SUBJECTIVE
Right hip pain, 10/10 (0–10 pain scale), sharp, sudden onset
OBJECTIVE
87-year-old female
Fell at home, unable to stand
Right leg rotated outward, right hip swollen
X-ray shows closed fracture of acetabulum
History of osteoporosis
Blood pressure high at 173/105, heart rate fast at 108, respiratory rate fast at 24
BMI of 18.5 (underweight)
History of smoking
ASSESSMENT
Osteoporotic hip fracture
PLAN
Admit to hospital
Surgery consult for internal fixation vs. external fixation
Schedule dual x-ray absorptiometry after surgery
Questions
Define acetabulum.
Define osteoporosis, and provide the word parts.
What risk factors does this patient have for osteoporosis?
Is an osteoporotic hip fracture a type of pathologic fracture? Define this term.
