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8/17/2019 Boyolali 9-16 Des YL TC
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Stase RSUD Pandan Arang
Boyolali Melaporkan Pasien9-16 Desember 201
dr. C.Andrew (CT)
dr. Yulinar Budi Adhi(YL)
Program Pendidikan Dokter Spesialis !bstetridan "inekologi#ak$ltas %edokteran Uni&ersitas 'egeri
Sebelas MaretR$ma( Sakit Dr) Moe*ardi S$rakarta
8/17/2019 Boyolali 9-16 Des YL TC
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R+SUM+TOTAL PASIEN : 24 PASIEN• PARTUS FISIOLOGIS : 2 PASIEN• PARTUS PATOLOGIS : 12 PASIEN• MAYOR OBSTETRI : 2PASIEN• MINOR OBSTETRI : 2PASIEN
• MAYOR GINEKOLOGI : 1PASIEN• MINOR GINEKOLOGI : 3PASIEN• RENCANA MAYOR OBSTETRI : -PASIEN• RENCANA MINOR OBSTETRI : - PASIEN• RENCANA MINOR GINEKOLOGI : - PASIEN• KONSERVATIF : 1PASIEN• SISA VK : - PASIEN•Insers IU! : PASIEN
2
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PAR,US#S!.!"S
%ASUS
3
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PAR,US #S!.!"S 1 %as$s
1. Ny. HT, G2P1A0 , 30 thn UK 38 mgg
Lahir bayi laki-laki BBL 3300 gr A
8-!-10
"
8/17/2019 Boyolali 9-16 Des YL TC
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PAR,USPA,!.!"S
12 %ASUS
#
8/17/2019 Boyolali 9-16 Des YL TC
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Postdate/postterm kas$s
1.Ny. $% G1P0A0, 33 th, UK & "1 mgg
Primigra'i(a Hamil )*+t(at
Lahir bayi )rm)an, BBL 3300 gr, A 8-!-10
/
8/17/2019 Boyolali 9-16 Des YL TC
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%+,UBA' P+A D' kas$s
1. Ny. , G1P0A0, 3 th UK & 38 mgg
KP 1 hari )a(a Primigra'i(a HamilAtrmHT g+ta+i*nal
Lahir bayi )rm)an,BBL 2!00 gr, A 8-!-10
2. Ny.H,G2P1A0, 3/thn UK & 3" mgg
KP 8 4am )a(a +5n(igra'i(a hamil)rtrm
Lahir bayi laki-laki ,BBL 1800 gr A /--8
8/17/2019 Boyolali 9-16 Des YL TC
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Ktban )5ah (ini6
3. Ny. 7, G2P1A0, 2# th UK & 3 mgg
KP 10 4am )a(a +5n(igra'i(a Hamil Atrm
Lahir bayi )rm)an,BBL 3300 gr, A 8-!-10
". Ny. 7N, G2P1A0, 22 th UK & 38 mgg
KP 2 hari +5n(igra'i(a Hamil atrm
Lahir bayi laki-laki,BBL 2800 gr, A 8-!-10
#. Ny. 7N, G2P1A0, 22 th UK & 38 mgg
KP 2 hari +5n(igra'i(a Hamil atrm7i 9#thn yll
Lahir bayi laki-laki,BBL 3100 gr, A 8-!-10
8
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3ak$m +kstraksi2%as$s
!
8/17/2019 Boyolali 9-16 Des YL TC
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Presbo / U"R1 kas$s
1. Ny.7 G"P3A0 3# thn k "0 mgg )*+t manal ai( a:i KP Pr+b* )a(a
mltigra'i(a hamil atrm
lahir bayi laki-laki BBL 2800 gr A 8-!-10
10
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MA4!R !BS,+,R
1 %ASUS
11
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"'+%!.!"
