M : his left foot got pinched by motorcycle standard I : first finger of left foot S: Pain, bruise (+) T: clean

the wound, remove the nail

Patient comes to Hospital with bruise in his first finger of left foot, because his finger got pinched by motorcycle standard two hours before.
Family illness history : hypertension (-), diabetic (-)

Eyes

Ear Neck Thorax

: pupil isocors 3mm/3 mm, centered, light reflex +/+ : Bruise (-), hematoma (-) : Bruise (-), hematoma (-) :
: bruise (-), movement of chest wall symmetrical : crepitation (-) : sonor right = left : Basic breath sound vesicular right and left

Insp Pal Per Aus

Abdomen : Ins : flat, bruise (-) Aus : bowel sound (+) Pal : tenderness (-), muscular defense (-) Per : tympani Extremity: Warm extremities, cap. refill time < 2, edema (-)

First finger of left foot :

Inspection : bruise (+) Laceration (+)

 paronychia

 clean the wound remove the nail

Give

tetagam injection 1 ml Give tetanus toxoid injection 1 ml Give antibiotic: cephixime 100 mg 2x1 tab Give analgetic: asam mefenamat 500 mg 3x1 tab

 Avoid

contact with water Control for the next three days Change the bandage every one day