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Anggota kelompok : A.A.OKA SHINDU PHALGUNA 11700185 ALVIN ARMANDO SANTOSO 11700187 I MADE DWI ARYA PRIMAHARTA 11700189 NOVA NOVITA ANGGRAENI 11700191 NI MADE RATNA ANGGRAENI 11700193 I MADE PUTERA ADITYA 11700195 I MADE DWI LAKSEMANA 11700197 INNA GITA PARAMEDITA 11700199 I GUSTI AGUNG NGURAH YOGA W 11700201 NI PUTU WIANDANI 11700203 MADE ARYA PURWA DWITAMA 11700205 PRASETYO 11700207

Tingling sense of the index finger and middle finger Right Bu Tutut

Bu Tutut was 5 months pregnant, was 35 th. Complained of feeling numb index finger and middle finger of his right for 2 months. Currently Bu Tutut felt the tingling of his right hand felt a little muscle weakness and easy falling when holding objects, like a coffee cup. Sometimes accompanied by pain in the right palm. Other circumstances, Bu Tutut feeling well and denied that there is trauma and neck pain.

KEYWORDS

Pins and NeedlesNumbness or paresthesias in medical science, is a sensation on the surface of the body that were not triggered by stimuli from the outside world. Paresthesias that arise when there is irritation of nerve fibers that carry the sensation of tingling

PainfulPain is a subjective sensory and emotional unpleasant obtained associated with actual or potential tissue damage, or described the condition of the occurrence of damage.

TraumaTrauma means a collision or an event experienced by a person and leave scars. Are usually negative, in terms of psychology called post-traumatic syndrome disorder.

PregnantA woman said to be "pregnant" is normal when in the womb of human growth and development of new

Muscle WeaknessMuscle weakness is a common problem, but often give a different meaning to each sufferer. Some people just feel tired. But the true muscle weakness, despite best efforts, the normal force will not be achieved

PROBLEMWe raised several issues in this scenario, such as:

what is experienced by Bu Tutut? what are the causes of

disease experienced by  Bu Tutut? how do we fix or prevent it?

DISCUSSION

RestrictionTo minimize the scope of the problem in this scenario, then we make the limit problem,that is : tingling

Anatomi / Histologi / Fisiologi / Patofisiologi / Patomekanisme

Anatomi manus • N. Medianus

Anatomi

Types Related Diseases Rheumatism or Gout. Cholesterol. Osteoporosis,  Bone Flu. Tuner Syndrome Carpal Manus

linical symptoms of- Stiffness of the wrist Astronomer dextra - If the object is not strong hold and feel the muscle weakness - minimal deviation in the medial (ulnar)

Checking the Physical  - It feels stiff muscles and pain in the carpal region turner - minimal tenderness in the joints proximal digit interfalang: II, III, IV and V   MOVEMENT (MOUMENT)

- Disorders of pronation movement and weakness of flexion of the wrist manus dextra

- Impaired movement of flexion at the proximal joint interfalang digiti II, III, IV and V

- Impaired movement of flexion at the distal joints interfalang digiti II and III

- Impaired movement of flexion, abduction and opposition digiti I and flexion of the joints and metakarpofalangea digiti II and III

Checking Support Radiology MRI: thickening of

the retinaculum summed image obtained in Carpal Tuner fleksorum the press N. Medianus

Complete blood examination: normal blood sugar

INITIAL HYPOTHESIS (Differential Diagnosis)Bu Tutut exposed to  Rheumatism

 that often occur when the birth

ANALYSIS OF DIFFERENTIAL DIAGNOSIS

Clinical Symptoms  Stiffness of the wrist Astronomer dextra  If the object is not strong hold and feel the muscle weakness - minimal deviation in

the medial (ulnar)

Physical Examination  Feel the muscle stiffness and pain in the carpal region turner minimal tenderness in the joints proximal digit interfalang: II, III, IV and V 

MOVEMENT(MOUMENT) - Impaired movements of pronation and flexion of the

wrist weaknessmanus detra- Impaired movement of flexion at the

proximal joint interfalang digiti II, III, IV and V- Impaired movement of flexion at the distal joints interfalang digiti II and III- Impaired movement of flexion, abduction and opposition digiti I and flexion of

the jointsand metakarpofalangea digiti II and III Examination Support

Radiology MRI: thickening of the retinaculum summed image obtained in Carpal Tunerfleksorum menakan N. The median

Complete blood examination: normal blood sugar

HYPOTHESIS END (diagnosis)According to

data obtained from this scenario, our group concluded that, Bu Tutut suffer Turner Syndrome Carpal Manus.

MEKANISME DIAGNOSIS PATIENT DATA:

Name: Mrs Tutut Age: 35 th

ANAMNESISKU: tinglingRPD: Occurred since 2 months ago on the index finger and middle finger of the right Accompanied by muscle weakness of the index finger and middle finger of the right sometimes accompanied by painRPS: Currently being 5 months pregnant felt a tingling in the index finger and right middle finger the numbness and wrist pain areas There are muscle weakness, especially on the IBI finger muscle rigidity in the right wrist

FAMILY HISTORY in family there is no such 

MEDICATION HISTORY only given painkillers but not yet healed 

SOCIAL HISTORY  During pregnancy weight has gone up 8 kg Diet frequently eat fast-food meals During pregnancy never exercise 

PHYSICAL EXAMINATION:  Awareness: compos mentis  Vital sign: |

tension: 120/80 pulse: 80 x /minute RR: 29 x / min Temperature: 37A ° C GCS: 456

TROUBLESHOOTING STRATEGY

Management ofInitial treatment: at night the wrist bandage and avoid excessive activity in the right hand. Surgery on the flexor retinaculum (carpal tunnel release)Medica Ventosa(Fisioteraphy)

PrognosisManagement, if done well, then, Bu Tutut 35th. Will recover and be able to run as usual. Turner Carpal Syndrome is associated with endocrine conditions like diabetes, hypothyroidism, hyperthyroidism, acromegaly, and pregnancy. Other causes include diseases auto lmun, lipoma in the canal, hematoma and carpal bone abnormalities. Women are more commonly affected than men by a ratio of 3:1.If not treated properly it can cause complications that harm patients.