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8/17/2019 Lapsus Sdh
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LAPORAN KASUS
HEMATOM SUBDURALBAIQ FEBRI ARYANI (011.06.0001)
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BAB ILAPORAN KASUS
• IDENTITAS• Nama : NY. S
• Usia : ! "a#$%
•
P&'&aa% : I*$ R$ma# Ta%++a• A+ama : Is,am
• S"a"$s : M&%i'a#
• A,ama" : Sa'a Baa"
• N-. RM : 0/!0
• Ta%++a, mas$' RSUD DR.R.S-&-%- S&,-%+ : 1231301
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ANAMNESIS
• Keluhan Utama
• Baa% "&asa sa'i" s&"&,a# '&4&,a'aa% #ai 5a%+ ,a,$.
• Riwayat Penyakit Sekarang
• Pasi&% a"a%+ '& ID RSUDDR.R.S-&-%- S&,-%+ 7aa "a%++a, 12D&s&m*& 01 7$'$, 1.0 8ITA &%+a%'&,$#a% *aa% "&asa sa'i" (9) s&"&,a#'&4&,a'aa% #ai 5a%+ ,a,$ s&m7a" "ia'saa'a% ii s&"&,a# '&aia% s&'i"a ! am m$%"a# (9). Pasi&% $+a m&%+&,$#7$si%+(9) BAB;BAK ,a%4a &mam (3)
*&%+'a' 7aa ma"a 'a%a% (9).
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• Riwayat Penyakit Dahulu
• Pasi&% "ia' 7&%a# m&%+a,ami '&4&,a'aa% s&*&,$m%5a a%7asi&% m&%5a%+'a, m&mi,i'i i
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PEMERIKSAAN FISIK • K&aaa% $m$m : L&ma# a"a$ +&,isa#
•
K&saaa% : E>/M• Nai : 26?@m&%i"
• Naas : 0?@m&%i" &+$,& 7&%aasa% "-a'-a*-mi%a,
• S$#$: /6- (a'si,a)
• T&'a%a% Daa# : 160@C0 mmH+
– K&7a,a : %-m-4&7a, am*$"
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– Pa$ :
• I%s7&'si : %-m-4#&s" 7&+&a'a% i%i%+ aa sim&"is&"a'si s&,a i+a (3)
•
Pa,7asi : %5&i "&'a% (3) >-'a, F&mi"$s %-ma,• P&'$si : s-%- 7aa '&$a ,a7a%+ 7a$
• A$s'$,"asi : &si4$,a -%'i (3@3)! ,i%&a 7aas"&%a,is &?"a *a"as 'ii iIS > ,i%&a 7aas"&%a,is si%is"a
•
A$s'$,"asi: S1 S "$%++a, &+$,a +a,,-7 (3) m$m$ (3)
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– A*-m&% :
• I%s7&'si : Dis"&%si (3)
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• Prblem $
• Sa'i" i s&,$$# *aa% a% s&m7a" "ia' saa'a% ii
• P$si%+
• M$%"a#
• Assesment
• &&a '&7a,a s&a%+
• Planing Diagnsis
• DL DS U&$m '&a"i%i%
• F-"- 7-,-s s'$,, AP@La"
• " s4a% '&7a,a
• Planning Terapi
• O ,7m
• I% NS 0"7m
• I%. K&"--,a4 /0m+ /?1
• I%. Ra%i"ii% 0m+ ?1
• I%. i"i4-,i% 1m+ 1?1
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PEMERIKSAAN PENUN%AN& '() Desember *+(,-
• Hematologi
• 8B : 1/62 ? 10/L (N : /03100 ? 10/L)• RB : 01 ? 106L (N : /!0360 ? 106L)
• HB : 102 +@L (N : 1.031!.0 +@L)
• HT : /.1 J (N : /.030.0)
•
M> : !0.0 JL (N : !0.03100.0)• MH : 6.2 JP+ (N : !.03/.0)
• MH : //./ J+@L (N : /1.03/2.0)
• RD83SD : //. JL (N : /.032.0)
•
RD83> : 11.2 J (N : 11.031.)• PLT : 101 J10/@mL (N : 1203/!0)
• Hitung Jenis Leukosit :
• LYM : /2 J (N : 1.031.0)
• MD : 2 J (N : 0310.0)
• NEUT : 6 J (N : /6.032.0)
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BAB II TINAUAN PUSTAKA
ANATOMI- SALP
- RANIUM
-
MENINENLa7isa% D$ama"&
La7isa% Aa4#%-i
La7isa% Piama"&- OTAK
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SUBDURAL HEMATOM
TRAUMA BRIDIN3>EIN SUBDURALHEMORAIK
SDH AKUT +&a,a "im*$, #ai I #ai '& III
SDH SUBAKUT "im*$, #ai '& III mi%++$ '& IIISDH KRONIS *i,a "im*$, s&s$a# mi%++$ '& III
EDERA OTAK
- F-'a, m&ma -"a' SDH EDH ISH.
- Di$s $%+si-%a, "&+a%++$ &?. &+a-"a'@4&&a s"$'"$a, 5+ i$s
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PATOFISIOLOI EDERA KEPALA
• ANUAN OKSIENASI KEKURANANSUPLAI LUKOSA ANUANMETABOLISME UDEM ARINAN OTAK
PENINKATAN TEKANAN INTRAKRANIAL
HERNIASI
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MANIFESTASI KLINIS
• SDH AKUT s$'a i*&a'a% + EDH 5+*&'&m*a%+ ,am*a"
• B*7 +&a,a : sa'i" '&7a,a a% " 7&%$$%a%
'&saaa%• &a,a %&$-,-+i' : 7$7i, a%is-'- R 9 a
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DIANOSIS
• FOTO RONTEN KEPALA
• T SAN KEPALA 7aa SDH "am7a'+am*aa% #i7&&%s *&*&%"$' *$,a%
sa*i"
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PENANANAN
• AB
• S
• KONDISI NEUROLOIK
• PEMBERIAN AIRAN DAN ELEKTROLIT
• PEMASANAN KATETER 7&ma%"a$a%'&s&im*a%+a% 4aia% m&%4&+a# &'$*i"$s '%
'$,i" 5a%+ s&,a,$ *asa#• TREPANASI a% E>AKUASI HEMATOM
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TERIMAKASIH
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