An older man who has fallen
- By: Kathryn Ford,, Samuel Tonkin, David Swain, Harpal Uppal
Mr X, an 85 year old man, was an inpatient recovering well from community acquired pneumonia. While on the ward in hospital, he tripped and fell.
On primary survey he maintained his own airway. He was saturated at 98% on air with a respiratory rate of 18 breaths per minute, and he had good vesicular air entry bilaterally. His blood pressure was 136/76 mmHg with a regular pulse of 76 beats per minute, and he was peripherally warm and well perfused (capillary refill time <2 seconds). He was alert and orientated, with a Glasgow coma score of 15/15. Results of neurological examination were normal, but movement of his left leg was restricted by pain, and he was unable to demonstrate a straight leg raise or weight bear.
(1) Describe the abnormality seen in the figure. What might you expect to find on examination of Mr X?
(2) What should you