SAQ 847 – Orthopaedics – seizure with shoulder fracture-dislocation

A 70-year-old woman with a known seizure disorder self-presents to your rural ED at 2 am after a brief seizure lasting less than one minute. She lives several hours out of town with her husband.

Her history includes previous MCA stroke with no residual focal deficit, hypertension and hypercholesterolaemia. She takes levetiracetam, has been seizure-free for two years, but missed seven days of anticonvulsants while travelling interstate.

She has isolated right shoulder pain and no evidence of other injury. Her shoulder X-rays are provided with this question.

Observation	Value
HR	90 bpm
BP	130/70 mmHg
SpO2	97% on room air
RR	18/min
Temp	37.3 deg C

Describe the X-ray findings.

(Marked out of 2.0)

/ 2

List three treatment priorities for this patient with brief details of each.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Management priority</th> <th>Details</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> </tbody> </table> <p>

/ 6

List three important components of discharge planning for this patient with brief details of each.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Discharge plan</th> <th>Details</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> </tbody> </table> <p>

/ 6

Before treatment begins, she asks about likely complications from the injury. List four potential complications.

(Marked out of 4.0)

/ 4

Total Score: 0 / 18

Percentage: 0%