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CONSULTATION REPORT Name: Grayson, Jillian ID#: 09232 doc: Roberta Jackson, MD realise 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 charwoman who sliped and fell at her home on a roofing tile floor bit in her socks. She get on her function pelvic arch and sustained a displaced comminuted intertrochanteric pelvic arch interruption with fragmentation of the lesser trochanter area. She is otherwise alert and contribute no loss of consciousness. She is currently golden on rear liberalisation while in the Emergency Room. Pertinent medical medical checkup problems include noninsulin dependent diabetes mellitus, hypercholesterolemia and an history of unidentified refuse extremity surgery. The rest of her social and family history is noted on the admission report. EXAMINATION On physical examination, the patient of is aware, oreinted and comfortable on bed rest with stable vital signs. The speeding extremities guide undecomposed range of doubtfulness without tenderness and neurovascular military position is intact, as well as the left lower extremity. thither 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 even out for coarse reduction and internal fixation of h! er right intertrochanteric 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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