In the following case study I will discuss the ailment, diagnosis, and treatment of 72 year old Margaret Donavan. In her case she was brought into the emergency room after suffering from a fall. After the fall she was unable to get herself up but only suffered injury to her right hip. She was also very alert and responsive at the scene. She had no previous history of any health issues besides hypertension which she was taking medication for.
1. What is it meant by a “complete, comminuted, intertrochanteric fracture of the right hip”?
After being taken care of by physicians Margaret Donavan was diagnosed with a complete, comminuted, intertrochanteric fracture of her right hip. In a complete fracture, it means that the bone is broken
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When a femur becomes osteoporotic, it is the outer layer of the bone around the epiphyses and diaphysis, which begins to thin. This is the compact bone. In the distal and proximal epiphyses there would also be a loss of the cancellous bone. This is where the spongy bone is. When a bone is osteoporotic, a person becomes more susceptible to suffering from a bone fracture. On an x-ray, an osteoporotic femur doesn’t look as dense as a normal femur x-ray. In some of them you can see the larger spaces that are made in the trabeculae of the bone. This is the part that has a spongy appearance. In a normal femur the spaces in the spongy bone are smaller and dense. In the osteoporotic bone, the spaces are larger, which makes the bone more fragile. It doesn’t have as strong of a structure as a normal bone would.
4. Describe the microscopic features of osseous tissue that normally help long bones withstand lateral stress without breaking.
When lateral stress is placed on the femur there are two different types of impact. The first one causes compression of the bone on the side of the bone during impact. The second one causes stretching on the opposite side of the bone during impact. When these two actions work together they actually cancel each other out which takes away the need for compact bone in the middle area of the femur. With this action, the middle area of bone
Osteoporosis is marked by a decreased bone volume. Loss of spongy ("cancellous") bone is greater than
S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%
A fracture is a break, in this case a break in the patients humerus, occipital bone and 3rd Lumbar vertebral body
Osteoblast- cells which build bone by removing calcium and phosphates form the blood in the presence of the enzymes alkaline phosphates secrete by
Given the above considerations, Margaret's osteoporotic femurs are vulnerable to fracture because of (A) the loss of spongy bone in the epiphyses and (B) the thinning of the bony collar in the diaphysis.
Materials for this laboratory included Microsoft excel to compile data, a pen and paper to record data, a 15cm ruler, string, a caliper, and a two meter ruler. Since bones often times vary in width in certain portions of the same bone due to the presence of joints and processes the bone was measured at the midpoint along its length for its true width. Measurements
Osteoporosis, meaning porous bone from the Greek language, is bone disease that gradually and steadily wears down bone tissue and its living cells. This wearing down will eventually cause the cells of bone tissue to degrade and die, leaving their “scaffolding” to be the only things only bone together. Without living cells to take up a home in this scaffolding, minor injuries such as falls, bumping into objects, and pressure that would normally be completely and would not pose any threat to bone tissue suddenly becomes a real hazard that can easily pose a threat to one’s well-being. Osteoporosis affects a person skeletal system.
“Bonnie Bowser, eighty-two years old, fell and severely injured her elbow. She was examined at the Emergency Department of the Miraculous Regional Health System and diagnosed with a fractured olecranon process, and referred to an orthopedic surgeon. The surgeon who examined Mrs. Bowser scheduled her for corrective surgery the next day. He noted in his examination that she had a past medical history of hypertension, diabetes mellitus, two myocardial infarctions with quadruple bypass surgery, and a cerebrovascular accident affecting her left side. She was taking several medications including Lasix (a diuretic), Vasotec (for treatment of hypertension and symptomatic congestive heart failure), Kylotrix (potassium supplement),
One afternoon a 67 year-old man presented to the emergency department of a small, rural hospital complaining of severe left leg and hip pain following a fall at home. The patient had no past history of falls. He had a history of impaired glucose intolerance, prostate cancer, hypercholesterolemia and hyperlipidemia. The patient’s current medications were atorvastatin and oxycodone for chronic back pain. The patient stated his pain was ten out of ten on a scale of one to ten with ten being the worst. The left leg appeared shorter than the right, edema was present in the calf, as was ecchymosis and he had limited range of motion. After an evaluation in triage by a registered nurse and a subsequent examination by the emergency department physician, a plan was established to sedate the patient using moderation sedation protocol and perform a manual reduction of the hip.
Osteoporosis, also known as porous bone, is a disease characterized by low bone mass and structural deterioration of bone tissue which leads to bone fragility and an increased risks of the hip, spine, and wrist. Both men and women are affected by this (although it affects women more) but it can be prevented and treated. In the United States, more than 40 million people either already have osteoporosis or at a high risk because of low bone mass.
Medical Diagnosis: Client was diagnosed with a fractured right tibia bone, and fractured right radial bone. Client has diabetes mellitus type one. Client has history of hypertension and was admitted with chest pain following accident. The client fell off her bicycle while walking her dog.
Osteoporosis is a health ailment which causes bones to become so porous that they can break easily. Osteoporosis literally means 'porous bones'. The bones in our skeleton are made of a thick outer shell and a strong inner mesh filled with collagen [protein], calcium salts and other minerals. The inside looks like honeycomb, with blood vessels and bone marrow in the spaces between bone. Osteoporosis occurs when the holes between bone become bigger, making it fragile and liable to break easily. Osteoporosis usually affects the whole skeleton but it most commonly causes breaks or fractures to bone in the wrist, spine and hip.
The emergence of bipedalism modified the skeletal features of modern man [1]. As a consequence, the humerus tends to be shorter, lighter and straighter by losing its role of bearing bone [2]. It can be loaded in tension as in compression depending on the function of the upper extremity (uplift loads or distal support). At the opposite and from an evolutionary perspective in the human primate, femur evolved morphological and mechanical in order to bear different postures (standing, walking, running) [3,4].
Short bones – strong and compact bones are grouped in parts of the body where little movement is required.
The skeletal system is made up of bones and joints. Bones are a dry dense tissue that is composed of calcium phosphorous and organic matter. The bones are protected and covered by a layer of fibrous connective tissue membrane called the periosteum (Brown, et al., 2015, p. 1547). There are two basic types of bone tissue: Compact Bone and Spongy Bone. Compact bones are dense smooth bones, while Spongy bones are composed of small needle-like pieces of bones and open space. Bones are then categorised according to the shape of the bone into four groups: long, short, flat and irregular. Long bones characteristically are typically longer then they are wide and generally have a shaft with heads at either ends e.g. the humerus. They are mainly compact bones. Short bones