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EPIDEMIOLOGY BIMODAL DISTRIBUTION 250,000 Hip fractures annually, expected  t o double by 2050,  Elderly  Doubles each decade beyond age 50,  Young   high energy trauma ANATOMY BLOOD SUPPLY GARDEN CLASSIFICATION •Poor interobserver reliability •Modified to: – Non-displaced •Garden I  (valgus impacted) •Garden II (non-displaced) – Displaced •Garden III and IV     I  Valgus impacted or   incomplete      II Complete  Non-displaced III   Complete      Partial displacement IV  Complete       Full displacement Pauwels Classification                                                                                     stable        less-stable        unstable PATIENTS FACTOR                     • Young (active)        High energy injuries Often multi-trauma  •  Elderly Lower energy injury (falls) Co-morbidities   Pre-existing hip disease TREATMENT GOALS Geriatric Patients • Mobilize •

INTRODUCTION Rabies is an acute infection of the CNS.  Rabies is caused by rabies virus ( Rabdoviridiae family) Transmission: Through saliva of infected animal Mode of transmission: Animal bites, licks on abrasion Incubation period: 4 to 8 weeks (9-90 days) Variation of incubation period: depends on site of bite Human is dead end host Family: Rhabdoviridae Genus: Lyssavirus Shape: Rod or bullet shaped Nucleocapsid: Helical Genome: Single stranded RNA with negative polarity, hence  posses their own RNA depended RNA polymerase. Replicates  in cell cytoplasm.  Envelope: contains virus encoded glycoproteins HISTORY Louis Pasteur was the first person to diagnose that rabies targeted the CNS. Also  determined that nervous tissue of an infected human or animal also contained the  virus. In 1890 created the rabies vaccine and saved 9 year old Joseph Meister after he  had been bit by a rabid dog. EPIDEMIOLOGY 87 countries contain Rabies, but