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FRAKTUR CLAVICULAFRAKTUR CLAVICULA
DEXTRADEXTRA
Oleh:
Deasy Fatimah Aulia
Manggala SariutriSel!ia
Aulia Sa"inata
Mei!ita Tahalele
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IDE#TITASIDE#TITAS
#ama : Tn$ DUmur : %& tahun'e"er(aan : )iras*asta
Alamat : +l$ K, Mas Mansyur-Sla*i
+enis Kelamin : La"i-la"i.angsa : In/0nesia1 su"u +a*aAgama: Islam#0$ RM : 234453 Tanggal masu" : 4 +uli 46&&
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A#AM#ESISA#AM#ESIS
KELU,A# UTAMA
#yeri 7ahu "anan
KELU,A# TAM.A,A#
Ti/a" a/a
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Ri*ayat 'enya"itRi*ayat 'enya"it
Se"arangSe"arang'asien /atang "e '0li"lini" .e/ah Orth0ae/iRSMS /engan "eluhan nyari a/a 7ahu"anan$ 'asien mengalami "e8ela"aan lalulintas 9see/a m0t0r tunggal a"i7attergelin8ir se(a" satu hari yang lalu$ 'asienmengata"an 0sisi (atuh a/a saat"e8ela"aan1 7ahu "anan terhantam (alanterle7ih /ahulu /an asien merasa a/asesuatu yang atah a/a 7ahu "anannya$#yeri /irasa"an sema"in 7erat (i"a tangan"anan /igera""an /an nyeri se/i"it 7er"urangsaat asien men0ang tangan "anannya$Selain itu1 asien (uga mengeluh"an lu"ale8et /i lutut "anannya$
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'asien semat /i7a*a "e elayanan"esehatan /i Sla*i segera setelah
"e8ela"aan$ #amun1 atas ermintaanasien1 asien 7er07at "e '0li"lini".e/ah Orth0ae/i RSMS$
'asien sa/ar "eti"a "e8ela"aan$
'asien menyang"al a/anya using1mual1 muntah1 /an er/arahan /aritelinga1 hi/ung1 /an mulut a/a saat"e8ela"aan$
'asien (uga menyang"al ri*ayat"e8ela"aan se7elumnya1 mer0"0"atau se/ang meng"0nsumsi 07at-07atan$
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'EMERIKSAA# FISIK 'EMERIKSAA# FISIK
Kea/aan umum : se/angKesa/aran : 80m0s mentis Tan/a Vital
TD : &&6; =;menitSuhu : %31? 0C
.erat 7a/an: 36 "g Tinggi 7a/an : &3< 8mIMT :
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Keala : 7entu" mes08ehal1 ram7ut hitam1/istri7usi merata1 ti/a" mu/ah /i8a7ut
)a(ah : hemat0m ti/a" a/a1 (e(as ti/a" a/aMata : "0n(ungti!a ti/a" anemis1 s"lera
ti/a" i"teri"1 re@e" 8ahaya 9; n0rmal1uil is0"0r /iameter % mm;% mm
,i/ung : setum /itengah1 mu"0sa tenang1
(e(as9-1 /is8harge 9- Telinga : (e(as 9-1 /is8harge 9-Mulut : mu"0sa 7asah1 li/ah ti/a" "0t0r1
ail tama" n0rmal1 er/arahan 9-
Leher : tra"hea /i tengah1 tir0i/ tera7an0rmal1 "elen(ar getah 7ening ti/a" a/aem7esaran1 ti/a" a/a ening"atan +V'
Kulit : sian0sis 9-1 turg0r "ulit 7ai"
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ParuInse"si : Simetris1 ergera"an
naBas n0rmal
'alasi: V0"al Bremitus "anan sama/engan "iri
'er"usi : S0n0r seluruh laangaru1 7atas aru hear /i SIC VI LMC/e=tra
Aus"ultasi : SD Vesi"uler1 suaratam7ahan : *heeing 9-;-1 r0n"hi 9-;-
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JantungInse"si : 'ulsus i8tus 80r/is ti/a" tama"'alasi : I8tus 80r/is tera7a ti/a" "uat
ang"at /i SIC
'er"usi : .atas "iri atas SIC II L'S sinistra .atas "anan atas SIC II L'S /e"stra$
.atas "iri 7a*ah SIC V LMC sinistra 48m lateral
.atas "anan 7a*ah SIC IV L'S/e"stra
