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Closed Fracture 1/3 Middle Right Humerus
Closed Fracture 1/3 Middle Right Humerus
Closed Fracture 1/3 Middle Right Humerus
APRIL 2016
ERIK PURNOMO
C111 11 275
ADVISOR :
dr. Ery Wildan
dr. Michael Horeb
SUPERVISOR :
dr. Muhammad Sakti, Sp.OT(K)
PATIENTS IDENTITY
Name
: Mrs. R
Age
: 19 yo
Reg. Number
: 755854
Sex
: Female
Date of Admission
: 5th May 2016
HISTORY TAKING
Chief
limb
Suffered since 5 hours before
admitted to Wahidin General
Hospital
MECHANISM OF INJURY
PRIMARY SURVEY
AIRWAY
BREATHING
CIRCULATION
DISABILITY
EXPOSURE
Patent, clear
18x/min, thoracoabdominal,
spontaneous, symmetric
BP 110/70mmHg, HR 80x/min,
regular, strong on palpation
GCS 15(E4M6V5), light reflex
+/+ , pupil isochors, :
2,5mm/2,5mm,
Temp 36.8C (axilla)
SECONDARY SURVEY
LOOK
FEEL
MOVE
NVD
Tenderness (+)
CLINICAL FINDING