Laporan Tutorial Skenario 2 Blok Traumatologi Final (1)

8/16/2019 Laporan Tutorial Skenario 2 Blok Traumatologi Final (1)

1/36

LAPORAN TUTORIAL

BLOK TRAUMATOLOGI SKENARIO 2

NYERI PINGGANG DAN TIDAK BISA KENCING

KELOMPOK A-4

AJENG APSARI UTAMI G0013013

CLARISSA ADELIA GUNAWAN G0013067

I WAYAN RENDI AWENDIKA G0013115

IVANDER KENT KURNIAWAN G0013123

LISANA SHIDI G0013137

NADIA I!!ATI S G0013165

NAURA DHIA "ADYLA G0013173

NURUL "ADILAH G00131#3

RIVAN "AETHEDA G0013203

SA"IRAH NURULLITA G001320$

UL"A PUSPITA RACHMA G0013227

YUSAK ADITYA SETYAWAN G0013241

TUTOR % D&' R()(*+, ./


2/36

PROGRAM STUDI PENDIDIKAN DOKTER

"AKULTAS KEDOKTERAN

UNIVERSITAS SEELAS MARET2016

BAB I

PENDAHULUAN

S(.' 2

NYERI PINGGANG DAN TIDAK BISA KENCING

S.( ('-(' 30 ()+ '.+8+ (.' P+99:(9 UGD RS (+)(

*.' ;'( ( ;.+ ()(*( @B, (.('9(9' @-/ J(( (=(9 9.( +>). '(;(( ;.9( :(*(/ D((:

;:.'9(( 9(


3/36

BAB II

DISKUSI DAN TINJAUAN PUSTAKA

A. Langkah 1 : Me!a"a #kena$%& 'an eaha% (enge$)%an !e!e$a(a

%#)%*ah 'a*a #kena$%&

D((: 9(.' '' (:' :(.'='(9' '9'() 9( +>). '( ':+( 9+>+9 :'(+9

(.' ;.9(, .(F

11/ ((':(( %

(/ D?

/ T(( (9((

/ K:;'(9'

/ E+(9'

3


4/36

C. Langkah - : Mengana*%#%# (e$a#a*ahan 'an e!a) (e$n/a)aan

#een)a$a engena% (e$a#a*ahan 0B$a%n#)&$%ng

1. Menga(a (a#%en )a(ak ("a) )%'ak !%#a ken"%ng #e)e*ah 3a)h 'an

'&k)e$ en&*ak ea#ang ka)e)e$4

P(( ;(9' ';.) .'&(*( 6 8(: *( (+ .8(+) ( ;'( ((

.+.'(' ((*( ;.(.()(

;(( >(+: ;'9 *( '9' ( .

:( ++ :(+( ;:(9(( (. ;(( ;(9' 8+( '((9' )

>+.'(( ((*( .+;+. +..(/ D( ((*( .+;+. +..(, +.' *( ()

';.+9' '( :(:;+ :>(;(' +..( ( +.'(.'( *( ;+) ( .(


5/36

2. Menga(a (a#%en enge*h n/e$% (e$) !a5ah 'an (%nggang4 Baga%ana

(a)&,%#%&*&g%n/a4

A(*( +)( *.' ;(( +.'(' ((*( .(+:( (;''9/ T.(+:( (;''9

:*.('(

*( '( '((9' (( :':+9/ P(( (.() +>+9 .(;( .+9 +:.'+9 ( .(+.

.'9;'('9/ D9(( ;(( (.() :':


6/36

:+8+( .=? >()(*( .:( ;(( :(( (( ( '.'/ L(.('9(9' @-

:+8+(

5 P.=+9' 8(.'( *( :;9(

G8((% G'9(), .'( '', )(+9, '+.9'9


7/36

4 S('+: .( @'...9'(, 9'(', '', (';(, (+.', (;9 ;:9.'+: +.).(

?.+: ::+>+( +(( ((*( ;.(.()( ;(( 9(+.( :')/ H:(:

;(( .' ;.'+: :+8+( ((*( .(+:( ;(( ( T+>)

P(( ;:.'9(( R>( +>). '(;(( ;.9( :(*(, :+8+(


8/36

4 T9 '9.(9' ((() :( ;'9


9/36

Pasien jatuh dari ketinggian

Trauma tumpul

Primary survey (GC!"#

y$k

%&d$men

'um&al detra

)en deterC$st$verte&ra (!#

Pelvis

*raktur pelvis

)uptur uretra

+igan$sis &anding

)e,tal t$u,her Pr$stat melayang

Tes sta&ilitas (!#

Perdarahan -./ tidak &isa ken,ing". 0 jari di &a1ah um&ilikus

Pemeriksaan Penunjang

+iagn$sis

Tatalaksana

$mplikasi

Langkah 9: Me$#kan )3an (e!e*a3a$an

1/ A;( )+(.' '=.:(9' .(' ;.:(9(()(

*( (.( (>((

*( >++;


