You are on page 1of 1

Hip fracture – assessment and management:

AP and lateral view radiographs.

Obtain orthopaedic consultation in the ED. Reduce dislocated femoral head and fracture fragment as
soon as possible to avoid avascular necrosis.

Small fracture fragments may need to be removed

Medial lateral circumflex arteries.

Primary survey – stabilize as needed

Detailed secondary survey. Vitaal signs, shock. Mental status, urine output.

Lab studiues not useful for diagnosing fracture per se

Neck shaft angle

If you cant detect but still suspect, go with CT

MRI

Bone scan

Immobilize patient, 2 large-bore IV lines for hydration and possible transfusion, NPO, initiate
analgesia

Ultrasound guided femoral nerve blocks

Tetanus immunization

Cefazolin – active against skin flora + Gentamaicin + Ampicillin

Painless haematuria

Worriued of kidney or bladder cancer. Exercise. Need cystoscopy. Imaging of kidneys – ultrasound or
CT, to look for renal cell carcinoma or transitional cell carcinoma of the renal pelvis. Patients with
persistent haematuria – normal ultrasound or cystoscopy, need intravenous urography or CT uro for
detecting transitional cell carcinoma of the ureter.

CT urography is replacing ultrasound

You might also like