edit fraktur terbuka phalanx proximal digiti 1pedis

7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis

1/23

FRAKTUR TERBUKA PHALANXPROXIMAL DIGITI 1PEDIS

SINISTRA GRADE III BKOMPETENSI : 3B

ICD X : S92.901B


2/23

Laki !"#a$a k"%a &"$i% $'i%$( )a!a kaki ki*i


3/23

PRIMAR+ SUR,E+


4/23

AIR-A+ DAN CER,ICAL CONTROL

O/"ki

Pa$i"% i$a &"%/a#a )"*a%aa% !"%a% aik !a% /"4a$

Ti!ak "*!a)a $5a*a %aa$ a&a'a% 6gurgling, snoring, stridor7

Assessment

K"$a% i!ak a!a $5&aa% )a!a /a4a% %aa$

Airway clear

Action

-


5/23

BREATHING

O/"ki

I%$)"k$i : L"$i 687 )"*"*aka% !i%!i% !a!a $i&"*i$ ki*i8ka%a%respiratoryrate 22&"%i

Pa4)a$i : k*")ia$i 687

P"*k5$i : S(%(*

Assessment ,"%i4a$i !a% "k$)a%$i )a*5 aik

Action

-


6/23

CIRCULATION

O/"ki

Ak*a4 'a%a CRT ;2 !"ik

Na!i "*aa "*a5* !a% i$ia% &"%i

T"ka%a% !a*a' 1?090&&H

Assessment Si*k54a$i aik

Action

I,FD RL 20 )&


7/23

DISABILIT+

O/"ki

Pa$i"% $a!a*

GCS : E? ,@ M>

P5)i4 i$(k(* *""k


8/23

E)($5*"

S5'5 ai4a 3>? C

Pakaia% )a$i"% !i5ka !a% !i$"4i&5i Pa$i"% !i)"*ik$a !a*i k")a4a$a&)ai kaki i!ak a!a 45ka )a!a $"45*5' 55' k"


9/23

SECONDAR+ SUR,E+


10/23

I!"%ia$

Na&a : T%. S

U&5* : @> a'5%

Ma$5k RS : 3 A)*i4 201@

K"45'a% Ua&a

%"*i )a!a 45ka kaki $""4a' ki*i $"/ak $""%a' /a& SMRS akiak"


11/23

ANAMNESA

30 &"%i SMRS )a$i"% &"%a4a&i k"


12/23

Ri#aa )"%aki !a'545

Ti!ak a!a *i#aa )"%aki a% "*'55%a% !"%ak"45'a% $"ka*a%

Ri#aa )"%aki k"45a*a

Ti!ak a!a *i#aa )"%aki k"45a*a a%"*'55%a% !"%a% k"45'a% $"ka*a%


13/23

PEMERIKSAAN FISIK

Sa5$ G"%"*a4i$

K"a!aa% 5&5&: Ta&)ak $aki $"!a%

K"$a!a*a% : C(&)($&"%i$ &"%i RR : 22&"%i

T : 3>? C


14/23

PEMERIKSAAN FISIK

K")a4a !a% 4"'"* : DBN

T'(*ak$ : DBN

A!(&"% : DBN

Ek$*"&ia$ : Sa5$ 4(ka4i$

KGB : DBN

G"%i(5*i%a*i5$ : DBN


15/23

STATUS LOKALIS DIGITI 1 PEDISKIRI

L((k

M"%a4i* !a*a' !a*i 45ka /"&)(4ki*i

D"(*&ia$ 67

K54i kaki ki*i "*4i'a aak )5


16/23

STATUS LOKALIS

F""4

S5'5 !i%i%

L5ka &"4i%a% 4i%ka*a% )a%/a% @


17/23

DIAGNOSIS KERA

F*ak5* "*5ka )'a4a% )*(k$i&a4 !iii 1 )"!i$ $i%i$*a

R5)5* "%!(% ""%$(* !iii )"!i$ $i%i$*a


18/23

R"% !L

H : 3>

PLT : 13=.000&&3


19/23


20/23

T"*4i'a a!a%a !i$k(%i%5ia$ )a!a )'a4a% )*(i&a4 1F*ak5* )'a4a% )*(i&a4 !iii 1 )"!i$ $i%i$*a i%k(&)4i5%!i$)4a


21/23

DIAGNOSIS AKHIR

F*ak5* "*5ka )'a4a% )*(i&a4 !iii 1 )"!i$ $i%i$*a i%k(&)4i5%!i$)4a


22/23

T"*a)i

N(% Fa*&ak(4(i D"*i!"&"% !a% *")ai* "%!(

I&(i4i$a$i !a% i$i*a'aka% )a$i"%

Fa*&ak(4(i

P"&"*ia% T"aa& IM K"(*(4a< 330&

A%ii(ik


23/23

T"*i&a Ka$i'

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