Kelimutu Photo identity ObajaAtonis date of rontgen taken 2-6-

2019. Rontgen wrist AP lateral. Thres,s a misalignment

Name : Mr. OA on radius sinistra
Age :42 Years old

Admission to hospital : 2nd June 2019

S : Patient hospitalized day- 3 come to hospital with

main complaint left lower arm got hit by grinding rice
machine 10 hours before admission to hospital. Patient
felt pain in his left lower arm. Patient also felt stiffness
and pain by moving his fingertips.

Past medical history : -

Complaint today (5-6-19) :

Patient feel pain decreasing andstifness in left lower RO wrist after

arm

Physical examination

General condition: Patient appears moderately ill.

Awarness: compos mentis E4V5M6

BP :110/70 HR: 60x/minute RR: 20x/minute T: 36,5

C VAS: 3-4

Head : normocephal, Hematoma (-), lesion (-),

Eye :Conjungtivaanemis (-/-). Icteric scelar (-/-) A:

Thorax : Lung : chest expansion symmetrical, lesion (-

) Auscultation Ves +/+, Rh -/- Wh -/-
P:
Cor s1 s2 reguler murmur (-), gallop (-)

Abdomen: Supel, flat bowel sound 15x/minute

Extremity :edema - +
CRT < 2 seconds Asoka
- -
Locallizedstatus :

Look :left lower arm covered by elastic band, blood (-), Name : Mr. A
pus (-), edema (+)
Age : 54 Years old
Feel : tenderness, hipoestesia C6, CRT > 2 seconds
Admission to hospital : 3rd June 2019
Move : ROM limitided
MR : 513996
Lab Hb 11,5 WBC 14,640 PLT 233.000

K : 3,5
S : patient come to Emergency room with main
Ro wrist before complaint pain in his shoulder since 30 minutes before
admission. Patient felt down to the ground after being
chased by a dog 30 minutes ago. His shoulder hit a
ground first. After that patient felt pain and couldn’t
move his shoulder.
Ro shoulder prereposisi
Past medical history :

Hypertension

Past drugs history :

Main complaint today :

RO shoulder post reposisi
reduced shoulder pain

slight cramping

Physical examination

General condition: Patient appears moderately ill.

Awarness: compos mentis E4V5M6 A:

BP : HR: RR:
T: VAS:

Head : normocephal, Hematoma (-), lesion (-),

Eye :Conjungtivaanemis (-/-). Icteric scelar (-/-)

Thorax : Lung : chest expansion symmetrical, lesion (- P:

) Auscultation Ves +/+, Rh -/- Wh -/-

Cor s1 s2 reguler murmur (-), gallop (-)

Abdomen: Supel, flat bowel sound 15x/minute

Extremity :edema - +
CRT < 2 seconds - -
Locallizedstatus :

Look : square shoulder sinistra, edema (+)

Feel : warm, tenderness, hipestesi at T1-T2

Move : ROM shoulder and elbow limited, ROM wrist

and finger good

Localized status today :

Lab