Side
Teaching
Preceptor:
dr. Rizal Daulay, Sp.OT.,MARS.
Identification
Name : Mr. M
Age : 20 years old
Gender : a men
Religion : Moslem
Occupation : Freelance
Address : Jakabaring, lorong
Budimulya, Palembang
Chief Complain
He was felt pain on his left
knee since one month ago
Clinical History
A man, 20 years old was felt pain on his left knee, since one month ago,
such as being stabbed, theres no radiation of pain, theres no
association pain with nausea and vomitus, the timing of Pain was felt
continuosly. Not affected activity or rest, and he was felt the pain has
incrased. He also has another complain such as lump on left knee It has
palpable hard and pain, as big as quial egg.
Look :
Tumor (+) hiperemis (-), venectation (+),
deformity (+), surgical scar (-), wound (-) ,
bleeding (-), swollen (-)
Local State
Region Genu Sinistra
Feel :
tenderness (+), crepitation (-),
temperature same like the left one,
NVD (sensibility is good, dorsalis pedis
arterial pulse (+), capillary refill time < 2s)
Local State
Region Genu Sinistra
Move:
Active Movement : Limited
Passive Movement : Limited
Range of Movement : Limited
Local State
Region femoralis Sinistra
Look :
Tumor (-) hiperemis (-), venectation (-), deformity (-),
muscle Atrophy (+), surgical scar (-), wound (-) , bleeding
(-), swollen (-), left thigh is smaller than the right one.
Feel :
tenderness (-), crepitation (-), temperature same like the
left one, NVD (sensibility is good, dorsalis pedis arterial
pulse (+), capillary refill time < 2s)
Local State
Region femoralis Sinistra
Movement :
Active Movement : Limited
Passive Movement : Limited
Range of Movement : Limited
apparent leg length (right leg) 9ocm
apparent leg length (left leg) 90 cm
true leg length (right leg) 84 cm
true leg length (left leg) 84 cm
leg length discrepancy (LLD) is 0 cm
BIOPSI
Skeletal in Extremitas Inferior
Os Femur
Vascularisasi Extremitas Inferior
TERIMA KASIH