Why is Grandpa Falling?

A seemingly simple stumble provides clues to serious injury.

By Tony Dajer
Aug 1, 2006 5:00 AMNov 12, 2019 4:28 AM
hematoma200.jpg
This CT scan shows a77-year-old who took a bad fall. | University of Iowa

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"Grandpa fell on knee. Two days before. Pain," the young woman said. Her wizened grandfather dozed on a stretcher.

"How are you, sir?" I inquired softly.

In loud Cantonese, the granddaughter repeated the question. She smiled apologetically. "No hear good."

His eyes fluttered open. When I palmed his right knee, he winced. The joint was swollen, the kneecap scuffed, but he didn't complain when I bent his knee. With the help of an interpreter, I learned that he tripped on his way to the bathroom two days ago.

"No dizziness? No passing out? Didn't hit his head?" I asked. A yes to any of these questions would suggest more serious heart or neurological problems.

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