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    No. Nam E: Mr. A Sex: Male Age: 18 Years Old No. Reg: 628051

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    Myra Miera
    Mr. A, an 18-year-old male, presented to the hospital with a wound on his right foot after accidentally puncturing it with a rusty nail while walking without sandals. On examination, he was conscious and oriented with normal vital signs except a heart rate of 84 beats per minute. His right foot had a 1x0.5 cm puncture wound without signs of infection or foreign body. He was diagnosed with a puncture wound on his right foot and treated with wound care before being discharged.

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    No. Nam E: Mr. A Sex: Male Age: 18 Years Old No. Reg: 628051

    Uploaded by

    Myra Miera
    18 views4 pages
    Mr. A, an 18-year-old male, presented to the hospital with a wound on his right foot after accidentally puncturing it with a rusty nail while walking without sandals. On examination, he was conscious and oriented with normal vital signs except a heart rate of 84 beats per minute. His right foot had a 1x0.5 cm puncture wound without signs of infection or foreign body. He was diagnosed with a puncture wound on his right foot and treated with wound care before being discharged.

    Original Description:

    Simple wound

    Original Title

    Simple Wound

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    Mr. A, an 18-year-old male, presented to the hospital with a wound on his right foot after accidentally puncturing it with a rusty nail while walking without sandals. On examination, he was conscious and oriented with normal vital signs except a heart rate of 84 beats per minute. His right foot had a 1x0.5 cm puncture wound without signs of infection or foreign body. He was diagnosed with a puncture wound on his right foot and treated with wound care before being discharged.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    18 views4 pages

    No. Nam E: Mr. A Sex: Male Age: 18 Years Old No. Reg: 628051

    Uploaded by

    Myra Miera
    Mr. A, an 18-year-old male, presented to the hospital with a wound on his right foot after accidentally puncturing it with a rusty nail while walking without sandals. On examination, he was conscious and oriented with normal vital signs except a heart rate of 84 beats per minute. His right foot had a 1x0.5 cm puncture wound without signs of infection or foreign body. He was diagnosed with a puncture wound on his right foot and treated with wound care before being discharged.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 4

    No.

    Nam
    : Mr. A
    Sex
    : male
    e
    18 years
    No.
    Age :
    : 628051
    old
    Reg
    Main complaint : Wound on the foot
    Case

    : The condition had suffered for 1 hours before the patient


    taken to the hospital. There was no history loss of
    consciousness and no vomiting.

    Mechanism of
    injury

    : He was walking on the street without sandal, then


    accidentally his right foot punctured by a rusty nail.

    Sustained injury : Right Foot


    Symptom & sign : wound
    Examination
    : Physical examination

    PHYSICAL EXAMINATION
    Primary Survey
    A: Clear
    B: RR : 22x/minutes, spontaneous, symmetric,
    thoraco abdominal type
    C: BP : 120/80 mmHg, PR : 84x/minute, regular,
    adequate
    D: GCS 15 (E4M6V5), pupil equal 2,5 /2,5 mm,
    Light Reflex +/+
    E: T (ax) : 36,5 oC

    Secondary Survey
    Right Plantar region :
    I : Seen punctured wound size 1x0,5
    cm. Edema (-)
    P : Crepitation (-)

    WORKING
    DIAGNOSIS

    : - Vulnus ictum at right plantar

    MANAGEMENT

    : Medicament

    region

    Proceed Wound Care


    Patient discharge

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