Documente Academic
Documente Profesional
Documente Cultură
PRATIWI 11020160006
ANUGRAH FEBRIANTI AZIS 11020160033
INDAH DIAN LARASATI HUSADA 11020160061
ANDI MUH. RIFLAN ASTAR 11020160089
RHIZKY SHASQIA PUTRI NUR 11020160091
EMA MAGFIRAH 11020160156
MEISY GITA SILVA 11020160161
ANDI YUSNA KHAERUNNISA P. 11020160164
ROSDIANA BAHARSA 11020160170
SHAVIRA MD 11020160172
NUR RAHMA AMIRUDDIN 11020160173
SCENARIO 1
NERVE AND MUSCLE PAIN
KEY WORD
A woman 45 years old
Complain weakened on right thumb
One week earlier accompanied by ache on index
and midlle finger
Numbness feeling on the thumb
And the pain is reduced if the hand is wagged
THE QUESTION
What the organ involved causes nerve and muscle
pain on the scenario?
Why the pain just only on the middle and index
finger?
How to patomekanism of pain?
Why the pain reduced when a woman wagging her
hand?
How to step the diagnose?
What is Defferential Diagnose of the scenario?
What is appropriate diagnose from the scenario?
How the management of the diagnose?
How the preventation from diagnose?
The answer
What the organ involved causes nerve
and muscle pain on the scenario?
What make this woman feeling numbness just in middle and
index thumb
radialists
Saraf lengan medial tunnel sensory
ulnar
fingers continuous movement
long time stress on the network
degeneration tunnel narrowed
clinical symptoms amusement
N. Medial pain hand strength
decreased and stiff
Mechanism of pain
the process of pain stimulus by the nociceptor stimulation start noxious to the
occurrence of the subjective experience of pain is a series of electrical and
chemical events.
Transduction/recepto
r activation
Transmission
Modulation
Perception
Why does a little pain if hand wag
ANAMNESIS
Physical
examination Supporting
investigation
Patient identity
Anamnesis
Location
of pain
Quality of pain
Quantity or severity. Circumstances that trigger
a complaint
Other factors that relieve and aggravate the
symptoms
Other symptoms that accompany the main
complaint
Physical examination
Tinnels Test
Phalens Test
Sensibilitys Test
Laboratory
examination
Supporting investigation
Neurophysiology
examination
Supporting investigation
Radiological
Examination
Differential Diagnose
Symptoms Carpal Tunnel Tenosynovitis De StenosingTenosivitis (
Disease Syndrome Quervain Tringger Finger )
Predileksi On the fingers, The wrist joint The base of the finger
especially the thumb, and the base of usually occurs on the
forefinger, and middle the thumb middle finger, ring
finger finger, and little
finger
Symptoms Carpal Tunnel Tenosynovitis De StenosingTenosivitis (
Disease Syndrome Quervain Tringger Finger )
Installation of
splints in the
Phisiotherapy Therapy Management of neutral position
aimed at repairing Carpal Tunnel Syndrome of the wirst
vascularization
Vit B6 Steroid
Fluid control,
(Piridoksin) injection
for example
by giving the
pacient
diuretics
Preventation to avoid carpal tunnel
syndrome