1. MB

3.  MB  14/male  From Rosario Cavite  Grade 6, unemployed  Right-handed

4.  Multiple injuries

5.  DOI: June 8, 2009  TOI: 4PM  POI: Cavite Highway  MOI: MVC (motorcycle vs. pedestrian)  Patient was hit by a motorcycle on the right side of his body while he was crossing the highway.  (-) LOC, (-) headache, (-) vomiting, (-) DOB, (+) pain on right leg, (+) multiple abrasions  Patient was ambulatory but had difficulty due to pain

6.  Motorcycle driver brought the patient to a local hospital  X-ray done showed a femoral fracture  Anti-tetanus shot given  Wooden splint was placed  Referred to PGH for admission  PGH ER: 10 hours post-injury (12MN of June 9, 2009)

7.  (+) headache (VAS 8/10)  (-) dizziness  (-) blurring of vision  (-) difficulty breathing  (-) cough/colds  (-) hematemesis/vomiting  (+) change in bowel movement (once since the day of injury)  (-) pain on the extremities

8.  (+) bronchial asthma  (-) PTB  (-) allergies  (-) goiter  (-) hypertension  Bronchial asthma (Cavite Hospital, 1998)

9.  (+) PTB (father)  (+) hypertension (mother)  (-) bronchial asthma  (-) allergies  (-) goiter  (-) DM

10.  (-) smoking  (-) alcohol use

12.  Awake  Conscious  Coherent  Not in cardiorespiratory distress

13.  BP 120/70  HR 72 beats/min  RR 18 breaths/min  Temperature afebrile  Not in pain

14.  HEENT  AS, PPC, (-) CLAD, (-) TPC, (-) ANM, supple neck  Chest/Lungs  No gross deformities, SCE, CBS, (-) rales/wheezes  CVS  AP, AB = PMI, 5 th ICS LMCL, DHS, NRRR, (-) heaves, (+) palpable thrill LPSB  Abdomen  Flat, NABS, soft, non-tender, (-) masses  GU  (-) CVA tenderness, deferred

15.  (+) skeletal traction on right leg  Varus deformity of right hip  Multiple abrasions  Right groin  Left knee  Bilateral ankles  (-) foul odor on abrasions  (+) edematous right leg  FEP, PNB, (-) cyanosis, (-) discoloration continued at the next slide…

16.  (-) tenderness, (+) warmth on right leg, (+) swelling right hip  Girth above the patella: 39 cm (right), 30 cm (left)  ROM of hip: deferred  Symmetrical ROM of ankles and upper extremities  No sensorimotor deficits  True leg length: 75cm (right), 77cm (left)

19.  Multiple injuries secondary to a MVC  Hip: fracture, closed, complete, spiral, displaced, subtrochanteric, femur, right  Multiple abrasions