# - Approach to Hip #

Question 1

Approach to hip fracture patients;
A full ‘? ?’ should be taken when these patients present.
Ask about any ? fractures or any ? ? prior to the fall.
o May suggest ?/?.
Ask how long the patient was on the ? for?
o Risk of ?.

Answer 1

falls history
prev
bone pain
malig/osteoporosis
floor
rhabdomyolysis -risk of aki

Question 2

In ? patients, a full work-up is required, with the ? of the procedure balanced against potential ?.
In Derby, NOF patients are ‘? ?’, i.e. when diagnosed in ?? they are sent up to the ? ward for clerking if there are no other ? issues.

Answer 2

elderly
risks
benefits
fast tracked
ED
orthopaedic
medical

Question 3

Investigations;
Bloods including ? and ?&?.
? and ?(potential for surgery, plus looking for the cause of the ? and ?).
AP ?/ ? hip X-ray.
o Image whole femur if considering a ? fracture.

Answer 3

coagulation
group+save
fall
confusion
pelvis
lateral
pathological

Question 4

Prognosis;
?-?% of patients will require a change to a more dependent ? status.
Patients should ? within the first ?h for best outcomes.

Answer 4

10-20
residential
mobilise
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