PLENARY DISCUSSION

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SCENARIO 1: OH MY SON FEET .....

Arif and his wife are a young couple who matched. The day was very happy for them because his wife gave birth to a boy. Born in RS M.Djamil through normal delivery with BB 2.7 kg, spontaneous crying, strong. Arif straight bow of gratitude to Allah when he heard her faint cries outside the room maternity. But the happiness was shattered instantly when informed that his legs bent. Doctors ask whether any of the families who have disorders such as his 3/24/13

STEP 1
Click to edit Master subtitle style TERMINOLOGY

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 Inversion:

INTO reversal, or otherwise RELATIONS SECTION OF A NORMAL body movement approach

Adduction: Equinus:

form flantar flexi foot deformities, current patient cause rested on his finger and heel no touching story bifida: the parting of arcus vertebrae, vertebral failure occurred because some close test: a maneuver trial by entering ddh femoral head to the acetabulum in abduction on foot by baby (to lateral movement)
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Spina

Ortolani

STEP 2
Click to edit Master subtitle style PROBLEM

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1. 2. 3. 4.

5. 6.

7. 8. 9. 10.

How the interpretation of Partus? Why kids pack wisely crooked legs? Why ask about a family history of crooked? How the relationship of pregnant women who were injured / ill while pregnant with baby legs crooked? How the interpretation of screening results? Whether the abnormalities that occur during the formation of the fetus in the womb so that his legs crooked? Whether the investigation can be done? What possible diagnoses for infants mr. Arif? How this installation of gypsum, indications, contraindications, and complications? What happens if you do not do the installation 3/24/13 casts?

STEP 3
Click to edit PROBLEM CLARIFICATION Master subtitle style

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1. How the interpretation of Partus?

2.7

kg weight: normal spontaneous crying, strong: normal

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2. Why kids crooked legs?

CTEV Polio Knee

hyperextension Leg length discrepancy Flat foot

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3. Why ask about a family history of crooked?

Maybe

CTEV, its 10% genetic

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4. How the relationship of pregnant women who were injured / ill while pregnant injury with baby legs crooked? may limit the movement of the baby

in the womb oligohydramnios also restrict the movement so that the baby's legs bent

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5. How the interpretation of screening results?

Spina

bifid - : no neurogenic disorder Barlow and ortolani test - : no DDH LLD - : no leg length discrrepancy Adduction, inversion, equinus +: CTEV

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6. Whether the abnormalities that occur during the formation of the fetus in the womb so that his legs crooked? normally at week 9 and beyond occur

rotation on its feet, forming a normal foot, if the rotation is too late, then when the baby is born will look crooked legs

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7. Whether the investigation can be done?

radiologist

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8. What possible diagnoses for infants mr. Arif? CTEV

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9. How this installation of gyps, indications, contraindications, and complications?

installation

of gypsum: stretching, gyps pairs of fingers to the thighs, the cast changed every 1 week, for 3-8 weeks, then tenotomi, then plug it casts further 2-3 weeks, kemdian wear special shoes 23 hours for 3 months, then when sleeping alone 4-5 years indications: immobilization in joint dislocation, correction of skeletal defects, reduced pretext of fracture fixation, correcting the deformity
contraindications:
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10. What happens if you do not do the installation casts? walking impairment
Mental

impairment

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11. How prognosis for babies?

the

sooner the better managed in prognosis

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STEP 4
Click to edit Master subtitle style SCHEM

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BABY NORMAL BIRTH bowlegged SCREENI NG SPINA BIFIDA ORTOLA NI AND BARLOW TEST
MANAGEMEN T

COMPLICATI ON

PROGNOSOS IS

CTEV

DIAGNO SIS

CONGEN ITAL DISORD ER - LLD

+ INVERSI ON, ADDUCT ION, 3/24/13 EQUINU

STEP 5
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students are able to explain congenital urogenital system: epidemiology etiology pathophysiology and pathogenesis diagnosis management of complication prognosis

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THANK YOU
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