The patient is a 91-year-old female brought in from the nursing home after being found on the floor. She gives a history of hearing the phone ring, attempting to answer the phone and tripping over the phone wire. The history is somewhat confusing as the patient has been wheelchair bound nonambulatory for the past 6 years. Her medical history is significant for congestive failure, CVA with some residual left-sided weakness, hypertension, a DVT (presently on Coumadin), and some dementia. Significant findings are a hemoglobin of 12.2, which on admission dropped to 10. She has an abrasion on her head. She has complains of pain in her left arm, left wrist and left hip. X-ray shows that she has impacted left subcapital femoral neck fracture. The x-rays are described as
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I believe this patient warrants acute inpatient hospitalization to clarify the etiology of her fall, to clarify the care needed for the impacted femoral neck fracture and also she has significant comorbidities that place her at a
I believe this patient warrants acute inpatient hospitalization to clarify the etiology of her fall, to clarify the care needed for the impacted femoral neck fracture and also she has significant comorbidities that place her at a