Reference no: EM133793387

Question

85-year-old M was brought by his son to the HU clinic with complaints of falling 2 days ago at home alone. Now having L shoulder pain described as dull and non-radiating, rating it a 4 out of 10 which developed after the fall. He reports increase unsteadiness for the last month, was able to use a rolling walker but has been using his rolling wheelchair instead with the exception of this fall. Two days ago, he was using the rolling walker to get to the bathroom when wheel hit corner of bed and caused him to fall. Landing on his left side. He denies hitting his head or loss of consciousness. But since the fall he has been sore all over and hasn't been moving much since. Reports most of the pain is in his left shoulder but still is able to move it and hasn't notice any deformities. He has some bruising on his shoulder, arm, hip and lower leg. He also reports decrease appetite over the last couple of days. Denies fever, chills, cough, SOB, N/V/D or GU sx.