Case Report

by : Sella
Rizki A
012116523

Femoral Neck
Fracture /
Fracture of
Collum femur

IDENTITY

Name
: Mrs. Rukatun
Age
: 55 years old
Sex
: Female
Religion
: Islam
Job
: Housewife
Address
: Cepiring, Kendal
Room
: Kenanga
Register number : 406.939
Date of in patient : August 23,2016

History
taking

The patient complained of pain in her left

hip after a fall in the bathroom
Main complaint : pain and could not walk

Medical conditionhistory

History
History
History
History

of
of
of
of

asthma and allergies

: denied
heart disease
: denied
hypertension
: denied
diabetes
: denied

Family History
- History of asthma and allergies
:
denied
- History of heart disease
: denied
- History of hypertension
: denied
- History of diabetes
: denied

Socioeconomic status:
Patients did not work. The cost of
treatment using BPJS.
Impression: not enough in socioeconomic.

Physical assasment
Held on August 24, 2015 at 14:00 pm in
Kenanga room of Kendal Hospital

General Condition : Looks weak
Awareness: Composmentis, GCS 15
Vital Signs
1. Blood pressure : 110/80 mmHg
2. Heart rate
: 80 x / minute, regular
3. Temperature : 36,2 oC
4. Breathing
: 24 x / minute

Physical examinations
General Appearance : clean in appearance,
well
groomed, and cooperative
Skin : brown, skin turgor normal
Head : mesocephal form, injuries (-)
Eyes : isokor pupil (d : 3mm/3mm), light
reflex (+/+), palpebral conjungtival
pallor (+/+),
sclera jaundice (-/-)
Ears : Discharge (-/-)
Nose : septal deviation (-), discharge (-/-),

 Mouth : Normal, cyanosis (-)

Neck : symmetrical, deviation of the
trachea (-),
enlarged lymph nodes clear
(-), an
enlarged thyroid gland (-)
Chest : normochest, symmetrical
Abdomen : lesion (-), tenderness (+) in
the upper
and left abdomen
Extremities : Left leg (hip joint) : no edema
or
lesions but pain and weak

Motorik
Sensorik
5

extremities in left hip joint

region
Look :
Skin color
: normal
Edema
: palpable
Pale and wrinkled
: seen
Vulnus
: not seen
Deformity
: (+) eksorotasi,
fleksi

 Feel :
skin temperature
: warm
Tenderness
: palpable
Krepitation
: (-)
Dorsalis pedis artery pulsation: (+)
True leg length left / right
: 78 cm /
80 cm
Apparent leg length left / right : 82 cm /
84 cm
Anatomical leg length left / right : 37
cm/ 37cm

Move of femoral sinistra

Aktif :
Extension
: 90o
-1000
Flexion
: 90o
-1000
Hyperextension : 300
Abduction
: 300
400
Adduction
: 300
400
Endorotation : 500
Exorotation : 600

Pasif :

Extension
: 90o -1000
Flexion
: 90o -1000
Hyperextension : 300
Abduction
: 300 400
Adduction
: 300 400
Endorotation : 500
Exorotation : 600

 Laboratory Results

Blood Laboratory
Results

Normal Results

HB

8,5 gr%

11,5-16,5 gr%

Leucosite

10.600
cell/mm3

4.000-10.000
cell/mm3

Trombosite

213.000
cell/mm3

150.000-500.000
cell/mm3

HT

27,0 %

35-49 %

Radiology : X-Ray Pelvic

Diagnosis :
collum femur

Planning therapi

Medical
Infuse RL 20 tpm
Inj. Cevazolin 2x1 gr IV
Dexketoprofen 2x25

Non-Medical :
Conservative :
NVD evaluation
Vital Sign evaluation
Operative :
Consul to orthopedic
Can be planned hemiarthroplasty

DISCUSSIO
N

Quotations are commonly

printed as a means of
inspiration and to invoke
frightful thoughts from the
reader

This is a slide title

Here you have a list of items. Nice bullets,
ah?
And some bloodcurdling text
But remember not to overload your slides
with content
You audience will listen to you or read the
content, but wont do both.

MACABRE
CONCEPT
Bring the fear of your
audience over a key
concept using icons or

You can also split your content

White
Is the color of ghosts and
vampire skin, the color
produced by the
combination of all the
colors of the visible
spectrum.

Black
Is the color of bats, witch
clothes, and of enchanted
cats. It is the darkest color,
the result of the absence
of or complete absorption
of light.

In two or three columns

Orange
Is the color of
pumpkins. The colour
orange is named
after the appearance
of the ripe orange
fruit.

Purple
Is the colour of dusk
before the dark night
comes. Is the color
most often
associated with
royalty, magic, and
mystery.

Red
Is the color of blood,
and because of this it
has historically been
associated with
sacrifice, danger and
courage.

A picture is worth a thousand

words

A complex idea can be

conveyed with just a
single still image,
namely making it
possible to absorb large
amounts of data quickly.

Trick or treat?
ANYCASE, USE BIG IMAGE

Use scary charts to explain

your ideas
Purple

Black

White

Thrilling Maps

our
office

89,526
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Whoa! Thats a big
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arent you
frightened?

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treats

Thats a lot of sugar

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Total success!

Our process is easy

trick or treat?

candies

stomach ache

Lets review some mysterious

concepts
Orange
Is the color of pumpkins. The
colour orange is named after
the appearance of the ripe
orange fruit.

Purple
Is the colour of dusk before
the dark night comes. Is the
color most often associated
with royalty, magic, and
mystery.

Red
Is the color of blood, and
because of this it has
historically been associated
with sacrifice, danger and
courage.

Orange
Is the color of pumpkins. The
colour orange is named after
the appearance of the ripe
orange fruit.

Purple
Is the colour of dusk before
the dark night comes. Is the
color most often associated
with royalty, magic, and
mystery.

Red
Is the color of blood, and
because of this it has
historically been associated
with sacrifice, danger and
courage.

Android project

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Happy
Halloween!
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You can find me at @halloween

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