Health Examination
Situation-
, this is Mary from the Lake Placid Emergency Room. I am calling about your patient, Mrs. Z, who came in this afternoon complaining of minor vertigo, weakness, and blurry vision, as well as an injured hip.
Mrs. Z is 78 years old, 5' 10" and weighed in at 161 pounds. She is a retired teacher who has lived alone since the death of her husband 2 years ago. Mrs. Z was brought into the clinic by a neighbor, since she gave up driving about a year ago saying she had difficulty seeing in strong sunlight and in the dark.
Mrs. Z was admitted into the ER after a fall that injured her left hip. Our examination reveals mostly unremarkable presentation; this is an informational call to let you know our diagnosis and client recommendations for follow through. We have asked Mrs. Z to make an appointment with you as well, and will be faxing you the results of the tests performed. We believe patient has cataracts and should be immediately seen by an ophthalmologist.
Background-
1. Client came in after falling and injuring her left hip. Client indicated that she was feeding the community cats and did not see the steps as she was walking. Further, she admitted that she might have had several falls both inside and outside the house over the last...
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