7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

1/23

Click to edit Master subtitle style

3/24/13

PLENARY DISCUSSION

BY: 24D

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

2/23

3/24/13

Arif and his wife are a young couple whomatched. The day was very happy for thembecause his wife gave birth to a boy. Born in RS

M.Djamil through normal delivery with BB 2.7 kg,spontaneous crying, strong. Arif straight bow ofgratitude to Allah when he heard her faint criesoutside the room

maternity.

But the happiness was shattered instantly wheninformed that his legs bent. Doctors ask whether

any of the families who have disorders such as his

SCENARIO 1: OH MY SONFEET .....

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

3/23

Click to edit Master subtitle style

3/24/13

STEP 1

TERMINOLOGY

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

4/23

3/24/13

Inversion: INTO reversal, or otherwise RELATIONSSECTION OF A NORMAL

Adduction: body movement approach

Equinus: form flantar flexi foot deformities,current patient cause rested on his finger and

heel no touching story

Spina bifida: the parting of arcus vertebrae,vertebral failure occurred because some close

Ortolani test: a maneuver trial by entering ddhfemoral head to the acetabulum in abduction on

foot by baby (to lateral movement)

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

5/23

Click to edit Master subtitle style

3/24/13

STEP 2

PROBLEM

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

6/23

3/24/13

1. How the interpretation of Partus?

2. Why kids pack wisely crooked legs?

3. Why ask about a family history of crooked?

4. How the relationship of pregnant women whowere injured / ill while pregnant with baby legscrooked?

5. How the interpretation of screening results?

6. Whether the abnormalities that occur during theformation of the fetus in the womb so that hislegs crooked?

7. Whether the investigation can be done?

8. What possible diagnoses for infants mr. Arif?

9. How this installation of gypsum, indications,contraindications, and complications?

10. What happens if you do not do the installationcasts?

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

7/23

Click to edit Master subtitle style

3/24/13

STEP 3

PROBLEM CLARIFICATION

1 H h i i

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

8/233/24/13

2.7 kg weight: normalspontaneous crying, strong: normal

1. How the interpretationof Partus?

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

9/233/24/13

CTEVPolioKnee hyperextension

Leg length discrepancyFlat foot

2. Why kids crooked legs?

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

10/23

3/24/13

Maybe CTEV, its 10% genetic

3. Why ask about a familyhistory of crooked?

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

11/23

3/24/13

injury may limit the movement of the babyin the womb

oligohydramnios also restrict the movementso that the baby's legs bent

.pregnant women who wereinjured / ill while pregnant

with baby legs crooked?

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

12/23

3/24/13

Spina bifid - : no neurogenic disorderBarlow and ortolani test - : no DDHLLD - : no leg length discrrepancy

Adduction, inversion, equinus +: CTEV

5. How the interpretationof screening results?

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

13/23

3/24/13

normally at week 9 and beyond occurrotation on its feet, forming a normal foot, ifthe rotation is too late, then when the babyis born will look crooked legs

. e er e a norma es aoccur during the formation of thefetus in the womb so that his legs

crooked?

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

14/23

3/24/13

radiologist

7. Whether theinvestigation can be done?

8 Wh t ibl

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

15/23

3/24/13

CTEV

8. What possiblediagnoses for infants mr.

Arif?

o s ns a a on o g ps

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

16/23

3/24/13

installation of gypsum: stretching, gypspairs of fingers to the thighs, the castchanged every 1 week, for 3-8 weeks, thentenotomi, then plug it casts further 2-3

weeks, kemdian wear special shoes 23hours for 3 months, then when sleepingalone 4-5 years

indications: immobilization in joint

dislocation, correction of skeletal defects,reduced pretext of fracture fixation,correcting the deformity

contraindications: impaired blood flow and

. ow s ns a a on o gyps,indications, contraindications, andcomplications?

10 Wh t h if d

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

17/23

3/24/13

walking impairmentMental impairment

10. What happens if you donot do the installation

casts?

11 H i f

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

18/23

3/24/13

the sooner the better managed in prognosis

11. How prognosis forbabies?

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

19/23

Click to edit Master subtitle style

3/24/13

STEP 4

SCHEM

COMPLICATI

BABY

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

20/23

3/24/13

PROGNOSOSIS

COMPLICATION

MANAGEMENT

CONGENITAL

DISORDER

DIAGNOSIS

CTEV

+INVERSI

ON,ADDUCT

ION,EQUINU

- LLDSPINABIFIDA

bow-legged

-ORTOLANI AND

BARLOWTEST

SCREENING

NORMAL

BIRTH

BABY

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

21/23

Click to edit Master subtitle style

3/24/13

STEP 5

LEARNING OBJECTIVE

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

22/23

3/24/13

students are able to explain congenitalurogenital system:epidemiologyetiologypathophysiology and pathogenesis

diagnosismanagement ofcomplicationprognosis

7/29/2019 Plenary Discussion Minggu 1 Blok 3.5

23/23

Click to edit Master subtitle style

3/24/13

THANK YOU