24 Look at the skeleton Scenario: You are a physician and your patient has broken a bone (chose the bone using proper A&P terminology) located in the (axil or appendage) skeletal system. The break is part of (compact bone and/or the joint system). The break is a (transverse fracture, greenstick, comminuted, oblique, spiral or avulsed). You need to decide how the break happened, the age of your patient, and what you will do to heal the bone. Today: Research the different types of bone breaks and pick a type of break. Then create a story of how the break happened. The story needs a date, place, time, and what the person was doing. Your to assessment is to fill out a doctor's report explaining the nature of the break
Patient name :Mr.karthik
Patient age : 20 years
Sex: Male
Address : Vanasthalipuram, Hyderabad
Date of admission: 7th Oct, 2023
History taking:
Chief complaints: patient came to OPD with alleged chief complaints of pain in the left thigh since 2 hours.
History of presenting illness: patient was apparently asymptomatic 2 hours ago.He was walking and hit by a 2-wheeler at 2:30 pm near Lb nagar cross junction as alleged by the patient. He fell on the road but was conscious. He developed severe pain in the left thigh region. The pain was sudden in onset progressive in nature. Sharp stabbing type of pain.Radiate to the left leg. pain was aggravated by movement of the leg.Relieved on immobilization the leg.
Past history: No Hypertension, Diabetes mellitus, thyroid abnormalities, asthma, epilepsy, tuberculosis and other comorbidities.
Personal history: Consumes mixed diet, normal appetite. sleep adequate. bowel and bladder movements normal.
Allergic history: No history of allergies.
Treatment history: patient is not on any medications
General :
Vitals are normal. PR - 96 Bpm. BP: 130/85 mmHg. RR - 16 bpm. Temperature - 99.5 Fahrenheit
No pallor, icterus, lymphadenopathy, cyanosis, clubbing.
Oedema is present
Physical examination :
Inspection: tense and swollen thigh around 4*5 cm anteromedial portion of mid left thigh. Redness is seen.
palpation : tenderness over thigh, swelling of 5*6 cm anteromedial portion of mid left thigh.
Investigations:
Xray of left thigh - AP and lateral view of left femur and AP view of pelvis
CT of left leg.
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