1. TRAUMA SGD De Jesus, De Robles, De Silos, Dela Victoria, Deogracias, Detoya, Diaz

2. FB, 74/M, right-handed, unemployed, from Malate, Manila Admitted last November 11, 2009. CC: hip pain

3. History DOI : November 1, 2009 TOI : 8:00 PM POI : Quirino Avenue MOI : FALL

4. History While on his way home, patient tripped on a cemented pavement, fell on his left side, elbow first then hip. (-) LOC, vomiting. Patient rode a pedicap home. He couldn’t walk due to pain on the left hip area. (+) ice pack and rest, self- medicated with Celecoxib 200mg After 2 days  (+) swelling and warmth and persistence of pain prompter consult at the Ospital ng Maynila  x-ray done revealed a femoral fracture  referred to our institution

5. Physical Examination Awake, alert, not in cardiorespiratory distress BP 160/70, HR 90, RR 20, T afebrile PC, AS, (-) NVE/CLAD, (+) hyperpigmented mass on the nose ECE, CBS, (-) adventitious sounds AP, DHS, (-) murmurs Soft, flat abdomen, NABS (+) 3cm scar on the left elbow

6. Physical Examination Left LE seen externally rotated (-) wound/scar/pigmentation (-) swelling (+) warmth (+) redness (+) tenderness on the left hip area Pink Nail Beds, CRT < 2s FemoralPoplitealDorsalis Pedis Right2+ Left2+

7. Physical Examination Sensory o 100% intact on light touch Motor o Patient able to move toes Distance from ASIS to Tibial Plateau o Left – 42 cm o Right – 44 cm

8. X-ray

9. Assessment HIP : Fracture, closed, complete, transverse, displaced, femoral neck, transcervical, left

10. Treatment Ice Compress Foam Traction, left Celecoxib 200mg BID prn for pain