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8/16/2019 Kasus Jumat Fu Rika
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N y. Rika M arlina W ati,24 tahun
No CM : 01665069Alam at : Krapyak
Pendidikan : SM UPekerjaan : Ib !m a" #an$$aSk : %a& aA$am a : I'lam(ira& at di : )o$en*ille +Indika'i ra& at inap: (ia$no'i' dan #erapi
8/16/2019 Kasus Jumat Fu Rika
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RESUME
Wanita, 24 tahun, keluhan utama demam
Pasien telah kami rawat selama 7 hari dengandiagnosis sepsis membaik, febril neutropenimembaik, non hodgkin limfoma diuse large B Cells,chemoterapi induced nausea membaik, diare akut etcausa susp chemoterapi induced, paraparese
keempat ekstremitas et causa Chemoterapi inducedpoli neuropati, hipokalemi et causa gastrointestinalloss membaik
Terapi Terakhir !n" #entam$cin 24% mg&24 "am, in"'Cefta(idime ) gr&* "am, in" lansopra(ole ) amp&24 "am, in" mecobalamin +%% mg&)2 "am, sistenol - +%%mg, ."ika demam/,aspar k -), ambro-ol -% mg,
8/16/2019 Kasus Jumat Fu Rika
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0 1 P
Lemas, demam(+) , mual (+),muntah (-), batukberdahak (+),bab cair 3x
T : 100 /60 mmH!r : "0 x/#$ : 10% x/#
suhu : 3&
'eala :'n*untia ucat(+/+)
Leher :
Luka bekas erasidi clli sinistra (+)
kstremitas :
araarese keemat ekstremitas(+)
LabratriumHb &,1.L 1,"3Hmt "3,6.T 13$ : %,3L : 3,3 : ",%.$2 : 1160
rcalcitnin : "1'alium : ",3
- esis-4ebril neutreniaHih !isk-5iuse lare 7 2ell$n Hdkinl8mhma-$ausea mitus ecchem induced-.nemia nrmsitik
nrmkrmik etcausa 9 chrnicdisease-5iare akut ec suschem induced -araarese ke %ekstremitas et 2$
-Hikalemi et causaastrintestinal lss
- !nten Thrax-k/s darah,-;rine rutin-4eses lenka- Trans9usi !2
Terai :
n* ce9ta<idime 1 r/ & *amn* entam8cin "%0
m/"% *amaracetaml 3 x 00mn* =24 1 am/"% *amn* ndancentrn 1am/1" *amn* i 1 am/"% *am!2 1 'l9/"% *am s/d H7
> 10$e? diatab 3x1n* mecbalamin 00m/& *am.sar ' 3 @ 1 Tab.mbrxl 3 x 30 m
,- ..-/ UP 12016
8/16/2019 Kasus Jumat Fu Rika
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0 1 P
Lemas, demam(-) , mual (-),muntah (-), batuk
berdahak (+),bab cair (-)
T : 100 /60 mmH!r : "0 x/#$ : & x/#
suhu : 3A,
'eala :'n*untia ucat(+/+)
Leher :
Luka bekas erasidi clli sinistra (+)
kstremitas :
araarese keemat ekstremitas(+)
LabratriumHb &,1 11,3.L 1,"3 ",6"Hmt "3,6 3"B&.T13 "1& 3&, "A,3'alium : ",3 ",60
- esis-4ebril neutreniahih risk membaik
-5iuse lare 7 2ell$n Hdkinl8mhma-.nemia nrmsitiknrmkrmik etcausa 9 chrnic
disease membaik-araarese ke %ekstremitas et causa2$-Hikalemi et causaastrintestinal lss
n* ce9ta<idime 1 r/ & *amn* entam8cin "%0
m/"% *amaracetaml 3 x 00m (*ika demam)n* ndancentrn 1am/1" *amn* i 1 am/"% *am
n* mecbalamin 00m/& *am.sar ' 3 @ 1 Tabremix '2L " meC.mbrxl 3 x 30 m
,- ..-/ UP +2016
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0 1 P
Lemas (D),demam (-) , mual(-), muntah (-),batuk berdahak(D), bab cair (-)
T : 100 /0 mmH!r : 1& x/#$ : & x/#
suhu : 3A,
'eala :'n*untia ucat(-/-)
Leher :
Luka bekas erasidi clli sinistra (+)
