Pemeriksaan Ekstremitas Atas - Video OSCE | HMKU FK Unud

Summary

A doctor conducts a detailed physical examination of a patient who has injured his right little finger after a car accident. The consultation includes a thorough assessment of the shoulder, arm, elbow, wrist, and hand, focusing on pain, swelling, and mobility. After confirming swelling and pain in the little finger, the doctor suspects a dislocation and recommends an X-ray for confirmation. The results show a dislocated finger, and the patient is referred to an orthopedic specialist for further treatment. The consultation emphasizes comprehensive evaluation and patient care throughout the process.

Takeaways

• 😀 The doctor introduces themselves as Dr. Paxillus, confirming they are in charge of treating the patient that day.
• 😀 The patient (referred to as 'Bapak') is 35 years old, works in martial arts, and recently suffered an injury to his right little finger in a toll road accident.
• 😀 The doctor uses a pain scale of 1-10 to assess the level of pain the patient is experiencing in his right little finger.
• 😀 The patient reports no other health issues, allergies, or previous medical conditions.
• 😀 The doctor conducts a comprehensive physical examination, checking the patient's shoulder, upper arm, elbow, wrist, and hand for abnormalities.
• 😀 The physical examination includes inspection, palpation, and movement tests to assess joint health, muscle atrophy, and deformities.
• 😀 During the examination, the patient experiences pain specifically in the right little finger, confirming injury to the hand.
• 😀 After the initial inspection and physical tests, the doctor suspects a dislocation of the little finger bones.
• 😀 The patient is advised to undergo an X-ray to confirm the diagnosis of a dislocated finger, and agrees to proceed with the imaging.
• 😀 The X-ray results confirm the dislocation of the little finger bones, leading to a final diagnosis of a localized dislocation.
• 😀 The doctor recommends referring the patient to an orthopedic specialist for further treatment, which may involve surgery or other interventions.

Q & A

What injury is the patient experiencing?

The patient is experiencing a dislocation of the right pinky finger, which was confirmed after an X-ray.

What symptoms does the patient report regarding the injury?

The patient reports pain and swelling in the right pinky finger, along with deformity and redness.

What steps were taken during the examination of the patient's shoulder and upper arm?

The doctor inspected and palpated both shoulders for symmetry, deformities, swelling, and muscle atrophy. No abnormalities were found.

What specific tests were performed to assess the patient's shoulder and arm movement?

The patient was asked to perform a series of movements, including raising both arms, moving them behind the back, and rotating them to check for pain or restriction. No pain was reported during these movements.

What was the conclusion after examining the patient's elbow and lower arm?

The examination of the elbow and lower arm showed no abnormalities. The patient was able to move and bend the elbow without pain or difficulty.

What was observed during the inspection of the patient's wrist and hand?

The inspection revealed swelling and deformity in the patient's right pinky finger, which was painful upon palpation.

What kind of special tests were conducted on the patient's hand and wrist?

Special tests such as the Valente's test were performed to assess the strength and movement of the wrist and hand, with no pain reported during the tests.

How was the injury diagnosed?

The injury was diagnosed as a dislocation of the right pinky finger after an X-ray showed a shift in the bones of the finger.

What further steps were recommended after the diagnosis?

The patient was referred to an orthopedic specialist for further treatment, which could include traction or other methods for managing the dislocation.

Did the patient have any other health concerns or allergies?

The patient reported no significant medical history, no family history of diseases, and no known allergies to medications.