duty report hm 17-4-13rev
TRANSCRIPT
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Duty ReportWednesday, April 17th 2013
Consultants on duty :
Dr. Rafis Rustam, SpB K BVPro. Dr. Menker Manjas, SpB, SpOT, FICSDr. Saiu! Saanin, Sp.BSDr. "trie!, Sp#
Residents on duty :Marsil, Ridwan, R Tauf, Marde, !ur "uda,"endra, #aa
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Tota! Patients $ % patientsPatients &ent to operatin' t(eatre $ ) patient*ospita!i+e Patients $ ) patient
Contro! to po!-!ini- $ ) patientReuse to treate $ patient
Ward Report : TC $ /% patients*C# $ )0 patients
C11 $ )2 patientsCP $ /) patientsC3 $ %) patients
45 $ 6 patients
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1 ema!e patient, 66 .o &as amitteto ".R &it( $
C(ie -omp!aint $
Pain at t(e !et (ip ater tra7- a--ientsin-e % as 5eore amission
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Pain at t(e !et (ip ater tra7-a--ient sin-e % as 5eoreamission
Patient &as a peestrian, suent!t(e motor--!e stru-k (er rom !etsie
*er !et (ip (it t(e asp(a!t 8o trauma at t(e ot(er part
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9
$hysi%al &'a(ination :1 $ Moerate! I!!ness Cons-iousness $ :CS )9
B!oo pressure $ )/;
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4et *ip Re'ion4ook $ 3oun A, s&e!!in' A,
is-repan- A, e=terna! rotation A
8VD $Motori- an sensori- &ere 'ooa.orsa!is peis A
-api!ar re!! E /
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3D $
C!ose ra-ture o t(e !et pro=ima!emur
*5 $ ))./ 'rG
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Dia'nose$
C!ose ra-ture intert(ro-anter o t(e!et emora! 5one
For t(is patient &e peromeSkin tra-tion
P!annin' ORIF
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Conition patient t(is mornin' Tra-tion is 'oo
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$atient 2
1 ma!e patient, /; ears o! &as amitte to"R &it( $
C(ie Comp!aint $Pain an s&o!!en at !et knee or ) mont(5eore amission
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)e%ondary )ur*ey : Pain an s&o!!en at !et knee or ) mont(
5eore amission S&e!!in' initia!! sma!! an 5e-ome 5i''er
rom ) mont( a'o Skin -o!or o s&e!!in' -(an'e to reis(
rom ) mont( a'o T(e patient (as i7-u!t &a!kin' ue to
pain 8o (istor o trauma 5eore Patient (a 5een treate &it( traitiona!
mei-ine
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$hysi%al &'a(ination
:enera! 1ppearan-e $ Moerate! i!!ness Consiousness $ :CS )9 BP $ )/;
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+o%ally state4et knee re'ion4ook $ s&o!!en A, 3oun A, eormit AFee! $ pain AMo@e $ ROM !imite -ause 5 pain
8VD$sensori- an motori- &as 'ooCapi!!ar Re!! A
a orsa!is peis A
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4a5oratorium $ *5 $ );,2 'rG
4eu-o-te $ )/.>;;
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Dia'nose a5ses et !et knee
3e peromeraina'e a5ses
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Patients -onitions t(is mornin' $ Patient is in t(e &ar Dista! part
motori- an sensori- are 'oo-api!!ar re!! is 'oo