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    20 - Dec - 2023 - Kontraktur Digiti III Manus Dextra

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    Ahmad Sahzul Gani
    The document summarizes a case report of a 23-year-old female patient who presented with pain and limited movement of her right middle finger after falling one month ago. On examination, the middle finger showed deformity and flexion contracture at the PIP joint. X-rays of the right hand were unremarkable. The working diagnosis was contracture of the right middle finger. The treatment plan was IV fluids and intravenous dexamethasone.

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    20 - Dec - 2023 - Kontraktur Digiti III Manus Dextra

    Uploaded by

    Ahmad Sahzul Gani
    31 views12 pages
    The document summarizes a case report of a 23-year-old female patient who presented with pain and limited movement of her right middle finger after falling one month ago. On examination, the middle finger showed deformity and flexion contracture at the PIP joint. X-rays of the right hand were unremarkable. The working diagnosis was contracture of the right middle finger. The treatment plan was IV fluids and intravenous dexamethasone.

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    20_Dec_2023_Kontraktur Digiti III Manus Dextra

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    The document summarizes a case report of a 23-year-old female patient who presented with pain and limited movement of her right middle finger after falling one month ago. On examination, the middle finger showed deformity and flexion contracture at the PIP joint. X-rays of the right hand were unremarkable. The working diagnosis was contracture of the right middle finger. The treatment plan was IV fluids and intravenous dexamethasone.

    Copyright:

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

    20 - Dec - 2023 - Kontraktur Digiti III Manus Dextra

    Uploaded by

    Ahmad Sahzul Gani
    The document summarizes a case report of a 23-year-old female patient who presented with pain and limited movement of her right middle finger after falling one month ago. On examination, the middle finger showed deformity and flexion contracture at the PIP joint. X-rays of the right hand were unremarkable. The working diagnosis was contracture of the right middle finger. The treatment plan was IV fluids and intravenous dexamethasone.

    Copyright:

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

    General Surgery Division

    Departement of Surgery
    University of Halu Oleo

    Contracture Digiti III Manus Dextra

    Presentation by: General Surgery Division


    Guided by: “dr. Tri Tuti Hendrawati, M. Kes, Sp. OT”
    Emergency Case Report
    December 2023
    Patient’s Identity
    Name : Nn. D.A
    Age : 23 y.o
    Sex : Female
    Addres : Kendari
    Religion : Moeslim
    RM Number : 62 xx xx
    Hospital date : 20 December 2023
    Patient’s History
    Main Complaint:
    The middle finger Pain

    A referral patient from the clinic came with complaints of pain and difficult to move in the
    middle finger of the right hand which had been felt since 1 month ago. The patient has a
    history of falling from the bathroom 1 month ago with the fall resting on the right side of the
    body. Other complaints such as headaches(+), nausea (-), vomiting(-). Urination and
    defecation are normal. The patient is currently taking the drugs methylprednisolone,
    ethericoxib, eperisone. History of other diseases: HT (-), DM (-).
    Physical Examination
    General appearance : Mild ill
    Consciousness : Compos Mentis (GCS 15,
    E4V5M6)
    Vital sign :
    •Blood pressure : 111/79 mmHg
    •Heart rate : 89 x/minutes
    •Respiratory rate : 20 x/minutes
    •Temperature : 36.1 C
    •Oxygen saturation : 99%
    BB : 36,5 Kg
    TB : 152 cm

    Generalization Status
    Head: Normochepal
    Eyes : Anemic (-), icteric (-), sunset phenomenon (-) pupil isocortical
    Nose : Rinorrhea (-), epitaxis (-)
    Mouth: stomatitis (-), cyanosis (-),
    Neck: KGB enlargement (-),
    Thorax: Symmetrical left and right, vesicular breath sounds, wh (-), rh
    (-)
    Abdomen: flat, follow the breath, normal peristalsis impression,
    tympanic (+).
    Upper extremities: acral warm, CRT < 2 seconds
    Lower extremities: acral warm, CRT < 2 seconds
    Physical Examination
    Localist Status
    Manus Dextra :
    Inspection : Digini III deformity ((+) PIP Joint Flexion), hematoma (-),
    erythema (-), edema (+)
    Palpation : pain (+)
    NVD :
    Sensitibilty (+)
    ROM :
    Digiti III Manus (D) : There is resistance when straightening
    Laboratory test
    Routine Blood Test:
    (20/12/2023)
    Item Result Units Reference range
    WBC 3. 97 10^3/µL 4.0-10.0
    RBC 4.03 10^6/µL 4,00-6,00
    PLT 263 10^3/µL 150 – 400
    HB 11.9 g/dl 12.0-16.0
    HCT 34.0 % 37,0-48,0
    MCV 86.8 fL 80.0-97.0
    MCH 29.5 pg 26.5-33.5
    MCHC 34.0 g/dl 31.5-35.0
    Laboratorium test
    Count Type
    (20/12/2023)
    Item Result Units Reference range
    Neutrophils 52.0 % 52.0-75.0
    Lymphocytes 37.8 % 20-40
    Monocytes 8.1 % 2.0-8.0
    Eosinophils 0.8 % 1.0-3.0
    Basophils 1.3 % 0.-0.10
    Laboratorium test
    Hemostasis & Coagulation
    (20/12/2023)
    Items Result Units Reference Range

    CT 6’35” Menit 1-9

    BT 3’00” Menit 1-3


    Radiology
    (12/12/2023)
    Examination result :
    PA/Oblique Manus (D) photo
    - Good alignment, normal
    - There were no visible signs of fracture,
    destruction or dislocation
    - Bone mineralization is good
    - The joint space is not narrowed
    - Soft tissue around it is good
    Impression:
    Manus photograph no shows abnormalities.
    Diagnosis
    Working Diagnosis:
    Contracture Digiti III Manus Dextra
    Planning
    - IVFD RL 20 drops per minute
    - Dexametahsone 5 mg/8 jam/IV
    Thank You
    For Your Attention

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