Hasil Bacaan Rontgen

Temuan Rontgen

• Sendi bahu (proksimal): Posisi kepala humerus terlihat sejajar, tidak tampak dislokasi
• Batang humerus (diafisis): Korteks tulang tampak kontinu dan utuh, tidak ada garis fraktur yang jelas, tidak ada angulasi atau deformitas
• Siku (distal): Artikulasi antara humerus distal, ulna (olecranon), dan kepala radius terlihat intak. Tidak ada dislokasi nyata
• Densitas tulang: Normal, tidak ada lesi litik atau blastik yang mencurigakan
• Jaringan lunak: Tidak tampak pembengkakan atau benda asing

Catatan Penting

⚠️ Ini hanya satu proyeksi (lateral). Dalam radiologi berlaku prinsip "satu view bukan bukti cukup."

1. Foto AP (Anteroposterior) humerus kanan untuk melengkapi
2. Korelasi dengan gejala klinis (nyeri, bengkak, keterbatasan gerak)
3. Laporan resmi dari dokter radiologi

X-Ray Reading Summary

Findings

• Shoulder joint (proximal): Humeral head is aligned, no obvious dislocation
• Humeral shaft (diaphysis): Cortical margins appear continuous and intact - no visible fracture line, no angulation or bony deformity
• Elbow joint (distal): The articulation between the distal humerus, olecranon (ulna), and radial head looks intact. No obvious dislocation or subluxation
• Bone density: Normal, no lytic or blastic lesions seen
• Soft tissues: No gross swelling or foreign bodies

Important Notes

⚠️ This is only ONE view (lateral). In radiology, the principle is "one view is no view."

1. AP (Anteroposterior) view of the right humerus to complement this
2. Correlation with clinical symptoms (pain, swelling, limited range of motion)
3. Official report from a radiologist

Assessment - Swollen & Painful Lips

Most Likely: Cheilitis (Lip Inflammation)

• Dry, cracked lips with prominent vertical fissuring
• Mild redness/inflammation along the vermilion border
• No blisters or ulcers visible

Possible Causes

What to Do

1. Moisturise - apply petroleum jelly (Vaseline) or lip balm without fragrances
2. Avoid licking lips - makes it worse
3. Stay hydrated - drink more water
4. Avoid spicy/acidic food until healed

⚠️ This is a general visual assessment only, not a clinical diagnosis. Please consult a doctor or dermatologist for proper evaluation and treatment.

1. How long have the lips been swollen and painful?
2. Any recent new lip products, toothpaste, or food you ate before this started?
3. Any blisters or sores that appeared before the swelling?
4. Fever or other symptoms alongside?

Revised Assessment - 2 Weeks Duration

Top Possibilities

Less Likely Now

• Herpes labialis (usually resolves in 7-10 days on its own)
• Simple dehydration

Key Questions to Narrow It Down

• Any new lip product, food, or medication started around the same time?
• Is it worse after eating certain foods?
• Are you outdoors a lot (sun exposure)?
• Any white patches inside the mouth?

What Should Be Done

1. See a doctor or dermatologist - 2 weeks warrants proper examination
2. They may prescribe a mild topical steroid (e.g. hydrocortisone cream) if allergic
3. Or antifungal if angular cheilitis with fungal component
4. A patch test may be done to identify allergens

⚠️ Do not self-medicate with strong steroids on lips without medical advice. Please get it checked - 2 weeks is long enough to warrant a proper consultation.

✅ Hydrocortisone 1% Cream

• Brand examples: Dermacort, Hydrocortisone cream (generic), HC45
• Lowest potency steroid - safest for face/lips
• Apply thinly, 1-2x daily, max 5-7 days only

⚠️ Important Warnings for Lips

• Do NOT use betamethasone, mometasone, or clobetasol on lips - too strong, will thin the skin
• Do NOT apply inside the mouth
• Do NOT use long term - steroid dependency and skin atrophy
• If no improvement in 5-7 days - stop and see a doctor

Also Use Alongside:

• Vaseline / plain petroleum jelly - protect and moisturise the lip barrier
• Avoid lipstick, flavoured lip balm, SLS toothpaste in the meantime

🔴 Honest caveat: Since this has been going on 2 weeks, a steroid cream alone may not be enough. If the cause is fungal (angular cheilitis), you actually need antifungal cream (clotrimazole), not steroid. Using steroid on a fungal infection can make it worse.

A proper diagnosis first would give you the right treatment. A pharmacist visit (even without a full doctor consult) can help point you in the right direction.

Angular Cheilitis Treatment

🥇 First Line - OTC Antifungal

Miconazole (Daktarin) is often preferred - works on both fungus AND bacteria

🥈 If Also Inflamed/Red - Combination Cream

• Miconazole + Hydrocortisone (e.g. Daktacort)
• Treats fungus + reduces inflammation at the same time
• Use for max 7 days

🏠 Home Care Alongside

• Vaseline on the corners - keeps moisture out, prevents cracking
• Vitamin B2 (Riboflavin) & B12 supplements - deficiency is a common underlying cause
• Iron & zinc supplements if diet is poor
• Avoid licking the corners of your mouth
• Keep the area dry - saliva pooling makes it worse

❌ What NOT to Do

• Do not use steroid cream alone without antifungal - fungus will get worse
• Do not share utensils/towels during treatment

When to See a Doctor

• No improvement after 2 weeks of antifungal
• Spreading beyond the corners
• Recurrent episodes - may need to check for diabetes, anaemia, or denture fit

Most cases resolve in 1-2 weeks with proper antifungal treatment + good lip hygiene.

🔴 YES - This Needs Stitches. Go to Clinic/Hospital Now.

Why It Needs Sutures

⚠️ Most Important Concern

• The extensor tendon (yang control jari untuk lurus) could be damaged
• Joint capsule might be breached
• A doctor MUST check tendon function before closing

Do This Right Now

1. Press firmly with a clean cloth to stop bleeding
2. Do NOT flex/bend the finger
3. Go to emergency / clinic immediately - wound this fresh is best stitched within 6 hours
4. Tell them how it happened (clean cut? rusty object? glass?)

Also Ask About

• Tetanus jab - if not done in last 5 years
• Tendon check - ask them to check if tendon is intact

Bottom line: Kena pergi hospital sekarang. Luka macam ni kat sendi jari, tak boleh tunggu. Kalau tendon kena, lambat rawat boleh affect movement jari permanently.