case study orthopedik osteomielitis

7/25/2019 Case Study Orthopedik Osteomielitis

1/11

KOLEJ SAINS KESIHATAN BERSEKUTU KOTA KINABALU

KURSUS DIPLOMA PEMBANTU PERUBATAN

CASE STUDY

KLINIK ORTOPEDIK, HOSPITAL LAHAD DATU

OSTEOMIELITIES

NAMA PELATIH: SITI NORSYAFINAZ BINTI SODIL

NO .MATRIKS : BPP2014-2307

AMBILAN : ANUARI 2014

SESI AKADEMIK ANUARI ! UN 201"


2/11

ISI KANDUNGAN

1. PENGENALAN2. PENCARIAN LITERATURE

3. PERBINCANGAN DAN HUJAH

4. RUMUSAN

5. RUJUKAN

PENGENALAN


3/11

Osteome!ts "#"!"$ %"&'(t"& )"#"

t*!"&'.J"&'(t"&+o!e$me,e+"(me!"!*s"!*,"","$"t"*#",ts*+e,#e("t"&.Osteome!ts%*'"+

e,m*!")"#"t*!"&' -"&'

me&'"!"m(ee#e,""&te,+*("!"!*te,#e#"$("&(e)"#"(*m"&.P"#"("&"(/("&"(0

osteome!tsmem+e,(es"&(e)"#"t*!"&')"&%"&' ("( #"&!e&'"&0 m"&"("!" o,"&'

#e"s""#"!"$!e+$ee,*&'*&t*(me&'$#")osteome!ts#"!"mt*!"&' -"&'

mem+e&t*(t*!"&'+e!"("&' e,te+,". O,"&' -"&'

mem)*&-")e&-"(t(e&&'m"&s+o!e$me&-e+"+("&osteome!ts # ("(

me,e("%("mem)*&-"*!se, ("(. Ke+"&-"("& o,"&'

meme,!*("&)em+e#"$"&*&t*(mem+*"&'+"$"'"&t*!"&' -"&'

te!"$m"t#(*t#e&'"&"&t+ot(se","&t,"e&"0 +"s"&-"se!"m"e&"mm&''*.


4/11

PENCARIAN LITURATURE

Osteom-e!ts "#"!"$&e(st*!"&' -"&' #")"tme&%"#m"s"!"$(,o&( -"&'

"("&mem)e&'",*$(*"!t$#*)"t"*me&'"(+"t("&(e$!"&'"&e(st,emt

B,*&&e, 6S*##",t E#. 7 8o!. 3 H"! 9 2343

Osteom-e!ts "#"!"$&e(s Bo&e m",,o )"#"t*!"&'/t*!"&')"&%"&' -"&'

#se+"+("&o!e$ st")$-!oo*s "*,e*s#"&("#"&'/("#"&'H"emo)$-!*s&!*e&s"e De)(es

RI0 1::5

Osteom-e!ts "#"!"$s*"t*&e(s -"&' #se+",("&me!"!*#","$ -"&' #se+"+("&o!e$

st")$-!oo*s Hee,so&0 1::;

Osteom-e!tts"#"!"$s"t*)e&-"(t -"&' t#"(+e,%"&'(t0&"m*&+o!e$me,e+"((e(""s"& -"&'

!"& %("t#"(me&%"'"(""s"&!*("#e&'"&+"(#"&t#"(me")"t("&,""t"e&'"&se'e,".

K"m!0 2


5/11

PERBINCANGAN DAN HUJAH

Ke+"&-"("&(esosteome!ts#se+"+("&o!e$+"(te," st")$-!oo*s0

se%e&s(*m"&+"s"#%*m)")"#"(*!t"t"* # #"!"m$#*&'.

K*m"&+o!e$mem"s*(("&t*!"&'#"!"m)e!+"'"","0 te,m"s*(9

> Me!"!*s"!*,#","$. K*m"& # +"$"'"&/+"$"'"& !"& +"#"&o&to$&-"0 #",

)&e*mo&" "t"*%"&'(t"&s"!*,"&(e&&'+o!e$+e,'e,"(me!"!*s"!*,"","$(etem)"t -"&'

!em"$#"!"mt*!"&'.P"#"("&"(/("&"(0 osteome!ts )"!&' +"s"+e,!"(* # (""s"&/(""s"&

-"&' !e+$!em+*t0 -"&' #)"&''! )!"t )e,t*m+*$"&0

s"m""#")"#""($,t*!"&')"&%"&'!e&'""& ("(.

> D", %"&'(t"&+e,$"m),"&. L*(" t*s*("& -"&' te,*(+o!e$mem+""(*m"&%"*$ #

#"!"m+"#"& .J("")"/")"(ee#e,""%"&'(t0 (*m"&+o!e$me,e+"((et*!"&' -"&'

+e,$"m),"&.

> Ke)"t"$"&"t"*!*("te,+*(". Ke)"t"$"& -"&'

me&-e+"+("&t*!"&'te,)*t*s#*"se,t"t*s*("&t*!"&'te,se+*tme&em+*s(*!tme&'"(+"t("&(*

m"&m*#"$*&t*(me,e+"(se","te,*s.

