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Amelia Imas V (G99162115)
Amelia Imas V (G99162115)
GRANULOSUM ET CAUSA
ELECTRICAL BURN 53 % POST STSG
Supervisor :
dr. Amru Sungkar, Sp.B, Sp.BP(K)-RE
PATIENT IDENTITY
• Name : Mr. S
• Age : 45 yo
• Sex : Male
• Religion : Islam
• Occupation : enterpreneur
• Address : Kembangarum, Semarang
• MR number : 01361335
• Admission date : December, 2nd 2016
CHIEF COMPLAIN
Patients come with electrical burn complaints in the abdomen and legs
that have not healed since 8 months of SMRS. The wound is painful when
used for activity and reduced if rest. Patients experience limited activity
due to injury and can only lie in bed. Daily activities such as poop and
pee should be assisted by the family.
• In October 2017 patients were exposed to highway electricity while working in the
market. By the residents around the patient was rushed to RSDM. The patient suffered
burns in both hands, abdomen and both legs. Patients have also performed STSG
surgery. The wound in the hands has helaed but the stomach and leg sores still not
close. Patients routinely medication in RSDM every 5 days.
• Complaints of fever, spasms, nausea, vomiting are refuted. Poop and pee in normal
limits.
PAST HISTORY FAMILY HISTORY
Allergy : denied • Drug Allergy : denied
Primary Survey
Airway : Clear
Breathing : RR 20x/minutes, symetric.
Circulation : BP 120/70, Pulse 80x/minutes.
Dissability : GCS E4V5M6
Exposure : Temperature : 36.7oC, wound injury (see localized status)
PHYSICAL EXAMINATION
Secondary Survey
Head : No abnormality Thorax : No Abnormality
Eye : No abnormality Abdomen : see localized status
Ear : No abnormality Genitourinaria : No Abnormality
Nose : No abnormality Superior extremity : healed scar
Mouth : No abnormality Inferior extremity : see localized status
Neck : No abnormality
LOCALIZED STATUS
Regio Abdomen Anterior
• Inspection : verban covered wound, leak (-)
• Vulnus Granulosum regio abdomen anterior, regio femur D/S, regio cruris D/S et
causa combustio listrik 53% post STSG
PLANNING I
Electrical burns
• Electrical burns areclassified as high voltage
(≥1000V), low voltage (<1000V) and those
caused by lightning
• Low voltage: small partial thickness injury
• Hight voltage: large skin lessions with
necrosis at the contact point and even deeper
PATHOPHYSIOLOGY
PATHOPHYSIOLOGY
Zone of coagulation
Zone of stasis
Zone of hyperaemia