A 30 year old with multiple life stressors presents with 2 days of achy, 7/10 no

A 30 year old with multiple life stressors presents with 2 days of achy, 7/10 no

A 30 year old with multiple life stressors presents with 2 days of achy, 7/10 non radiating pain following an argument with her partner in which he applied force to her throat with one hand for approximately 30 seconds. She reports escalating arguments with spouse leading up to the recent incident which included breakage of her personal objects and financial constraints, followed by feelings of sleeplessness, edginess, and nightmares. She continues to work as a dental Hygienist but reports tenderness and difficulty with neck flexion, unrelieved by supportive care. She denies loss of consciousness or current hoarseness, dysphagia, dyspnea, or sexual abuse. Physical exam shows stable vital signs, handprint shaped ecchymoses on anterior neck, and ecchymoses in various stages of healing on limbs without truncal injury, lacerations, or bleeding. Vital signs Temp 37.3C (99.1F) oral, Pulse 86, Blood pressure left 114/78, 114/78 right, normal visual acuity, Skin is intact, Head is normocephalic, no swelling. Neck has full ROM, no tracheal deviation. NO heart murmurs, breath sounds are clear.