Trauma sgd
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TRAUMA SGD. De Jesus, De Robles, De Silos, Dela Victoria, Deogracias , Detoya , Diaz. FB, 74/M, right-handed, unemployed, from Malate, Manila Admitted last November 11, 2009. CC: hip pain. History. DOI : November 1, 2009 TOI : 8:00 PM POI : Quirino Avenue MOI : FALL. History.

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TRAUMA SGD

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Trauma sgd

TRAUMA SGD

De Jesus, De Robles, De Silos,

Dela Victoria, Deogracias, Detoya, Diaz


Trauma sgd

FB, 74/M, right-handed, unemployed, from Malate, Manila

Admitted last November 11, 2009.

CC: hip pain


History

History

  • DOI : November 1, 2009

  • TOI : 8:00 PM

  • POI : Quirino Avenue

  • MOI : FALL


History1

History

  • While on his way home, patient tripped on a cemented pavement, fell on his left side, elbow first then hip. (-) LOC, vomiting.

  • Patient rode a pedicap home. He couldn’t walk due to pain on the left hip area. (+) ice pack and rest, self-medicated with Celecoxib 200mg

  • After 2 days  (+) swelling and warmth and persistence of pain prompter consult at the OspitalngMaynila  x-ray done revealed a femoral fracture  referred to our institution


Physical examination

Physical Examination

  • Awake, alert, not in cardiorespiratory distress

  • BP 160/70, HR 90, RR 20, T afebrile

  • PC, AS, (-) NVE/CLAD, (+) hyperpigmented mass on the nose

  • ECE, CBS, (-) adventitious sounds

  • AP, DHS, (-) murmurs

  • Soft, flat abdomen, NABS

  • (+) 3cm scar on the left elbow


Physical examination1

Physical Examination

  • Left LE seen externally rotated

  • (-) wound/scar/pigmentation

  • (-) swelling (+) warmth (+) redness

  • (+) tenderness on the left hip area

  • Pink Nail Beds, CRT < 2s


Physical examination2

Physical Examination

  • Sensory

    • 100% intact on light touch

  • Motor

    • Patient able to move toes

  • Distance from ASIS to Tibial Plateau

    • Left – 42 cm

    • Right – 44 cm


X ray

X-ray


Assessment

Assessment

  • HIP : Fracture, closed, complete, transverse, displaced, femoral neck, transcervical, left


Treatment

Treatment

  • Ice Compress

  • Foam Traction, left

  • Celecoxib 200mg BID prn for pain


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