Slide 1

Duty ReportSunday, September 29th 2013

In Emergency Installation, we received 6 patients, consist of: Excoriation wound : 2 pts WT+AG dischargedLaceration wound : 1 pt WT+ST+AB+AG dischargedMild head injury GCS E4M6V5=15, Uncomplicated closed fracture of proximal left radial neck (Mason type III), Laceration wound on right zygoma region, Multiple excoriation wound (facial and left feet region) : 1 pt Splint application+WT+AG refuse for further treatmentUncomplicated closed fracture of left humerus 1/3 middle comm, Uncomplicated closed fracture of right glenoid (Ideberg type III), Uncomplicated closed fracture of 2nd -8th lateral right ribs, Right hemothorax after WSD application ec accident (6 days ago) 1 pt Splint application + AGTHTAcute Appendicitis, Hiperglycemia : 1 pt Laparascopy appendectomy MRK 1st floor

2CASE REPORT A female 53 years old, consulted from internist department with chief complain pain on the right lower abdomen.

H.O.I2 days before admission, she felt pain on the umbilical area without nausea or vomit. she had no fever. She went to GP, got some medicine, but did not feel better.1 day before admission the pain shifted to the right lower abdomen, nausea (+), vomit (+) and fever (+). The pain become more intense if she walked and cough. By her family she brought to Kariadi General Hospital. There was no problem with defecation and mixturation. History of Past Illness : Hipertension (-), DM (-)Total Histerectomy caused by Ovarial cyst and Myoma (2003)

P.E :General Condition : consciousVital sign : BP : 120/70 mmhg t : 38,2C (R) PR : 86 x/mnt RR: 20 x/mnt

Head/neck : Conj.palp was not anemic Sclera was not ictericChest : Heart : I : ic was not seen P : ic was palpable at 5th ics, 2 cm medially MCL P : configuration w.n.l A: pure heart sound, no murmur Lung : I : symetric right and left hemithorax on static symetric right and left hemithorax on dynamic P : tactile fremitus was equal on both side P : sonor on all area A : basic sound was vesicular, no additional soundAbdomen : I : flat, bowel pattern/movement (-), scar (+) midline below umbilical region P : supel, tenderness on the right lower abdomen, muscle rigidity (-), rebound tenderness (+), rovsing sign (+). P : timpanic, LD (+) N, SD (-), LD (+) A: bowel sound (+) normalPsoas sign (+)Obturator sign (-)Genitalia : female, w.n.l

Extremity : Ekstremity : Supor InforSianosis -/- -/-Cold acral -/- -/-Capp. Refill