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Pemeriksaan Fisik Dasar Kelainan Orthopaedi
Pemeriksaan Fisik Dasar Kelainan Orthopaedi
Pemeriksaan Fisik Dasar Kelainan Orthopaedi
DATA
HISTORY
Keluhan utama - Pain : - Nyeri - Anestesi - Parestesi - Penurunan fungsi - Physical Appearance - Deformity - Atrophy - Scoliosis - Relevant past history : penyakit sebelumnya - Penyakit penyerta : Jantung, ren, diabetus melitus, respiratory, psychic - Family history
Physical examination
Body build : Wajah, gait (walking), duduk, tidur Looking (inspection) Feeling (palpation) Moving (Assessment of joint motion) Listening (auscultation) Special physical test Neurological examination
LOOK (INSPECTION)
Warna kulit : merah, cyanosis, pigmentation, pucat, luka Swelling Limb shortening / atrophy Gait
FEEL (PALPATION)
Passive movement
Joint instability
Range of motion
LISTENING (AUSCULTATION)
PHYSICAL TEST
Flexion deformity : Thomas test Trendelenburg test Instability: - Ortholani - Laseque Test - Mc Murray Test Neurological examination : - Muscle : Weakness Spasticity - Sensation - In coordination - Reflex tendon
RADIOGRAPHIC EXAMINATION
Identitas pasien Tulang : AP Lateral melampaui kedua sendi Densitas naik : sclerosis Rarefaction General density, local density Hubungan tulang : dislocation, subluxasi Break in bone : fracture line (transfer, Oblique, segmental, comminutive, rotasi, cumcontractionum, cumdistractionum, angulasi) General / local countour : Deformity, Irregularity
RADIOGRAPHIC EXAMINATION
Sendi Articular cartilage : Space sendi Soft tissue Comparation of a limb Special photo : contras / medium Arthrogram : dalam sendi Myelogram : sub arachnoid Sinosgram : dalam sinus CT Scan MRI Bone Survey
LABORATORIUM EXAMINATION
Darah lengkap Leukocyte, LED, Thrombocyte, HB Serum : Mantoux (TBC) Rose test (Rheumathoid desease) Urine : - Albumin, gula, cell, kristal - Cultur Cerebro spinal fluid : Protein, cell, Cultur Abnormal fluids : Effusion, Exudates Gross, smear, cultur, resistance antibiotic
BODY TISSUE
Gross Biopsi