history of present illness: the patient is a 59 year old female patient who was struck by a motor vehicle. she presented to the emergency department as a trauma patient. trauma workup revealed the presence of intracranial bleeding which was followed by the neurosurgical service. in addition to this injury, she had an anterior plateau fracture in the lower extremity which was addressed by my service. past medical history: 1. coronary artery disease. 2. bilateral total hips. medications on admission: 1. norvasc. 2. lopressor. 3. plavix. 4. zocor. 5. ______. hospital course: after appropriate clearing was provided by neurosurgical service, the patient was taken to the operating room mainly for management of her anterior plateau fracture. the patient was cleared for surgery and went to the operating room on . she underwent an uncomplicated open reduction, internal fixation of a schatzker 6 left anterior plateau fracture. she remained nonweight-bearing on the operated extremity with a hinge brace. she was anticoagulated with lovenox for deep venous thrombosis prophylaxis and she was managed with 24 hours preoperative antibiotics. she was followed by the physical therapy service and was discharged to rehabilitation on . the patient had an uneventful hospital course and was to be followed two week postoperative for wound checks. medications on discharge: 1. percocet one to two q4hours p.r.n. 2. preoperative regimen. , md Procedure: Open reduction of fracture with internal fixation, tibia and fibula Closure of skin and subcutaneous tissue of other sites Diagnoses: Unspecified essential hypertension Aortocoronary bypass status Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian Hypopotassemia Open wound of forehead, without mention of complication Hypotension, unspecified Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with no loss of consciousness Closed fracture of upper end of tibia alone Abrasion or friction burn of shoulder and upper arm, without mention of infection Contusion of hip