Pemeriksaan Fisik Dasar Kelainan Orthopaedi

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Pemeriksaan fisik kelainan ortopaedi

Text of Pemeriksaan Fisik Dasar Kelainan Orthopaedi

  • PEMERIKSAAN FISIK DASAR KELAINAN ORTHOPAEDIDr. Hari Tjahyono, SpOT

  • DATA History Physical examination Photo Laboratorium

  • HISTORYKeluhan utama- Pain :- Nyeri- Anestesi- Parestesi- Penurunan fungsi- Physical Appearance- Deformity- Atrophy- Scoliosis- Relevant past history : penyakit sebelumnya- Penyakit penyerta : Jantung, ren, diabetus melitus, respiratory, psychic- Family history

  • Physical examination Body build : Wajah, gait (walking),

    duduk, tidur Looking (inspection) Feeling (palpation) Moving (Assessment of joint motion) Listening (auscultation) Special physical test Neurological examination

  • LOOK (INSPECTION) Warna kulit : merah, cyanosis,

    pigmentation, pucat, luka Swelling Limb shortening / atrophy Gait

  • FEEL (PALPATION) Hangat Dingin Size (ukuran) Dislocation Crepitus

  • MOVE (ASSESSMENT OF JOINT MOTION) Passive movement Joint instability Range of motion

  • LISTENING (AUSCULTATION) Crepitus Snapping tendon Murmur arteriorvenous fistula

  • PHYSICAL TEST Flexion deformity : Thomas test Trendelenburg test Instability:- Ortholani

    - Laseque Test- Mc Murray Test Neurological examination :

    - Muscle : Weakness Spasticity- Sensation- In coordination- Reflex tendon

  • RADIOGRAPHIC EXAMINATION Identitas pasien Tulang :

    AP Lateral melampaui kedua sendi Densitas naik : sclerosis Rarefaction General density, local density Hubungan tulang : dislocation, subluxasi Break in bone : fracture line (transfer, Oblique, segmental, comminutive, rotasi, cumcontractionum, cumdistractionum, angulasi) General / local countour : Deformity, Irregularity

  • RADIOGRAPHIC EXAMINATION Sendi

    Articular cartilage : Space sendi Soft tissue Comparation of a limb Special photo : contras / medium

    Arthrogram: dalam sendiMyelogram: sub arachnoidSinosgram: dalam sinus CT Scan MRI Bone Survey

  • LABORATORIUM EXAMINATION Darah lengkap Leukocyte, LED, Thrombocyte, HB Serum : Mantoux (TBC)

    Rose test (Rheumathoid desease) Urine : - Albumin, gula, cell, kristal

    - Cultur Cerebro spinal fluid : Protein, cell, Cultur Abnormal fluids : Effusion, Exudates

    Gross, smear, cultur, resistance antibiotic

  • BODY TISSUE Gross Biopsi

    Semua data dikorelasikan untuk diagnose dan diferensial diagnose