pemeriksaan fisik dasar kelainan orthopaedi
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ortoTRANSCRIPT
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PEMERIKSAAN FISIK DASAR KELAINAN ORTHOPAEDIDr. Hari Tjahyono, SpOT
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DATA History Physical examination Photo Laboratorium
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HISTORYKeluhan utama- Pain :- Nyeri- Anestesi- Parestesi- Penurunan fungsi- Physical Appearance- Deformity- Atrophy- Scoliosis- Relevant past history : penyakit sebelumnya- Penyakit penyerta : Jantung, ren, diabetus melitus, respiratory, psychic- Family history
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Physical examination Body build : Wajah, gait (walking), duduk, tidur Looking (inspection) Feeling (palpation) Moving (Assessment of joint motion) Listening (auscultation) Special physical test Neurological examination
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LOOK (INSPECTION) Warna kulit : merah, cyanosis, pigmentation, pucat, luka Swelling Limb shortening / atrophy Gait
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FEEL (PALPATION) Hangat Dingin Size (ukuran) Dislocation Crepitus
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MOVE (ASSESSMENT OF JOINT MOTION) Passive movement Joint instability Range of motion
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LISTENING (AUSCULTATION) Crepitus Snapping tendon Murmur arteriorvenous fistula
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PHYSICAL TEST Flexion deformity : Thomas test Trendelenburg test Instability:- Ortholani- Laseque Test- Mc Murray Test Neurological examination :- Muscle : Weakness Spasticity- Sensation- In coordination- Reflex tendon
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RADIOGRAPHIC EXAMINATION Identitas pasien Tulang : AP Lateral melampaui kedua sendi Densitas naik : sclerosis Rarefaction General density, local density Hubungan tulang : dislocation, subluxasi Break in bone : fracture line (transfer, Oblique, segmental, comminutive, rotasi, cumcontractionum, cumdistractionum, angulasi) General / local countour : Deformity, Irregularity
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RADIOGRAPHIC EXAMINATION Sendi Articular cartilage : Space sendi Soft tissue Comparation of a limb Special photo : contras / mediumArthrogram: dalam sendiMyelogram: sub arachnoidSinosgram: dalam sinus CT Scan MRI Bone Survey
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LABORATORIUM EXAMINATION Darah lengkap Leukocyte, LED, Thrombocyte, HB Serum : Mantoux (TBC) Rose test (Rheumathoid desease) Urine : - Albumin, gula, cell, kristal - Cultur Cerebro spinal fluid : Protein, cell, Cultur Abnormal fluids : Effusion, ExudatesGross, smear, cultur, resistance antibiotic
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BODY TISSUE Gross BiopsiSemua data dikorelasikan untuk diagnose dan diferensial diagnose