Documente Academic
Documente Profesional
Documente Cultură
FISIK DASAR
KELAINAN ORTHOPAEDI
Dr. Hari Tjahyono, SpOT
DATA
History
Physical examination
Photo
Laboratorium
HISTORY
Keluhan 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
LOOK (INSPECTION)
Swelling
Gait
FEEL (PALPATION)
Hangat
Dingin
Size (ukuran)
Dislocation
Crepitus
Passive movement
Joint instability
Range of motion
LISTENING (AUSCULTATION)
Crepitus
Snapping tendon
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 sendi
Myelogram
: sub arachnoid
Sinosgram
: 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