Scribd Logo
Upload

Welcome to Scribd!

  • 33 views

    Closed Fracture of Middle Clavicula

    Uploaded by

    chici
    Child B, a 14-year-old male student, was admitted to the hospital on January 19th, 2019 with chief complaints of right shoulder pain following a traffic accident where he was riding a motorcycle without a helmet at high speed. On examination, he had deformity, swelling, and tenderness of the right shoulder region with limited range of motion due to pain. X-rays showed a closed fracture of the 1/3 medial right clavicle. His treatment plan included IV fluids, antibiotics, analgesics, an H2 blocker, immobilization, and consultation with an orthopedic surgeon.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Closed Fracture of Middle Clavicula

    Uploaded by

    chici
    33 views12 pages
    Child B, a 14-year-old male student, was admitted to the hospital on January 19th, 2019 with chief complaints of right shoulder pain following a traffic accident where he was riding a motorcycle without a helmet at high speed. On examination, he had deformity, swelling, and tenderness of the right shoulder region with limited range of motion due to pain. X-rays showed a closed fracture of the 1/3 medial right clavicle. His treatment plan included IV fluids, antibiotics, analgesics, an H2 blocker, immobilization, and consultation with an orthopedic surgeon.

    Original Description:

    fark. calivikula

    Original Title

    -Closed Fracture of Middle Clavicula-

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Child B, a 14-year-old male student, was admitted to the hospital on January 19th, 2019 with chief complaints of right shoulder pain following a traffic accident where he was riding a motorcycle without a helmet at high speed. On examination, he had deformity, swelling, and tenderness of the right shoulder region with limited range of motion due to pain. X-rays showed a closed fracture of the 1/3 medial right clavicle. His treatment plan included IV fluids, antibiotics, analgesics, an H2 blocker, immobilization, and consultation with an orthopedic surgeon.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    33 views12 pages

    Closed Fracture of Middle Clavicula

    Uploaded by

    chici
    Child B, a 14-year-old male student, was admitted to the hospital on January 19th, 2019 with chief complaints of right shoulder pain following a traffic accident where he was riding a motorcycle without a helmet at high speed. On examination, he had deformity, swelling, and tenderness of the right shoulder region with limited range of motion due to pain. X-rays showed a closed fracture of the 1/3 medial right clavicle. His treatment plan included IV fluids, antibiotics, analgesics, an H2 blocker, immobilization, and consultation with an orthopedic surgeon.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    Name : Child.

    B
    Age : 14 Years Old
    Sex : Male
    Address : Maleo Street
    Occupation : Student
    Admission : Jan, 19th 2019
    Doctor in charge : dr. Benny Murtaza, Sp.OT
    HISTORY TAKING

    Chief Complain : Pain at the right shoulder


    Anamnesis :Suffered since 1 hours ago after traffic accident
    Mechanism of trauma :
    The patient was ride a motorcycle with high speed and was not use a helmet. Other mechanism
    unknown.
    History of trauma
     There was no history of syncope, nausea and vomiting
     There were no history of bleeding from nose, ears, and mouth
     There were no history alcohol and drugs consumption
     There was no history treatment
    A
    12.06 WITA
    Clear, Cervical Spine Control
    Respiratory rate 20x/m,
    B spontaneous, thoracoabdominal
    type

    C Blood Pressure 110/60 mmHg


    Pulse 89x/m, reguler, strong

    D Glasgow Coma Scale (E4M6V5),


    isochoric pupil, Ø 2,5 mm/2,5mm,

    E Temperature 36,7 C/Axillary


    Secondary survey
    12.10 WITA
    GENERALIZED STATE
    Head : Within normal limits
    Face : Within normal limits
    Mouth : Within normal limits
    Neck : Within normal limits
    Chest : Within normal limits
    Abdomen : Within normal limits
    Upper limb : Localized
    Lower limb : Within normal limits
    LOCALIZED STATE
    Right Shoulder Region
    I : Deformity (+), swelling (+), hematom (-), wound (-)
    P : Tenderness (+), crepitation (dificult to access due to pain)
    ROM : Active passive motions of shoulder joint, limited due to pain
    NVD : Sensibility was normally, radialis and ulna artery pulse was palpable,
    CRT<2 seconds
    CLINICAL FINDINGS
    PLAN OF DIAGNOSTIC

    X-Ray of Thorac Ap/Lat Blood Routine


    Routine Blood
    Parameter Result Unit Reference value
    WBC 12.50 10^3/uL 4.00-10.00
    HGB 13.2 g/dL 12-16
    PLT 262 10^3/uL 150-400
    DIAGNOSIS

    Closed fracture of the 1/3 medial right clavicula


    THERAPY
    FARMACOLOGY NON-FARMACOLOGY
     IVFD  Rest
     antibiotics  Immobilisation
     Analgetics injection  Apply mitela
     H2RA injection

    Consult to Orthopedic Surgeon


    Thank You

    BAGIAN ILMU
    BEDAH

    You might also like