Post on 11-Jan-2016
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EMERGENCY CASE REPORTS
Monday , May 30th, 2011
SURGERY DEPARTMENT
EMERGENCY ROOMWAHIDIN
SUDIROHUSODO GENERAL HOSPITAL
MAKASSAR
EMERGENCY CASE REPORT
WAHIDIN SUDIROHUSODO HOSPITALMAKASSAR
Monday, May 30th 2011
Ambulation : 1 Patients
Hospitalized : 4 Patients
Observation : - Patients
Operated : 1 Patients
Death : - Patients
Total : 5 Patients
No. 5Name : Ch. A Sex : Male
Age : 2 days No. Reg : 46 88 32
Chief complaint : No Anal Canal
History taking : Suffered since 2 day before admitted to ER, there was history of vomiting with greenish coloring liquid.. There was history of using traditional drug during pregnancy.
Micturation : Normally
General StatusModerate illness / well nourish / conscious
Vital Sign PR : 130 x/mnt, strong, reguler, RR : 32 x/mnt, symmetric L=R,
thoracoabdominal type. T(Ax) : 36,7 °C
Local StatusAnal RegionI : Seen no anal canal, anal dimple (+) skin color same with its vicinityP : tenderness (-), tumor mass (-)
Laboratory Result
WBC : 3.92 x 103 / μL
RBC : 4.87 x 106 / μL
HGB : 18.8 g/dL
HCT : 50.5%
PLT : 156 x103/ μL
CT / BT : 9‘00” / 3’00”
Blood Sugar : 96 mg/dl
Ureum : 21 mg/dl
Creatinin : 0,3 mg/dl
GOT / GPT : 27/12 μ/L
BNO
Cross Table
WORKING DIAGNOSIS : MAR
MANAGEMENT : • IVFD• Apply catheter • Apply NGT• Medicaments• Report to senior pediatric surgeon advice : plan for Divided Colostomy (Colon
Sigmoid)
Operating Procedure
• Patient laid in supine position under GA.• Desinfection and draping procedure • Perform transversal incision at lower left region
abdomen, deepen until peritoneum• Identification of colon sigmoid• Perform divided colostomy• Bleeding control• Close wound layer by layer• Operation finished
POST OP DIAGNOSIS : Atresia Ani High position
PROGNOSIS : Good
FOLLOW UP : Vital sign
• Makalah I • Makalah II • Stase 8 Sub
Bagian Makalah III (Nasional)
Makalah Akhir
• DSTC • Perioperatif
• Panutan• Santun• Jujur• Empati
Semester I
Semester IV
Semester IX
Semester X
Thank you