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Novcmbcv ioII
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Paiieni AB, Male, : yeais old, came io AA
lospiial on }une
il
:oii via IGD AA lospiial.
CHIEF COMPLAIN
Pain in iigli lnee since days befoie admiiied io
lospiial
r|mary Survey
O Aiiway Cleai
O Bieailing RR ::x]i, Bieailing Sponianly.
O Ciiculaiion BP i:o]o mmHg, HR : x]i, waim acial,
capilaiy iefill < : s, pulse aiieiy paieni, iegulei.
O Disabiliiy EVM
O Expose pieveni lipoieimia wiil covei.
Secondary Survey
O days befoie admiiied io lospiial, paiieni fell fiom lis
moioicycle wiil sii posiiion and iigli limb flexed.
O Tleie is no wound in lead, body, oi in ile oilei siie.
O No vomii and unconciousness
O Paiieni goi massage iwice befoie admiiied io lospiial and i
day befoie admiiied io lospiial, le feel pain and swelling
in iigli lnee
resenL lllness PlsLory
last Iiiuess Iistor
O-ever goL same sympLom ln knee before
O1rauma before (+)
enera| Status
O Geneial condiiion modeiaie illness.
O Conciousness aleii
O Viial sign
BP i:o]o mmHg
HR : x]i
RR :o x]i
T ,C
O Head and Necl Noimally
O Tloiax Noimally
O Abdominal Noimally
O Flanl Noimally
O Geniialia Noimally
O Exiiemiiy localized
|s|c d|agnost|c
oca| Status
eglo crurls dexLra
P ook ueformlLas () redness (+) shorLenlng () leslon ()
swelllng (+) vulnus laceraLum () vulnus ekskorlaLum ()
P leel 1enderness (+) kreplLasl () pulsase of arLery
dorsalls pedls (+)
P Move resLrlcLlveness of acLlve and paslve movemenL
Jork|ng d|agnose
O $:sject |rakt:r tibia dextra ! dextra
Support|ng exam|nat|on
O Ronigen
O CiuiisAP Laieial
aboraLory flndlngs
Blood rutin
Hb : 10,7 gr/dl
Hi i%
BC : 10,7 x 10
3
]pL
Tiombosii :io.ooo ]pL
1reaLmenL
Open Reduciion Inieinal Fixaiion