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  • Morpot Bedah

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    Ferdy Erawan
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    1. A 38-year-old male presented to the emergency department with an active bleeding wound to his left third finger after his hand was injured by a grinder machine at work one hour prior. 2. On examination, he was conscious and alert with stable vital signs. His left third finger had an open laceration with active bleeding and soft tissue loss. 3. He was diagnosed with a laceration wound to his left third finger. His wound was cleaned and dressed, and he was given tetanus vaccine, antibiotics, and analgesics. He declined referral to an orthopedic surgeon for possible surgery.

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    1. A 38-year-old male presented to the emergency department with an active bleeding wound to his left third finger after his hand was injured by a grinder machine at work one hour prior. 2. On examination, he was conscious and alert with stable vital signs. His left third finger had an open laceration with active bleeding and soft tissue loss. 3. He was diagnosed with a laceration wound to his left third finger. His wound was cleaned and dressed, and he was given tetanus vaccine, antibiotics, and analgesics. He declined referral to an orthopedic surgeon for possible surgery.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    5 views12 pages

    Morpot Bedah

    Uploaded by

    Ferdy Erawan
    1. A 38-year-old male presented to the emergency department with an active bleeding wound to his left third finger after his hand was injured by a grinder machine at work one hour prior. 2. On examination, he was conscious and alert with stable vital signs. His left third finger had an open laceration with active bleeding and soft tissue loss. 3. He was diagnosed with a laceration wound to his left third finger. His wound was cleaned and dressed, and he was given tetanus vaccine, antibiotics, and analgesics. He declined referral to an orthopedic surgeon for possible surgery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 12

    1.

    Mr Riadi (38 YO)


    M : grinder machine
    I : 3rd finger
    S : Pain, active bleeding (+)
    T : wound dressed

    Primary Survey

    Airway : Clear ( snoring -, gurgling -, stridor - )


    Breathing :
    Insp : bruise (-), chest wall movement sym
    metrical right and left, RR 20 x/ min, hemat
    oma (-)
    Pal : crepitation sub cutis (-)
    Per : sonor right = left
    Aus : Basic breath sound vesicular right a
    nd left

    C = warm extremities, Pulse = 82bpm, B


    P 120/70 mmHg, capillary refill time <2
    D =
    GCS E4M6V5, pupil isocors 3mm/3
    mm, centered, direct light reflex/,indir
    ect light reflex +/+
    E = there is no life threatening wound

    History of illness :
    Patient came to Pelabuhan Hospital with bleedi
    ng wound at his finger. His finger got hurt at his
    workplace by grinder machine 1 hour before ad
    mitted to the hospital.

    SECONDARY SURVEY
    HEAD TO TOE

    Eyes
    : pupil isocors 3mm/3 mm, centered, di
    rect light reflex/ indirect light reflex +/+
    Ear
    : Bruise (-), hematoma (-)
    Neck
    : Bruise (-), hematoma (-)
    Thorax :
    Insp
    al
    Pal
    Per
    Aus

    : bruise (-), movement of chest wall symmetric


    : crepitation (-), tenderness (-)
    : sonor right = left
    : Basic breath sound vesicular right and left

    Abdomen :
    Ins
    : flat, bruise (-)
    Aus : bowel sound (+) 9x/min
    Pal
    : Supel, tenderness (-),
    muscular defense (-)
    Per
    : tympani
    Extremity:
    Warm extremities, cap. refill time < 2, edema
    (-)

    Localized Status
    3rd finger of left hand(Laceration Wound)
    Ins :
    bruise (-), active bleeding (+), loss some of the soft t
    issue
    Pal
    :
    crepitation (-), tenderness (+)

    Diagnosis
    Laceration wound at his 3rd finger at his le
    ft hands

    Planning
    Clean the wound
    X-ray finger
    Give TT and tetagam injection
    Give analgetic and AB
    Suggest to consul to orthopedic surgeon but th
    e patient decline to have the operation to fix his fi
    nger stitch and dress the wound

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