Precipitating Factors (Modifiable) Occupation/ Job (Police Officer) Assigned/Area of Duty as a Police Activity/ Stress

Predisposing Factors (Non-Modifiable) Age Gender (Male)

Blunt Injury (Gun Shot Wound) Break in the skin (tissue damage) Injury to Femur/ Fracture bleeding from damaged ends of bone & from surrounding tissue hematoma (within medullary canal, between the fractured ends of bone & beneath periosteum) bone tissue adjacent of the fracture immediately dies stimulates intense-inflammatory response (vasodilation, exudation of plasma & leukocytes, growth factors & mast cells that simultaneously decalcify the fractured bone end) increased capillary permeability fluid/cellular exudation Edema Pain (swelling causes pain that compressed the nerve endings) impaired function

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