Tanda-tandadangejalaosteomielitistermas!"

Dem"m"t"*me&'''!

Ce)"tm","$"t"*(e!et$"&)"#""&"(/"&"(m*#"

S"(t # (""s"&%"&'(t"&

Be&'("(0 )"&"s#"&(eme,"$"&se!*,*$+"$"'"& -"&' %"&'(t"&

Keter!anin#e!sia!an$ergantng!e%ada$e$era%a#a!tor$eri!t"

Um*,

Lo("s%"&'(t"&

Ke,*&"&o,'"&sm"

T"(+"!"sm*&t+"#"&te,$"#")o'"&sm".

&ering!atKejadianOsteomielities

1. Pe,&'("t(e,"#"&'"& 9


6/11

> Be,!"(*)e,*+"$"&(e)"#"!*(".Be,!"(*&!"m"s"(*t#se+"+("&+"(et,")e&-e+"+#

e&'"&(o&'es "s*!",

se,t"+e,!"(*)em+e&t*("&e",+e,e(s*#"t.Te("&"&&t,"osseo*sme&-e+"+("&(es"

(t"&.G"&''*"&"!,"","$+e,!"(*#"&me&-e+"+("&+e,!"(* t$,om+oss "s(*!",.

2. Pem+e&t*("&N"&"$ S*)*,,"s

> Se!e)"s$",(e#*"#"&(et'"&"&"$te,+e&t*(.A+ses#"!"mt*!"&'#"&me,e+"((e)e,m*

(""&"+sess*+)e,oste"!.A+ses"("&me,e+"(sem*!"(e#"!"mt*!"&'#"&(e#"!"mts*!e

m+*t.B"'("&"(/

("&"(&e(sme,e+"(me!"!*ss"t"*essse#"&"+ses(e!*",me!"!*)e,oste*

mse.B"' o,"&' #e"s""+ses"("&me,e+"(me!"!*("&"!me#*!",.

3. Ne(,oss

> Be,!"(*te("&"&&t,"osseo*sme&-e+"+("&st"ts#"& t$,om+oss &e(t)"#"

"s*!",

me&-e+"+("&'"&''*"&+e("!"","$sete,*s&-"+e,!"(*&e(,oss)"#"t*!"&'.Pe&'$"

s!"&E(soto(s"&e&?m !e*oss "("&me&''"!"("&)em*s&"$"&ts*.

Kom)!("s Osteom-e!ts

"#"!"$(em"t"&se!t*!"&'.J"&'(t"&)"#"t*!"&'+o!e$me&'$"!"&')e&'"!,"","$(et*!"&'te,se

+*t#"&me&-e+"+("&(em"t"&se!t*!"&'te,se+*t"(+"tt#"(me")"t&*t,s#"&o(s'e& -"&'

me&*(*).Se!"&t*+o!e$%*'"me&'"(+"t("&se)t(",t,ts.I&(e,"&"sesete&'"$(es0%"&'(t"&)

"#"t*!"&'+o!e$me,e+"((e+"$"'"&set*!"&'.

Se!"&t*+o!e$me&-e+"+("&)e,t*m+*$"&te,+"&t*t.H"! &se,&'+e,!"(*)"#"("&"(/

("&"(.P"#"("&"(/("&"((""s"& -"&'


7/11

se,&'me&'"!"m%"&'(t"&"#"!"$)"#"+"$"'"&(""s"&!em+*t"t"*#)"&''!se+"'"t")"(

)e,t*m+*$"&0 t#"( (," s"m""#" )"#" t*!"&' )"&%"&' )"#" !e&'"& m"$*)*& ("(.

T*m+es","& -"&' &o,m"! m*&'(& te,%e%es #e&'"& "#"&-" %"&'(t"& (*m"& )"#"

t*!"&'.A($, se("!0 +o!e$ me&'"(+"t("& ("&se, (*!t.J(" %"&'(t"& )"#" !*(" te,se+*t

+e,!"(* )e&'*m)*!"& &"&"$0 (""s"& #se(e!!&' &"&"$ te,se+*t me&'"!"m ,s(o -"&'

t&'' *&t*( +e,!"(* ("&se,.

Lo("s se,&' +e,!"(* Osteome!tes

. H*%*&' #st"! em*,

. H*%*&' ),o(sm"! t+"

.Ke#*" $*%*&' $*me,*s0 ,"#*s 6 *!&"

.T*,*s e,te+," #e"s"

&en'elesaian (asala)

R""t"& *&t*( osteom-e!ts (,o&( me,*)"("& ,""t"& -"&' )"&%"&' #"& meme,!*("&

(es"+","& # s"m)&' me!+"t("& (os )e,*+"t"& -"&' "'"( t&''.


