63YOF HX B/L HIP REPLACEMENTS PRESENT TO ED W/ R HIP PX S/P FALL YESTERDAY. PT BELIEVES MISSED LAST STAIR OF VERY SHORT STAIRWAY SUDDENLY ON THE GROUND. C/F POSSIBLE SYNCOPE. PT GOT UP AMBULATE TIL LATER IN DAY PX BECAME SEVERE. PT STS SHE HAS X1MO A *** IN L EAR, ?BALANCE ABNORMALITIES. PT ENDORSES ETOH=1967 DX: ELEVATED BAL; ELEVATED AST(SGOT); HYPONATREMIA; CLOSED FX 1RIB; SYNCOPE/COLLAPSE
Date: 6/6/2025
Category: home structures and construction materials
Product: STAIRS OR STEPS
Products involved: STAIRS OR STEPS; UNCATEGORIZED PRODUCT (TO BE ASSIGNED)
Diagnosis: Fracture
Body part: Upper Trunk
Location: Not Recorded