Aus"ultasi : S& S4 reguler1 7ising (antung 9-
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AbdomenInse"si : 'erut /atar1 ti/a" a/a
7en(0lan1 ti/a" a/a si"atri"s
'alasi : Suel1 nyeri te"an ti/a"a/a1 ti/a" tera7a massa1 /eBansmus"uler 9-1 hear /an lien ti/a"tera7a
'er"usi : Timani /i seluruh"ua/ran a7/0men
Aus"ultasi : .U 9 n0rmal
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Extremitas Inse"si: E/ema - -
- -
Tama" !ulnus e"s"0riatum /iameter 3 8m a/aregi0 genue /e=tra
'alasi: Ke"uatan M0t0ri" %%%% 5555
5555 5555
Re@e"s si0l0gis Re@e"s at0l0gis: - -
- -
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Status L0"alisStatus L0"alis
Regio clavicula dextraL00" : 7eng"a"1 tama"
/eB0rmitas1
hemat0m 9Feel : nyeri te"an 91 "reitasi
9-1 #VD 9
M0!e : nyeri gera" 91 gera"ter7atas
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RESUMERESUME
Anamnesis'asien la"i-la"i1 usia %& tahun
Keluhan utama: nyeri a/a 7ahu "anansetelah mengalami "e8ela"aan see/am0t0r1 nyeri sema"in 7ertam7ah (i"a/igera""an$
Tama" 7eng"a" a/a 7ahu "anan
Ter/aat tan/a atah tulang a/a 7ahu"anan
Ter/aat lu"a le8et 3 8m a/a lutut "anan
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'emeri"saan Fisi"L00" : 7eng"a"1 tama"
/eB0rmitas1
hemat0m 9Feel : nyeri te"an 91 "reitasi
9-1 #VD 9
M0!e : nyeri gera" 91 gera"ter7atas
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DIAGNOSIS KLINIS
Fra"tur tertutu 8la!i8ula /e=tra
DIAGNOSIS ANDING
Fra"tur tertutu 8la!i8ula /e=tra &;%me/ial
Fra"tur tertutu 8la!i8ula /e=tra &;%
tengahFra"tur tertutu 8la!i8ula /e=tra &;%lateral
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'emeri"saan An(uran'emeri"saan An(uran
Ra/i0l0gis:
F0t0 r0ntgen th0ra= /e=tra A'
'emeri"saan La70rat0rium
Darah leng"a /an hitung (enis
Kimia "lini"
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,asil 'emeri"saan,asil 'emeri"saan
'enun(ang'enun(angRa/i0l0gis
Dari B0t0 r0ntgen /e=tra A'/i/aat"an : Fra"tur tertutu8la!i8ula /e=tra &;% me/ial
trans!ers /isla8e/
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La70rat0rium◦ ,7 &51? grG H # &>16 J &216 grG
◦ Leu"0sit 266 J &62666;uL
◦ ,t >3G H # >4 J 54G◦ Eritr0sit 51% = &63;uLH # 9>1< J 31& =
&63;uL◦ ,itung (enis:
.as0l 61&GH #616-&16G E0sin0l 4116G #eutr0l 7atang 616G 9H # 94166 J 5166G
#eutr0l segmen 5%1>GH # 9>616 J 616G M0n0sit 31% H # 9416 J 216G
Kimia "lini":◦ 'T &>1% 9#H # 9&612 J &>1>◦ A'TT %415 9#H # 94> J %3
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DIA#OSIS KER+ADIA#OSIS KER+A
Fra"tur tertutu8la!i8ula /e=tra &;%
me/ial trans!ers/isla8e/
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'RORAM TERA'I'RORAM TERA'I
#0nBarma"0l0gis:
Re"0gnisi
Re0sisiIm07ilisasi
Reha7ilitasi
'r0gram latihanteren8ana
Farma"0l0gis
◦ IVFD RL 46 tm
◦ SeBtria"s0n 4 = & grIV
◦ Ket0r0la8 4 = %6 mgIV
◦ Raniti/in 4 = & amIV
Terai OeratiB:ORIF
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'RO#OSIS'RO#OSIS
u0 a/ !itam : Du7ia a/70nam
u0 a/ Bun8ti0nam : Du7ia a/
70nam u0 a/ sanati0nam : Du7ia a/
70nam
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Terima Kasih