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    Bed Site Teaching: Chintya Puspa Harani

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    Ahmad Ramadhanu
    A 13-year-old female presented with swelling in her left knee for the past 3 months. The swelling began small but increased significantly in size, accompanied by pain and burning. Her weight had decreased as well. She reported left knee pain for the past 6 months prior to the swelling. On examination, the left knee was swollen, hard, tender, and limited range of motion. Differential diagnoses included osteosarcoma, Ewing's sarcoma, and chondrosarcoma. The assessment was suspected primary bone malignancy or osteosarcoma of the left knee region. The planned treatment was laboratory tests, imaging, analgesics, and possible amputation.

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    Bed Site Teaching: Chintya Puspa Harani

    Uploaded by

    Ahmad Ramadhanu
    10 views11 pages
    A 13-year-old female presented with swelling in her left knee for the past 3 months. The swelling began small but increased significantly in size, accompanied by pain and burning. Her weight had decreased as well. She reported left knee pain for the past 6 months prior to the swelling. On examination, the left knee was swollen, hard, tender, and limited range of motion. Differential diagnoses included osteosarcoma, Ewing's sarcoma, and chondrosarcoma. The assessment was suspected primary bone malignancy or osteosarcoma of the left knee region. The planned treatment was laboratory tests, imaging, analgesics, and possible amputation.

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    A 13-year-old female presented with swelling in her left knee for the past 3 months. The swelling began small but increased significantly in size, accompanied by pain and burning. Her weight had decreased as well. She reported left knee pain for the past 6 months prior to the swelling. On examination, the left knee was swollen, hard, tender, and limited range of motion. Differential diagnoses included osteosarcoma, Ewing's sarcoma, and chondrosarcoma. The assessment was suspected primary bone malignancy or osteosarcoma of the left knee region. The planned treatment was laboratory tests, imaging, analgesics, and possible amputation.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    10 views11 pages

    Bed Site Teaching: Chintya Puspa Harani

    Uploaded by

    Ahmad Ramadhanu
    A 13-year-old female presented with swelling in her left knee for the past 3 months. The swelling began small but increased significantly in size, accompanied by pain and burning. Her weight had decreased as well. She reported left knee pain for the past 6 months prior to the swelling. On examination, the left knee was swollen, hard, tender, and limited range of motion. Differential diagnoses included osteosarcoma, Ewing's sarcoma, and chondrosarcoma. The assessment was suspected primary bone malignancy or osteosarcoma of the left knee region. The planned treatment was laboratory tests, imaging, analgesics, and possible amputation.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 11

    BED SITE TEACHING

    CHINTYA PUSPA HARANI


    Identification
     Name : Cici Windasari
     Age : 13 years old
     Address : Palembang
     Gender : female
     Religion : Moslem
     Occupation : Student
    Chief Complain

    Swelling in the left knee


    since 3 months ago
    Clinical History
     Since 3 months ago, the patient complained of swelling in her left
    knee. Initially swollen as big as chicken eggs, it grew bigger and
    bigger. Swelling with pain and burning sensation. Her weight
    decreases. Before the swelling appeared exactly 6 months ago, she
    complained that the left knee often felt pain and aches. Continuous
    complaints. No trauma history. Before came to the hospital, she
    already went to shaman and get massage several times.
    General State
     General Condition : Good
     Sensory : Compos Mentis
     Vital Sign
     Blood Pressure : 120/80 mmHg
     Pulse Rate : 76 x/minute
     Respiratory Rate : 20x/minute
     Temperature : 36,5° C
    Local State
    Left Genu Region

     Look: swelling, unclear boundaries, venektasi


    (+), hyperemis
     Feel: swelling with a diameter of 40.5 cm. Hard
    consistency, fixed, tenderness (+), warm.
     Move: Passive active ROM is limited.
    Differential diagnose
     Osteosarkoma
     Sarkoma Ewing
     Kondrosarkoma
    Assessment

    Susp. Primary Bone Malignancy Regio Genu


    Sinistra ec Osteosarkoma
    Planning
     Laboratory examination of blood
     Radiology
     Analgesic
     Amputation
    THANK
    YOU

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