What diagnostics will you order to make a diagnosis

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Sandra is a 78-year-old female resident of this nursing home with a past medical hx of HTN ac/o left hip pain since this morning. Reports a trip and fall in the shower landing on the tile floor. Left leg is shortened and externally rotated. Reports pain level 10/10 on movement. No preceding dizziness, lightheadedness or syncope reported. Denies chest pai and pressure, shortness of breath. Reports indigestion earlier this morning. Resident seen and examined at bedside. Medications: lisinopril 10mg daily Past medical history: Hypertension Past surgical history: None reported. Family History: None reported.

CASE QUESTIONS:

  • What additional history do you want to obtain from the patient?
  • What specific maneuver do you want to perform?
  • What diagnostics will you order to make a diagnosis?
  • What are your differentials (list 3) ? with positives and negatives and most likely final diagnosis.
  • What is the treatment for each of these?
  • What is your treatment plan for your most likely diagnosis?
  • What is the pathophysiology of your final diagnosis
  • What patient education and follow up will you provide?

Reference no: EM133629055

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