kstremitas :
araarese keemat ekstremitas(+)
LabratriumHb 11,3 1",%.L ",6" %,13Hmt 3",& 36,.T "1& 3&1'alium : ",60 ",60
- esis membaik-4ebril neutreniahih risk membaik-5iuse lare 7 2ell$n Hdkinl8mhma-.nemia nrmsitiknrmkrmik etcausa 9 chrnic
disease membaik-araarese ke %ekstremitas et causa2$-Hikalemi et causaastrintestinal lss
aluasi 7;$/2raluasi rcalcitninulann* ce9ta<idime 1 r/ &
*am (h )n* entam8cin "%0m/"% *am (h)aracetaml 3 x 00m (*ika demam)
n* ndancentrn 1am/1" *amn* i 1 am/"% *amn* mecbalamin 00m/& *am.sar ' 3 @ 1 Tabremix '2L " meC
.mbrxl 3 x 30 m
,- ..-/ UP 52016
8/16/2019 Kasus Jumat Fu Rika
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0 1 P
Lemas (D),demam (-) , mual(-), muntah (-),batuk berdahak(-), bab cair (-)
T : 100 /0 mmH!r : 1& x/#$ : & x/#
suhu : 3A,
'eala :'n*untia ucat(-/-)
Leher :
Luka bekas erasidi clli sinistra (+)
kstremitas :
araarese keemat ekstremitas(+)
Labratrium
7un : 112r :0,&%rcalcitnin :",A&
- esis membaik-4ebril neutreniamembaik-5iuse lare 7 2ell$n Hdkinl8mhma-.nemia nrmsitiknrmkrmik etcausa 9 chrnic
disease membaik-araarese ke %ekstremitas et causa2$-Hikalemi et causaastrintestinal lss
aluasi elektrlitn* ce9ta<idime 1 r/ &
*am (h 6)n* entam8cin "%0m/"% *am (h6)aracetaml 3 x 00m (*ika demam)n* i 1 am/"% *amn* mecbalamin 00
m/& *am.sar ' 3 @ 1 Tab
,- ..-/ UP 62016
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0 1 P
Lemas (-),demam (-) , mual(-), muntah (-),batuk (-), babcair (-)
T : 110 /60 mmH!r : "0 x/#$ : 3 x/#
suhu : 36,&
'eala :'n*untia ucat(-/-)
Leher :
Luka bekas erasidi clli sinistra (+)
kstremitas :
araarese keemat ekstremitas(+)
Labratrium$a : 136' :3,32l : 100
- esis membaik-4ebril neutreniahih risk membaik-5iuse lare 7 2ell$n Hdkinl8mhma-.nemia nrmsitiknrmkrmik etcausa 9 chrnic
disease membaik-araarese ke %ekstremitas et causa2$-Hikalemi et causaastrintestinal lssmembaik
!encana blehulan
,- ..-/ UP 32016
8/16/2019 Kasus Jumat Fu Rika
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Follow up pemeriksaan penunjang
)&4
2&4 &4 +&4)&4
4&4 +&4 3&4 7&4
5.!.H !;T$ 4;$= =$E.L
Hb &,1 &,6 11,3 1",% 7;$ 13 11
.L
.$21,"3116
0,3,
",6""1&A
%,131&"
2reat
1,13 0,%
.T 13 1% %1A 3&1 rcalcitnin "1 ",A&
. ",A ",3% %,0 %,3 L'T!FLT
HT "3,6 ",3 31,3 36, $a 130 1%0 13A 136
2G &1,6 &6," A&,3 &%,3 ' ",3 ",60 ",60 3,3
2H "&,3 "6, "6,0 ",0 2l " 103 A 100
1,3 "A,3 &3, %& 4;$= H.T
L 3,& "%," 10," " FT 30 6
",% %,0 ," 1% T "0
0,0 0,0 0,0 0,0 .lb 3,6 ","
8/16/2019 Kasus Jumat Fu Rika
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Follow up pemeriksaan penunjang
)&4&2%)3
;!$ !;T$H AB0
7E 1010
rtein (-)
=luksa (-)
7ilirubin (-)urbilinen
nrmal
'etn neati9
$itrit (-)
7ld neati9
Leuksitesterase
+/-
edimen
7acteri "","
east like
cell
1,A
ritrsit "
Hasil 4eses !utin
1/%/"016 :
isa tumbuhan (+),tidak terdaat telurcacin, sel, arasitB
8/16/2019 Kasus Jumat Fu Rika
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!o #"ora4 01016
xertise:
ulm tak tamakkelainan besar crnrmal
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