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What does "Fracture with impaction seen in distal radius" mean? - Online Doctor Chats

Date : 22-May-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:
Please proceed with your query
User:Sir , I have x ray report of my mother but not able to get the interpretation
User:X ray right wrist AP & LAT
Doctor:ok
User:Findings: 1. Fracture with impaction seen in distal radius. 2. Frature seen in ulnar styloid process and 3. Evidence of osteoporosis
Doctor:Are there any more findings?
User:no
Doctor:When was this X-ray taken?
Doctor:What is your mother's age?
User:She had fracture almost 2 months back and now just few days back plaster and bandage removed. But I was unable to take her to concerned specialist doc due to some urgency
User:this x ray taken on 5th may. 2014
User:mothers age is 70 years
Doctor:What other problems does your mother have?
Doctor:Has she seen a doctor after the X-ray?
User:she was taking medicine for thyroid. She was admitted to hospital due to gastrisis somedays back thus unable to consult orthopedic specilist.
Doctor:Ok
Doctor:Let me explain.
Doctor:Your mother has broken bones (fracture) at the end of her forearm.
Doctor:Both the bones here are broken at the lower end.
Doctor:She also have very brittle bone due to low calcium levels.
Doctor:Hence she will be prone for more fractures.
Doctor:She needs treatment for the current fracture and medicines/measures to prevent future fracture.
User:Does this mean that that the fracture still persists or it is cured
Doctor:You can discuss this with her current doctors. Her treating physician can arrange for an orthopedician reference.
Doctor:We can be able to predict how old the fracture is - recent or very old
Doctor:whether it is in process of healing
Doctor:or will it not heal
Doctor:only after looking at the X-ray films.
User:ok understood
Doctor:If you don't find an orthopedician at the current hospital, take the X-rays to a different hospital and arrange for her treatment.
Doctor:Do you have any other questions?
User:Yes
Doctor:Proceed.
User:my mother is discharged and she had final diagosis for renal impairment, erosive gastritis and gasenteritis, hypothrodism and hypertension
Doctor:Ok
User:Now she is not having any will to eat and doctor prescribed renal diet with salt restricted..
User:just want to know what we should follow for renal diet
User:Current urea - 28, creatine - 2.2 sodium - 134 and potassium - 4.2
User:haemoglobin is 7.9
Doctor:I think a nutritionist will be able to help you better about renal diet.
Doctor:if your query is only regarding the diet, I would suggest you to use get a diet plan option / ask a dietician option
User:anything to worry about on the above parameter mentioned
Doctor:and discuss about it.
User:anything to worry about on the above parameter mentioned
Doctor:She has a low hemoglobin.
Doctor:Her creatinine is high but not very concerning.
Doctor:All these parameters may be secondary to renal disorder.
Doctor:Her doctors should also be checking her calcium and vitamin D levels as X-rays indicate osteoporosis.
User:ok
Doctor:She needs to be started on iron tablets / injections and calcium/vitamin D preparations after discussing with the nephrologist.
Doctor:The doctors should also evaluate the type and cause of renal disease.
Doctor:The treatment should be undertaken in consultation with a nephrologist.
Doctor:Have you followed?
User:ok.. today i have also booked an appointment with nephrologist... please advice what are the things i need to discuss and take suggestions
Doctor:At this point, I am not very clear about the type of renal disease your mother has.
Doctor:I would let the nephrologist work her up independentally.
Doctor:Once the initial investigations is done and we are able to arrive at a diagnosis
User:ok thanks
User:for your support
Doctor:you can get more information through them or from us.
Doctor:DO you have any more questions?
User:no thanks
Doctor:Thanks for visiting me here. Bye for now.
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