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  • Bedside Teaching: Bagian Ortopedi Dan Traumatologi

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    Lukman Hidayat
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    This document summarizes the case of a 46-year-old male patient who was admitted to the hospital after falling and injuring his left wrist while repairing a roof. On examination, the patient's left wrist showed deformity, bruising, swelling, and pain on palpation with limited range of motion. X-rays revealed comminuted displaced fractures of the distal radius and ulna. The patient was diagnosed with a closed Frykmann type VIII distal radius fracture and planned for open reduction and internal fixation surgery.

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    bst cloded fractured

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    BST Close Fracture

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    This document summarizes the case of a 46-year-old male patient who was admitted to the hospital after falling and injuring his left wrist while repairing a roof. On examination, the patient's left wrist showed deformity, bruising, swelling, and pain on palpation with limited range of motion. X-rays revealed comminuted displaced fractures of the distal radius and ulna. The patient was diagnosed with a closed Frykmann type VIII distal radius fracture and planned for open reduction and internal fixation surgery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    14 views5 pages

    Bedside Teaching: Bagian Ortopedi Dan Traumatologi

    Uploaded by

    Lukman Hidayat
    This document summarizes the case of a 46-year-old male patient who was admitted to the hospital after falling and injuring his left wrist while repairing a roof. On examination, the patient's left wrist showed deformity, bruising, swelling, and pain on palpation with limited range of motion. X-rays revealed comminuted displaced fractures of the distal radius and ulna. The patient was diagnosed with a closed Frykmann type VIII distal radius fracture and planned for open reduction and internal fixation surgery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 5

    BEDSIDE TEACHING

    Bagian Ortopedi dan Traumatologi

    Disusun oleh : Stevano Lucianto Andra Naufal Lukman Hidayat 1301-1211-0174 1301-1211-0169 1301-1211-0085

    FAKULTAS KEDOKTERAN UNIVERSITAS PADJADJARAN RUMAH SAKIT HASAN SADIKIN BANDUNG 2012

    I.

    KETERANGAN UMUM Nama Umur Alamat Agama Masuk rumah sakit : An.D : 46 tahun : Cigadung Raya : Islam : 18 November 2012

    II. ANAMNESIS Keluhan Utama : Nyeri di pergelangan tangan kiri Anamnesis khusus: Dua jam sebelum masuk rumah sakit saat pasien sedang membetulkan genteng di daerah cigadung, tiba tiba pasien terpeleset dan terjatuh dengan telapak tangan kiri menahan berat badan. Riwayat pingsan (+), PTHM(-), muntah(-). Pasien mengeluh nyeri pergelangan tangan kiri. Pasien lalu dibawa ke RS santo yusup dan dirujuk ke RSHS

    III. PEMERIKSAAN FISIK18 November 2012 18 November 2012 Primary Survey Airway Breathing :Clear with C spine Control :Jejas (-) RR: 20 x/menit, vBS kiri=kanan, rh -/-, wh-/Circulation Dissability : N: 88 x/menit TD : 130/80 mmHg : Kesadaran: E4M6V5, parese (-) RC +/+, pupil bulat isokor

    Secondary Survey Kepala Leher Thorax Paru-paru : Konjungtiva tidak anemis, jejas (-) : KGB tidak teraba, jejas (-) : Bentuk dan gerak simetris, jejas (-) : VF normal kiri = kanan, VBS kiri=kanan, ronkhi /-, wheezing -/-

    Jantung Abdomen

    : Bunyi jantung murni reguler : Datar Bising usus (+) normal

    Ekstremitas atas Ekstremitas bawah Status Lokalis a/r wrist joint: Look Feel Movement

    : lihat status lokalis : dalam batas normal

    : deformitas (+), bruishing(+),swelling (+), luka (-), excoriation(+) : nyeri tekan (+), distal neurovascular(+), CRT <2 : ROM wrist joint sinistra limited due to pain

    24 November 2012 Status Lokalis a/r wrist joint: Look Feel Movement : Sugar tang splint. Sweliing(+), deformitas(+) : nyeri tekan (+), distal neurovascular(+), CRT <2 : ROM wrist joint sinistra limited due to pain

    FOTO??????

    IV. PEMERIKSAAN PENUNJANG Lab ( 18 November 2012) Hematologi Rutin Hb : 13,9 g/dl HT: 40% Trombosit : 264,000 /mm3 Leukosit : 18,600 /mm3 Eritrosit 4,77 juta/ul MCV: 84,7 fl MCH: 29,1 PG MCHC: 34,4% PT: 11,1 s

    INR: 0,93 s APTT: 23,8 s

    Kimia Klinik SG0T SGPT Ureum Kreatini GDS Natrium Kalium : 45 U/L : 34 U/L : 21 mg/dl : 0.7 mg/dl : 153 mg/dl : 140 mEq/L : 3,2 mEq/L

    Radiologi Hasil Rontgen 18 November 2012

    Foto wrist Joint AP/Lat D????? Bone discontinuity of left radius distal third of comminutive displaced

    Foto wrist joint AP/Lat ??????? Bone discontinuity of left ulna styloid transverse displaced

    DIAGNOSIS KERJA Closed Fracture distal end radius frykmann type VIII

    PENATALAKSANAAN Umum : Diet as tolerated Khusus : Analgetik Sugartang splint Rencana ORIF

    PROGNOSA Quo ad vitam Quo ad functionam : ad bonam : dubia ad bonam

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