Severe conduction disease

An elderly female patients thinks she is just clumsy but there may be a more complex explanation for her frequent falls

Jill is an 88-year-old female who presents to the ED with a fractured neck of femur following a fall at home.


Jill has a poor recollection of the events leading up to her fall but thinks that she lost her balance.

On further questioning, Jill reports having five falls over the past six months. She attributes these falls to “tripping over her feet” and loss of balance.

Jill has a past medical history of hypertension, diabetes (diet-controlled) and osteoporosis. She currently takes perindopril, calcium, vitamin D and weekly alendronate.