1 kas$s1. Ny.;L P2A1 30 thn
)*+t manal )la+nta a:i rtn+i*
)la+nta
12
8/17/2019 Boyolali 9-16 Des YL TC
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MA4!R "'+%!.!"%as$s
13
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%!'S+R3A,#
ka++
1"
K ti<
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K*n+r'ati< &
ka++
1#
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DS%US
1/
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"1P0A05 2 t(5 U% 78mingg$
Pr+b* Primigra'i(a hamilatrm (g riayat a+ma
1
8/17/2019 Boyolali 9-16 Des YL TC
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%ronologis Se"r#n$ G1P%A% & 2' (#)*n *+ 3, $ .#(#n$ .en$#n +e/*)#n
+en0en$-+en0en$#sen er#s# )#/ */#n&$er#+#n 5#nn
#s) .r#s#&+en0en$-+en0en$ (er#(*r s*.#) .r#s#+#n & #r
+#6#) s*.#) .r#s# +e/*#r se5#+ 3 5# SMRS&/en.r .#r#) 789
$. karang
HP;T & !:3:201# HPL & 1":12:201#R6##( Pen#+( !#)*/*
R6##( ;er(ens : .s#n$+#/
RI6##( Pen#+( <#n(*n$ : .s#n$+#/
RI6##( !M : .s#n$+#/R6##( As# : se5#+ *s# 1' ()n 71% ()n /9
K"n(r"/ r*(n
R6##( A/er$ "#(= #+#n#n : .s#n$+#/
18
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Pemeriksaan #isik K* : #+& 0
VS T! : 11%='% ;$ N : ,,>=en( >=n(
Rr : 2%>=n( S : 3?&@ "CM#(# C# -=- SI -=-
T)"r#> : C"r : B< I-II 14% >=en( sn$ 7-9
P*/" : S!V 78=89 ST7-=-9
A. s*e/ NT 79& (er## 5#nn (*n$$#/ IU res" "+"n$
s*.#) #s*+ #n$$*/ 2=3 #$#n&!<< 1@4>=re$
;s789 3-4>=1%=2%
Gen : VU (en#n$ .n.n$ D#$n# .n& P"r(" (#+
(er##&e#+##n /en$+# e : ,%AK789 KK7-9
en*n5*+ s#0r* . 5# 11
= & Kala $$ )a(a )rimigra'i(a hamil atrm
Plan & )im)in )r+alinan
manal ai(
1!
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Lahir bayi laki-laki BBL 2"00gr A -8-!
= & $UG7 )r+b* )*+t manal ai( )a(a)rimi)ara hamil atrm
.AB!RA,!RUM
8/17/2019 Boyolali 9-16 Des YL TC
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.AB!RA,!RUM1-12-201
21
.ab 'ilai .ab 'ilai
Hb 12,! Hb+Ag N*n 7akti<
Ht "2,2 L> #0
AL 1#200 PT 1#,3
AT 218 APTT 2,/
A> ",3/ G //
G*l rh A
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22
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Prma+alahan
;ana4mn )a(a
Khamilanbriktnya
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P+R,UMBUA' A'',+RAMBA, :P,;
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>)i(mi*l*gi (an ti*l*gi
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%.AS#%AS
8/17/2019 Boyolali 9-16 Des YL TC
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A;A
Th Amri5an Th*ra5i5 *5ity &
+at )nyakit (ngan 5iri r+)*ntrakha (an br*nk+ ? trha(a)brbagai rang+angan mani<+ta+ia(anya )nym)itan 4alan na)a+yang la+ (an (ra4atnya (a)at
brbah-bah
8/17/2019 Boyolali 9-16 Des YL TC
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A;A PAA K>HA;$LAN
• A+ma br*nkial mr)akan )nyakit*b+trk+i (i)rkirakan 1@-"@ anitahamil mn(rita a+ma
• 2!@ ka++ mmbaik
• "!@ ka++ tta)• 22@ ka++ mmbrk
8/17/2019 Boyolali 9-16 Des YL TC
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PAT$$LG$
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P+'"ARU %+AM.A',+RADAP ASMA
CPr*g+tr*n (an ? )r*+taglan(in >k+a+rba+i +rangan a+ma )a(atrim+tr $$$ ata )a(a +aat)r+alinan
8/17/2019 Boyolali 9-16 Des YL TC
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P>NGA7UH A;A T>7HAAPK>HA;$LAN
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tr(a)at k*rla+i brmakna antara<ng+i )ar ib (ngan brat lahir
4anin
Angka kmatian )rinatal ? 2D li)at
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Pnanganan a+ma kr*nik)a(a khamilan
1. Bantan )+ik*l*gik mnnangkan)n(rita baha khamilannyati(ak akan mm)rbrk )r4alanan
klini+ )nyakit
2. ;nghin(ari alrgn yang tlah(iktahi (a)at mnimblkan
+rangan a+ma
3. +n+iti+a+i ata imn*tra)i
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". Eika (i)rlkan (a)at (ibrikan trblatin+l<at 2,#-# mh )r *ral 3 kali +hari, atabta ag*ni+ lainnya.
#. Tambahkan k*rtik*+tr*i( *ral/. Prtimbangan antibi*tika )r*Flak+i+ )a(a
kmngkinan a(anya in<k+i +alran na<a+ata+.
. 9r*m*lyn +*(im mn5gah tr4a(inya+rangan a+ma, (ngan (*+i+ 20-"0 mg, "kali +hari +5ara inhala+i
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Tatalaka+ana Khamilanlan4tnya
• Pnatalak+anaan )a+in ini ntkkhamilan +lan4tnya yait ntk(a)at mng*ntr*l a+ma nya
K*n+l (ngan T )ar
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,+RMA%AS
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