passmed Flashcards
A 72-year-old retired teacher is admitted to A&E with a fall and hip pain. He is normally fit and well. He lives with his son in a detached, 2 storey house. A hip x-ray confirms an extracapsular fracture.
DHS
A 72-year-old retired teacher is admitted to A&E with a fall and hip pain. He is normally fit and well. He lives with his son in a detached, 2 storey house. A hip x-ray confirms an subtrochanteric fracture.
Intramedullary nail
An 86-year-old retired pharmacist is admitted to A&E following a fall. She complains of right hip pain. She is known to have hypertension and is currently on bendrofluazide. She lives alone and does not mobilise. Her right leg is shortened and externally rotated. A hip x-ray confirms a displaced intracapsular fracture.
hemiarthroplasty
she is v frail. if she was good baseline she would get THR
A 78-year-old female presents to the emergency department after falling at home. On examination, her left leg is shortened and externally-rotated. A radiograph confirms an intertrochanteric femoral fracture. She is usually mobile, and able to complete all activities of independent living independently.
What is the most appropriate surgical management of this patient?
DHS
Colin is a 77-year-old man who attends for a review of his left wrist in fracture clinic 2-weeks after a fall on an outstretched hand. His X-ray at the time of injury was normal but his wrist was immobilised in a Futuro splint as he was tender in the anatomical snuffbox. Follow-up imaging today reveals a fracture of the proximal scaphoid pole.
What is the appropriate definitive management of this?
surgery
all proximal pole fractures need surgery
You are an FY2 in the Emergency Department (ED) and review a 34-year-old woman with a 6-week history of right wrist pain. The pain started gradually but has slowly been worsening.
She has no significant past medical history, apart from a visit to this ED 4 months ago. When asked about this attendance, she reports she landed awkwardly on the same wrist falling off her skateboard. You saw in her notes that the x-ray wrist at the time was normal and she was discharged home with safety netting advice and a repeat x-ray booked, although no image is available on the system. When you ask about the follow-up, she reports she had no pain at the time and wanted to avoid an unnecessary trip to the hospital during the COVID-19 pandemic.
What is the most appropriate management plan?
refer to orthopaedics
FOOSH probable scaphoid fracture
