates with the complaint of having "arms broken."
• Other Likely diagnoses:
  • Dislocation: This could be considered if the arm's joint is out of place but not necessarily fractured.
  • Sprain or strain: Although less severe, these injuries could be mistaken for a break due to significant pain and limited mobility.
  • Osteoporotic fracture: In individuals with osteoporosis, even minor falls can result in fractures.
• Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
  • Vascular injury: A break in the arm could potentially damage nearby blood vessels, leading to severe bleeding or circulatory issues.
  • Nerve damage: Similar to vascular injuries, nerve damage could result from a fracture and might not be immediately apparent.
  • Compartment syndrome: This is a condition that can arise from increased pressure within the muscle compartments, potentially leading to muscle and nerve damage.
• Rare diagnoses:
  • Osteogenesis imperfecta: A genetic disorder that affects the production of collagen, leading to fragile bones that can break easily.
  • Pathological fracture: A fracture that occurs in a bone that has been weakened by an underlying disease, such as cancer or osteomyelitis.
  • Child abuse: In pediatric cases, "broken arms" could be a sign of non-accidental trauma.