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EMERGENCY ROOM
WAHIDIN SUDIROHUSODO
GENERAL HOSPITAL
MAKASSAR
Friday, December 17th 2010
Ambulation : 3 Patient
Hospitalized : 4 patients
Observation : - patient
Operated : 2 patient
Death : - patient
Total : 7 patients
No. 6
Name : Mr. syamsul Sex : Male
Age : 23 years old No. Reg : 45 10 86
E: T (ax) : 36,8 oC
Secondary Survey
Abdomen :
I : Bruise (-) , excoriated wound (-), color
same with vicinity, edema(-),
hematoma(-)
A: Peristaltic (+) normally
P : Tympani
P : Tenderness (+) at left lumbal region
Secondary Survey
Costovertebral Region :
I : Bruise (-), alignment was good , edema(-)
, hematoma(-),
P : Tenderness (-), tumor mass (-) ren
ballotement is not palpated
P : Tapping pain (-)
Suprapubic Region
I : Seen flat, skin color same with its vicinity ,
edema (-), hematoma (-)
P: Tenderness (+), tumor mass (-)
Secondary Survey
Hand scone
Blood (-), slime (-), feces (+)
Laboratory Result
WBC : 15,5 x 103 / L
HCT : 42,4%
PLT : 287x103/ L
CT / BT : 700 / 300
Ureum : 21 mg/dl
Yes No
Yes No
Surgical staging with
urologist present to asses
and reapir any renal injury
Intervention
necessary
Mechanism and grade of renal injury?
Limited Extensive
Observe injury Injury
Selective reimaging
Angiography+embolization?
Ureteral Stenting?