Format shamelessly stolen & simplified from Tim. :)
The Introduction
Patient Name: James
Age: 57 years
Occupation: Farmer & tribal elder
History of Present Illness
What: Crushed leg with bone sticking out (likely compound & comminuted fractures)
Where: Left lower leg
When: Over 3 hours ago
How: Violent downward force on an extended leg resulting in a high-energy impact from the weight of a falling car
Quallity: N/A
Quantity: Brain-being-scratched-out levels :(
Alleviating Factors: N/A
Aggravating Factors: Being crushed by the weight of a car :(
Associated Symptoms: Pain & open wound hemorrhage (blood flow has been arrested)
Beliefs: Crushed by the weight of a car :(
Possible Damage: 1, 2, 3, 4
What: Bent knee (likely dislocation)
Where: Right knee
When: Over 3 hours ago
How: Violent backward force on a flexed knee resulting in a high energy impact from the weight of a falling sill panel
Quality: N/A
Quantity: Brain-being-scratched-out levels :(
Alleviating Factors: N/A
Aggravating Factors: Being crushed by the weight of a car :(
Associated Symptoms: Pain
Beliefs: Dislocated by the weight of a sill panel :(
Others: Puncture wound by rusty spring
Medical History
Diabetes
Medication
Diabetes; poor compliance
Smoking
Yes; low motivation to quit
Social History
Family: Wife died 5 years ago; lives together with 3 daughters
Occupation: A farmer most of his life, together with the rest of his community
Food For Thought
What structures are involved in the fracture?
What structures are involved in the dislocated knee?
Is there a risk of tetanus from the puncture wound by the rusty spring?
Is there a risk of infection at the bleeding site?
What are the complications arising from diabetes - amputation necessary?
What are the complications arising from smoking - additive to diabetes complications?
What are the first aid methods to deal with such a situation?
Are there any cultural barriers to be considered?
Are there any financial barriers to be considered?
Are there any geographical barriers to be considered?
Are there any other barriers to access to be considered?
Resources
Broken Leg: 1
Compound Fractures: 1, 2
KeShinn Bone Fractures: 1
Meniscal Tears: 1
Anterior Cruciate Ligament Injuries: 1
Posterior Cruciate Ligament Injuries: 1
Collateral Ligament Injuries: 1
Tetanus: 1, 2, 3
Diabetic Neuropathy: 1, 2, 3
Diabetes Medications: 1
Wound Care: 1
Fractures First Aid: 1
Extra:
To describe a fracture:
PLASTER OF PARIS:
Plane
Location
Articular cartilage involvement
Simple or comminuted
Type (eg Colles')
Extent
Reason
Open or closed
Foreign bodies
disPlacement
Angulation
Rotation
Impaction
Shortening
I probably missed plenty. :3
The Introduction
Patient Name: James
Age: 57 years
Occupation: Farmer & tribal elder
History of Present Illness
What: Crushed leg with bone sticking out (likely compound & comminuted fractures)
Where: Left lower leg
When: Over 3 hours ago
How: Violent downward force on an extended leg resulting in a high-energy impact from the weight of a falling car
Quallity: N/A
Quantity: Brain-being-scratched-out levels :(
Alleviating Factors: N/A
Aggravating Factors: Being crushed by the weight of a car :(
Associated Symptoms: Pain & open wound hemorrhage (blood flow has been arrested)
Beliefs: Crushed by the weight of a car :(
Possible Damage: 1, 2, 3, 4
What: Bent knee (likely dislocation)
Where: Right knee
When: Over 3 hours ago
How: Violent backward force on a flexed knee resulting in a high energy impact from the weight of a falling sill panel
Quality: N/A
Quantity: Brain-being-scratched-out levels :(
Alleviating Factors: N/A
Aggravating Factors: Being crushed by the weight of a car :(
Associated Symptoms: Pain
Beliefs: Dislocated by the weight of a sill panel :(
Others: Puncture wound by rusty spring
Medical History
Diabetes
Medication
Diabetes; poor compliance
Smoking
Yes; low motivation to quit
Social History
Family: Wife died 5 years ago; lives together with 3 daughters
Occupation: A farmer most of his life, together with the rest of his community
Food For Thought
What structures are involved in the fracture?
What structures are involved in the dislocated knee?
Is there a risk of tetanus from the puncture wound by the rusty spring?
Is there a risk of infection at the bleeding site?
What are the complications arising from diabetes - amputation necessary?
What are the complications arising from smoking - additive to diabetes complications?
What are the first aid methods to deal with such a situation?
Are there any cultural barriers to be considered?
Are there any financial barriers to be considered?
Are there any geographical barriers to be considered?
Are there any other barriers to access to be considered?
Resources
Broken Leg: 1
Compound Fractures: 1, 2
Meniscal Tears: 1
Anterior Cruciate Ligament Injuries: 1
Posterior Cruciate Ligament Injuries: 1
Collateral Ligament Injuries: 1
Tetanus: 1, 2, 3
Diabetic Neuropathy: 1, 2, 3
Diabetes Medications: 1
Wound Care: 1
Fractures First Aid: 1
Extra:
To describe a fracture:
PLASTER OF PARIS:
Plane
Location
Articular cartilage involvement
Simple or comminuted
Type (eg Colles')
Extent
Reason
Open or closed
Foreign bodies
disPlacement
Angulation
Rotation
Impaction
Shortening
I probably missed plenty. :3
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