Jari Amputasi
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![Page 1: Jari Amputasi](https://reader031.fdokumen.com/reader031/viewer/2022012320/563dbb29550346aa9aaacb75/html5/thumbnails/1.jpg)
Laporan JagaSelasa 28/7/2015
Stefanie Karina07120110100
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Identitas Pasien
• Nama: Supartono• Kelamin: Laki-laki• Tanggal lahir: 25/10/1974 (40 tahun)• Status perkawinan: Menikah• Agama: Islam• Pekerjaan: tukang ojek
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Anamnesis
• Keluhan utama: nyeri pada jari tengah dan telunjuk akibat terpotong oleh jeruji roda motor 4 jam SMRS
• Riwayat keluhan utama: nyeri pada jari tengah dan telunjuk akibat terpotong oleh jeruji roda motor yang berputar 4 jam SMRS. Nyeri skala 7/10.
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Pemeriksaan Fisik
• Primary survey– A: Clear– B: simetris, VBS kanan=kiri, R=20x/menit.– C: N: 96x/menit, T:110/70mmHg.– D: GCS: E4M6V5=15, pupil bulat isokor
2mm/2mm,RC +/+– E: -
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Pemeriksaan Fisik
• Secondary Survey:– Kepala : dbn– Leher : dbn– Thorax : dbn– Abdomen : dbn
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Pemeriksaan Fisik
– Ekstrimitas atas:• Traumatic amputasi digit II distal phalang• Traumatic amputasi digit III middle phalang
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Diagnosis
• Traumatic amputation digit II and III manus sinistra
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Terapi
• Operative : debridement and repair stump• Preoperative treatment:– ATS, TT– Ketorolac 2x1gr– Ranitidin 3x30mg– Ceftriaxone 2x1gr– RL 500cc/8j
• Intraoperative findings:– Digit II luka ditutup dengan volar flap– Digit III luka ditutup dengan V-Y flap
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