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    Luka Tusuk Busur

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    Mohamad Zulfikar
    1. A 24-year-old male patient presented with a stab wound to the left forehead after being struck by an unknown arrow while riding a motorcycle. 2. Physical examination revealed a 0.5 x 0.5 cm puncture wound on the left forehead with remaining arrow fragment, edema, and tenderness but no active bleeding or deformity. 3. Laboratory tests were normal except for a slightly elevated white blood cell count. A CT scan was performed.

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    Luka Tusuk Busur

    Uploaded by

    Mohamad Zulfikar
    21 views5 pages
    1. A 24-year-old male patient presented with a stab wound to the left forehead after being struck by an unknown arrow while riding a motorcycle. 2. Physical examination revealed a 0.5 x 0.5 cm puncture wound on the left forehead with remaining arrow fragment, edema, and tenderness but no active bleeding or deformity. 3. Laboratory tests were normal except for a slightly elevated white blood cell count. A CT scan was performed.

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    luka tusuk busur

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    1. A 24-year-old male patient presented with a stab wound to the left forehead after being struck by an unknown arrow while riding a motorcycle. 2. Physical examination revealed a 0.5 x 0.5 cm puncture wound on the left forehead with remaining arrow fragment, edema, and tenderness but no active bleeding or deformity. 3. Laboratory tests were normal except for a slightly elevated white blood cell count. A CT scan was performed.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    21 views5 pages

    Luka Tusuk Busur

    Uploaded by

    Mohamad Zulfikar
    1. A 24-year-old male patient presented with a stab wound to the left forehead after being struck by an unknown arrow while riding a motorcycle. 2. Physical examination revealed a 0.5 x 0.5 cm puncture wound on the left forehead with remaining arrow fragment, edema, and tenderness but no active bleeding or deformity. 3. Laboratory tests were normal except for a slightly elevated white blood cell count. A CT scan was performed.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 5

    No.

    Name : Mr. F Sex : Male


    Age : 24 No. Reg : 671026

    Main complaint : Stab wound at left forehead


    History taking : The condition had been apparent for 1 hour before the
    patient was taken to the hospital. There were no events
    of unconsciousness and vomitting. Previous medical
    care was carried out at Ibnu sina general hospital.
    Mechanism of : The patient was riding a motorcycle when suddenly he
    injury was punctured by an arrow from unknown direction.
    Sustained Injury : Left Forehead
    Symptom & sign : Pain
    Examination : Physical examination, Laboratory examination, Thorax
    done X-Ray, CT Scan.
    PHYSICAL EXAMINATION
    Primary Survey
    A: Clear

    B: RR :22x/minute, spontaneous, symmetric, thoraco


    abdominal type

    C: BP :120/ 70 mmHg, HR :90 x/minute, regular, adequate

    D: GCS 15 (E4M6V5), pupil equal 2,5 /2,5 mm, Light


    Reflex +/+
    E: T (ax) : 36,7 oC
    Secondary Survey
    Regio frontal sinistra :
    I : : Seen punctured wound size 0,5 x 0,5 cm with
    arrow remains, edema (+), hematoma (-), active
    bleeding (-), deformity (-)
    P: Tenderness (-), Crepitating (-)
    Laboratory Result
    WBC : 15,8 x 103 / L

    RBC : 5.36x 106 / L

    HGB : 15,9 g/dL

    HCT : 45 %

    PLT : 102x 103 / L

    CT / BT : 800 / 300

    Blood Sugar : 87 mg/dl

    Ureum : 14 mg/dl

    Creatinin : 0,8 mg/dl

    SGOT/SGPT : 10 / 9 u/l
    WORKING DIAGNOSE : Vulnus Ictum regio frontalis

    MANAGEMENT : O2
    IVFD + resuscitation
    Medicaments
    Report to Senior Torax surgeon,
    advice :

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