Bst hemangioma

7/25/2019 Bst hemangioma

1/13

Name : Dwi Indah Pratiwi

(71 2014 044)

Preceptor : dr. Rizal Daula! "p.#$

%ed "ite $eachin&


2/13

Identification

Name : Desi Sintia

Age : 20 yo Gender : Female Address: Sungsang Religion: Moeslem


3/13

Chief Complain

Lumps and pain on the left knee


4/13

Clinical History

6 month ago, patient had anaccident. She fall to the irreguler

surface of the road. The patient

fall ith her left knee crashing to

the road. ! days after

accident she starting to feel

intermitent pain on her left knee.

" month ago, patient complaining

a#out intermitent pain she felt on her

left knee, the pain orsen hen she

alk and the left knee also starting to

got sollen, and the selling knee

#ecome #igger, then she ent to thealternati$e treatment for to get

massage #ut theres no impro$ement

" eek ago, the pain andselling #ecome e$en orse,

%e$er not too high, &ody eight

decrease ' kg in ( month


5/13

)eneral State

General condition : good

Sensory : compos mentisVital sign

Bloold pressure: 100 !0 mm"g

#ulse : $0 %m

RR : 20 %m

&emperatur : '()! *+


6/13

Local State

Look : Scar (-), bleeding (-), bone

expose (-), skin loss (-), deformitiy

(+), swelling (+), skin colour samelike left knee area, venektasi (+)

eel : !enderness (+), crepitation (-),

sensibility is good, temperature

increase, "#$ (+), pseudoartrosis

(-), true rig%t lengt% &' cm, true leftlengt% &' cm, apparent rig%t lengt%

& cm, apparent left lengt% & cm

*ove : ood

Left *nee +rea


7/13

Clinical hoto


8/13

Clinical hoto


9/13

Laboratory esults

H# - ,' g/dl 01 - !," 2 3,! g/dl4

Leukocytes - 6.65 /cmm 01 - (555.555/cmm4

L78 - "9

8iff count - 5/5/"/6(/!5/(

CT - :; 01 - < ' minute4

&T - "; 01 - 6 minute4

+lkali hospata- 6! 01 - 35!55 u/L4


10/13

+ssessment

Susp. soft tissue

tumor


11/13

8ifferential 8iagnostic

Liposarcoma

Lipoma


12/13

lanning

ntibiotic

.iopsi/%eck 0atology

natomy


13/13

$han' ou

Documents

Bst hemangioma