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bedah Flashcards

(101 cards)

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1
Q

Fr. Colles

A

Dinner fork deformity

CoDo
Colles angulasi ke Dorsal

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2
Q

Fr. Smith

A

Garden Spade deformity

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3
Q

Fr. Monteggi
“MU GR”

A

Fraktur ulna bagian proximal
dengan dislokasi kaput radii

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4
Q

Fr. Galeazzi
“MU GR”

A

Fraktur radius bagian distal
dengan dislokasi ulna bagian
distal

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5
Q

Klasifikasi fraktur terbuka gustillo-anderson

A

I <1cm
II >1cm, kontaminasi minimal
IIIa Luka lebar dan kontaminasi hebat, ditutupi jaringan lunak
IIIb Luka lebar dan kontaminasi hebat, bone exposure dan periosteal stripping, gunshot wound
IIIc Luka lebar dan kontaminasi hebat, kerusakan pembuluh darah, tdk teraba pulsasi arteri distal

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6
Q

Fr. Manus

A

Barton : fr distal radisu, intraarticular
Bennet : fr MCP 1
Boxer : MCP 4/5
Schaphoid : nyeri tekan tabatierre anatomicum

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7
Q

Non union

A

tdk ada perkembangan perbaikan tulang >3bulan
Pseudoarthrosis +

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8
Q

Fr. Supracondylar humerus

A

Gunstock deformity (Cubitus varus) -komplikasi-

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9
Q

N. Radius
“DR CU MA”

A

Drop Hand

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10
Q

N. Medianus
“DR CU MA”

A

Ape/benediction/obstetric hand, OK sign (-)

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11
Q

N. Ulnaris
“DR CU MA”

A

Claw hand

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12
Q

Peroneal nerve palsy

A

Drop Foot

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13
Q

Erb’s palsy

A

Waiter tip deformity
C5-C6

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14
Q

Dislokasi Shoulder Ant.

A

Halfmoon overlap

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15
Q

Dislokasi Shoulder Post.
“Pak FAdIl”

A

Half. Bulb appereance

Posterior-fleksi-adduksi-internal rotation

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16
Q

Carpal Tunnel Syndrome

A

Atrofi tenar, Flick Sign, Tinnel test, Luthy’s sign
N. Medianus

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17
Q

Guyon Tunnel Syndrome

A

Atrofi hypotenar
N. ulnaris

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18
Q

Cubital Tunnel Syndrome

A

Claw hand + Wertenberg sign, Frommet sign
N. ulnaris

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19
Q

HNP Cervical

A

Spurling test/Lhermitte, Nafzinger (+)

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20
Q

HNP Lumbal

A

Laseque, Bragard sicard

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21
Q

Spondilolisis

A

Scotty dog

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22
Q

Osteomielitis subakut

A

2 minggu-3 buan
Abses Brodie

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23
Q

Osteomielitis kronik

A

> 3bln
Cloaca, Involucrum (jaringan baru), Sequestrum (nekrosis)

