SOLVED670

An 80-year old male with coronary artery disease, diabetes mellitus type 2, and hypertension presents after a fall he had at home about five hours ago. He felt well this morning. After a light breakfast, he read the newspaper at the kitchen table. When he stood up, he felt lightheaded and fell to the floor. His daughter, who lives with him, heard the thud and found him on the floor. He was orientated to person, place, and time when found by his daughter. He denied having any urinary or stool incontinence. He also has not had fevers, palpitations, abdominal discomfort, hematuria, or dysuria. As he was complaining of left hip pain, she brought him into the emergency room for evaluation. He has been prescribed aspirin, metoprolol, enalapril, amlodipine, and metformin, all of which he took this morning. The enalapril was recently added to his regimen. On exam, vitals were as follows: temperature is 37.6 C (99.7 F), pulse is 60 beats/minute, and blood pressure is 110/70 mmHg. You find a pleasant male who appears his stated age and is in no distress. His exam, including the neurological exam, is unremarkable except for ecchymoses over the left hip. He scores 29/30
SCIENCE
HEALTH SCIENCE
NURSING

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