SUBJECTIVE  Right hip pain, 10/10 (0–10 pain scale), sharp, sudden onset OBJECTIVE       87-year-old female Fell at home, unable to stand Right leg rotated outward, right hip swollen X-ray shows closed fracture of acetabulum History of osteoporosis Blood pressure high at 173/105, heart rate fast at 108, respiratory rate fast at 24 ASSESSMENT  Osteoporotic hip fracture    Admit to hospital Surgery consult for internal fixation vs. external fixation Schedule dual x-ray absorptiometry after surgery PLAN Questions 1. Define acetabulum.  Acetabulum is the large circular cavity in each side of the pelvis that articulates with the head of the femur to form the hip joint; commonly known as the hip socket. 2. Define dual x-ray absorptiometry  Dual x-ray absorptiometry A low-exposure radiographic measurement of the spine and hips that measures bone density. 3. Is an osteoporotic hip fracture a type of pathologic fracture? Define pathological fracture.  Yes, an osteoporotic hip fracture is a type of pathologic fracture because a pathological fracture is a fracture when a bone breaks under normal strain because the bone has been weakened by osteoporosis or by a disease process such as cancer. With that being said the osteoporotic hip fracture is a broken bone usually caused by weakening of the bones due to osteoporosis and can occur either spontaneously or as the result of a fall. Which the patient Maria did, she fell and also has a history of osteoporosis. So yes in this case, a osteoporotic hip fracture is a type of pathologic fracture.