10/36

K:('( ('()( .8(' .(+:( 9;.' '9';' ;(( (+.( (+ '(9, ( ('

('/ P+>( :('( +( '.(-'.( 30 .8(' 9(+ ((+ +( 8(:

;.(:( 9() .(+:( )( '' () ( ;((( .(+:(

9>(.( (.( '' ( 9.( :((9' 9*

(( :>() .8('*( :;'(9' (:+., (

9.99 =.(>+./

(/ ".(+. (+9'

".(+. (+9 .8(' ;(( ;'9 ;((


11/36

++9 S(..'+9

P(( SIAI ;.(( M/ .>+9 =:.'9

P(( 9 ;+)'('>+: :(*( )(:9.'9

+.

S.99 =.(>+. .8(' (.( :;.9' (.() ;'9 *( 9;.'>

@=(. '.( / V.'>( 9)(.

T.(+:( ( (.() .'>(, (;( :*:, *('+ 9(


12/36

M.+;(( =.(+. *( :(' (.( (>(.+:, ((+ ;(9' ( 8(+) .++/

P(9' '' :((:' 8(+) ( ;(+ :(' ' ;'9

(.( ) .(+:( (.' (.() (.( ;'9/

!. Ganggan (a'a (*e((+(' 9(>.>>*(, >>>*+9 ( +' '((9 >>>*+9/

-. A(a (ee$%k#aan (enn3ang /ang '%(e$*kan4

(/ Diagnostic Peritoneal Lavage @DPL

DPL ((() 9 '(9'=, >;(, ( 9(( (+.( ++

:(+(9' ;.(.()( '.(;.'( ((+ '9+9 ()/ DPL


13/36

:('(9 '(9' ::''' ;(, -'(9'=, ( (;( '+(

(

(( )(( ((: '(9( >.( .( ;(( (

:(+(9' ..;.'+:, (;' 99'''(9 ( 9;9'='9'(9 ++

+9+9 +:;+ ( >.( :9.'( '( ++ '( (

"AST/ DPL (, DPL 8+(


14/36

+( +9+( ;.+ ;( *( (9'::('/ P(9' ( +( +9+

(.'. ;.+ *( ):'(:' .:( ( '( ::''' ((-

(( ;.'''9 '(+(9' ( 9;.(9' +( ( ( 8'(

;9''=, '(+( DPL/ P(9' ( +( flank (.'. 8+(


15/36

• ALP 2 IU B L @A.& et al , 202

+9 ((;(' (+.(9' *(

9(:(/ S8+:() ;''( () :+8+( "AST


16/36

;>(.'( 9+:'.(( ;'')(/ N(:+ :''(, )( '+ :+' :8('


17/36

;*'9';( (. "* ((: +..( '9( (

::.( +..( @


18/36

T.(+:( 9;'( ( .(+:( (;''9 .( ('(*( ( )('>(; ((+

>(>(( 9)'( 9.'' (&( 9(( ';.+( ++ :>()

.8('*( >(>(( *( 9:(' ()(*(, 9.( (.('9(9' ++ :*''.(

(&(( (.' ((*( .(+:( (;''9/ S(' '+ ;:.'9(( (' (;(

'+(( ++ :*''.( ((*( .(+:( 9;'( 9;.' ;:.'9((

.=9 ;('9 ( .=9 ='9''9/

9. A(a kengk%nan )$aa 3%ka 3a)h 'a$% ke)%ngg%an4

J'( '')( (.' 9(.', ;(9' .8(+) (.' ((; .+:() 9'' 6 :. (

;(9' 9:;( ..( 9(.( ( (*( .('(9' ( ''( @;9'( (9'/

S:(' '' ;9'9' (&( 8(+) :(( '( >.( (( 9:(' ;(.()/

'(9(*( >.( '((:' )


19/36

K9':;+(*( ((() .(+:( ('


20/36

(/ Differential diagnosis

1 ".(+. P'9

".(+. ;(+ 9.' :.+;((


21/36

''/ I'((

'''/ P+ D'9(9' 9.( (9(


22/36

K>+.'(( .8('*( =.(+. ;'9, 9(( )(9' ;:.'9(( 9;.'

