CCS- femure neck fracture - USMLE Forums
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Old 09-22-2011
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Steps History: 1+CK+CS
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Default CCS- femure neck fracture

Hx- 55 female post meno
Exter. Rot. & shorten Right LL
VS- stable
P/E
general
skin
heent look for hematoma
heart
lung
abd
cns
extr

Orders

IVA
oxy sat
Pulse oxy
cardiac monitor
bp monitor
EKG
nss
cbc
bmp
ua

pt
ptt
inr
fobt
blood type,crossmatch
Ca,phoph,pth,mg
x ray
€“chest,hip(ap/lat) ,knee
morphin-pain
consent form
orthopedic consult ; reason hip fracture

admit to wd
interval+rest ex
cefazolin IV on time
npo
bed rest ,bathroom
urine output
foley
ranitidine
cbc/d
bmp/d
h&H
ptt-4h
heparin sq
pneumatic

surgery done-
post-sx
morphi
ambulate early
calcium
vit d
if shows patient improves,

discharged and f.u after 2wks

Counseling
mobilization
exercise
alendronate
medicine comp
stop smoking
limit alcohol
seat belt
calcium rich diet
Dexa scan
colonoscopy
lipid
mammography

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