Pleno Skenario B Blok 21

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    Pleno Skenario B Blok 21Kelompok 7

    Pendidikan DokterFakultas Kedokteran

    Universitas Sriwijaya

    Tutor: dr. Nita Parisa

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    1. Skenario

    2. Klarifikasi Istilah3. Identifikasi Masalah4. Analisis Masalah5. CTEV (template)6. Kerangka Konsep7. Kesimpulan

    Outline

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    A mother brought her 10 days old boy to the outpatient clinic.She noticed that both of her boys foot looks excessively turnedinward since he was born. There is no abnormality at the otherpart of his body. She had normal delivery with normal weightbirth. She never suffered from any kind of illness and never gotany medical prescriptions during pregnancy. She has alreadybrought him to a traditional bone setter but there was noimprovement.

    Physical ExaminationGeneral examination within normal limit.Extremity examination: at foot region there are abnormalities: 1.Equinus foot, 2. Varus of the foot

    Skenario

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    1. Turned inward

    2. Pregnancy

    3. Traditional bone setter

    4. Equinus foot

    5. Varus of the foot

    Klarifikasi Istilah

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    1. A mother brought her 10 days old boy to theoutpatient clinic. She noticed that both of her boysfoot looks excessively turned inward since he was

    born. There is no abnormality at the other part of hisbody.2. She had normal delivery with normal weight birth.

    She never suffered from any kind of illness andnever got any medical prescriptions duringpregnancy.

    3. She has already brought him to a traditional bonesetter but there was no improvement.

    4. Physical Examination

    Identifikasi Masalah

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    Analisis Masalah

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    1. Bagaimana hubungan usia dan jenis kelamin dengan

    keluhan yang dialami ?

    2. Apa saja etiologi keluhan utama ?

    3. Bagaimana patogenesis keluhan utama ?

    4. Apa makna tidak adanya abnormalitas di bagian tubuh

    lain?

    A mother brought her 10 days old boy to the outpatient clinic.She noticed that both of her boys foot looks excessively

    turned inward since he was born. There is no abnormality at

    the other part of his body.

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    1. Bagaimana kriteria bayi lahir normal?

    2. Apa makna dari ibunya tidak pernah menderita penyakit

    dan tidak pernah mengonsumsi obat-obatan selamakehamilan?

    She had normal delivery with normal weight birth.She never suffered from any kind of illness and never

    got any medical prescriptions during pregnancy.

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    Bagaimana pengaruh dari perawatan oleh tukang pijittradisional terhadap penyakit anak ini?

    She has already brought him to a traditionalbone setter but there was no improvement.

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    1. Bagaimana interpretasi dan mekanisme abnormal dari hasilpemeriksaan fisik?

    2. Bagaimana gambaran equinus foot dan varus of the foot?

    Physical ExaminationGeneral examination within normal limit.

    Extremity examination: at foot region there are abnormalities:

    1. Equinus foot, 2. Varus of the foot

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    Congenital Talipes Equinus VarusTemplate

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    Postural clubfoot

    Metatarsus adductus (atau varus)

    CTEV

    Differential Diagnosis

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    Komplikasi

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    Quo ad vitam : bonam

    Quo ad functionam : dubia ad bonam

    KDU

    KDU 2Lulusan dokter mampu membuat diagnosis klinik terhadappenyakit tersebut dan menentukan rujukan yang paling tepatbagi penanganan pasien selanjutnya, dan lulusan dokter jugamampu menindaklanjuti sesudah kembali dari rujukan.

    Prognosis & KDU

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    Seorang anak laki-laki, usia 10 hari, dibawa kerumah sakit dengan keluhan kaki masuk kedalam sejak lahir, menderita CTEV (Congenital

    Talipes Equinus Varus).

    Kesimpulan

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    TERIMA KASIH