MUHAMMAD IKMAL HAZLI TRISAKTI UNIVERSITY BEKASI GENERAL HOSPITAL

 Name
Gender Age Address Occupation Religion First

visit

Mr D male 28 years old Bekasi Islam 14th jan 2013

 Unable

to move the left leg

On

the left leg

 What?
Where? When? How?

Unable to move
Left leg 3 months ago (See next slide)

 28th

sept 2012 1.00 am, going back from work Accident. motorcycle vs motorcycle
Fell

down left leg was hit by motorcycle - passed out (unconscious) - local people helped

 Transportation?
First

Car , local residents

klinik patah tulang Massage therapy? left leg bandaged Patients left leg is in a state on immobility

aid?

Why

see the doctor?

 Similar

condition (-) Diabetes (-) Hypertension (-) Cholesterol (-)

 A.

Vital Signs and Antropometry

BP : HR : 100 x/min equal RR : 20 x/min T : 36,5 oC Consciousness: Compos Mentis, GCS E4M6V5 = 15

Weight Height BMI

: 75 kg : 170 cm : 25.9

 Head Neck Thorax Abdomen Ekstremities

10

11

look

No swelling No redness

feel
move

No pain

(next slide)
12

 HIP

Flexion Extension Adduction Abduction External rotation Internal rotation flexion0-140 deg extension

0-125 deg 0-30 deg 0-25 deg 0-45 deg 0-60 deg 0-40deg

Knee

13

14

look

Swelling Edema The leg is bound in elastic bandage

feel
move

Slightly warmer than other leg

(Next slide)

15

 HIP

Flexion Extension Adduction Abduction External rotation Internal rotation flexion extension

Knee

Tests not done due to pain from the patient

16

-Non union Fracture

17

18

 Non

union Fracture in Left proximal Femoral Shaft

19

 Operation

20

The best teacher is EXPERIENCE

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