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  • Identity: Name: Mr. S Age: 36 Years Old Sex: Male DPJP: Dr. H. Syamsul Rijal, SP.B Admmision: June, 28th 2016

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    Dayat Muh Dacil
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    This 36-year-old male presented with a painful bulge in his scrotum that had been present for 6 months but increased in size over the last 10 hours. On physical examination, the patient had a tender, oval mass in his left scrotum that was diagnosed as an irrepairable left inguinal hernia. He was given analgesics and antibiotics and placed in the Trendelenburg position while awaiting surgery consultation and hernia repair.

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    This 36-year-old male presented with a painful bulge in his scrotum that had been present for 6 months but increased in size over the last 10 hours. On physical examination, the patient had a tender, oval mass in his left scrotum that was diagnosed as an irrepairable left inguinal hernia. He was given analgesics and antibiotics and placed in the Trendelenburg position while awaiting surgery consultation and hernia repair.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    5 views7 pages

    Identity: Name: Mr. S Age: 36 Years Old Sex: Male DPJP: Dr. H. Syamsul Rijal, SP.B Admmision: June, 28th 2016

    Uploaded by

    Dayat Muh Dacil
    This 36-year-old male presented with a painful bulge in his scrotum that had been present for 6 months but increased in size over the last 10 hours. On physical examination, the patient had a tender, oval mass in his left scrotum that was diagnosed as an irrepairable left inguinal hernia. He was given analgesics and antibiotics and placed in the Trendelenburg position while awaiting surgery consultation and hernia repair.

    Copyright:

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

    Name : MR. S
    Age : 36 years old
    Sex : Male
    DPJP : dr. H. Syamsul Rijal, Sp.B
    Admmision : june, 28th 2016
    previous disease history : This is the first time complaints experienced

    HISTORY TAKING
    Chief complain : bulge in the scrotum
    Anamnesis : Reference from
    bhayangkara hospital
    suffered since 10 hours ago before
    entering the hospital. painful bulge .
    bulges first appeared 6 month ago and
    become heavy. initially bulge the size
    of ball and painless . bumps arise when
    the patient is active and disappears
    when the patient is relax. nauseous
    vomit (+) 5x. urination and defecation
    normal.
    PHYSICAL EXAMINATION

    The patient was conscious with moderate ill.


    BP = 140/80 mmHg
    Pulse = 84x/m, regular, strong
    RR = 18x/m, regular
    Temperature = 36,8oC
    Normal
    Face: GENERALIZED STATUS
    Normal Abdomen
    Eyes : Inspection : distended,
    Normal follow the motion of breath
    Nose : Auscultation : peristaltic is
    Normal decreased
    Mouth : Palpation : tenderness (+)
    Normal Percussion : tympany (+)
    Ears : Genitalia
    Normal Inspection : looks bulge in
    Neck : srotalis region have the form
    Normal oval like tennis ball. redness
    Chest : Palpation : palpable
    Normal masses, fluctuation,
    Extremity tenderness (+)
    Clinical Finding
    DIAGNOSIS

    IRREPONIBLE LEFT INGUINALIS INDIRECT


    HERNIA
    MANAGEMENT

    NON PHARMACOLOGY
    TREDELENBERG
    POSITION IVFD
    NGT ANALGETIC
    CATHETER ANTIBIOTIC
    H2R
    Surgeon counsult –
    Pro operation

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