' ;(+

- I9;9' ;.'+: ++ :()+' (9(*( P.(.()(,

;:' ;(+ ( ;(;(9'

;(( .(:+9 ( 9':='9'9 ;+ +


23/36

K:+'( '>(.' ((*( (+( >' 9;.' .9' +.' ((+

;.(.()( :(+' +..(, 9.( '(+( ;:.'9(( > +( ((+ :(

:.+;(( >(.( .


24/36


25/36

G$a'e II

L9' :';+'

• L(9.(9' ;(.': *( +.

• T.(+:( ;(( (9+(.'9(9' ;' '8(

5 (.' 9+.+)( .(+:( '8(

G$a'e I=

M';+' 9' *( 8(.( .8(' *('+

• A+9' ;(( +..;'> 8+>'

• L(9.(9' (.' ;'9 .(

P(( .(+:( +:;+ (;( ':+( ((*( 88( ' (.() +:.(

);(. ((+ ':;( ':+( ((*( (( ;.(.()( ((: ;.+/ '(

.8(' >.( T./ D'9'+9 ':+( ((*( (( .(9(

;.'+:/ H:(+.'( :(.9;' :.+;(( (( +(:( >.(

9(+.( :')/ D.(8( ):(+.'( '(


26/36

.+9(( '8(/ P.+ ';.)('( .( .+: ( 9''9

P++( (.' .+: ( 9''9/ T.8(' ::(. *( +(9 ( *.'

26


27/36

( :+>+ .+:

(;( '9.(' =.(: '.( )(*( .9'( @A;*, 1$$5/

K((+ =.(+.


28/36

.+' :8((' ;:.'9(( CT 9>( ((

8+( (;( :(9( ((*( '9(9' )'; *( .(' ( =.(+.

(>((( '( ::


29/36

R9+9'(9' >('.( '((; >++; ;' 9>


30/36

.9' '; ++ ((( :+'-.( ;(9( >.(/


31/36

++ '.(;(/ P'( ;'9 :.9'(


32/36

.(+:( ' E.;( () :(8+.( (;(.:' 9;.(9' *( ''+'

(


33/36


34/36

BAB III

SIMPULAN DAN SARAN

S%(*an

.(9(.( )(9' '9+9' *( () (:' (9((( (;( '9':;+(

'+: +.. 9.+: :.+;(( (( (9' .8('*(

.+;+. +..(/ K:+'( (*( ' @EM 9'(; (' (:'

:*(:;('( ;(;(/ S(' '+, (:' 9


35/36

DATAR PUSTAKA

A:.'>( C = S+. C::' T.(+:(/ @200#. Advanced "rauma

Life upport &ight &dition.I9'(% I(( > = 9+.9/ @2004/ Advanced "rauma Life upport. even

edition/ ; 252-253

.(., K) L/ @2001/ "extbook of Radiographic Positioning and Related

Anatom! Fifth &dition/ S(' L+'9% M9: @D'(99 M' 2015

P+.:, (9+' / @2011/ Dasar-dasar +rologi &disi ,/ M((% CV S(+

S/

P+.&('(, A+9/ @2013/ edaruratan %edik Pedoman Penatalaksanaan

Praktis &disi Revisi/ J((.(% '(.+;( A9(.( P+*

M'>', T.+:( M'>( C., U'.9'* = M'99+.' ( K(9(9 C'*

S>) = M'>'/ A('(: @D'(99 M'

2015

S()* AK, / @200$/ T) ==> = ;'> =.(>+. :.('* (=. .(+:(% (

((*9'9 = 63,000 .(+:( ;('9/ / 'one /oint urg Am/ D>

200$$1@12%2#03-10/

S8(:9+)'(8( R, J WM/ @2005/ 'uku A(ar )lmu 'edah&disi ,/ J((.(% EGC/

S:., S+(/ 2002/ epera0atan %edical 'edah/ J((.( % EGC/

S:'), K' J (/ @200$/ "rauma +rethral / A('((;/>:B(.'>B4517$7-:'( @D'(99 M' 2015

35

http://www.emedicine.com/http://www.emedicine.com/http://www.emedicine.com/http://www.emedicine.com/http://emedicine.medscape.com/article/451797-mediahttp://www.emedicine.com/http://emedicine.medscape.com/article/451797-mediahttp://www.emedicine.com/


36/36

S, R'>)(. S/ @2006/ Anatomi linik +ntuk %ahasis0a edokteran (')

Laporan Tutorial Skenario 2 Blok Traumatologi Final (1)

Documents

Transcript of Laporan Tutorial Skenario 2 Blok Traumatologi Final (1)