Pemeriksaan Fisik Dasar Kelainan Orthopaedi

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PEMERIKSAAN FISIK DASAR KELAINAN ORTHOPAEDI

Dr. Hari Tjahyono, SpOT

DATA

History Physical examination Photo Laboratorium

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)

Hangat Dingin Size (ukuran) Dislocation Crepitus

MOVE (ASSESSMENT OF JOINT MOTION)

Passive movement

Joint instability
Range of motion

LISTENING (AUSCULTATION)

Crepitus Snapping tendon Murmur arteriorvenous fistula

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

Semua data dikorelasikan untuk diagnose dan diferensial diagnose

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