LAPORAN JAGA ORTHOPAEDI & TRAUMATOLOGI

Senin, 12 November 2018

AWK/HFZ/GAG/ PIA/HSA
KONSULTAN JAGA: dr. IGN Wien Aryana, Sp.OT(K)
Total Patient: 5; Admitted: 4; Surgery: -; RSPTN: -

SEX/
No PATIENT NAME DIAGNOSIS THERAPY/ PLANNING KET
AGE
1 Muhammad M/31 yo  OF Left Tibia Proximal Third Grade II Antibiotic, Anti Tetanus, Analgesics
Amin  OF Left Fibula Proximal Third Grade II Debridement – ORIF PS  Refused due to Financial
Problem
Debridement – Closed Reduction and Immobilization
with LLC  Refused due to Financial Problem
WTHT – Closed Reduction and Immobilization with LLC
Observation for Compartment Syndrome
2 Ni Wayan Tirta F/28 yo  Polytrauma (ISS 20) NS :
Asih  Mild Head Injury Conservative
 Brain Swelling WTHT
 Skull Base Fracture Plastic :
 Closed Fracture Right Lateral Orbital Rim P/ ORIF Miniplate
 Closed Fracture Right Superior Orbital Rim Ortho :
 Open Wound Right Supra Orbita Region Analgesics
 Open Wound Right Lateral Orbita Region Immobilization with skin traction 5 kg loads
 CF Right Greater Sphenoid P/ ORIF Intramedullary Nailing
 CF Right Frontozygoma
 Fracture Nasal
 CF Right Maxilla
 Right and Left Hematosinus
 CF Right Femur Middle Third
 Open Wound Right Knee
3 Ni Wayan F/29 yo  Mild Head Injury NS :
Ekawanti Septia  SAH Conservative
 Skull Base Fracture
 CF Right Clavicle Middle Third Communitive Ortho:
Allman Group I Analgesics
Immobilization with Arm Sling
P/ ORIF PS
4 Fandi Ahmad M/24 yo  Compressive Fracture CV L1 Frankel E NS:
 CF Calcaneus Bilateral Conservative
Immobilization with TLSO

Ortho:
Analgesics
Immobilization with BKC
5 Leonora F / 73 yo  Neglected CF Left Intertrochanter femur Boyd Analgesics
Syaranamual Griffin Type II Immobilization Skin traction with 5 kgs load
 OA Hip Bilateral P/ Left THR
 Severe Osteoporosis P/ Biphosphonate

Mengetahui
Pemimpin Morning Report, Penanggung Jawab Jaga

(…………………………………….…) (dr. IB Aditya Wirakarna)