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7/23/2019 Responsi Ortopedi Dian
http://slidepdf.com/reader/full/responsi-ortopedi-dian 1/29
RESPONSI ILMU BEDAH
ORTOPEDIOleh :
DIAN ANGGRAENI. E, S.Ked.
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IDENTITAS PENDERITA
Nama : Tn. M.
Umur : 3 Tahun
!en"# Kelam"n : La$" La$"Pe$er%aan : Kar&a'an PT MMI
A(ama : I#lam
Alama) : Dr"&*re%* ++ Gre#"$MRS : - De#emer +//0
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ANAMNESA
1 Keluhan U)ama :
N&er" 2ada )an(an $"r"
1 Keluhan Tamahan :
Ben($a$ 2ada )an(an $"r"
7/23/2019 Responsi Ortopedi Dian
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R"'a&a) Pen&a$") Se$aran( :
Pender")a men(eluh n&er" 2adalen(an a'ah $"r" #e%a$ + har"SMRS. N&er" d"ra#a$an )eru#meneru# #e)elah men(alam"$e4ela$aan lalu l"n)a# #aa)men(endara" #e2eda m*)*rden(an $e4e2a)an 0/ Km5%am.Saa) men(h"ndar" 2en&eran(
%alan #eh"n((a 2ender")a %a)uhden(an 2*#"#" m"r"n( $e $"r" %alan.P*#"#" len(an $"r" men*2an(adan.
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Saa) $e%ad"an 2ender")a #adar,)"da$ mual, )"da$ mun)ah dan2u#"n(, han&a lu$a le4e) d"len(an a'ah, $a$" $anan, dan$a$" $"r". Karena n&er" danen($a$ $emud"an *leh2ender")a d"a'a $e du$un 2"%a).Karena )"da$ ada $ema%uan dan
#ema$"n n&er" a$h"rn&a 2ender")a2er(" $e d*$)er.
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"'a&a) Pen&a$") Dahulu
1Pender")a )"da$ 2ernah #a$")#e2er)" "n" #eelumn&a.
1R"'a&a) h"2er)en#" d"#an($al
1R"'a&a) d"ae)e# m"l")u#d"#an($al
1R"'a&a) aler(" *a) d"#an($al
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PEMERIKSAAN 6ISIK
S)a)u# General"#a)a
Keadaan umum : Tam2a$ #a$") #edan(Ke#adaran : 7*m2*# men)"#G7S : 89-90")al #"(n : TD ;+/5/ mmH(Nad" : +<5men")Suhu : 3°7Perna2a#an : +/<5 men")
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KEPALABen)u$ #"me)r"#
MATA1 K*n%un()"=a anem" >9?
1 S$lera "4)eru# >9?
LEHER
!e%a# >9?
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Th*ra$
1 !e%a# 2ada )h*ra$ >9?
1 De@*rm")a# >9?1 7*r : S; S+ )un((al
1 Pulm* : Per(era$an na@a# #"me)r"#
Suara na@a# =e#"$uler Rh >9? h >9?
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Ad*men
1 !e%a# 2ada ad*men >9?
1 I : @la), #"me)r"#P : #*e2el, H5L5G )"da$ )eraa
P : me)e*r"#mu# >9?
A : BU >? N*rmal
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E$#)rem")a#
1 Su2er"*r 2ada #)a)u# l*$al"#.
1 In@er"*r : 9 Odema >9?9 N&er" )e$an >9?
9 N&er" 2er(era$an >9?
9 Hema)*m >9?
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STATUS LOKALIS
An)e .ra4h"" #"n"#)ra 9 L**$ : *dema >?
hema)*me >?
de@*rm")a# >?
9 6eel : )eraa han(a) >? n&er" )e$an >?
$re2")a#" >?
9 M*=emen) :
1 Gera$an )era)a# >?
1 Gera$an a$)"2 : n&er" >?
1 Gera$an 2a#"2 : n&er" >?
7/23/2019 Responsi Ortopedi Dian
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S)a)u# l*$al"# re("* an)e.ra4h""
de<)ra :
1 L**$ : e<4*r"a#", C +/ < 8 7m
1 6eel : )eraa han(a) >?n&er" )e$an >?
$re2")a#" >9?
1 M*=e : n&er" (era$ >9?
@al#e m*=emen) >9?
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RESUME
1
namn #a
Pr"a 3 )h da)an( den(an n&er")an(an $"r" + har" SMRS, #e)elah
%a)uh #aa) men(endara" #e2edam*)*r d( $e4e2a)an 0/ $m5%amden(an 2*#"#" %a)uh #eelah $"r"
)an(an menahan adan, 2ender")amera#a en($a$ dan n&er" 2adalen(an #eelah $"r".
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PEMERIKSAAN 6ISIK
S)a)u# (eneral"# : dalam a)a# n*rmal
S)a)u# l*$al"# re("* an)e.ra4h"" #"n"#)ra :
1 L**$ : *dema >?de@*rm")a# >?
hema)*me >?1 6eel : )eraa han(a) >?
n&er" )e$an >?$re2")a#" >?
1 M*=e : n&er" (era$ >?
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S)a)u# l*$al"# re("* an)e.ra4h""
de<)ra :
1 L**$ : e<4*r"a#", C +/ < 8 7m
1 6eel : )eraa han(a) >?n&er" )e$an >?
$re2")a#" >9?
1 M*=e : n&er" (era$ >9?@al#e m*=emen) >9?
7/23/2019 Responsi Ortopedi Dian
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La*ra)*r"um )an((al - de#emer +//0
1 HB F ;3,+( 1 Leu$*#") ;// mm1 Hema)*$r") 3,- 1 Tr*m*#") +3///1 SGOT ;81 SGPT ;/1 Krea)"n"n /,;1 BUN ;,1 GDA ;;;1
APTT +
1 PTT ;3
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6*)* R*n)(en Len(an K"r"
Ke#an :7l*#e @ra$)ur ;53 d"#)al *#. rad"u##"n"#)ra
DIAGNOSA
7l*#e @ra$)ur ;53 d"#)al *#. rad"u##"n"#)ra
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TE API
1 Mema#an( #2al$
1 Re2*#"#" dan @"$#a#"
1 E$#)ernal @"$#a#" den(an ("2#1 6"#"*)era2"
P OGNOSIS
1 A) *nam
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SEKIAN
)er"ma $a#"h