bst hemangioma
TRANSCRIPT
-
7/25/2019 Bst hemangioma
1/13
Name : Dwi Indah Pratiwi
(71 2014 044)
Preceptor : dr. Rizal Daula! "p.#$
%ed "ite $eachin&
-
7/25/2019 Bst hemangioma
2/13
Identification
Name : Desi Sintia
Age : 20 yo Gender : Female Address: Sungsang Religion: Moeslem
-
7/25/2019 Bst hemangioma
3/13
Chief Complain
Lumps and pain on the left knee
-
7/25/2019 Bst hemangioma
4/13
Clinical History
6 month ago, patient had anaccident. She fall to the irreguler
surface of the road. The patient
fall ith her left knee crashing to
the road. ! days after
accident she starting to feel
intermitent pain on her left knee.
" month ago, patient complaining
a#out intermitent pain she felt on her
left knee, the pain orsen hen she
alk and the left knee also starting to
got sollen, and the selling knee
#ecome #igger, then she ent to thealternati$e treatment for to get
massage #ut theres no impro$ement
" eek ago, the pain andselling #ecome e$en orse,
%e$er not too high, &ody eight
decrease ' kg in ( month
-
7/25/2019 Bst hemangioma
5/13
)eneral State
General condition : good
Sensory : compos mentisVital sign
Bloold pressure: 100 !0 mm"g
#ulse : $0 %m
RR : 20 %m
&emperatur : '()! *+
-
7/25/2019 Bst hemangioma
6/13
Local State
Look : Scar (-), bleeding (-), bone
expose (-), skin loss (-), deformitiy
(+), swelling (+), skin colour samelike left knee area, venektasi (+)
eel : !enderness (+), crepitation (-),
sensibility is good, temperature
increase, "#$ (+), pseudoartrosis
(-), true rig%t lengt% &' cm, true leftlengt% &' cm, apparent rig%t lengt%
& cm, apparent left lengt% & cm
*ove : ood
Left *nee +rea
-
7/25/2019 Bst hemangioma
7/13
Clinical hoto
-
7/25/2019 Bst hemangioma
8/13
Clinical hoto
-
7/25/2019 Bst hemangioma
9/13
Laboratory esults
H# - ,' g/dl 01 - !," 2 3,! g/dl4
Leukocytes - 6.65 /cmm 01 - (555.555/cmm4
L78 - "9
8iff count - 5/5/"/6(/!5/(
CT - :; 01 - < ' minute4
&T - "; 01 - 6 minute4
+lkali hospata- 6! 01 - 35!55 u/L4
-
7/25/2019 Bst hemangioma
10/13
+ssessment
Susp. soft tissue
tumor
-
7/25/2019 Bst hemangioma
11/13
8ifferential 8iagnostic
Liposarcoma
Lipoma
-
7/25/2019 Bst hemangioma
12/13
lanning
ntibiotic
.iopsi/%eck 0atology
natomy
-
7/25/2019 Bst hemangioma
13/13
$han' ou