1. PEMERIKSAAN FISIK DASAR KELAINAN ORTHOPAEDI
Dr. Hari Tjahyono, SpOT

2. DATA
History
Physical examination
Photo
Laboratorium

3. HISTORY Keluhan utama - Pain : - Nyeri - Anestesi - Parestesi
- Penurunan fungsi
- Physical Appearance
- Deformity
- Atrophy
- Scoliosis
- Relevant past history : penyakit sebelumnya
- Penyakit penyerta : Jantung, ren, diabetus melitus,
respiratory, psychic
- Family history

4. Physical examination Body build : Wajah, gait (walking), duduk, tidur
Looking (inspection)
Feeling (palpation)
Moving (Assessment of joint motion)
Listening (auscultation)
Special physical test
Neurological examination

5. LOOK (INSPECTION) Warna kulit : merah, cyanosis,
pigmentation, pucat, luka
Swelling
Limb shortening / atrophy
Gait

6. FEEL (PALPATION)
Hangat
Dingin
Size (ukuran)
Dislocation
Crepitus

7. MOVE (ASSESSMENT OF JOINT MOTION)
Passive movement
Joint instability
Range of motion

8. LISTENING (AUSCULTATION)
Crepitus
Snapping tendon
Murmur arteriorvenous fistula

9. PHYSICAL TEST Flexion deformity : Thomas test Trendelenburg test
Instability: - Ortholani
- Laseque Test
- Mc Murray Test
Neurological examination :
- Muscle : Weakness
Spasticity
- Sensation
- In coordination
- Reflex tendon

10. RADIOGRAPHIC EXAMINATION
Identitas pasien
Tulang :
AP Lateral melampaui kedua sendi
Densitas naik : sclerosis
Rarefaction
General density, local density
Hubungan tulang : dislocation, subluxasi
Break in bone : fracture line (transfer, Oblique,
segmental, comminutive, rotasi, cumcontractionum,
cumdistractionum, angulasi)
General / local countour : Deformity, Irregularity

11. RADIOGRAPHIC EXAMINATION
Sendi
Articular cartilage : Space sendi
Soft tissue
Comparation of a limb
Special photo : contras / medium
Arthrogram : dalam sendi
Myelogram : sub arachnoid
Sinosgram : dalam sinus
CT Scan
MRI
Bone Survey

12. LABORATORIUM EXAMINATION
Darah lengkap
Leukocyte, LED, Thrombocyte, HB
Serum : Mantoux (TBC)
Rose test (Rheumathoid desease)
Urine : - Albumin, gula, cell, kristal
- Cultur
Cerebro spinal fluid : Protein, cell, Cultur
Abnormal fluids : Effusion, Exudates
Gross, smear, cultur, resistance antibiotic

13. Semua data dikorelasikan untuk diagnose dan diferensial diagnose
BODY TISSUE
Gross
Biopsi
Semua data dikorelasikan untuk diagnose dan diferensial diagnose