CASE PRESENTATION

ORTHOPAEDICS
PRESENTER
DISHA BHATT
SEMESTER:07
ROLL NO:12
 PATIENT’ PARTICULAR
• Name: Vinod mistry
• Age:78 years
• Sex: Male
• Occupation: Male
• Address: Grand baie
• Date of admission:31st August, 2023
• Date of examination: 7th September,2023
 Provisional Diagnosis

• Right intertrochantric fracture of femur

 CHIEF COMPLAINS

• Pain in proximal third of lateral side of thigh for 4 days

• Swelling developed on same day immediately
• Deformity: Shortening and externally rotated
• Loss of function: He could not sit and stand by himself neded
support
 History of present illness
• My patient slipped and fell on wet floor in his bathroom
And sustained trauma to right side of hip by falling laterally
sideways with his arms outstretched sustained trauma to right
shoulder with no injury
• There was nobody at home when he fell so he called his
neighbours for help they held him up
• He couldn’t walk and couldn’t bear weight on his affected limb
 History of present illness
• My patient was transported to JNH hospital lying in supine position in back
seat of car
• On arrival to JNH hospital he was taken on stretchor to casualty department
and his vitals were measured which were stable and was given paracetamol
• X-ray of right hip was taken
• Plain X-ray of right pelvis
taken in AP view showing
proximal two third of
femur and hip bone
revealed an
intertrochanteric
fracture of the femur
Plain X-ray of right shoulder joint
taken in AP view showing proximal
two third of humerus and clavicle
revealed that there is no deformity
• He was given:
• Iv gentamycin 80 mg12 hourly
• Iv paracetamol 1 gm 8 hourly
• A skin traction was done on 4th September
• Post operative day-3 he is still not able to stand and sit without any
support
• Past medical history: Diabetes, hypertension

• Past surgical history: nil

• Personal history: Mixed diet, Consumes 4-5 cigarettes per day,

Drink alcohol 1 bottle everyday

• Family history: nothing significant

 GENRAL EXAMIATION
• My patient lying on a orthopaedic bed I propped up position.
He is conscious, oriented ad alert. He is well oriented to time,
place and person. Above knee skin traction was doe. There was
no canula on his hand.
vitals- BP-160/80 mmHg
RR-18 breaths per min
HR- 80 bpm
 LOCAL EXAMINATION
• Inspection-
• Exposed part of leg i.e. he was able to move the toes
• Skin color was normal and it appears moist with no scar marks or
bruising
• Color of nails was whitish and condition was normal
• On palpation-
• Temperature- warm
• No tenderness
• Capillary refill :3-4 secs
 CLINICAL DIAGNOSIS
• Right intertrochantric fracture of femur
THANK YOU