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Emergency Report

May 25th -26th, 2014

Co-Ass on duty:

 Redha, Fath, Ferisa, Shinta, Fatimah, Zainul

Resident on duty:

Dr. Immanuel Hendro

Chief on duty:

Sari

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Oncology surgery

PATI!T "IST

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Patients "ist

!o Identity Admission to.R.

Dia#nosis $ana#ement

2" Ms"umnah%50 yo

(une '0th,2014 at0&"00 p"m

Mild head injury(GCS E3V5M6) !y"#madextra $racture !y"#maxilla

sinistra $racture dent#al%e#larmaxilla $racture dent#al%e#larmandi&ula

$racture susp.in$ra c#chlearti&ia $racture

I.# lne/ead up '0'

O2 NRM 10lpmlood )hec -ray*crurs snstra)3 can!nalgesc

!ntotc/2 locer Rehectng a%r supra orta snstra mandula

)onsulted to Neuro surgeon*/osptaledOser+aton o7 ele+ated ntracranal pressuresymptoms

)onsulted to 8lastc surgeon

)onsulted to 8lastc surgeon *etadne gargle 't%day9entamcn al7:;ud det8ro or7 elect+e

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%. Ms"Mas$udah% &' yo& 'une ()th, *)%+ at )(.( .m

)he7 complan* #ecrease o7 conscousness

/story *8atent came to the hosptal ?th man complan ?asdecrease o7 conscousness snce 24 hours e7oreadmsson" !s 7or ths moment patent 7ully a?ae ut

she cant spea" 8atent had hstory o7 stroe 10 years agoand had ?eaness at rght sde o7 the ody" /story o7hpertenton ?as unno?n"

ist #$ patient

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eneral Status

A/areness* alert

CS% * E4=M6 

0ital si#n

* 8 * 150%100 mm/g* /R* @@ t%m

* RR * 26 t%m

* 3 * '&,1 o)

ist #$ patient

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#cali!ed icture

ist #$ patient

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@=2ay

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:SG

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Physi1al 2amination

Head&!e13 

ist #$ patient

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Bi"ital 2ectal Examinati#n

##A

ist #$ patient

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ist #$ patient

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Chest @=2ay

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