Case 54:Confused elderly woman260 Case 55:Elderly woman with bruising265 Case 56: Elderly man with hip pain

History A 69-year-old man has attended as an elective admission to the surgical ward for a total hip replacement. During his admission clerking, he reports that he has been getting increasing pain in his right hip over the past few years. After analgesia failed to help, he was referred to the orthopaedic surgeons for assessment. This led to his placement on the waiting list for a hip replacement, and he is both relieved to be having the operation and also nervous about the procedure.