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    Morning

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    Muh Fitrah
    Mr. M, a 19-year-old male college student, was admitted to the hospital with a torn wound on his right middle finger sustained 3 hours prior while opening a coconut with a machete. On examination, the patient had swelling and tenderness around a 2x1 cm wound on his right middle finger with limited range of motion. X-rays did not show any abnormalities. He was diagnosed with a suspected ruptured tendon and received IV fluids, a tetanus shot, pain medications, wound care education, and was referred to orthopedic surgery for further management.

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    Morning

    Uploaded by

    Muh Fitrah
    15 views12 pages
    Mr. M, a 19-year-old male college student, was admitted to the hospital with a torn wound on his right middle finger sustained 3 hours prior while opening a coconut with a machete. On examination, the patient had swelling and tenderness around a 2x1 cm wound on his right middle finger with limited range of motion. X-rays did not show any abnormalities. He was diagnosed with a suspected ruptured tendon and received IV fluids, a tetanus shot, pain medications, wound care education, and was referred to orthopedic surgery for further management.

    Original Description:

    ruptur tendon

    Original Title

    morning

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    Mr. M, a 19-year-old male college student, was admitted to the hospital with a torn wound on his right middle finger sustained 3 hours prior while opening a coconut with a machete. On examination, the patient had swelling and tenderness around a 2x1 cm wound on his right middle finger with limited range of motion. X-rays did not show any abnormalities. He was diagnosed with a suspected ruptured tendon and received IV fluids, a tetanus shot, pain medications, wound care education, and was referred to orthopedic surgery for further management.

    Copyright:

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

    Morning

    Uploaded by

    Muh Fitrah
    Mr. M, a 19-year-old male college student, was admitted to the hospital with a torn wound on his right middle finger sustained 3 hours prior while opening a coconut with a machete. On examination, the patient had swelling and tenderness around a 2x1 cm wound on his right middle finger with limited range of motion. X-rays did not show any abnormalities. He was diagnosed with a suspected ruptured tendon and received IV fluids, a tetanus shot, pain medications, wound care education, and was referred to orthopedic surgery for further management.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    MORNING REPORT

    IDENTITY

    Name : Mr. M
    Age : 19 years old
    Sex : male
    Address : kampus baru
    Ocupation : collage student
    Doctor in charge : dr. Rizal aliski, Sp.OT
    Admission : September, 26 2018
    Chief complain : the wound was torn on the middle finger of right hand
    Anamnesis :
    The patient came with a complaint of a torn wound on the middle finger of the right hand snce 3
    hours ago before entering the hospital.
    MOT :
    When the patient is opening the coconut, the patient holds the machete with one hand and detaches
    from his grasp, so that the patient’s right hand is held (right middle finger).
    HOT :
    Faint (-) nausea (-) vomiting (-) history of home care (+) given analgesic drugs, antibiotics and
    wound bandages, left hand active hand.
    PRIMARY SURVEY

    A = clear
    B = breath frequency 20x/m, thoracoabdominal, simetris
    C = BP (140/90 mmhg), Pulse (77x/m), reguler strong lift
    D = GCS E4M6V5, isocorous pupil diameter 2,5 mm/2,5mm,
    RCL+/+, RCTL +/+
    E = temperature 36,60C /axilla, VAS = 5
    STATUS GENERALISATA : COMPOSMENTIS, GOOD NUTRITION, BEING SICK
    STATUS LOKALIS :
    • regio manus dextra
    • I = Deformity (-), soft tissue swelling (+), hematoma (-) wound (+) loung wound 2x1
    cm.
    • P = Tenderness (+) crepitation (-)
    • ROM : join interfalang is limited due to pain
    • NVD : sensibility (+), CRT < 2 detik
    CLINICAL FINDINGS
    CLINICAL FINDINGS
    PLANNING

    • Routine Blood
    • Xray
    XRAY RESULT

    Impression : right-hand manuscript photo does not appear to be


    abnormal
    DIAGNOSIS

    Susp. Ruptur tendon


    Management
    Pharmacology
    • IVFD RL
    • Vaksin inj. ( tetanus inj. 0,5 cc/IM)
    • Analgetic inj. (ketorolac)

    Non-Pharmacology
    • Education
    • Lie on the wound Consult to orthopedic surgery
    Thank You

    BAGIAN ILMU
    BEDAH

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