BAB I

INTRODUCTION
 BAB II

CASE REPORT

I. IDENTITY

Name : Mr. Sualman

Age : 52 years old
Gender : Male
Address : Sukodadi , Kendal
Occupation :
Religion : Islam
Come to hospital : June, 10th 2018
Room : Kenanga
No. CM : 556959

II. ANAMNESIS
a. Chief complain : Cruris dextra pain
b. Present history :
A patient came to emergency room of Soewondo Hospital after an
accident that happened to him on june, 9th 2018. He felt a pain since
then. He said that he had an accident and he felt down under the truck.
The pain that he feel was very painful and always occurred everytime.
Medical History :
 History of similar injury :
Denied
 History of drug allergic :
Denied
 History of Hipertension :

 History of diabetic :
denied

c. Family Medical History :

 History of similar symptom : denied
 History of diabetes mellitus : denied
d. Personal History, social and environment
Patient is a

III. PHYSICAL EXAMINATION

IV. LOCALIST STATUS

Cruris
 Look : eritem (-), wound (+), deformity (+), oedem (-)
  Feel :
Krepitasi (-)
Pain (+)
Pulse (-)
Sensibility (+)
 Movement :
Limited active and passive movement
 Leg length measurement :

V. SUPPORTING EXAMINATION
1. X Photo Rontgen femur ap/lat dextra
2. X Photo Rontgen pedis ap/lat dextra
3. X Photo Rontgen thorax + ante brachii ap/lat
4. X Photo Rontgen pelvis dextra/sinistra ap/lat
5. X Photo Rontgen cruris dextra
6. Laboratory (10-06-2018)

VI. ASSESMENT
VII. INITIAL PLAN
VIII. PROGNOSIS
 BAB III

LITERATURE REVIEW

1.1 Background
1.2 Pathophysiology
1.3 History
1.4 Supporting Examination
1.5 Management
 BAB IV

DISCUSSION
 BAB V

SUMMARY