Patient presents with complaints of right elbow pain and swelling following a direct blow to the elbow earlier today.  The patient denies any loss of consciousness, numbness, or tingling in the hand or fingers.  On examination, there is localized tenderness to palpation over the lateral aspect of the right elbow with mild edema and ecchymosis present.  Range of motion is slightly limited due to pain, but no instability is noted.  Neurovascular examination of the right upper extremity is intact with normal sensation, motor strength, and capillary refill.  Radiographs of the right elbow were obtained and are negative for fracture or dislocation, confirming the diagnosis of a right elbow contusion.  The patient was instructed on RICE therapy (rest, ice, compression, elevation) and provided with an elbow sling for comfort.  Over-the-counter pain medication such as ibuprofen or acetaminophen is recommended for pain management.  The patient was educated on activity modification and advised to avoid strenuous activities involving the right arm.  Follow-up is recommended in one to two weeks to monitor symptom resolution and ensure proper healing. Differential diagnoses considered included olecranon bursitis, radial head fracture, and ulnar collateral ligament injury.  ICD-10 code S40.001A, Right elbow contusion, initial encounter, was assigned.