CASE STUDY FOR CHAPTER 3-1.docx - CASE STUDY FOR CHAPTER 3...

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CASE STUDY FOR CHAPTER 3 DISCHARGE SUMMARY: MULTIPLE COMPOUND FRACTURES Patient Name: Dorothy Ryder MR#: 58-96-42 Attending Physician: Mary Early, M.D. Admission Date: 01/26/09 Discharge Date: 02/01/14 Admission Diagnosis: Multiple compression fractures of T12, L1, L2, and L4. Discharge Diagnosis: Same as above. History of Present Illness: This is a 70-year-old African American female with a long history of multiple fractures dating back to 1992. Two days prior to admission, the patient missed the final step coming down the stairs in her home. She caught hold of the railing, but twisted as she did so and developed some back pain. This became progressively worse over the next 2 days, to the point where she was having difficulty ambulating, and she presented to the Emergency Room. She has a history of significant osteoporosis diagnosed in 1998. The patient also has a history of osteoarthritis and had a right total hip replacement in 2000.

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