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  • Morning Conference

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    Dwi A Setia Ningrum
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    The patient presented with an open wound on their left ankle with exposed bone, which occurred from a traffic accident around 4 hours prior. On primary survey, the patient's vital signs were stable. Secondary survey found no other injuries except for the left ankle wound. X-rays showed an open comminuted ankle joint fracture. The working diagnosis was an open left comminuted ankle joint fracture. Treatment included IV fluids, antibiotics, analgesics, and tetanus shot. The recommended treatment was debridement and application of a boot slab.

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    The patient presented with an open wound on their left ankle with exposed bone, which occurred from a traffic accident around 4 hours prior. On primary survey, the patient's vital signs were stable. Secondary survey found no other injuries except for the left ankle wound. X-rays showed an open comminuted ankle joint fracture. The working diagnosis was an open left comminuted ankle joint fracture. Treatment included IV fluids, antibiotics, analgesics, and tetanus shot. The recommended treatment was debridement and application of a boot slab.

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    7 views12 pages

    Morning Conference

    Uploaded by

    Dwi A Setia Ningrum
    The patient presented with an open wound on their left ankle with exposed bone, which occurred from a traffic accident around 4 hours prior. On primary survey, the patient's vital signs were stable. Secondary survey found no other injuries except for the left ankle wound. X-rays showed an open comminuted ankle joint fracture. The working diagnosis was an open left comminuted ankle joint fracture. Treatment included IV fluids, antibiotics, analgesics, and tetanus shot. The recommended treatment was debridement and application of a boot slab.

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    © All Rights Reserved
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    of 12

    Morning Conference

    6 JUNI 2016

    KS/LK/65TH
    KU: Luka robek pada pergelangan kaki kiri
    Hal ini di alami os +/- 4 jam SMRS. Os merupakan
    korban kecelakaan lalu lintas, di jumpai tulang yang
    keluar dari luka robek, mual (-), muntah (-), pingsan
    (-).
    Primary survey

    A : Clear
    B : Spontan, RR = 24x/i
    C : Akral hangat, HR = 90x/i, TD=180/100 mmHg
    D : GCS 15, pupil isokor
    E : Secondary Survey
    Secondary Survey

    Kepala dan Leher : tidak di jumpai kelainan


    Thorax : tidak di jumpai kelainan
    Abdomen : tidak di jumpai kelainan
    Extremitas : status lokalisata
    Status lokalisata

    Extremitas Inferior Sinistra :


    LOOK
    - Bone exposed (+)
    - Deformitas (+)
    - Wound (+)
    FEEL
    - Pain (+)
    MOVEMENT
    - ROM (+)
    - DOF (+)
    Laboratorium

    WBC/HB/HT/PLT : 12.200/14/42.7/202.000
    Na/K/Cl : 137/2.7/118
    KGD adr : 205
    Albumin : 3.3
    Foto Klinis
    Radiologi
    Diagnosa Kerja

    Open (L) comunitif Ankle Joint fracture


    Terapi

    Puasa
    IVFD RL 20gtt/i
    Inj. Antibiotik
    Inj. Analgetik
    Inj. Tetagam

    R/ :
    - Debridement
    - Boot slab

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