O prezentare power point despre punctele trigger! Trigger POINTS!
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Full description
Ni Made Febri Supervisor : Letkol Ckm dr. Basuki Widodo, Sp.OT
Identity
She lived at Ds. Bawang, RT 07 RW 14 Kel. Ngadirejo V, Salaman
Anamnesa Chief complaints: The patient came to the Orthopaedic clinic with complaints that the right IV fingers can not be properly right into a straight after flexi in the last 1 month.
History of present illness: the right IV finger pain sometimes when move. Attacks usually occur in the morning until late afternoon, in the night is not come. Medical history first: 1 year ago had fallen and her fingers slightly curved, and was taken to Sangkal Putung. Family history of disease: hypertension (-), Diabetes Mellitus (-). Socio-Economic History: The state of patient socioeconomic well. Patients supported by ASKES, and treated in Ward Edelweis VIP class.
Vital Sign Blood presurre
:
120/80 mmHg Pulse : 84x/ minute Temperature : 36 C Respiratory : 24 x/ minute
Physical Examination HEAD Eye : CA -/- , SI -/ Pupil isocor : 2 milimetres Head Shape : Mesochepal THORAX Cor : SI dan SII normal regular Pulmo : vesicular, ronkhi -/- , wheezing
: tenderness (-),pain liver and spleen palpable : Timpani
EXTREMITAS
DIGITI IV DEXTRA • Look : do not look any deformity • Feel : pain (-), edema (-), pulse (+) • Movement : you hear a "click" on the digiti IV dextra when straightened after flexi
Diagnose
TRIGGER FINGER DIGITI IV MANUS DEXTRA
therapy Infus RL Premed Broadced 1 G
Operative
PRO RELEASE DIGITI IV MANUS DEXTRA
THERAPY INFUS RL diganti dengan amino
fluid Injeksi Ketorolac 3 x 30 mg Broadced 2 x 1 G (ganti oral)
Vital Sign Blood presurre
:
120/80 mmHg Pulse : 84x/ minute Temperature : 36 C Respiratory : 20 x/ minute
DIGITI IV DEXTRA • Look dextra
: there is scar at palmar
• Feel pulse (+)
: pain (+), edema (-),
• Movement not optimal
: flexi movement is
patient is allowed to go home
THERAPY CIPROFLOXAXIN 2 X 500 MG ASAM MEFENAMAT 2 X 500 MG Q10DS 2 X 1
22 oktober 2012
Patients come to the Orthopaedic
Clinic for control. From the results obtained diagnose that the patient had no complaints, Ring Of Motion (ROM) is good. The patient was able to move his hands, it can be activity as usual, and was able to use his hand to write.