List Lap Jaga 18 September 16 RIS

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LAPORAN JAGA ORTHOPAEDI & TRAUMATOLOGI

TANGGAL 18 September 2016


ADT/RIS/AEW/SAW/TMT-ARM/WRB/PWP/HIN
KONSULTAN JAGA : dr. Made Bramantya Karna. Sp.OT (K)
No
1

NAMA
PENDERITA
I Ketut
Diyanti
Wirata

SEX/UMU
R
M / 15
y.o
1604016
9

Putu Tulis

M / 54
y.o
1604024
7

DIAGNOSIS
Mild Head Injury (S09.90XS)
EDH Left Frontal (S06.0X)
CF Epiphysiolysis Left Distal
Radius Salter Harris Type II
(S52.509A)
CF Left Proximal Tibia (AO 4 1
A3) (S82.208C)
CF Left Proximal Fibula (AO
42 A3) (S82.209B)
Burst Fracture CV L1 Frankel
E (AO Thoracic Trauma type
A3) (S23.001S)
CF Left Tibial Plateau
Schatzker IV (AO 41B3)
(S82.141A)
Left Knee Hemarthrosis
(M25.069)

Mengetahui
Pemimpin Morning Report,

()

TINDAKAN

KE
T

Neuro Surgeon
Trephine, Cloth Evacuation
Orthopaedi
Closed Reduction Under GA +
Immobilisation LAC (Radius)
Closed Reduction Under GA +
Immobilisation LLC (Tibia + Fibula)
Obs Compartment syndrome
Analgetic
Neuroprotector
Gastroprotector
Log roll @ 2 hours
Bed rest bed plank
P/Immobilization with TLSO
Aspiration of Left Knee Hemarthrosis
Immobilization with LLC (Tibial Plateau)
Obs Compartment Syndrome

Denpasar, 19 September 2016


Penanggung Jawab Jaga

(dr. Aditya)

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