Professional Documents
Culture Documents
Close Fracture Femur
Close Fracture Femur
July 31st 17.10 17.15 18.00 17.30 18.15 18.30 Hospitalize Dr.Armia
2016 SpOT
17.00
Chief Complaint:
Decrease of consciousness
Pelvic
L/S at the Pelvic Region
Look : Swelling (-), deformity (-),
wound (-)
Feel : Pain (+)
Move : ROM limited
Extremity :
L/S at the right tight region
Look : Swelling (+), deformity (+),
shortening (+)
Feel : Pain (+), NVD (-)
Move : ROM limited
Assessment:
Moderate head injury
Lacerated wound at the left
eyebrow
Susp close fracture at the
right tight
Management
Immobilization
Stop oral intake
O2 4 L Nasal canule
IVFD NaCl 0,9 % 20 drips
macro/minute
Inj Cefazoline 1gr
Ketorolac inj.30 mg
Tetagam inj. 250 iu
Urinary catheter
Laboratory examination
Radiology examination
Laboratory examination
Hemoglobin :14,8
gr/dl
White Blood Count
:13.700 / ul
Platelets
:300.000/ul
Hematocrit :44 %
CT/BT :7/2
Radiology examination
Head CT Scan
SCALP Hematoma at the right
temporo-parietal
There was no fracture at the bone
windows
Sulcus & Gyrus was narrow
There was no hiperdens abnormal
There was no midline shift
Cervical Lat
lost of lordothic
Pelvic AP
There was discontinuity of bone
at the
upper & lower at the right & left
ramus pubic
Right Genue
There was discontinuity of bone at
the lower third of femur Communitive
Fracture