Scribd Logo
Upload

Welcome to Scribd!

  • 48 views

    Trauma

    Uploaded by

    fifit ervita
    2. Trauma

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Trauma

    Uploaded by

    fifit ervita
    48 views14 pages
    2. Trauma

    Original Title

    2. Trauma

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    2. Trauma

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    48 views14 pages

    Trauma

    Uploaded by

    fifit ervita
    2. Trauma

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 14

    Orthopedic Case - Trauma

    FIFIT ERVITA HASIRUDDIN


    K1A1 11 007
    IDENTITY
    Name : Mr. I
    Age : 16 years old
    Address : Lrg. Mata Air
    Occupation : Student
    Admission : April, 12th 2018
    Doctor in charge : dr.Benny Murtaza, Sp. OT
    HISTORY TAKING
    (12.00 a.m)

    • Chief complain : Wound at little finger of the left hand


    • Anamnesis : Since four hours ago due to crushed by planer machine (blunt object)
    • Mechanism of trauma : Patient was practice in his school, suddenly the planer fall and hit his
    little finger of the left hand.
    • History of trauma :
     Unconsciousness (-), nausea (-), vomiting (-)
    Consumption : alcohol (-), drugs (-)
     Previous medication : (-)
     Active hand : right hand
    PRIMARY SURVEY
    (11.50 a.m)
    A
    Clear, Cervical Spine Control

    RR 18x/min regular, spontaneous B


    thoracoabdominal type, symmetrical
    C BP 120/80 mmHg
    Pulse = 78x/min, regular, strong

    GCS 15 (E4M6V5), isochoric pupil, D


    Ø : 2,5mm/2,5mm, light reflex +/+

    E T = 36.50 C (axillary)
    SECONDARY SURVEY
    Generalized Status

    The patient was compos mentis, moderate


    illness, normal nutrition state.
    Vital Sign
    BP = 120/80 mmHg,
    Pulse = 78x/m, regular, strong lift.
    RR = 18x/m, regular, spontaneous thoracoabdominal type.
    Temperature = 36,5oC/axillary
    Status Present
    Head : Within Normal Limit
    Face : Within Normal Limit
    Eyes : Within Normal Limit
    Nose : Within Normal Limit
    Mouth : Within Normal Limit
    Ears : Within Normal Limit
    Neck : Within Normal Limit
    Chest : Within Normal Limit
    Abdomen : Within Normal Limit
    Upper Limb : Localized
    Lower Limb : Within Normal Limit
    LOCALIZED STATE
    Left Hand Region (5th Digiti)
    Inspection : deformity (+), hematoma (-), swelling (-) lacerated wound
    (+) with size 1x1 cm
    Palpation : tenderness (+),
    ROM : active and passive movement of left PIP and DIP digiti V joint
    are limited due to pain
    NVD : sensibility was good, pulse of left ulnaris artery is palpable,
    CRT <2”
    Clinical Finding
    PLANNING
    • Routine Blood
    • X-ray Left Manus AP/Oblique
    X-Ray Finding
    Diagnosis
    Traumatic Amputatum of 5th Digity Distal Phalanx of
    Left Manus
    DD/
    • Compartement Syndrome Left Manus
    • Muscle Contusio Left Manus
    MANAGEMENT
    Non-Pharmalogical Pharmalogical
     Bed Rest • IVFD RL
     Immobilization • Analgesic
     Elevation • H2 Receptor Agonist
     Consult Orthopedist
    Thank You

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy