a traumatized fydo doing examinaion on trauma case

beauty is pain.
no pain no gain.
no gain no knowledge.

me is traumatized but like i told ya, i need to be strong. *crying*.
i was told to manage a trauma case(tiba2 je) so macam oncall sket.
someone didnt have the common sense.
me is small hearted.
male assistants are there. they tend to underestimate a female doctor. i said tend to, not really doing it.
i kesiankan patient tu. dia tua, dia sakit, aku terbayangkan ba. i feel like i'm his daughter, not his doctor. (shouldnt feel like this - should balance it)

so todayyyyyyy, an examination is done under fulllll supervision.

1) c/o - LOC? ent bleeding? retrograde amnesia?
2) hpc - how mva happen, what vs what, when,
3) pmh
4) pdh
5) sh - smoke, drink, work
6) fh
7) eo - check for fracturessss


palpate
face - periorbital, nasal, maxillae, mandible
tmj -

mouth opening
lateral excurion

look for
hematoma (accumulation of blood=swelling)
ecchimosis (bleeding under skin without swelling)
abrasion
laceraion

check
eye - diplopia (ask patient to follow your finger) , blurred vision, subconjunctival haemorrhage

I/O

occlusion deformity
dento-alveolar fractures
crown fractures
tooth mobility

management :

toilette and suturing (this case, l/w at lip) - cari n cantumkan betul2 dekat vermilion border, baru cantik bibir dia.

bagi cloxacillin because its extraoral. if intraoral only, can give ampicillin(x ingt)

later, we ordered omv and opg to rule out infraorbital fracture (Ihe pt have periorbital hematoma)



DONE FOR TODAY. STRESSSSSSEDDD