Question

92 - years old female who was admitted to the hospital after she had a fall. She took a step and then loss her balance falling striking her right hip. The chief complaint is fall hip fracture.

Patient with past medical coronary artery disease. End -stage renal disease. Hypertension. Hypothyroidism.

Patient vital sign is T=37.1, Bp=164/63. HR =79. RR=18

Base on patient information. Please help me do concept map base on rubric below

DIAGNOSTIC DATA- significant labs are listed relating to patient’s condition. Rationales include pathophysiological connections. List normal labs as WNL. Diagnostics exams included with rational for these exams.

Answer 1

Fall Hip Fracture :

Hip fracture is a break in the utmost top part of the femur. This is the most commonest one which occurs due to side falls.

Relation between cardio vascular diseases, end stage renal disease vs hip fracture

Most of the elderly people who are suffering from CVD are prone to osteoporosis which the main leading cause for fall hip fractures.

Hip fractures are also most common in end stage renal diseases as decreased concentration D3 and increased concentration of parathyroid hormone takes place.

Hypertension vs Fall Hip fractures.

Hypertension related hip fractures are most common in women than in men and this because of the use of anti hypertensive drugs.

In the above scenario 92 year old female is with cardio vascular disease, hypertension, end stage renal disease and hypothyroidism which are very prone to fall hip fractures.

Diagnostic tests :

• Standard X ray of Anteroposterior view of hip.
• Magnetic resonance imaging to diagnose occult hip fracture.
• MRI to identify even soft tissue injuries.
• CT scan of bone is useful to diagnose occult fractures.
• Assessing T3 and T4 levels for the patients in concern with thyroid abnormalities.
• Assessment of glomerular filtration rate as GFR less than 45 are more prone to Fall Hip Fractures.
  Fall Hip Fractures. the lop part Break in of the Femur. causes | Risk Factors. End släge Renal n tipotiyriti cardio Hyperlonsion for Vas cular Diseases. iclh |63 "pt diseases Diagonostic Tests GFR- CT-Scan Standard Ray to ricw AP view of hip oceultfracur MRI - to MRI - of bone - 5 diagnasehyroid all fractures labmormalihes fracture o identify t lišsue imjuaies. for <45 proneto diagmose
  Hope this helps you.