61YOF PRESENT TO ED BIBA AFTER MECHANICAL FALL W/ +HS/LOC/NO ANTICOAGULATION. PT WOKE IN THE NIGHT TO GO TO BR WEARING SOCKS SLIPPED BACKWARDS ON LINOLEUM FLOOR/STRUCK HEAD ON DOOR FRAME. ABLE TO GET SELF-UP/BACK TO BED. NOTED L UPPER ARM PX DIFFICULTY W/ ROM. DX: FALL; CONCUSSION W/ LOC; CONTUSION L SHOULDER; CONTUSION L ELBOW; CONTUSION R ELBOW
Date: 2/16/2025
Category: home structures and construction materials
Product: FLOORS OR FLOORING MATERIALS
Products involved: DOOR SILLS OR FRAMES; FLOORS OR FLOORING MATERIALS
Diagnosis: Concussions
Body part: Head
Location: Not Recorded