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A L R CT ECG
2. Mr. Minan Tanusaputra/ 75yo/1-14 -64-17
April 6th 2015 at 15.15 WITA
Chief Complain :
Unable to move left knee
History :
2 hours before admission patient was involved in a fight
at his residence around Veteran. The patient got shoved
and fell on his knees. Later he felt immense pain and
unable to move his left knee. The patient got no other
injury on his body. He was brought to massage parlor
before went to Ulin Hospital.
L R CT ECG
Primary Survey
Clear, snoring (-), gurgling (-), C-spine
A
control (-)
A L R CT ECG
A -
M -
P -
3 hours before
L admission
At his residence
E around Veteran
A L R CT ECG
Secondary survey
Head : Normocephaly
Eye : Anemic conj. (-/-), icteric sclera (-/-),
Head/Neck Mouth : Moist mucous membrane
Neck : JVP enhancement (-/-), lymphatic nodes
enlargement (-/-)
A L R CT ECG
Clinical Pictures
A L R CT ECG
Local Status
A L R CT ECG
Post installment of Posterior Splint
Laboratory Result April 6 th 2015
Items Result Normal Value Unit
A R CT ECG
Items Result Normal Value Unit
A R CT ECG
Items Result Normal Value Unit
GDS 114 <200 Mg/dL
INR 0,89
A R CT ECG
Left Knee X-ray April 6th 2015
A L CT ECG
Working Diagnosis
Closed Fracture of Left Patella Transverse
Displaced
A L R CT ECG
Management
VS Obs
IVFD RL
Inj analgesic
Immobilization
Consult to Orthopaedi Surgeon:
Posterior Splint
Hospitalized
Pro ORIF
A L R CT ECG