Scribd Logo
Upload

Welcome to Scribd!

  • 9 views

    Morport 110817 - An R

    Uploaded by

    Prista Irawantara
    1) There were 3 trauma patients and 1 non-trauma patient seen overnight, with 2 patients admitted and 2 not admitted. 2) A 33-year-old female presented with a laceration on her right pinky finger. Examination found swelling and tenderness over her left thigh but otherwise normal vital signs and examination. 3) Tests showed normal blood work and x-ray of the left femur showed a soft tissue mass. The diagnosis was a suspected soft tissue mass in the left thigh region. The treatment plan was admission and IV fluids including paracetamol.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Morport 110817 - An R

    Uploaded by

    Prista Irawantara
    9 views11 pages
    1) There were 3 trauma patients and 1 non-trauma patient seen overnight, with 2 patients admitted and 2 not admitted. 2) A 33-year-old female presented with a laceration on her right pinky finger. Examination found swelling and tenderness over her left thigh but otherwise normal vital signs and examination. 3) Tests showed normal blood work and x-ray of the left femur showed a soft tissue mass. The diagnosis was a suspected soft tissue mass in the left thigh region. The treatment plan was admission and IV fluids including paracetamol.

    Original Description:

    morning report bedah

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) There were 3 trauma patients and 1 non-trauma patient seen overnight, with 2 patients admitted and 2 not admitted. 2) A 33-year-old female presented with a laceration on her right pinky finger. Examination found swelling and tenderness over her left thigh but otherwise normal vital signs and examination. 3) Tests showed normal blood work and x-ray of the left femur showed a soft tissue mass. The diagnosis was a suspected soft tissue mass in the left thigh region. The treatment plan was admission and IV fluids including paracetamol.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    9 views11 pages

    Morport 110817 - An R

    Uploaded by

    Prista Irawantara
    1) There were 3 trauma patients and 1 non-trauma patient seen overnight, with 2 patients admitted and 2 not admitted. 2) A 33-year-old female presented with a laceration on her right pinky finger. Examination found swelling and tenderness over her left thigh but otherwise normal vital signs and examination. 3) Tests showed normal blood work and x-ray of the left femur showed a soft tissue mass. The diagnosis was a suspected soft tissue mass in the left thigh region. The treatment plan was admission and IV fluids including paracetamol.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 11

    MORNING REPORT

    LAPORAN JAGA MALAM


    KAMIS, 31 AGUSTUS 2017
    Trauma :3
    Non Trauma :1
    Dirawat :2
    Tidak dirawat : 2
    TN. P, 33 TAHUN

    TOA : 08.15
    TOI : 07.00

    Keluhan utama : Luka pada jari kelingking kanan

    A : CLEAR, snoring (-), gurgling


    STATUS GENERALIS
    KEPALA Normocephali, CA -/-, SI -/-
    LEHER KGB tidak teraba membesar
    THORAKS I : Pergerakan dinding dada simetris
    P: vocal fremitus simetris
    P: sonor-sonor
    A: BND vesikuler, rh-/-,wh-/-
    ABDOMEN I : perut tampak datar, tidak tampak jejas
    A : BU (+)
    P : timpani, nyeri ketuk (-)
    P : defence muscular, (-) , Supel (+), nyeri
    tekan (-)
    EKSTREMITAS Akral hangat, CRT <2, jejas +
    STATUS
    LOKALIS
    REGIO
    FEMORALIS
    Look: Tampak SINISTRA
    swelling (+),
    Hiperemis (-), jejas (-)
    Feel: Nyeri tekan
    (+), teraba massa
    berukuran 1 cm,
    hangat (+)
    Move: ROM aktif dan
    pasif terbatas
    PEMERIKSAAN PENUNJANG

    Hb : 14.0 g/dl
    Ht : 41.9%
    Leukosit : 6.400/uL
    Trombosit : 184.000/uL
    LED : 15 mm/jam
    FOTO FEMUR
    AP-LAT
    SINISTRA
    DIAGNOSA

    Susp. Massa reg. femoralis sinistra


    PENATALAKSANAAN

    Pro rawat inap


    IVFD: RL/24 jam
    Paracetamol 250 mg (IV)
    THANK YOU

    You might also like