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Published by sri wahyuni
dermatom, trauma kapitis, trauma spinalis
dermatom, trauma kapitis, trauma spinalis

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Categories:Types, School Work
Published by: sri wahyuni on Apr 20, 2010
Copyright:Attribution Non-commercial

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01/04/2013

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Tutor: dr. YoanCarolina Panggabean
Fakultas KedokteranUniversitas Sumatera UtaraMedan2010
 
PEMICU
Seoranganaklaki-laki, usia15 tahundibawakeUGDkarenajatuhdaribaktrukyang sedangberjalan, 3 jamyang lalu. Padapemeriksaanadajejasberupavulnuslaceratumdifrontal, pasiendapatmembukamataapabiladicubitdanmenjawabpertanyaandokterdengansuarayang tidakjelas, tetapiiatidakdapatmenggerakkankeempatekstrimitasnya.PadapemeriksaanawaldiUGD dijumpaitekanandarah100/70 mmHg; nadi126 kali permenit; pernafasan16xpermenit; suhu37.5 CApayang terjadipadaanaklaki-lakitersebutdansebagaidokterlayananprimer apayang harusandalakukan?
 
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Dari hasilpemeriksaanfisikdiagnostikdijumpaikebasdimulaidarilenganatasdandada ataskebawah(caudal).Hasilpemeriksaanpenunjang:1.X-ray thorak: normal2.X-ray cervical : frakturdislokasiC4-C53.Cervical MRI : frakturdislokasiC4-C5 disertaimemarmedulla spinalissegmenC4 danC54.Head CT-scan : bercak-bercakpendarahandilobusfrontalis5.AGDA : normal

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