-
7/24/2019 ulil open fr tibia.ppt
1/34
Patient identity :
Name : Ulil Amri
Age : 15 years old
Sex : Male
Address : Ds Blang Panyang Kuala
Batee AcehBarat Daya
CM : 1!5"51!
#ather$s %hone : !"&'()'*&&"''Dri+ing liscence : ,-
Came at : !(:.& PM
-
7/24/2019 ulil open fr tibia.ppt
2/34
/ime 0es%onseDate/hourpatientcameto ER
Examinationhour
LaboratoryExamination
RadiologyExamination
HourofDiagnostics
Date/hourpatientout
fromER
DPJP
Send Result
Send Result
1* uly&!152!(3.&PM
!(:5!PM !*:!!PM !"31!PM !*:&!PM !*35!PM !":!!!PM
1)2!*2&!15!":15PM
DrA4haruddinS%/,K-SP6N7
-
7/24/2019 ulil open fr tibia.ppt
3/34
hief complaint :
Pain and ina8ility to mo+e the right leg
Presenting history :
/he %atient as re;ered ainoel A8idin emergency roomith chie< com%laint %ain and ina8ility tomo+e the right leg
-
7/24/2019 ulil open fr tibia.ppt
4/34
Physical examination :
Primary sur!ey
A: ClearB: S%ontaneous? 00 &! 8reaths2minute
C: BP 1'!2)! mm=g? Pulse : )& 8eats2minute
D: CS 7. M( 5 15? isochoric %u%il? lightreect ,E2E-
7:
L/S "l!eolar region
F: Facerated ound ( cm x 1?5 cm? 8ase o
