A PATIENT WITH LEFT HIP FRACTURE


A 54yr old female patient came to hospital with a complaint of pain in left hip since one week . Patient is coherent conscious and cooperative.
Patient has no signs of pallor or icterus.

HISTORY OF PRESENT ILLNESS 
she suffered a sudden fall from bed due to which she had tenderness and intense pain in left hip.currently she is on insulin shots due to uncontrolled sugar levels.

PAST HISTORY 
she is a diabetic since last 5yrs and currently she is using oral hypoglycemic drugs,Glimeprimide and metformin.

PERSONAL HISTORY :
No loss of appetite 
Married 
Diet mixed
Bowel moment -regular 
Addictions-nil
Micturation -normal 
Patient is hypertensive and she is on medication with AMOLDIPINE n ATENOLOL


FAMILY HISTORY 
Diabetes -NO
Hypertension - NO
Heart disease-NO
cancer - No
Asthma - NO

VITALS:
TEMP:98.4 F
PULSE:95 BPM
RESPIRATION RATE: 16 CPR 
B. P: 130/90
PLBS: 488 mg/dl
Spo2: 98%

SYSTEMIC EXAMINATIONS:
CVS:
THRILLS :NO 
Cardiac sounds : S1 S2
cardiac murmurs : No

RESPIRATORY SYSTEM :
DYSPNOEA: NO
WHEEZE:NO
POSITION OF TRACHEA :CENTRAL
BREATH SOUNDS : VESICULAR

CNS:
No focal neurological deficits 

Provisional diagnosis : Greater trochanteric fracture


                                   Investigations

                                          ECG
          


       PATHOLOGICAL INVESTIGATIONS 


     COMPLETE URINE EXAMINATION 


  COMPLETE BLOOD PICTURE 


 PROTHROMBIN /PT

BLEEDING AND CLOTTING TIME 

HBsAg - RAPID










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