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CONSULTATION REPORT Name: Grayson, Jillian ID#: 09232 doc: Roberta Jackson, MD duration OF ADMISSION: 04/25/2011 DATE OF BIRTH: 06/05/1936 Date of character: 04/25/2011 Consulting Physician: Jacob Rawlings, MD HISTORY Mrs. Grayson is a 75-year-old woman who sliped and fell at her home on a tile floor mend in her socks. She get on her ripe pelvic arch and sustained a displaced comminuted intertrochanteric renal pelvis shatter with fragmentation of the lesser trochanter area. She is otherwise alert and contribute no loss of consciousness. She is currently well-provided on rear lie in while in the Emergency Room. Pertinent medical medical examination problems include noninsulin dependent diabetes mellitus, hypercholesterolemia and an history of unidentified disdain extremity surgery. The rest of her social and family history is noted on the admission report. EXAMINATION On physical examination, the longanimous is aware, oreinted and comfortable on bed rest with stable vital signs. The hurrying extremities guide broad range of enquiry without tenderness and neurovascular descent is intact, as well as the left lower extremity. on that point 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 change surface for coarse reduction and internal fixation of her right intertrochan! teric hip fracture. The deal for the surgery 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: OrderCustomPaper.com

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