plenary discussion minggu 1 blok 3.5
TRANSCRIPT
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PLENARY DISCUSSION
BY: 24D
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Arif and his wife are a young couple whomatched. The day was very happy for thembecause his wife gave birth to a boy. Born in RS
M.Djamil through normal delivery with BB 2.7 kg,spontaneous crying, strong. Arif straight bow ofgratitude to Allah when he heard her faint criesoutside the room
maternity.
But the happiness was shattered instantly wheninformed that his legs bent. Doctors ask whether
any of the families who have disorders such as his
SCENARIO 1: OH MY SONFEET .....
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STEP 1
TERMINOLOGY
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Inversion: INTO reversal, or otherwise RELATIONSSECTION OF A NORMAL
Adduction: body movement approach
Equinus: form flantar flexi foot deformities,current patient cause rested on his finger and
heel no touching story
Spina bifida: the parting of arcus vertebrae,vertebral failure occurred because some close
Ortolani test: a maneuver trial by entering ddhfemoral head to the acetabulum in abduction on
foot by baby (to lateral movement)
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STEP 2
PROBLEM
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1. How the interpretation of Partus?
2. Why kids pack wisely crooked legs?
3. Why ask about a family history of crooked?
4. How the relationship of pregnant women whowere injured / ill while pregnant with baby legscrooked?
5. How the interpretation of screening results?
6. Whether the abnormalities that occur during theformation of the fetus in the womb so that hislegs crooked?
7. Whether the investigation can be done?
8. What possible diagnoses for infants mr. Arif?
9. How this installation of gypsum, indications,contraindications, and complications?
10. What happens if you do not do the installationcasts?
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STEP 3
PROBLEM CLARIFICATION
1 H h i i
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2.7 kg weight: normalspontaneous crying, strong: normal
1. How the interpretationof Partus?
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CTEVPolioKnee hyperextension
Leg length discrepancyFlat foot
2. Why kids crooked legs?
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Maybe CTEV, its 10% genetic
3. Why ask about a familyhistory of crooked?
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injury may limit the movement of the babyin the womb
oligohydramnios also restrict the movementso that the baby's legs bent
.pregnant women who wereinjured / ill while pregnant
with baby legs crooked?
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Spina bifid - : no neurogenic disorderBarlow and ortolani test - : no DDHLLD - : no leg length discrrepancy
Adduction, inversion, equinus +: CTEV
5. How the interpretationof screening results?
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normally at week 9 and beyond occurrotation on its feet, forming a normal foot, ifthe rotation is too late, then when the babyis born will look crooked legs
. e er e a norma es aoccur during the formation of thefetus in the womb so that his legs
crooked?
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radiologist
7. Whether theinvestigation can be done?
8 Wh t ibl
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CTEV
8. What possiblediagnoses for infants mr.
Arif?
o s ns a a on o g ps
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installation of gypsum: stretching, gypspairs of fingers to the thighs, the castchanged every 1 week, for 3-8 weeks, thentenotomi, then plug it casts further 2-3
weeks, kemdian wear special shoes 23hours for 3 months, then when sleepingalone 4-5 years
indications: immobilization in joint
dislocation, correction of skeletal defects,reduced pretext of fracture fixation,correcting the deformity
contraindications: impaired blood flow and
. ow s ns a a on o gyps,indications, contraindications, andcomplications?
10 Wh t h if d
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walking impairmentMental impairment
10. What happens if you donot do the installation
casts?
11 H i f
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the sooner the better managed in prognosis
11. How prognosis forbabies?
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STEP 4
SCHEM
COMPLICATI
BABY
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PROGNOSOSIS
COMPLICATION
MANAGEMENT
CONGENITAL
DISORDER
DIAGNOSIS
CTEV
+INVERSI
ON,ADDUCT
ION,EQUINU
- LLDSPINABIFIDA
bow-legged
-ORTOLANI AND
BARLOWTEST
SCREENING
NORMAL
BIRTH
BABY
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STEP 5
LEARNING OBJECTIVE
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students are able to explain congenitalurogenital system:epidemiologyetiologypathophysiology and pathogenesis
diagnosismanagement ofcomplicationprognosis
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THANK YOU