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    Morning Report: SMF/ Bagian Ilmu Bedah FK Undana - Rsud Prof. Dr. W. Z. Johannes Kupang

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    HieLdaJanuaria
    - A 33-year-old Catholic woman presented with a dog bite wound on her left calf measuring 1 cm x 0.2 cm. She reported being bitten by her neighbor's dog about an hour prior. - On physical examination, she was alert and oriented with normal vital signs. The wound showed no signs of infection. - She was diagnosed with a dog bite wound and prescribed wound cleaning, an intramuscular tetanus shot, amoxicillin antibiotics, and the pain medication mefenamic acid.

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    Morning Report: SMF/ Bagian Ilmu Bedah FK Undana - Rsud Prof. Dr. W. Z. Johannes Kupang

    Uploaded by

    HieLdaJanuaria
    9 views12 pages
    - A 33-year-old Catholic woman presented with a dog bite wound on her left calf measuring 1 cm x 0.2 cm. She reported being bitten by her neighbor's dog about an hour prior. - On physical examination, she was alert and oriented with normal vital signs. The wound showed no signs of infection. - She was diagnosed with a dog bite wound and prescribed wound cleaning, an intramuscular tetanus shot, amoxicillin antibiotics, and the pain medication mefenamic acid.

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    jurnal

    Original Title

    Morning Report 23 Des 2016

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    - A 33-year-old Catholic woman presented with a dog bite wound on her left calf measuring 1 cm x 0.2 cm. She reported being bitten by her neighbor's dog about an hour prior. - On physical examination, she was alert and oriented with normal vital signs. The wound showed no signs of infection. - She was diagnosed with a dog bite wound and prescribed wound cleaning, an intramuscular tetanus shot, amoxicillin antibiotics, and the pain medication mefenamic acid.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    9 views12 pages

    Morning Report: SMF/ Bagian Ilmu Bedah FK Undana - Rsud Prof. Dr. W. Z. Johannes Kupang

    Uploaded by

    HieLdaJanuaria
    - A 33-year-old Catholic woman presented with a dog bite wound on her left calf measuring 1 cm x 0.2 cm. She reported being bitten by her neighbor's dog about an hour prior. - On physical examination, she was alert and oriented with normal vital signs. The wound showed no signs of infection. - She was diagnosed with a dog bite wound and prescribed wound cleaning, an intramuscular tetanus shot, amoxicillin antibiotics, and the pain medication mefenamic acid.

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    You are on page 1of 12

    MORNING REPORT

    SMF/ BAGIAN ILMU BEDAH


    FK UNDANA RSUD PROF. DR. W. Z.
    JOHANNES KUPANG

    23th Dec 2016


    Identity

    Name : Ny. M.U.


    Sex : Female
    Age : 33 years old
    Religion : Katholik
    Address : Maulafa
    Anamnese
    Chief Complain :
    wound to the bitten by dog
    Present Complain:
    Patients come with complaints of wound due to exposure
    to dog bites on the left calf from one hour before entering
    the hospital. Initially patients were wanting to enter the
    gate of house suddenly there was a direct neighbors dog
    attacked and bit him. Fever (-), headache (-), syncope (-),
    nausea (-), vomiting (-), pain in the wound (+). Patients do
    not know the characteristics of the dog. Patients have not
    done any treatment.
    Physical Examination
    Primary Survey
    A : Clear, patent
    B : Spontan, RR 20 x/m
    C : TD 120/80 mmHg, Pulse 92x/m, warm
    D : GCS E4V5M6, Pupil isokor 3mm/3mm,
    RCL +/+
    E :
    - Vulnus eskoriatum regio cruris posterior sinistra (1 cm
    x 0,2 cm) edema (-), eritema (-), bleeding (-), pain (+)
    Secondary Survey
    HEAD :
    Eyes : Hematom (-/-)
    Conjungtiva : Anemis (-/-)
    Sclera : Icterik (-/-)
    pupil : isokor, 3mm/3mm, pupil reflects
    (+/+)
    Ears : othorea(-/-),
    Nose : Normal
    Mouth : Normal
    Neck : Limphonodes (-)
    COR
    S1/2 single, murmur (-), gallop (-)

    PULMO
    Inspeksi : Chest expansion symetric, retraction (-
    )
    Palpasi : mass (-), krepitasi (-)
    Perkusi: sonor (+/+)
    Auscultasi : Vesiculer (+/+) , Ronchi (-/-),
    Wheezing (-/-)
    ABDOMEN
    Inspection : mass (-), scar (-), wound (-)
    Auscultation : peristaltics normal
    Palpation : tenderness pain (-) , mass (-)
    Percusion : timpany sound (+)
    EXTREMITY :
    Look:

    - Vulnus eskoriatum regio cruris posterior sinistra (1 cm


    x 0,2 cm), edema (-), eritema (-), bleeding (-)
    Feel : Pain (+), NVD normal
    Movement : ROM normal
    Diagnosis

    Dog bite
    Therapy

    Wound toilet
    Inj ATS 1500 IU IM
    Amoxicilin 3 x 500 mg
    Asam mefenamat 3 x 500 mg
    THANK YOU

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