Duty ReportThursday, October 9th 2014Consultants on dutyDr. Benny Raymond, SpBP REDr. Yevri Zulfikar SpB, SpUDr. Rizki Ramadian, SPOT (K)Dr. Syaiful Saanin, SpBS

Residents on dutyYonzi, Rully, Nur Huda, Daus, Kaka, Mahen, Shinta

Total patient : 3 patientsPatient Underwent To Operative Theatre : 1 patientsIn Patient : - patientOut Patient : 2 patient Refused to treated : - patient

TC : 37 patientHCU : 11 patientCP : 40 patientCW : 29 patientCAA : 13 patientLB : 4 patient

1st Patient A male patient, 47 years old was admitted to ER with:

Chief Complaint :Pain at right hip for 20 hours before admission after traffic accident

Primary surveyA : PatentB: RR 22 x/minuteC: BP 110/70 mmHg, HR 90 x/minuteD: GCS 15

Secondary Survey :Pain at the right hip for 20 hours before admission after traffic accident Patient initially ride a scooter, suddenly a car stopped, and then his right knee hit his scooterPatient was still conscious after the accidentNo associated trauma

Physical Examination

General Appearance : Moderately illnessCounciousness : GCS 15Heart Rate: 90 X/minuteBlood pressure: 110/70 mmHgRespiratory Rate: 22 X/minuteTemperature: 37,6OC

Eyes:Conjunctive was not anemicThorax and abdomen was normally detected

Locally stateRight hip regionLook : Flexion (+), Internal rotation(+), adduction (+), wound (-) Apparent length 82 (Left) : 80 (Right)True length 75 (Left) : 73 (Right)

NVD:Acral were good Sensoric and motoric were goodCapillary Refill < 2Pulsation of arteri dorsalis pedis (+)

Clinical Picture

Working diagnose Dislocation of the right Hip Hb : 11,4 gr%

X ray

DiagnosePosterior dislocation of the right HipFracture of rim acetabulum posterior Patient was prepared at preoperative room:Informed consentIVFD + analgeticReport to anasthesiologiWe perfomed: Closed Reduction with Allis Bigellow Skin Traction

X Ray control

Patients condition this morning :Patient in the wardTraction is good NVD:acral was goodCapillary Refill < 2Pulsation arteri dorsalis pedis (+)

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