17102015 mr. a, 44, osteomielitis right hand digiti i
TRANSCRIPT
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7/23/2019 17102015 Mr. a, 44, Osteomielitis Right Hand Digiti I
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IDENTITY
Name : Mr. Aris
Age : 44 years old
Address : Lainea DPJP : dr. Tri Tuti Hendarwati, Sp.T
Admission : Saturday, !to"er #$t%&'#(
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History taking Chief Complaint: Pain at right hand
Anamnesis:
suered since 1 wee !efore admittedto the hospital due to hiitting a man"
#echanism of trauma$ patient hittingsomeone%s face se&eral times" whenthe incident right thum! dental
patients a!out the person" a few da'slater$ the patient felt the thum! of hisright hand !egan to swell and pain"
(inall'$ the swell alread' spread to the%
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Ph'sical e)aminationGS: #ild ill$ Conscious
Vital sign" *P : 1+,-.,mm/g 00: 1 )-mnt
P : 2.)-mnt T : +3$1oC
General state:
Head : no abnormalityEyes : no abnormality
Ear : no abnormality
Noise : no abnormality
Mouth : no abnormality
Neck : no abnormality
Chest : no abnormality
Abdomen : no abnormality
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local state (right hand):
4oo: lacerated wound dorsaldigit' I$ si5e )1cm$ no!leeding$ no clean$ !ullae"
6welling at right hand(eel : (elt warm$ tenderness 789$
sensi!ilit' is good$ capillar'
rell time ;