Orthopedic surgery consult
CONSULT · Dr. J. Alvarez · Mar 6, 2026, 9:00 AM
Left intertrochanteric hip fracture on plain films. Needs ORIF. INR 2.8 supratherapeutic, must reverse before OR. Hold warfarin. Coordinate with medicine for reversal.
PS
Patrick Sullivan, MD
Attending Physician
Active Chart · MRN SYN-1018
Eleanor Harris
84 y/o F · Left hip fracture
Chart Review
Encounter timeline and laboratory review
Encounter timeline
Linked visit history and responsible clinicians.
Inpatient
OPENLeft hip fracture · Dr. Philip Dunn
Started Mar 6, 2026, 8:00 AM
Labs
Recent resulted values for the active encounter.
| Collected | Test | Value | Reference |
|---|---|---|---|
| Mar 6, 2026, 8:20 AM | Platelet count | 210 K/uL | 150-400 |
| Mar 6, 2026, 8:20 AM | Creatinine | 1.1 mg/dL | 0.6-1.2 |
| Mar 6, 2026, 8:20 AM | INR | 2.8 | 0.9-1.1 |
| Mar 6, 2026, 8:20 AM | Hemoglobin | 10.2 g/dL | 12.0-16.0 |
SIGNED
Notes
Progress and clinical documentation
Orthopedic surgery consult
CONSULT · Dr. J. Alvarez · Mar 6, 2026, 9:00 AM
Left intertrochanteric hip fracture on plain films. Needs ORIF. INR 2.8 supratherapeutic, must reverse before OR. Hold warfarin. Coordinate with medicine for reversal.
Orders
Medication, lab, and imaging entry
CBC
LAB · Mar 6, 2026, 8:10 AM
Parameters: STAT
Rationale: Assess blood loss.
X-ray left hip
IMAGING · Mar 6, 2026, 8:10 AM
Parameters: STAT
Rationale: Evaluate fracture.
Wrap-Up
Finalize documentation and orders
Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.