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 H&P                         PE 78 yo WF fall at home.      VS: Afebrile. P 94, BP States she was walking in     135/9...
 Pain control Consider eval for medical causes of fall; ie MI,  dysrythmias, CVA Early ortho consult Operative managem...
 Femoral neck fractures can also be seen in high  velocity trauma in younger patient and less commonly  as stress fractur...
 Davenport, M et al. “Hip Fracture in Emergency  Medicine”. Emedicine.com. 9/2010. Truong, H et al. “Femoral Neck Fractu...
Femoral neck fracture
Femoral neck fracture
Femoral neck fracture
Femoral neck fracture
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Femoral neck fracture

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Femoral neck fracture

  1. 1.  H&P  PE 78 yo WF fall at home.  VS: Afebrile. P 94, BP States she was walking in 135/93, Pox 97% RA her house when she lost  Gen: Elderly, thin, her balance and fell appears to be in pain landing on her left hip.  Ext: LLE hip is TTP and She did not hit her head leg appears externally and denies LOC, but c/o rotated and shortened left hip pain
  2. 2.  Pain control Consider eval for medical causes of fall; ie MI, dysrythmias, CVA Early ortho consult Operative management
  3. 3.  Femoral neck fractures can also be seen in high velocity trauma in younger patient and less commonly as stress fractures in athletes Hip fractures in the elderly are associated with high mortality in the first year after the injury. Delay of operative repair greater than 48 hours is also associated with increased mortality
  4. 4.  Davenport, M et al. “Hip Fracture in Emergency Medicine”. Emedicine.com. 9/2010. Truong, H et al. “Femoral Neck Fracture imaging”. Emedicine.com 5/2011 Tininalli, J et al. “Emergency Medicine: A Comprehensive Study Guide”. 6th ed. 2003 Wheeless, C. “Fracutures of the Femoral Neck”. Wheelessonline.com. 7/2010

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