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MID – TERM TEST Topics : Anatomy of Bone and Muscle
Student will be assessed using pcture of bone and muscle. The picture are provided and the student must give the name of bones or muscles acoording to the pointer on the picture
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NEOPLASM OF SOFT TISSUE BONE BENIGN
Dr. Eka W, Sp.OT
AIMS:
Establish tentative diagnosis, provide initial management andor refer patient with various soft tissues tumors and tumor-like lesion and benign neoplasm
LEARNING OUTCOMES:
Establish tentative diagnosis, provide initial management andor refer patient with various soft tissues tumors and tumor-like lesion and benign neoplasm
CURRICULUM CONTENTS: 1. soft tissues tumors and tumor-like lesion and
2. Benign neoplasm a. Osteochondrome
b. Gct c. Osteoma
d. Osteoid osteoma
ABSTRACT
Bone tumor or tumor from bone is rare case that only 0.2 from all tumors. Bone tumors are benign and malignant. Cancers of bone can be primarily from bone itself, or
secunderly from another site.
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Benign neoplasm of bone usually found unpredictable, because no specific symtoms before it give complication like compression to the surrounding tissues or a fracture.
Conversely bone cancers always give similar signs as another diseases like osteomyelitis or fracture of bone, and bone cancers always be found with bad condition.
The management of bone tumors particularly for malignant tumors, early diagnosis is very imfortant for further treatment. The modality of management is defending on the
gradation. To know about the stadium, cooperation between orthopaedi, radiology and pathology anatomy are necessary.
Vigilance for the bone tumors should be increase because sign of malignant bone tumor always mistakable with another case. Malignant bone tumor usually 75 attack
childrents and need radical surgery, extensive, and chemotherapy which uncomfortable, and that are challenge to be an orthopaedic for treating bone tumors. Because of that to be
general practitioner to impeach bone tumor will increase early diagnosis and good result in the management.
SELF DIRECTING LEARNING
Basic knowledge that must be known: 1. Diagnosis od soft tissue tumor
2. Management of soft toissue tumor
SCENARIO
Case 1 A boy come with lump at the bone of the right thigh close with knee, and below of the left
knee. His family doesn’t suffering disease like him, but his farent has lump like him. Learning Task:
1. What the problem with him? 2. What kind of anamnesis which necessary for the patient?
3. What kind of physical examination and pem. Tambahan which necessary for the patient?
4. If the the lump is benign, can you make the classification of bone tumor by Aegerter? 5. Explain, what the meaning with reactive bone lesion, hamartoma ?
6. What are the clinical feature, radiologic, and histopathology of the benign bone tumors Osteoma, Osteochondroma, GCT
7. How the principely of the management of benign bone tumors? Case 2
Seventeen year old boy, two weeks ago his right knee hited a table, and now his knee swollen, redness, warm, and painfull.
Learning Task: 1. What x-ray should be performed?
2. What are yourdifferential diagnoses regarding on location where the patient complaint?
3. May the patient suffer of malignant bone tumor? 4. What are the radiologically if true malignant bone tumor?
5. What is the prognosis base on the radiology imaging? 6. Can you explain the tumors which have radiology feature patognomonic?
Self Assessment: 1. Learn about the definition of benign and malignant bone tumors
2. Learn the classification of bone tumors 3. Learn about the relation between the location and kind of bone tumors?
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4. Learn about the management of benign bone tumors 5. What the classification of bone tumor by Aegerter?
6. Can be the GCT classify into malignant bone tumor? 7. What kind of radiology appearance for the bone tumor generally?
NEOPLASM OF SOFT TISSUE BONE MALIGN
AIMS :
Establish tentative diagnosis, provide initial management andor refer patient with malign neoplasm of the bone soft tissue
LEARNING OUTCOME:
Establish tentative diagnosis, provide initial management andor refer patient with malign neoplasm of the bone soft tissue
CURRICULUM CONTENTS:
Malign neoplasm of the bone soft tissue 1. osteosarcoma
2. chondrosarcoma 3. ewing tumor
ABSTRACTS
Bone tumor or tumor from bone is rare case that only 0.2 from all tumors. Bone tumors are benign and malignant. Cancers of bone can be primarily from bone itself, or
secunderly from another site metastasis. Benign neoplasm of bone usually found unpredictable, because no specific symtoms
before it give complication like compression to the surrounding tissues or a fracture. Conversely bone cancers always give similar signs as another diseases like osteomyelitis
or fracture of bone, and bone cancers always be found with bad condition. The management of bone tumors particularly for malignant tumors, early diagnosis is
very imfortant for further treatment. The modality of management is defending on the gradation. To know about the stadium, cooperation between orthopaedi, radiology and
pathology anatomy are necessary. Vigilance for the bone tumors should be increase because sign of malignant bone
tumor always mistakable with another case. Malignant bone tumor usually 75 attack childrents and need radical surgery, extensive, and chemotherapy which uncomfortable, and
that are challenge to be an orthopaedic for treating bone tumors. Because of that to be general practitioner to impeach bone tumor will increase early diagnosis and good result in
the management.
