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Nama

1. Galih
2. Risfandi
3. Zahrunnisa
4. Elsa
5. Rofifah
6. Elmo
7. Shulaksana
8. Ima
9. Ratri
10. Inthan
11. Fadillah
Kumpulbesok jam 17.00- 19.00 ke email
fadillahamrinaibrahim@gmail.comjawabanhanyabolehkurang1 okekalolebihdariitukamu tau
kan .

SKENARIO
Anamnesis
A mother brought her 10 days old boy to the outpatient clinic. She noticed that both of her boys
foot looks excessively turned inward since he was born. There is no abnormality at other part of
his body. She had normal delivery with normal weight birth. She never suffered from any kind of
illness and never got any medical prescription during pregnancy. She has already brought him to
a traditional bone setter but there was no improvement.
Physical Examination
General examination within normal limit
Extremity examination : at foot egion there are abnormalities : 1. Equinus foot, 2. Varus of the
foot.
KLARIFIKASI ISTILAH
1. Excessively turned inward : Kelainan kaki bengkokkedalam(
bisadisebabkanolehvarusdanequinus ).
2. Equinus foot
: Posisi kaki danpergelangan kaki yang
mengarahkebawahdanbelakang.
3. Varus of the foot
: Kaki melengkungkedalam
;menunjukkandeformitasdengansudutbagiantersebutmendekatigaristengahbadansepertitali
pesvarus.

4. Traditional bone setter


:
profesiperawatankesehatantradisionalterkaitdenganpencegahanperawatandanrehabilitasig
angguan musculoskeletal seperti :patahtulang, dislokasisendi, keseleodancedera.

IDENTIFIKASI MASALAH
1. A mother brought her 10 days old boy to the outpatient clinic. She noticed that both of
her boys foot looks excessively turned inward since he was born. She has already
brought him to a traditional bone setter but there was no improvement.

2. A mother brought her 10 days old boy to the outpatient clinic. She noticed that both of
her boys foot looks excessively turned inward since he was born. She has already
brought him to a traditional bone setter but there was no improvement.
3. PemeriksaanFisik
4. Physical Examination
General examination within normal limit
Extremity examination : at foot egion there are abnormalities : 1. Equinus foot, 2. Varus
of the foot.

ANALISIS MASALAH
1. A mother brought her 10 days old boy to the outpatient clinic. She noticed that both
of her boys foot looks excessively turned inward since he was born. She has already
brought him to a traditional bone setter but there was no improvement.
a. Anatomi Kaki danAnatomi normal kaki bayi(1, 3, 5)
b. Perkembanganembriologitulang yang normal selamakehamilan ? ( 7, 9,11 )

c. Bagaimanahubunganjeniskelamindengankelainanpadakasus ?( 2, 4, 6 )
d. Etiologi kaki yang bengkokkedalamsejaklahir ? ( 8, 10, 1)
e. Patofisiologi kaki yang bengkokkedalamsejaklahir (di dalamkandungan) ? ( 2, 3, 4)
f. Faktorresikopadaibuhamil yang
bisamenyebabkangangguanperkembangantulangpadakasus ? ( 5, 6, 7)
g. Mengapasetelah di bawahkeahlitulangtradisionalkelainanpada kaki bayitidakberubah
? ( 8, 9, 10 )
h. Apaakibatseorangbayi yang baruberusia 10 haridiurutolehahlitulangtradisional ?
(11, 1, 2)
2. A mother brought her 10 days old boy to the outpatient clinic. She noticed that both
of her boys foot looks excessively turned inward since he was born. She has already
brought him to a traditional bone setter but there was no improvement.

a. Berapaberatbadan, panjangbadandanlingkarkepala normal padabayibarulahir ? ( 3,4 ,5


)
b. Apasajapemeriksaan yang
dlakukanpadasaatkehamilanuntukmengetahuikelainanpadakasus ? ( 6, 7, 8 )
c. Macam- macamkelainanbentuk kaki padabayi ? ( 9, 10, 11)

3. Physical Examination
General examination within normal limit
Extremity examination : at foot egion there are abnormalities : 1. Equinus foot, 2. Varus
of the foot.

a. Interpretasidanmekanisme abnormal pemeriksaanekstremitas


1. Equinus foot ( 1, 2, 3)
2. Varus of the foot ( 4, 5, 6)
b. Apasajapemeriksaan yang harusdilakukanpadabayibarulahir ? ( 7,8,9 )

HIPOTESIS
Seorangbayilaki-lakiusia 10 harididugamenderitakelainan congenital talipesequinusvarus
(CTEV) atau clubfoot.

Template
1.
2.
3.
4.
5.
6.
7.
8.
9.

How to diagnose ( 10, 11, 1)


Differential diagnose ( 2, 3, 4)
Working diagnose( 5, 6, 7)
Definisi( 8, 9, 10 )
Etiologi ( 11, 1,2)
Epidemiologi (3, 4, 5)
Patofisiologi ( 6, 7, 8)
Gambaranklinis (9,10, 11)
PemeriksaanPenunjang ( 1, 2, 3)

10. Tata Laksana( farmako, non farmako, rehabilitasi) (4,5,6)


11. Komplikasi (7,8,9)
12. Preventifdanedukasi ( 10, 11, 1)
13. Prognosis ( 2, 3, 4)
14. Kdu ( 5,6,7 )

Learning Issue
1. Anatomi Kaki normal padabayi( 1,2,3,4,5,6)
2. CTEV ( Clubfoot)(7,8,9,10,11)

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