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  • Mekong Ruptur Tendon

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    atika
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    1) A 29-year-old male presented to the emergency room with a lacerated wound on his right lower leg after being struck by a glass cupboard. 2) On examination, he was found to have an open wound with an irregular edge and active bleeding, edema, and a foreign body embedded in the muscle. Range of motion was decreased in the big toe but normal in the other toes. 3) X-rays showed no fractures. The working diagnosis was a lacerated wound with rupture of the extensor hallucis longus tendon. The patient was treated with antibiotics, tetanus prophylaxis, and pain medications and taken for debridement and foreign body removal with

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    1) A 29-year-old male presented to the emergency room with a lacerated wound on his right lower leg after being struck by a glass cupboard. 2) On examination, he was found to have an open wound with an irregular edge and active bleeding, edema, and a foreign body embedded in the muscle. Range of motion was decreased in the big toe but normal in the other toes. 3) X-rays showed no fractures. The working diagnosis was a lacerated wound with rupture of the extensor hallucis longus tendon. The patient was treated with antibiotics, tetanus prophylaxis, and pain medications and taken for debridement and foreign body removal with

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    © All Rights Reserved
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    8 views12 pages

    Mekong Ruptur Tendon

    Uploaded by

    atika
    1) A 29-year-old male presented to the emergency room with a lacerated wound on his right lower leg after being struck by a glass cupboard. 2) On examination, he was found to have an open wound with an irregular edge and active bleeding, edema, and a foreign body embedded in the muscle. Range of motion was decreased in the big toe but normal in the other toes. 3) X-rays showed no fractures. The working diagnosis was a lacerated wound with rupture of the extensor hallucis longus tendon. The patient was treated with antibiotics, tetanus prophylaxis, and pain medications and taken for debridement and foreign body removal with

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 12

    MORNING CONFERENCE

    WP/M/29yo

    08.02.73

    1/03/2019
    Chief Complaint: Pain on the (R) Lower Leg

    It has been suffered by the patient since 4 hours before


    admitted to Pirngadi Hospital. Initially, his right lower
    leg was strucked down by a cupboard glass. Active
    bleeding was not found. The 1st finger of right lower
    leg couldnt move. History of vaccination was unclear.
    Primary Survey
    • A : clear
    • B : spontaneous, RR : 26 times/minute
    • C : warm acral, HR : 112 beats/minute, BP:
    130/70 mmHg
    • D : GCS 15
    • E : Undressed, logroll  Lacerated wound o/t
    (R) Lower leg
    History of AMPLE
    • A : History of allergic (-)
    • M : History of medicines consumption (-)
    • P : History of previous disease (-)
    • L : Last meal about 2 hours ago
    • E : Warehouse
    • VAS : 6
    Secondary Survey
    Head and neck : no abnormality was found
    Chest : no abnormality was found
    Abdomen : no abnormality was found
    Genitalia : male, no abnormality was found
    Extremities : in localized state
    Localized state
    (R) Lower Leg :
    • Look : Lacerated wound sized 1.5 cm x 1 cm x
    1 cm, irregular edge, active bleeding (-),
    moderate contamination, muscle based,
    foreign body (+), deformity (-), edema (+),
    hematom (-).
    • Feel : felt foreign body on the wound base,
    the foreign body cannot be moved. Warm
    acral with CRT<2’’ , SpO2 on 1st-5th finger
    was 98-99%, pulsation on the dorsalis pedis
    artery (+), pulsation on the tibialis posterior
    artery (+), sensory function in normal limit.
    • Move : ROM ankle (+) ↓, ROM 1st finger (-)
    during extension, flexion was normal, ROM
    2nd-5th finger was in normal limit, DOF (+) d/t
    pain.
    Laboratory Findings
    Hb/Hct/Wbc/Plt : 13.6/40.8/13.740/228.000
    Random Blood Glucose : 131
    Na/K/Cl : 148/3.50/115
    Ur/Cr : 13/0.97
    (R) Cruris AP Lateral Xray
    Working Diagnosis
    Lacerated wound o/t (R) Lower Leg + Tendon
    Extensor Hallucis Longus Rupture
    Treatment at the Emergency Room
    • IVFD RL 20gtt/i
    • Inj. ATS 3000 IU IM
    • Inj Tetanus Toxoid 0.5 cc IM
    • Inj. Ceftriaxone 1gr/12 hours IV
    • Inj. Ketorolac 30mg/8 hours IV

    Patients was prepared for Debridement and foreign


    body extraction + Repair tendon + primary suture
    Intraoperative findings

    CRANIAL
    Post Operative

    CRANIAL

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