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24
Q

Ewing sarcoma
bawang

A

Onion Skin

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25
OsteoSarComa
Sunburst, Coddman triangle
26
CHONdrisarcoma
Pop CORN app.
27
Osteochondroma
Cauliflower/mushroom app.
28
Osteoid osteoma, osteoblastoma
Central nidus
29
Giant cell tumor
Soap bubble app.
30
Multiple mieloma Punchout lytic
bence protein Old Calcium elevated Renal function increase Anemia Bone lytic lesion
31
Duchene Muscular Dystrophy
Gower sign, waddling gait X link resesif
32
Dev. Dislocation of Hip (DDH)
Galeazzi test (inspeksi saat fleksi) Barlow-Ortolani test tx 1-6 bln palvic hardness >18 bulan operatif
33
Rikets/Osteomalacia (Def. Vit D3)
Bowed leg, craniotabes
34
Brittle bone disease nama lain Osteogenesis Imperfecta
pembentukan jaringan kolagen Sklera biru, fraktur multiple
35
CTEV/ Clubfoot
C Cavus : lengkung kaki tinggi A Adductus : Kaki depan adduksi V Varus : Kaki belakang inversi (rotasi ke dalam) E Equinus : Tumit dalam keadaan plantarfleksi tx awal poseti method (cast)
36
ACL
Lachman test, pivot test
37
PCL
Posterior sag
38
MCL
VALGUS STRESS TEST Valgumedial
39
LCL
VARUS STRESS TEST
40
Meniscus tear
Locking, Mc murray, Thessaly, Apley
41
Ruptur Achilles
Simmond, Matles, Thompson, O'Brien
42
Tenosynovitis
Canavel sign
43
De Quarvain Tenosynovitis
IBU JARI, Finkelstein test (+)
44
Trauma uretra anterior
Butterfly hematom, sleeve haematom
45
Trauma uretra posterior
Floating prostat
46
Ruptur buli intraperitoneal
Molar teeth
47
Ruptur buli extraperitoneal
Flame shape tx kateter folley 14 hari
48
Torsio Appendix testis
Blue dot sign
49
Torsio testis
Angel sign, Deming sign (+), Bell clapper deformity, Phren test (-), Kremaster (-)
50
Epididimitis
Phren sign (+)
51
BPH
3 inverted sign
52
Apendisitis
Kocher's : migrating pain dari epigastrium ke kanan bawah Mc.Burney : nyeri tekan lepas kanan bawah Rovsing : nyeri tekan lepas Blumberg : nyeri tekan beralih dari kanan Dunphy : nyeri saat batuk Psoas : ekstensi hip (retroceacal app) Obturator sign : internal rotation (pelvic app) Ten horn sign : nyeri saat testis kana ditarik
53
Pankreatitis
Cullen Sign, Gray turner, Fox sign, Colon cut off sign
54
Ca caput pankreas
Courvoiser sign
55
Trauma pankreas
Seat belt sign +, nyeri abdomen, nausea vomitus +
56
Peritonitis
Pneumoperitoneum, rigler sign, falciform lig.sign, crescent sign, cupola sign, football (babygram)
57
Peritonitis TB
Fenomena papan catur
58
Ileus Paralitik
Air fluid level line up/segaris
59
Ileus Obstruktif
Air fluid level step ledder, Metalic sound, darm contour, darm steifung, string of beads/pearls tidak ditemukan udara di distal usus
60
Ca Colon
Apple core appareance/filling defect
61
Trauma Limpa
Kehr sign, Traub sign, balance sign
62
Trauma Hepar
Boa sign
63
Abses hepar
Ludwig sign
64
Phylloides tumor
Leaf like pattern
65
Lipoma
Signet ring cell, slippage sign
66
Kista ateroma
Pungta (+)
67
Neurofibromatosis tipe 1/ Von Recklinhausen sindrom
Café-au-lait spot
68
Hirsprung Disease
RAT tail, saw tooth, 3 Zone
69
Achalasia Esofagus
Mouse tail/Bird peak
70
Atresia Esofagus (tanpa fistula)
Gasless abdomen, USG: Polihidramnion The most common finding is excess amniotic fluid, especially in more severe cases. This is because the fetus is unable to swallow and reabsorb the fluid as it normally would
71
Atresia Renal
USG: Oligohidramnion
72
Hypertrophic Pyloric Stenosis
Olive shaped mass (Zaitun) , umbrella/mushroom sign, string sign, single bubble, caterpiler sign usg cervix sign
73
Atresia Duodenum
Double bubble
74
Intususepsi/Invaginasi
Pemfis : Red currant jelly stool, sausage sign, dance sign, portio like sign USG : doughnut sign/target sign/bull's eye /sandwich sign, pseudokidney sign Barium Enema : Cupping, coiled spring
75
Volvulus
Pseudokidney/Coffee bean, screw sign
76
Divertikulum Meckel
Skintigrafi (Meckel’s scan) : Hot spot
77
Divertikulum Zanker
Pharygeal pouch C5-6
78
Contusio
Salt & Paper sign
79
EDH
Bikonveks Lucid interval ruptur a. meningea media
80
SDH
Crescent sign, Bikonkaf akut < 3 hari hiperdens subakut 3 hari-3 minggu isodens kronis >3 minggu hipodens ruptur bridging vein
81
SAH
Stellata/ star sign ruptur AVM thunderclap headache meningeal sign +
82
DAI
perdarahan kecil-kecil akibat terguling-guling koma > 6jam
83
Fraktur Basis Cranii anterior
Anterior : Racoon Eye, Bloody rhinore
84
Fraktur Basis Cranii media
Media : Battle sign, Bloody otore
85
Hidrocephalus (Anak)
Sunset phenomenon, cracked pot sign, cerebral cry
86
Efusi pleura
Eliis damoiceau line, meniscus sign
87
Hidropneumothorax/ Hemothorax
Air Fluid Level tx chest tube/ thoracotomy indikasi thoracotomy - massive >1500cc - perdarahan cepat >200cc/jam selama 2-4 jam
88
Tanda pnemothorax
I: sesak, pengembangan dada tertinggal P: emfisema subkutis P: Hipersonor A: suaran nafas menurun
89
Open pneumothorax
Luka terbuka + Sucking wound tx plester 3 posisi
90
Tension pneumothorax
tanda pneumothorax gangguan HD, trakea dan mediastinum ke sisi yang sehat tx neddle decompression SIC 5 Linea midaxillaris
91
Flail chest
Paradoxal breathing 3 segmen costae berturutan tx suportif
92
Le Fort I
Floating palate (horizontal) Guerin
93
Le Fort II
Floating maxilla (pyramidal)
94
Le Fort III
Floating face (transversal)
95
syok hemoragik derajat 3
EBL (%) 30-40 EBL (cc) 1500-2000 Nadi >120x/mnt TD sys<90 mmHg
96
TX syok hemoragik
1. Bolus kristaloid 1L/ 20 cc/BB (anak <40 kg) 2. Mengganti kehilangan darah kristaloid 3:1 atau PRC (grade 3 dan 4) 1:1 3. eval HD hingga stabil dan urine output 0,5cc/BB/jam
97
Tamponade jantung HTS
trias BECK Hipotensi Tekanan JVP meningkat Suara jantung menjauh/ muffled heart sound Tx ABC, bolus iv 500cc Tx Definitif pericardiosintesis
98
Marfan Syndrome
Mutasi gen Fibrin-1 Jantung → Aneurisma / diseksi aorta Tulang → Tubuh tinggi, ekstremitas panjang walker murdoch sign and pectus excavatum Mata → Dislokasi lensa ke arah atas-lateral
99
psoriatic arthritis
pencil in cup app komplikasi psoriasis vulgaris
100
Peyronie disease
penyakit fibrosis tunika albuginea → menyebabkan penis bengkok saat ereksi, nyeri, dan nodul keras.
101
Deweger hump
Osteoporosis primer tipe 2 (senilis)
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