T&O clerking

Cons on-call: Age / Sex: 67-year-old male Presenting complaints: Right hip pain and inability to weight bear. History of presenting complaints: The patient reports a fall at home two days ago, resulting in immediate right hip pain. He was unable to weight bear following the fall. Pain is described as a sharp, throbbing pain, exacerbated by movement. No previous history of hip pain. Past medical history: Hypertension, managed with medication. Previous left knee replacement. Drug history: Amlodipine 5mg daily, Paracetamol as needed. Allergies: No known drug allergies. Social history: Retired, lives alone. Non-smoker, occasional alcohol use. Investigations: X-ray of right hip performed, showing a displaced fracture of the femoral neck. Review: HR: 88 bpm BP: 140/80 mmHg O/E: Patient in significant pain. Right leg externally rotated and shortened. Tenderness to palpation over the right hip. No open wounds. Neurovascularly intact distally. L/E: Not applicable. Impression: Displaced right femoral neck fracture. Plan: Admit for surgical fixation. Pre-operative bloods and ECG ordered. Discussed risks and benefits of surgery with the patient. Informed consent obtained. Patient to be kept nil by mouth.