Fractures

Topic: Fracture Name Institution Professor Course Date of submission CASEY Prior to his mother’s arrival, the biographical data can be collected from Casey. This includes the personal details like full names, gender, the age and the marital status. Being 17years old, the patient can also describe the chief complaint and events that led to the occurrence of the fracture. Such information will also form the basis for the history of the presenting illness (Barker, 2003). Any medications that had been received after the fracture can also be described by the patient. On entry to the room for the first time, the observations that can be made include blood flowing from the surface of the fracture. Tenderness and redness of the skin can also be observed. Immobility also occurs as a result of the fracture. The most important areas in the history of this patient include the past medical history to ascertain whether there could have been infections to predispose to the fracture. The history of drug and food allergies should also be collected. The physician should not forget to enquire of the family history to determine the vulnerability of the patient to developing deep venous thrombosis (Barker, 2003). The important developmental considerations for Casey include the interference of the fracture with the normal growth of the bone. This is due to the fact that the epiphyseal plates have not yet fused by the age of 17 (Barker, 2003). Hematopoietic mechanism is also interfered with since bone marrow is instrumental in the manufacture of blood cells. This leads to extra-medullary hematopoiesis. JEAN Further questions that Jean can be asked include those on food and drug allergies,...