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GOOD AFTERNOON

“Welcome to Our Presentation”

SURYA DEWI DARMA YUDA OKTA WARDANI MITA DEWI RISNA DYAH PRADYA DEWI SINTYA DEWI

ARI WIDIASTINI

WITATRISNASARI

RISKA DITA

SAINUR RAHMAN

ARY MUDIARTA

WIRA ADNYANA

EKA PRANATA

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Definition

Fracture is a break of continuity of bone tissue and or cartilage which is generally caused by involuntary. Trauma causing broken bones can be direct trauma, such as impact on the forearm that caused the fracture radius and ulna, and may be an indirect trauma, such as falling resting on the hand causing the clavicle bone or distal radius fracture. As a result of trauma to the bone depends on the type of trauma, strength, and direction.

Identity Patient Next Of Kin

Name : KR MMAge : 65 years old 46years oldGender : Female MaleCivil State : Married MarriedOccupation : Farmer TeacherEducation : Elementary

Bachelor School

Religion : Hindu HinduNationality : Indonesia IndonesiaAddress : Br. Batan Buah Kaja Ds.

Braban Kediri, TabananRegister Number : 246453Hospitalitation Date: 19 June 2009

Disease Medical History

Patients said on June 19, 2009 at 10:00 pm fell in his yard since stumbling stone, then by the family, the patient was taken to Tabanan Hospital and accepted in the ER (Accident and Emergency). Then the examination of vital signs with the results of blood presure: 140/90 mmHg, Temperature: 36 º C, Pulse: 88x/mnt, Respiration Rate: 20x/mnt, installation IVFD RL 28 drop/ minute, giving therapy mexparin 1 ml, cefotaxime 1 g, and the view of the results of the examination GDS 266 mg / dl and a complete blood count. From the results of radiological examinations of patients diagnosed Close Fractures Femur 1/3 Middle dextra. By doctors advised patients hospitalized in the Bougenville ward for further treatment prior approval by a physician orthopedic surgery.

On June 23, 2009, the patient was scheduled for surgery, but from the doctor visit and inspection the result GDS dated June 22, 2009 at 21:30 pm with the results of 221 mg / dl, the operation was canceled by GDS stable results. By physicians, patients are given therapy B1 1900 cal diet, 3x8 actrapid ui (1-1-1). On June 25, 2009, from the results of the GDS with the results of 190 mg / dl, and by looking at the patient's general condition is good and normal vital signs are blood presure: 120/70 mmHg, pulse: 82 times/ minute, Respiration Rate: 20 x/min, Temperature: 36 º C patients approved by physicians surgery. Then do the preparation for surgery in these patients signing informed consent, patients were fasted, pubic shaving and giving Rapim 2 gr. Patients go to the operating room at 12:00 pm.

Investigations

Laboratory:

In laboratory tests fracture to know: Hb, hematocrit is often low due to hemorrhage, erythrocyte sedimentation rate (ESR) increases when the soft tissue damage is extensive. During the healing Ca and P binding in the blood.

Radiology:

X-Ray image can be seen fractures, deformities and metalikment. Venogram / anterogram describe vascularisasi flow. CT scan to detect the structure of complex fractures.

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Patient AssessmentPatient Assessment

1. ObservationSubjective data : • The patient said feel pain like slice by a knife• The patient said the scale of pain is 5 from 10 scale

that given.• Patient said the pain will increase when move the

body and dicrease when the patient immobilate.• The patient said the location of the pain on the right

femur.• The patient said the pain caused by post operation

fractures

1. ObservationSubjective data : • The patient said feel pain like slice by a knife• The patient said the scale of pain is 5 from 10 scale

that given.• Patient said the pain will increase when move the

body and dicrease when the patient immobilate.• The patient said the location of the pain on the right

femur.• The patient said the pain caused by post operation

fractures

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• Objective data :

• The patient looks cry

• The patient looks pale

• Found wound

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Conclusion…• The patient suffer pain.

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Thank’s For Your Attention

GOOD BYE….!!!