Duty Report HM 17-4-13Rev

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    Duty ReportWednesday, April 17th 2013

    Consultants on duty :

    Dr. Rafis Rustam, SpB K BVPro. Dr. Menker Manjas, SpB, SpOT, FICSDr. Saiu! Saanin, Sp.BSDr. "trie!, Sp#

    Residents on duty :Marsil, Ridwan, R Tauf, Marde, !ur "uda,"endra, #aa

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     Tota! Patients $ % patientsPatients &ent to operatin' t(eatre $ ) patient*ospita!i+e Patients $ ) patient

    Contro! to po!-!ini- $ ) patientReuse to treate $ patient

    Ward Report : TC $ /% patients*C# $ )0 patients

    C11 $ )2 patientsCP $ /) patientsC3 $ %) patients

      45 $ 6 patients

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    1 ema!e patient, 66 .o &as amitteto ".R &it( $

    C(ie -omp!aint $

    Pain at t(e !et (ip ater tra7- a--ientsin-e % as 5eore amission

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    Pain at t(e !et (ip ater tra7-a--ient sin-e % as 5eoreamission

    Patient &as a peestrian, suent!t(e motor--!e stru-k (er rom !etsie

    *er !et (ip (it t(e asp(a!t 8o trauma at t(e ot(er part 

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    9

    $hysi%al &'a(ination :1 $ Moerate! I!!ness Cons-iousness $ :CS )9

    B!oo pressure $ )/;

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    4et *ip Re'ion4ook $ 3oun A, s&e!!in' A,

    is-repan- A, e=terna! rotation A

    8VD $Motori- an sensori- &ere 'ooa.orsa!is peis A

     -api!ar re!! E /

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    3D $

    C!ose ra-ture o t(e !et pro=ima!emur

    *5 $ ))./ 'rG

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    Dia'nose$

    C!ose ra-ture intert(ro-anter o t(e!et emora! 5one

    For t(is patient &e peromeSkin tra-tion

    P!annin' ORIF 

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    Conition patient t(is mornin' Tra-tion is 'oo

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    $atient 2

    1 ma!e patient, /; ears o! &as amitte to"R &it( $

    C(ie Comp!aint $Pain an s&o!!en at !et knee or ) mont(5eore amission

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    )e%ondary )ur*ey :  Pain an s&o!!en at !et knee or ) mont(

    5eore amission  S&e!!in' initia!! sma!! an 5e-ome 5i''er

    rom ) mont( a'o  Skin -o!or o s&e!!in' -(an'e to reis(

    rom ) mont( a'o   T(e patient (as i7-u!t &a!kin' ue to

    pain  8o (istor o trauma 5eore  Patient (a 5een treate &it( traitiona!

    mei-ine

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    $hysi%al &'a(ination

      :enera! 1ppearan-e $ Moerate! i!!ness  Consiousness $ :CS )9  BP $ )/;

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    +o%ally state4et knee re'ion4ook $ s&o!!en A, 3oun A, eormit AFee! $ pain AMo@e $ ROM !imite -ause 5 pain

    8VD$sensori- an motori- &as 'ooCapi!!ar Re!! A

      a orsa!is peis A

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    4a5oratorium $  *5 $ );,2 'rG 

    4eu-o-te $ )/.>;;

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    Dia'nose  a5ses et !et knee

    3e peromeraina'e a5ses

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    Patients -onitions t(is mornin' $  Patient is in t(e &ar  Dista! part

    motori- an sensori- are 'oo-api!!ar re!! is 'oo