What was the cause of the fall: was the fall a result of an accident (misstep tripping), or due to some impairment such. As weakness dizziness poor coordination,,,, confusion syncope etc.?(Please indicate all that apply).2. Does the patient have any of the following medical History / Risk Factors for, falls: StrokeParkinson "s disease Diabetes Hypoglycemia,,,,, Seizure Chronic corticosteroid use, DizzinessArrhythmia Alcohol abuse Syncope Other,,,,3. Please confirm the location of the pelvic fracture and if this was a result of the fall.4. Please confirm what treatment the patient had for the pelvic fracture.5. Please provide the patient "s medical history and concomitant medications prior to the accident.
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