8/17/2019 Bed side teaching Orthopedic

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IDENTITY OF PATIENTS

Name: Siti Karniawati

Age: 16th years old

Enter the hosital: On !ar"h #$th% &$16

'istory ( The "hie) "omlaint: l*m at the ro+imal ae"t o) the right ti,ia-

S*.ered sin"e & years ago ,e)ore admitted the hosital- She was )elling down

)rom the ,i/e )o*r years ago% then sorted- Patients also )eel ain o""*r at night

Oerating history two years ago in the hosital /endari

0eneral stat*s:

,eing si"/ normal weight "omos mentis

2ital signs: within normal limits

3o"al stat*s:3oo/: l*m at the right ro+imal ti,ia% de)ormity 45% swelling 45% 7ene"tasi 48%

loo/ s"ar si9e 6 "m

Feel: Tenderness 48% temerat*re same with "ontra lateral% hard solid

"onsisten"y% well dened ,order% meas*rement ;+;+# "m

!o7e: a"ti7e and assi7e mo7ement o) right /nee are limited

N2D: normal sensi,ility% & se"ond% dorsalis edis artery is ala,le

ASSES!ENT

P=I!A=Y ?ONE T@!O= =I0'T P=OI!A3 TI?IA

POST O=IF P3ATE AND S