7/23/2019 Tutorial Skenario a Blok 22- B6

1/3

Mr.s Ani, 72 year-old came to dr. Mohammad Hoesin Hospital with a 2-month history

of increasing pain in her lower back, which has not improved with ibuprofen and is

causing diculty with walking and dressing. !n "uestioning, she reports having lost

about # cm of height since she was a young woman.

!n e$amination, there is mild kyphosis in her lower thoracic spine but no point

tenderness. A lateral spine radiograph reveals that the %& vertebra is biconcave inappreacnce a 'nding that is consistent with a vertebral fracture and (rom these

information, doctor suggested to e$amine her bone mineral density.

Her lumbal vertebra $-ray)

*. +lari'kasi istilah. %ower ack ain) /yeri punggung bawah) nyeri yang dirasakan di

daerah lumbosacral dan sacroilliaca, dapat berupa nyeri

local0 in1asmasi.

2. *buprofen) !bat anti in1amasi non-steroid yang digunakan dalampengobatan nyeri, demam, disminorhae, osteoarthritis, arthritis

rheumatoid, kelainan peradangan rematik, dan non rematik lainnya

serta nyeri kepala vaskuler.&. Mild +yphosis ) +elengkungan thoracal tulang belakang yang

berlebihan saat dilihat dari samping dengan dera3at ringan.4. 5adiograph ) foto yang dihasilkan oleh radiogra' 0pembuatan rekaman

'lm struktur tubuh bagian dalam dengan melewatkan sinar 6.#. iconcave ) mempunyai 2 permukaan konkav.. one Mineral 8ensity 0+epadatan mineral tulang ) anyaknya kalsium

dan mineral lain di area tulang tertentu.7. (raktur ) ecah atau rupture pada tulang.

9. 6-ray ) %ihat dibawah 5ay 0kurang lebih merupakan berkas nyataenergi pancaran berupa cahaya ataupun panas yang ber3alan kea rah

tertentu.

**. *denti'kasi Masalah1. Mr.s Ani, 72 year-old came to dr. Mohammad Hoesin Hospital with

a 2-month history of increasing pain in her lower back, which has

not improved with ibprofen and is casing di!clty with walking

and dressing.2. !n "uestioning, she reports having lost about # cm of height since she

was a young woman.&. !n e$amination, there is mild kyphosis in her lower thoracic spine but no

point tenderness. A lateral spine radiograph reveals that the %& vertebra is

biconcave in appreacnce a 'nding that is consistent with a vertebral

fracture and (rom these information, doctor suggested to e$amine her

bone mineral density.Her lumbal vertebra $-ray)

***. Analisis Masalah

7/23/2019 Tutorial Skenario a Blok 22- B6

2/3

. Mr.s Ani, 72 year-old came to dr. Mohammad Hoesin Hospital

with a 2-month history of increasing pain in her lower back,

which has not improved with ibprofen and is casing di!clty

with walking and dressing.a. agaimana anatomi vertebrae: 0;alih, 8icky, Anggib. Apa hubungan 3enis kelamin dan usia pada kasus: 0menopause

0Marlan,!ctiarac. Apa sa3a penyakit yang berhubungan dengan nyeri punggung

bawah: 05essy,

7/23/2019 Tutorial Skenario a Blok 22- B6

3/3

d. Apa diagnosis ker3a pada kasus: #emae. agaimana epidemiologi osteoporosis pada kasus: 0Ar3un, 5anif. agaimana etiologi osteoporosis pada kasus: 0ianca, Ar3ung. Apa sa3a factor resiko osteoporosis pada kasus: 0;alih, 8ickyh. agaimana manifestasi klinis pada kasus: 05essy,