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Consultant On Site :
DR. dr Rendra Leonas, SpOT (K) Spine, Mhum kes
The Attending Doctor :
Chief : dr. Fredy F Carol
Chief OK : dr. Achmad Harri Kuncoro
OK : dr. KMS Ade Permana
dr. Abdur Rahman
P1 : dr. Rangga Kusuma
dr. Yogi Mahery
P2/P3 : dr. Ady Mulya
dr. Halbana Al Maududy
HCU : dr. Nurindah Dwi Utami
Ward : dr. M. Robby S
dr. Riama Noveria S
Traumatic patient : 3 patient
Total : 5 patient
TRAUMA CASES (3)
Dx : Left flank stab wound at level of vertebra lumbal III + laceration of colon descendence
Dx : Closed moderat head injury of GCS 9 + ICH + SAH + SDH on the left temporoparietal lobe
Dx : Invaginasi ilocaecocolocolica
TRAUMA CASES
DIAGNOSIS
MANAGEMENT
Laparatomy Emergency
INTRA OPERATIF
in abdominal cavity, we found hematom at the left zone 2 that is not pulsatil
we performed ileostomi
descendence
DIAGNOSIS
MANAGEMENT
O2 NRM 10L/minute
Head Up 30º
DIAGNOSIS
THERAPY:
O2 NRM 10L/minute
Head Up 30º
Follow up 11-6-2018
S : Decreassing of consciousness
O: A 02 NRM 10 L /minute
B. RR : 22 x/minute
C. BP : 140/80 mmHg
PR : 98 x/minute
A : Closed moderat head injury of GCS 9 + ICH + SAH + SDH on the left temporoparietal lobe
P : plan to perform Craniotomy cito
INTRA OPERATIF
DIAGNOSIS
THERAPY:
O2 NRM 10L/minute
TC 10 unit
PRC 1x 200 cc
DIAGNOSIS
Invaginasi
THERAPY:
Rehidrasi RL 240ml
NGT
INTRA OPERATIF
We perform milking procedure, we found ileum, caecum and colon necrotik along 8 cm
We perform resection and anastomosis ileum - colon ascendence with PGA 4.0 R
Invaginasi ileocaecocolocolica
TRAUMA CASES
ANAMNESIS
He got stabbed at the left flank by someone using a knife from behind
PRIMARY SURVEY
A. Clear
B. RR : 24x/minute
C. BP : 110/80 mmHg
PR : 74 x/minute
VAS : 4
SECONDARY SURVEY
I : Simetris
On Abdominal region
I : Flat, no bruish
P : Soft
P : Tympany
SECONDARY SURVEY
I : There was stabbed wound about 3x1 cm in size at level of Vertebra Lumbal III on left axillary
posterior line
RADIOLOGY FINDING
FAST Emergency
Hemopneumothorax (-)
LABORATORY FINDING:
Ht : 37 vol % ( 40-48vol%)
URINALISA
DIAGNOSIS
MANAGEMENT
Laparatomy Emergency
INTRA OPERATIF
in abdominal cavity, we found hematom at the left zone 2 that is not pulsatil
we performed ileostomi
descendence
ANAMNESIS
His motorcycle got hit by another motorcycle from the front side.
PRIMARY SURVEY
A. ETT
B. RR : 20 x/minute
C. BP : 125/81 mmHg
PR : 98 x/minute
T : 36.5 ° C
D. GCS : E1M4VT: 5T, Pupil Isochor, Light Reflex +/+
SECONDARY SURVEY
I : hematom (+)
P : step of (-)
P: Step of (-)
RADIOLOGY FINDING
Cerebral edema
LABORATORY FINDING
Ht : 37 vol % ( 40-48vol%)
DIAGNOSIS
MANAGEMENT
O2 NRM 10L/minute
Head Up 30º
ANAMNESIS
Decreassing of consciousness after having a traffic accident.
PRIMARY SURVEY
A. 02 NRM 10 L /minute
B. RR : 20 x/minute
C. BP : 110/70 mmHg
PR : 78 x/minute
T : 36.4 ° C
PHYSICAL EXAMINATION
I : Hematom (+)
P: Step of (-)
RADIOLOGY FINDING
Fracture (-)
RADIOLOGY FINDING
LABORATORY FINDING
Ht : 36 vol % ( 40-48vol%)
Leukosit : 11.3 /mm3 (5000-10000/mm3)
DIAGNOSIS
THERAPY:
O2 NRM 10L/minute
Head Up 30º
S : Decreassing of consciousness
O: A 02 NRM 10 L /minute
B. RR : 22 x/minute
C. BP : 140/80 mmHg
PR : 98 x/minute
A : Closed moderat head injury of GCS 9 + ICH + SAH + SDH on the left temporoparietal lobe
INTRA OPERATIF
ANAMNESIS
Jaundice
± 7 days before admission she complained joundice, pale stool, nausea(+), vomite (+), dark urine (+),
pale stool (+), fever (-)
± 1 month before admission she complained pain on right upper abdomen (+)
VITAL SIGN
Sens : CM
BP : 100/60 mmHg
PR : 74 x/minute
RR : 20x/minute
T : 36.8°C
PHYSICAL EXAMINATION
I : Flat
P : Tymphani
RADIOLOGY FINDING
Colelithiasis multiple
Hidrops glablader
LABORATORY FINDING
Ht : 27 vol % ( 40-48vol%)
DIAGNOSIS
THERAPY:
O2 NRM 10L/minute
TC 10 unit
PRC 1x 200
ANAMNESIS
Baby Weight : 7 kg
VITAL SIGN
Sens : Hipoaktif
PR : 152 x/minute
RR : 40 x/minute
T : 38.2 °C
PHYSICAL EXAMINATION
On Abdominal region
I : Distended
P : Tympani
RADIOLOGY FINDING
USG Emergency
Pseudokidney (+)
BT : 6.00mnt (4-10minute)
DIAGNOSIS
Invaginasi
THERAPY:
Rehidrasi RL 240ml
NGT
INTRA OPERATIF
We perform milking procedure, we found ileum, caecum and colon necrotik along 8 cm
We perform resection and anastomosis ileum - colon ascendence with PGA 4.0 R
Invaginasi ilocaecocolocolica
THANK YOU