GOOD AFTERNOON
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Transcript of GOOD AFTERNOON
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GOOD AFTERNOON
“Welcome to Our Presentation”
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SURYA DEWI DARMA YUDA OKTA WARDANI MITA DEWI RISNA DYAH PRADYA DEWI SINTYA DEWI
ARI WIDIASTINI
WITATRISNASARI
RISKA DITA
SAINUR RAHMAN
ARY MUDIARTA
WIRA ADNYANA
EKA PRANATA
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Definition
Fracture is a break of continuity of bone tissue and or cartilage which is generally caused by involuntary. Trauma causing broken bones can be direct trauma, such as impact on the forearm that caused the fracture radius and ulna, and may be an indirect trauma, such as falling resting on the hand causing the clavicle bone or distal radius fracture. As a result of trauma to the bone depends on the type of trauma, strength, and direction.
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Identity Patient Next Of Kin
Name : KR MMAge : 65 years old 46years oldGender : Female MaleCivil State : Married MarriedOccupation : Farmer TeacherEducation : Elementary
Bachelor School
Religion : Hindu HinduNationality : Indonesia IndonesiaAddress : Br. Batan Buah Kaja Ds.
Braban Kediri, TabananRegister Number : 246453Hospitalitation Date: 19 June 2009
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Disease Medical History
Patients said on June 19, 2009 at 10:00 pm fell in his yard since stumbling stone, then by the family, the patient was taken to Tabanan Hospital and accepted in the ER (Accident and Emergency). Then the examination of vital signs with the results of blood presure: 140/90 mmHg, Temperature: 36 º C, Pulse: 88x/mnt, Respiration Rate: 20x/mnt, installation IVFD RL 28 drop/ minute, giving therapy mexparin 1 ml, cefotaxime 1 g, and the view of the results of the examination GDS 266 mg / dl and a complete blood count. From the results of radiological examinations of patients diagnosed Close Fractures Femur 1/3 Middle dextra. By doctors advised patients hospitalized in the Bougenville ward for further treatment prior approval by a physician orthopedic surgery.
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On June 23, 2009, the patient was scheduled for surgery, but from the doctor visit and inspection the result GDS dated June 22, 2009 at 21:30 pm with the results of 221 mg / dl, the operation was canceled by GDS stable results. By physicians, patients are given therapy B1 1900 cal diet, 3x8 actrapid ui (1-1-1). On June 25, 2009, from the results of the GDS with the results of 190 mg / dl, and by looking at the patient's general condition is good and normal vital signs are blood presure: 120/70 mmHg, pulse: 82 times/ minute, Respiration Rate: 20 x/min, Temperature: 36 º C patients approved by physicians surgery. Then do the preparation for surgery in these patients signing informed consent, patients were fasted, pubic shaving and giving Rapim 2 gr. Patients go to the operating room at 12:00 pm.
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Investigations
Laboratory:
In laboratory tests fracture to know: Hb, hematocrit is often low due to hemorrhage, erythrocyte sedimentation rate (ESR) increases when the soft tissue damage is extensive. During the healing Ca and P binding in the blood.
Radiology:
X-Ray image can be seen fractures, deformities and metalikment. Venogram / anterogram describe vascularisasi flow. CT scan to detect the structure of complex fractures.
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Patient AssessmentPatient Assessment
1. ObservationSubjective data : • The patient said feel pain like slice by a knife• The patient said the scale of pain is 5 from 10 scale
that given.• Patient said the pain will increase when move the
body and dicrease when the patient immobilate.• The patient said the location of the pain on the right
femur.• The patient said the pain caused by post operation
fractures
1. ObservationSubjective data : • The patient said feel pain like slice by a knife• The patient said the scale of pain is 5 from 10 scale
that given.• Patient said the pain will increase when move the
body and dicrease when the patient immobilate.• The patient said the location of the pain on the right
femur.• The patient said the pain caused by post operation
fractures
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• Objective data :
• The patient looks cry
• The patient looks pale
• Found wound
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Conclusion…• The patient suffer pain.
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Thank’s For Your Attention
GOOD BYE….!!!