Bst Ridwan

download Bst Ridwan

of 21

  • date post

    07-Jul-2018
  • Category

    Documents

  • view

    215
  • download

    0

Embed Size (px)

Transcript of Bst Ridwan

  • 8/18/2019 Bst Ridwan

    1/21

    RIDWAN PERMANA (712014027)

    Preceptor: dr. Rizal Daula! "p.#$.!MAR".

    %ed

    "ite  $eac&i'

  • 8/18/2019 Bst Ridwan

    2/21

    Identifcation 

    Nae : "atria No*ria+a'  Ae : ,1 ear- old

     Adre-- : "uur /aa "t. No 

    %a'ua-i'

    e'der : A Ma'

     Reliio' : Mo-le

    #ccupatio' : 3reela'ce

  • 8/18/2019 Bst Ridwan

    3/21

    Complain

    Can’t stand up and

    unable to walk 

  • 8/18/2019 Bst Ridwan

    4/21

    Clinical History 1 month ago, a man, 31 years old had a traffic accident, he

    was hit by a car from the back side with high speed while

    riding his bicycle across the road, it made his right leg

    injury.

     And then, he darted off about 1 meter from his motorcycle. He used bicycle safety like helmet etc, his head didn’t hit

    the road but he heard the crack sound from the location of

    accident in his rigth leg,, excoriated at the right foot !".

    #hen he woke up, he felt pain at his right foot, he couldn’t mo$e his right leg and couldn’t stand up and he saw the

    different shape of the right leg and left leg, bleeding !"

    nausea %", $omitting %", headache %".

  • 8/18/2019 Bst Ridwan

    5/21

    Clinical History

    he was brought to the hospital by his family as soon as

    possible, x%ray examination was performed on his right

    leg, it found that his leg bone was broke. &he doctor has suggested that his right leg was

    needed surgery, but his family refused it.

    1 day after accident, he was brought to the bone setter

    by his family, her right foot was massaged but His right foot not back as before.

  • 8/18/2019 Bst Ridwan

    6/21

    History ' weeks ago, he brought to surgical clinic by his

    family, he couldn’t stand up and unable to walk so he

    must be used her wheelchair, her right condition was

    deformity .

    (inally, on )o$ember, 1* (ebruary '+1, he got

    surgical procedure for his right leg.

  • 8/18/2019 Bst Ridwan

    7/21

    General State  e'eral o'ditio' : ood

     "e'-or : opo- Me'ti-

     5ital "i'

     %lood Pre--ure : 110670 

     Pul-e Rate : 88 96i'ute

     Re-pirator Rate : 2296i'ute

      $eperature : ,!  

  • 8/18/2019 Bst Ridwan

    8/21

    Local State  ;oo< :

    -urical -car (=)! +ou'd (>)!

    leedi' (=)! -)!

    a'terolateral a'ulatio' (>)!

    -+olle' (=)! u-cle atrop& (=)!

    di-colouratio' (=)!

    Right leg

    Region

    L l S

  • 8/18/2019 Bst Ridwan

    9/21

    Local State

     3eel :   te'der'e-- (>)! crepitatio' (=)!

    teperature -ae li)! capillar re@ll tie 

    2-)

    appare't le le't& (ri&t le) 8 c!appare't le le't& (le?t le) 8 c! true le le't& (ri&t le) 82 c! true le le't& (le?t le) 82 c! u-cle

    atrop& (=)! cruri- 'er*e (>)

    Right leg

    Region

  • 8/18/2019 Bst Ridwan

    10/21

    a e

     Mo*e: Acti*e Mo*ee't : liited

      Pa--i*e Mo*ee't : liited

    Right leg

    Region

  • 8/18/2019 Bst Ridwan

    11/21

    n ca o o

  • 8/18/2019 Bst Ridwan

    12/21

    Clinical Photo

  • 8/18/2019 Bst Ridwan

    13/21

  • 8/18/2019 Bst Ridwan

    14/21

    ay 1 o't& ao

  • 8/18/2019 Bst Ridwan

    15/21

    Allie't : Not i' #'e ;i'e %o'e : Di-co'ti'uit

    artilae : Di-locatio' (=)

    "o?t $i--ue: "+elli' (=)

  • 8/18/2019 Bst Ridwan

    16/21

    ay No+ada-

  • 8/18/2019 Bst Ridwan

    17/21

     Results  eoloi' 12! 6dl

     ;eu

  • 8/18/2019 Bst Ridwan

    18/21

    t

    Nelected 'o' u'io' clo-ed ?racture o? ri&t o- tiia

  • 8/18/2019 Bst Ridwan

    19/21

    Planning  Reco'tructio'  #pe' Reductio' a'd

    I'ter'al 3i9atio' (#RI3) >%o'e

    ;A%#RA$#R RE"F;$" A3$ER

  • 8/18/2019 Bst Ridwan

    20/21

    ;A%#RA$#R RE"F;$" A3$ER "FRER

     : 11!1

  • 8/18/2019 Bst Ridwan

    21/21

    A' Gue-tio' (H)

     $AN

     #FJJJJJ