{'fraction_non_alphanumeric': 0.02654867256637168, 'fraction_numerical': 0.008849557522123894, 'mean_word_length': 5.180327868852459, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Complicated Fall in a 78‐Year‐Old Lady

This 78 year old lady with a past medical history of rheumatoid arthritis, bronchiectasis, hypertension, gastro-oesophageal reflux disease and paroxysmal atrial fibrillation was admitted to hospital following a mechanical fall whilst at a dance class. After the fall she had difficulty putting her weight on her left leg and her friend took her to the Emergency Department. On examination her left leg was shortened and externally rotated. Pelvic X-ray confirmed the presence of a fractured neck of femur (Figure 1A). The following day she underwent left hip hemiarthroplasty under spinal anaesthetic (Figure 1B). Post operatively she was unrousable. CT showed patchy hypo densities in the frontal and parietal white matter in a watershed distribution (Figure 1C). FLAIR confirmed extensive confluent signal abnormalities in the frontal, parietal, temporal and occipital white matter (Figure 1D). DWI showed patchy foci of diffusion restriction (Figure 1E). Following a discussion with the patient’s family a decision was made to employ comfort measures and she died 4 days after admission.