60YOM FELL DOWN A FLIGHT OF STAIRS. HE HAS A LACERATION ON BACK OF HIS HEAD. PT REPORTS TAKING 3 TEQUILA SHOTS AND 2 BEERS TONIGHT. EXAM NOTES A SMALL ABRASION TO THE RIGHT SHOULDER. NO BAL DRAWN. DX: ALCOHOL ABUSE WITH INTOXICATION UNSPECIFIED, HEAD INJURY, SCALP LACERATION
Date: 2/1/2025
Category: home structures and construction materials
Product: STAIRS OR STEPS
Products involved: STAIRS OR STEPS; UNCATEGORIZED PRODUCT (TO BE ASSIGNED)
Diagnosis: Internal Organ Injury
Body part: Head
Location: Not Recorded