Plenary

14B

members
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Bayu Gemilang Fido Arif Rona F. P. Oktaria D. Ega P. S. Ilham R.P Teddy K. Guchika J. Mulfa S. A. M. Asyraf Rieke A.P.

Terminology
1. Sequester : a fragment of dead bone detached from adjoining sound bone 2. Involucrum: is a layer of new bone growth outside existing bone seen in osteomyelitis. It results from the stripping off of the periosteum by the accumulation of pus within the bone, and new bone growing from the periosteum. 3. Aspirasi : Removal of a sample of fluid and cells through a needle 4. CRP : A globulin present in blood serum in various abnormal states, like inflammation. 5. Protein plasma sebagai penanda inflamasi merupakan suatu globulin petanda fase akut

Identify problems
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. How is relationship between age and activity with Budis symptomps? Why after being given medication lump does not go? Why Budis right leg swollen, red and sore from 3 weeks ago? Why does doctors refer Budi to the Hospital? How the interpretation of the laboratory test of blood? How the interpretation of x-ray examinations photo? Why doctors do aspiration and culture? What will the doctors do to Budi for his treatment? Is there any relationship between Budis illness and his mothers? Why does Budis mother finger joints had swollen and crooked? How about the prognosis of Budis disease? If no immediate action is taken, what will happened to Budi?

Problems Analyzing
1. How is relationship between age and activity with Budis symptomps? Swelling and redness of the leg inflammation often in children infection from microorganisms that infect the bone. Spread hematogenously rare incidence in adults In Budi decreased immune system (due to the hard work and often) bacterial entry spread haematogenous infection.

2. Why after being given medication lump does not heal?

No improvement because the possibility of : doctors only give anti-inflammatory (anti-inflammatory does not eliminate the cause is merely symptomatic) Doctors made wrong diagnosis

3. Why Budis right leg swollen, red and pain from 3 weeks ago? Swollen and red The possibility of infection because previous treatment does not work, because the progression of increasingly swollen before getting bigger. Inflammation that occurs produces IL-8 inflammatory cells into the interstitial tissue swelling Swelling because of torn of meniscus Red because of the blood vessels in the trauma, infections and inflammatory dilated

4. Why does doctors refer Budi to the Hospital? referenced Since it was inflammation of bone (rapid progression) should be treated immediately to prevent complications (eg, acute previously, become chronic) It takes the investigation to be more definitive diagnosis and can be managed appropriately