8/11

Pem+e#"$"& D"& Pem+e,"& A&t+ot(

Pes"(t %*'" )e,!* me!"!* +e+e,")" s, )em+e#"$"& *&t*( mem"st("& "'", %"&'(t"&

(*m"& #$")*s("& se)e&*$&-" #", #"!"m t*!"&'.P,oses ,""t"& te,m"s*(!"$ ,""t"&

me&''*&"("& "&t+ot( ($*s*s se"," &t,"e&".O,'"&sm" ($*s*s -"&' me&%"# )*&"

%"&'(t"& )e,!* #(e&"!)"st te,!e+$ #"$*!* *&t*( me&e&t*("& %e&s "&t+ot( -"&' ses*"

#'*&"("&.L"?m&-" ,""t"& "&t+ot( +e,te,*s"& se!"m" = m&''* m&m*m.

R""t"& )em+e#"$"& me!+"t("& me&* !*(" #e&'"& mem+*"&' ts*/ts* #"& se!/se!

t*!"&' -"&' te!"$ m"t (e,"&" se!/se! m"t me,*)"("& me#*m -"&' ses*" *&t*( #%"&'(t

(*m"&.Se(,"&-" (e,os"("& t*!"&' "#"!"$ s"&'"t (et"," #"& !*"s0 m"(" ,""t"& @+o&e

t,"&s)o,t #e&'"& me&''*&"("& @I!?",o "to, +o!e$ #"#"&'("& (e)"#" )es"(t sete!"$

+e,+&"&' se"," ,") #e&'"& )"(", o,to)e#(. R""t"& m*&'(& "("& mem"("& m"s"

se!"m" e&"m +*!"& $&''" +e,t"$*& !"m"&-".O!e$ t*0 so(o&'"& "$! (e!*",'" "#"!"$ )e&t&'

#"!"m mem"st("& "'", te("&"& #"& st,es #")"t #e!"(("& #"& %(" )e,!*0 ,""t"& )"(",

)s("t,( "#"!"$ #"#"&'("&.

Kes"& )e&''*&""& "&t+ot( #"& *+"t t"$"& s"(t #"!"m %"&'(" m"s" )"&%"&' )*!"0 *+"t/*+"t

-"&' #+e,("& te!"$ me&%"!"& ("%"& #"& *%"& me"!"m.O!e$ t* #")"t("&!"$ &"s$"t )"(",

-"&' mem+e,("& *+"t/*+"t +e,(e&""& *&t*( me&'et"$* !e+$ !"&%*t (es"& )e&'"m+!"&&-"


9/11

#"!"m %"&'(" )ee( "t"* %"&'(" )"&%"&'.Pem"("&"& "&t+ot( se"," t#"( te,"t*, +o!e$

me&-e+"+("& o,'"&sm" -"&' me&-e+"+("& %"&'(t"& t#"( #")"t #$")*s("& se)e&*$&-"

#"& )"#" m"s" -"&' s"m" +o!e$ me&'$"s!("& o,'"&sm" -"&' mem)*&-" (et"$"&"&

,esst"&t (e)"#" "&t+ot( +e,(e&""&. Pem+e&t*("& (et"$"&"& & "("& me&-e+"+("&

"&t+ot( -"&' !e+$ (*"t #"& m"$"! te,)"(s" #'*&"("& *&t*( me,""t )es"(t*

RUMUSAN


10/11

Se"," (esm)*!"&&-"0 )e&-"(t osteom!ts & "#"!"$ +*("& )e&-"(t

+e,%"&'(t.I"se,&'+e,!"(* #se+"+("& )e&%"'""& !*(" -"&' t#"( sem)*,&" se!e)"s

me&'"!"m (e)"t"$"& te,+*("0 *!e, #"+et #"& se+"'"&-". K""s"& -"&' me&'"!"m

%"&'(t"& +o!e$ me,e+"( !e+$ !*"s !"' %(" t#"( # +e,s$("& #e&'"& sem)*,&"0

)e&'*m)*!"& +"(te," te,se+*t +o!e$ me&%"&'(t t*!"&'.R""t"& -"&' se"%",&-" #+e,("&

(e)"#" )es"(t "#"!"$ )em+e,"& "&t+ot( -"&' +e,ses*""& (e)"#" )es"(t.J(" +e,!"(*

)e&'*m)*!"& &"&"$0 &ss #"& )e&'","& )e,!* #!"(*("& +"' me&'e!"(("& me&%"#

+e,t"m+"$ te,*(.Se!"& t* to!et " #,ess&' )e,!* # !"(*("& set") $", )"#" (""s"& !*("

-"&' me&'"!"m %"&'(t"& te,se+*t +"' me&'e!"(("& +e,!"(*&-" %"&'(t"& se(*e,

RUJUKAN

1.H"+ TP0 e#. C!&"! Osteom-e!ts. 5t$ e#. P$!"#e!)$"0 P"9 Mos+- E!see,2


11/11

2.I"?JH.Bo&e. I&9 M"e!! GL0 Be&&ett JE0 Do!& R0 e#s. M"e!!0 Do*'!"s0 " Be&&etts

P,&)!es " P,"te o I&eto*s Dse"ses. ;t$ e#. P$!"#e!)$"0 P"9 C$*,$!! L&'sto&e

E!see,2

case study orthopedik osteomielitis

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