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Pemeriksaan fisik kelainan ortopaedi
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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