SELF DIRECTING LEARNING
Basic knowledge that must be known: 1. Diagnosis of malign tissue tumors
2. Management of malign tissue tumors
SCENARIO
A 10 year old boy complaint about lump around his right knee accompanied with erythema and pain. The lump and pain were beginning 4 months ago. He looks pale and
skinny. One week ago, he got slipped and fall, the pain is getting worst. After that, this patient comes to you.
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Learning task: 1. Make a complete history of this patient
2. In physical examination what would you expect to find in this patient? After that, what other you should do?
3. Please explain the radiograph of bone cancer? 4. Please explain about hysthopathologic of bone cancer osteosarcoma,
chondrosarcoma, ewing tumor etc 5. What is metastase? How is the pathway of bone cancer metastase?
6. What is the principal of bone cancer treatment? Self assessment:
1. Learn about primary and secondary bone cancer. 2. Learn about management of bone cancer, especially:
a. History taking b. Radiographic
c. Biopsy d. Treatment: Surgical and adjuvant
3. What is the commonest bone cancer you can find? 4. What is the differences of primary osteosarcoma and secondary osteosarcoma?
ULCER AND MANAGEMENTS dr. Eka W, Sp.OT
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BONE INFECTIONS
dr. Wayan Suryanto Dusak, SpOT
AIMS:
Establish tentative diagnosis, provide initial management andor refer patient with infection of musculoscletal system
LEARNING OUTCOMES:
Establish tentative diagnosis, provide initial management andor refer patient with: Osteomyelitis and Septic arthritis
CURRICULUM CONTENTS:
1. Osteomyelitis and 2. Septic arthritis
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ABSTRACTS
One of the most serious inflammatory disorders of the musculoskeletal system is acute hematogenous osteomyelitis, a rapidly developing blood – borne bacterial infection of
bone and its marrow in children The first and most significant symptom afflicted child experiences is severe and
constant pain near the end of the involved long bone. It’s extremely important to appreciate that the early diagnosis of acute hematogenous osteomyelitis must be made on clinical
ground alone, because during at least the first week of illness, there is absolutely no concrete radiographic evidence of bone infection
Acute hematogenous osteomyelitis represents an extremely serious infection that demands urgents and vigorous treatment. As soon as the clinical diagnosis strongly
suspected, the child should be admitted to hospital for intensive treatment. In general, the most effective treatment is bed rest and analgetics, supportive measures immobilization,
and antibacterial therapy
When pyogenic bacteria are invide a synovial joint, the result is acute septic pyogenic arthritis. The most common source of septic arthritis in children is spreading of
pyogenic bacteria from hematogenous osteomyelitis. The general features and general principles treatment of septic arthritis is similar to acute hematogenous osteomyelitis
SELF DIRECTING LEARNING
Basic knowledge that must be known: 1. Diagnosis of osteomyelitis
2. Management of osteomyelitis
SCENARIO
Five years old boy, came to the hospital with pain and swelling on his right hip after fell down when he played 3 days ago. The child un willingness to use his limb and within 24
hours appears acutely ill: 1. What you assessment for this patient?
2. What is your diagnosis? 3. How to manage the patient?
Learning task: 1. General features of inflammatory process of the musculoskeletal tissue
2. Etiology of AHO and septic arthritis 3. Pathogenesis and clinical features of AHO and SA
4. Treatment AHO and SA 5. Complication of AHO and SA
Self Assessment I:
1. Please explain the definition and sign and symptoms of bone infection 2. Please explain the infection route in bone and cartilage
3. Please explain the osteomyelitis classification
Self Assessment II: 1. Please explain the radiologic findings of osteomyelitis
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MUSCULOSKELETAL REHABILITATION
dr. Tjok Dalem Kurniawan, SpRM
AIMS:
Describe the Rehabilitation of musculoskeletal
LEARNING OUTCOMES:
Describe the Rehabilitation of musculoskeletal after injury degenerative disorders
CURRICULUM CONTENTS:
a. Execerise Therapy b. Deconditioning
c. Physical modality d. Prosthesis
ABSTRACTS
Musculoskeletal disorders are the most frequent type of disabilities, and pain is the most common cause musculoskeletal disability. Musculoskeletal complaint include non
specific symptoms such as pain in the neck, back, and extremities, chronic inflammatory or degenerative disorders, and a wide range of sports injuries, traffic and occupation accident.
These disorder cause disability, suffering and reduce a person quality of life. Early mobilization in musculoskeletal disorder is needed for preventing immobilization syndrome.
Management of rehabilitation for musculoskeletal disorders consist of giving some medicine, physical modality, exercise therapy and sometime need walking aid
SELF DIRECTING LEARNING
Basic knowledge that must be known:
1. Rehabilitation for musculosceletal disorders SCENARIO