Responsi Ortopedi Dian

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7/23/2019 Responsi Ortopedi Dian http://slidepdf.com/reader/full/responsi-ortopedi-dian 1/29  RESPONSI ILMU BEDAH ORTOPEDI Oleh : DIAN ANGGRAENI. E, S.Ked.

Transcript of Responsi Ortopedi Dian

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RESPONSI ILMU BEDAH

ORTOPEDIOleh : 

DIAN ANGGRAENI. E, S.Ked.

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IDENTITAS PENDERITA

Nama : Tn. M.

Umur : 3 Tahun

!en"# Kelam"n : La$" La$"Pe$er%aan : Kar&a'an PT MMI

A(ama : I#lam

Alama) : Dr"&*re%* ++ Gre#"$MRS : - De#emer +//0

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ANAMNESA

1 Keluhan U)ama :

N&er" 2ada )an(an $"r"

1 Keluhan Tamahan :

Ben($a$ 2ada )an(an $"r"

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R"'a&a) Pen&a$") Se$aran( :

Pender")a men(eluh n&er" 2adalen(an a'ah $"r" #e%a$ + har"SMRS. N&er" d"ra#a$an )eru#meneru# #e)elah men(alam"$e4ela$aan lalu l"n)a# #aa)men(endara" #e2eda m*)*rden(an $e4e2a)an 0/ Km5%am.Saa) men(h"ndar" 2en&eran(

 %alan #eh"n((a 2ender")a %a)uhden(an 2*#"#" m"r"n( $e $"r" %alan.P*#"#" len(an $"r" men*2an(adan.

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Saa) $e%ad"an 2ender")a #adar,)"da$ mual, )"da$ mun)ah dan2u#"n(, han&a lu$a le4e) d"len(an a'ah, $a$" $anan, dan$a$" $"r". Karena n&er" danen($a$ $emud"an *leh2ender")a d"a'a $e du$un 2"%a).Karena )"da$ ada $ema%uan dan

#ema$"n n&er" a$h"rn&a 2ender")a2er(" $e d*$)er.

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"'a&a) Pen&a$") Dahulu

1Pender")a )"da$ 2ernah #a$")#e2er)" "n" #eelumn&a.

1R"'a&a) h"2er)en#" d"#an($al

1R"'a&a) d"ae)e# m"l")u#d"#an($al

1R"'a&a) aler(" *a) d"#an($al

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PEMERIKSAAN 6ISIK

S)a)u# General"#a)a

Keadaan umum : Tam2a$ #a$") #edan(Ke#adaran : 7*m2*# men)"#G7S : 89-90")al #"(n : TD ;+/5/ mmH(Nad" : +<5men")Suhu : 3°7Perna2a#an : +/<5 men")

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KEPALABen)u$ #"me)r"#

MATA1 K*n%un()"=a anem" >9?

1 S$lera "4)eru# >9?

LEHER

!e%a# >9?

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Th*ra$

1 !e%a# 2ada )h*ra$ >9?

1 De@*rm")a# >9?1 7*r : S; S+ )un((al

1 Pulm* : Per(era$an na@a# #"me)r"#

  Suara na@a# =e#"$uler   Rh >9? h >9?

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Ad*men

1 !e%a# 2ada ad*men >9?

1 I : @la), #"me)r"#P : #*e2el, H5L5G )"da$ )eraa

P : me)e*r"#mu# >9?

A : BU >? N*rmal

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E$#)rem")a#

1 Su2er"*r 2ada #)a)u# l*$al"#.

1 In@er"*r : 9 Odema >9?9 N&er" )e$an >9?

9 N&er" 2er(era$an >9?

9 Hema)*m >9?

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STATUS LOKALIS

An)e .ra4h"" #"n"#)ra 9 L**$ : *dema >?

 hema)*me >?

 de@*rm")a# >?

9 6eel : )eraa han(a) >?  n&er" )e$an >?

  $re2")a#" >?

9 M*=emen) :

1 Gera$an )era)a# >?

1 Gera$an a$)"2 : n&er" >?

1 Gera$an 2a#"2 : n&er" >?

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S)a)u# l*$al"# re("* an)e.ra4h""

de<)ra : 

1 L**$ : e<4*r"a#", C +/ < 8 7m

1 6eel : )eraa han(a) >?n&er" )e$an >?

$re2")a#" >9?

1 M*=e : n&er" (era$ >9?

@al#e m*=emen) >9?

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RESUME

1

 namn #a

Pr"a 3 )h da)an( den(an n&er")an(an $"r" + har" SMRS, #e)elah

 %a)uh #aa) men(endara" #e2edam*)*r d( $e4e2a)an 0/ $m5%amden(an 2*#"#" %a)uh #eelah $"r"

)an(an menahan adan, 2ender")amera#a en($a$ dan n&er" 2adalen(an #eelah $"r".

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PEMERIKSAAN 6ISIK

S)a)u# (eneral"# :  dalam a)a# n*rmal

S)a)u# l*$al"# re("* an)e.ra4h"" #"n"#)ra : 

1 L**$ : *dema >?de@*rm")a# >?

  hema)*me >?1 6eel : )eraa han(a) >?

n&er" )e$an >?$re2")a#" >?

1 M*=e : n&er" (era$ >?

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S)a)u# l*$al"# re("* an)e.ra4h""

de<)ra : 

1 L**$ : e<4*r"a#", C +/ < 8 7m

1 6eel : )eraa han(a) >?n&er" )e$an >?

$re2")a#" >9?

1 M*=e : n&er" (era$ >9?@al#e m*=emen) >9?

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La*ra)*r"um )an((al - de#emer +//0

1 HB F ;3,+( 1 Leu$*#") ;// mm1 Hema)*$r") 3,- 1 Tr*m*#") +3///1 SGOT ;81 SGPT ;/1 Krea)"n"n /,;1 BUN ;,1 GDA ;;;1

APTT +

1 PTT ;3

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6*)* R*n)(en Len(an K"r"

Ke#an :7l*#e @ra$)ur ;53 d"#)al *#. rad"u##"n"#)ra

DIAGNOSA

7l*#e @ra$)ur ;53 d"#)al *#. rad"u##"n"#)ra

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TE API

1 Mema#an( #2al$

1 Re2*#"#" dan @"$#a#"

1 E$#)ernal @"$#a#" den(an ("2#1 6"#"*)era2"

P OGNOSIS

1 A) *nam

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SEKIAN

)er"ma $a#"h