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CONSULTATION REPORT Name: Grayson, Jillian ID#: 09232 doc: Roberta Jackson, MD witness OF ADMISSION: 04/25/2011 DATE OF BIRTH: 06/05/1936 Date of denotation: 04/25/2011 Consulting Physician: Jacob Rawlings, MD HISTORY Mrs. Grayson is a 75-year-old adult female who sliped and fell at her home on a tile floor while in her socks. She get on her mature pelvic arch and sustained a displaced comminuted intertrochanteric pelvic girdle suspension with fragmentation of the lesser trochanter area. She is otherwise alert and contribute no loss of consciousness. She is currently flourishing on rear equalizer while in the Emergency Room. Pertinent medical health check problems include noninsulin dependent diabetes mellitus, hypercholesterolemia and an history of unidentified scorn extremity surgery. The rest of her social and family history is noted on the admission report. EXAMINATION On physical examination, the diligent is aware, oreinted and comfortable on bed re st with stable vital signs. The swiftness extremities guide entire range of head without tenderness and neurovascular slur is intact, as well as the left lower extremity. in that respect was no tenderness on AP or lateral pelvic compression. pectoral and lumbar spine nontender to palpation, and she has full range of motion to her cervical spine.

The right lower extremity rests in a a foreshortened and externaly rotated position with no swelling and no ecchymosis. Neurovascular status is intact. RECOMMENDATIONS The patient is being admitted and taken to surgery this level for coarse reduction and internal fixation of her right intertrochanteric hip fracture. The deal for the s urgery and surgical plan were discussed with! the family and patient while utilizing x-ray. The risks, say-so complications and treatment alternatives were discussed. The plan is to proceed with surgery tonight. The patient and her family mum the above information and consent was obtained with patients dread and all questions answered....If you want to get a full essay, lay it on our website: OrderEssay.net

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