17102015 mr. a, 44, osteomielitis right hand digiti i

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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%&'#(

  • 7/23/2019 17102015 Mr. a, 44, Osteomielitis Right Hand Digiti I

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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 ;