Geriatric Trauma Patients and Altered Mental Status

Catherine Marco, Ashlee Edgell, Catherine Eggers, Christopher Fagan, James Olson
2016 Emergency medicine  
Case A 76-year-old woman presented to the ED with right rib pain after tripping on a rug and sustaining a fall down the stairs in her home. The patient's chart review showed a history of multiple falls over the past year, with injuries including left rib fracture, right distal radius fracture, ankle sprain, forehead contusion, and left hip contusion. Regarding her social history, the patient denied any alcohol or drug use. She was not on any prescription medications and had no known medication
more » ... o known medication or food allergies. The physical examination was notable for a thin, white female in no apparent distress. The patient's vital signs at presentation were: temperature, 97.2°F; blood pressure, 110/78 mm Hg; heart rate, 110 beats/minute; respiratory rate, 24 breaths/ minute. She was somnolent but arousable and oriented to person, place, and time. The right chest wall was tender, and her lungs were clear to auscultation. The cardiac and neurological examinations were within normal limits. The patient had multiple contusions of various stages of healing over all extremities.
doi:10.12788/emed.2016.0002 fatcat:mmdwhvvh3zegxcfcgxjqvoxiki