Question

Maisie Wilson fell down the stairs at her home and was found by her husband about 8 hours later. She had a facial laceration, pain in her left hip, and was unable to get up. She denied falling down the stairs or loss of consciousness, but she was confused to time. She had incontinence of urine and feces while on the floor. She was given IV morphine and had spinal precautions and a collar placed. She was admitted to the emergency department where she received treatment for her injuries, including a laceration to her face that required gluing together. Her husband was present, and her son was on his way to the hospital. Further tests were ordered, including x-rays of her left hip and pelvis and a head and spine CT. Identify and discuss all 6 of Maisie’s presurgical risks. What investigations does she need prior to surgery?

Answer 1

Maisie Wilson faces several presurgical risks including facial laceration, hip pain, confusion, incontinence, and the need for morphine and spinal precautions. Prior to surgery, investigations such as x-rays of the hip and pelvis, a head CT, and a spine CT should be conducted to assess her condition.

Step-by-step explanation:

Based on the given information, there are six presurgical risks that Maisie Wilson faces. These include:

1. Facial laceration
2. Pain in her left hip
3. Confusion to time
4. Incontinence of urine and feces
5. Need for IV morphine and spinal precautions
6. The need for further tests including x-rays of her left hip and pelvis, and a head and spine CT.

Prior to surgery, it is important to conduct several investigations to accurately assess Maisie's condition. These investigations may include:

1. X-rays of her left hip and pelvis to evaluate the extent of her hip injury
2. A head CT to rule out any traumatic brain injury or intracranial bleeding
3. A spine CT to assess for any spinal cord injury or fractures

These investigations will help determine the appropriate course of treatment for Maisie and ensure her safety during surgery.