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  • 19 February 2017: Morning Report SMF/ Bagian Ilmu Bedah FK UNDANA - Prof. Dr. W. Z. Johannes Kupang

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    1. A 39-year-old Catholic man was bitten by a green snake on his left hand's index and middle fingers while plucking grass. 2. On examination, his left hand was swollen with pain but no bleeding. Vital signs were normal. 3. He was diagnosed with a snake bite on his left hand's index and middle fingers. He received medications and anti-venom treatment via IV drip along with wound cleaning and close observation.

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    MR 18 Februari 2017

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    1. A 39-year-old Catholic man was bitten by a green snake on his left hand's index and middle fingers while plucking grass. 2. On examination, his left hand was swollen with pain but no bleeding. Vital signs were normal. 3. He was diagnosed with a snake bite on his left hand's index and middle fingers. He received medications and anti-venom treatment via IV drip along with wound cleaning and close observation.

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    9 views13 pages

    19 February 2017: Morning Report SMF/ Bagian Ilmu Bedah FK UNDANA - Prof. Dr. W. Z. Johannes Kupang

    Uploaded by

    HieLdaJanuaria
    1. A 39-year-old Catholic man was bitten by a green snake on his left hand's index and middle fingers while plucking grass. 2. On examination, his left hand was swollen with pain but no bleeding. Vital signs were normal. 3. He was diagnosed with a snake bite on his left hand's index and middle fingers. He received medications and anti-venom treatment via IV drip along with wound cleaning and close observation.

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
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    of 13

    Morning Report

    SMF/ Bagian Ilmu Bedah


    FK UNDANA Prof. Dr. W. Z. Johannes
    Kupang

    19th February 2017


    Identity

    Name : Mr. DM
    Sex : Male
    Age : 39 Year
    Religion : Catholic
    Job : Civil servants
    Address : Fatululi
    Anamnese
    Chief Complain :
    Bitten by a snake.
    Present Complain:
    Patients present with a swollen hand due to snake bite.
    This incident took place 30 minutes before the patient
    came to the hospital. At the time of the incident, the
    patient was plucking grass located in the courtyard of his
    house, suddenly a green snake bite index finger and
    middle finger of his left hand. After the bite, the patient felt
    her hands were swollen, patients feel pain but not so
    great. there is no spontaneous bleeding in patients. the
    patient has not received any treatment. the patient does
    not feel the nausea, vomiting, fever, headache, fatigue.
    Physical Examination
    Primary Survey
    A : clear, patent
    B : RR 20 x/m
    C : BP 120/80 mmHg, Pulse 87 x/m, warm,
    D : Alert
    E :
    Secondary Survey

    GCS : E4V5M6
    Head
    Hair : Black, Allopesia (-), injury (-)
    Eyes : Hematom : -/-
    Conjungtiva : Anemis (-/-)
    Sclera : Icterik (-/-)
    pupil : isokor, pupil reflects +/+
    Ears : otorhea (-),
    Nose : Rhinore -/-
    Mouth : Lesion -/-
    Neck : Limphonodes (-)
    PULMO
    Inspeksi : Chest expansion symetric
    Palpasi : mass (-), krepitasi (-)
    Perkusi: sonor (+/+)
    Auscultasi : Vesiculer (+/+) , Ronchi (-/-),
    Wheezing (-/-)
    COR
    S1/2 single, murmur (-), gallop (-)
    ABDOMEN
    Inspection : mass (-), scar (-), wound (-)
    Auscultation : peristaltics normal
    Palpation : tenderness pain (-) , mass (-)
    Percusion : timpany sound (+)
    Extremity :
    Look : Udem et regio dorsum manus digiti II & III
    Feel :Warm (-), pain (+)
    Movement : ROM normal, lateralisasi (-)
    Diagnosis

    Snake Bite Regio Dorsum Manus Digiti II & III


    Sinistra
    Therapy

    Inj. Ketorolac 2 x 30 mg /iv


    Inj. Dexamethason 2 x 5 mg/iv
    Inj. Ranitidin 2 x 50 mg/iv
    Inj. Omeprazole 2 x 40 mg/iv
    Anti Bisa Ular 3 vial drip dalam D5 100 cc
    30 menit
    Bersihkan Luka tanpa Cross Incisi
    Observasi Ketat
    TERIMA KASIH
    SEMOGA TUHAN YESUS
    MEMBERKATI

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