LAPORAN JAGA merak .pptx

8/16/2019 LAPORAN JAGA merak .pptx

1/22

LAPORAN JAGABANGSAL MERAK

TANGGAL 10 MEI 2016


2/22

IDENTITAS PASIEN

Nama : Ny.F

Umur: 4 !a"u#

P$%$r&aa# : I'u Ruma" Ta#((a

A)ama! : J). U!ama Ga#( Nu*a I#+a",

Rum'a-

Ta#((a) MRS : 10 M$- 2016

N.RM : /20


3/22

KELUAN UTAMA

Ku#-#( *$)uru" !u'u" *$&a% 2 m-#((u SMRS


4/22

RIWAYAT PENYAKIT SEKARANG

2 m-#((u SMRS 3a*-$# m$#($)u"%a# %u#-#( 3a+a *$)uru"

!u'u". P$r!ama mu#u) +- ma!a %u#-#( %$"-&aua# %$mu+-a#

!a#(a# +a# *$)uru" !u'u". S$ma%-# "ar- !u'u" *$ma%-# %u#-#(.

Ga!a) 3a+a ma)am "ar- 57. Pa*-$# &u(a m$#($)u"%a#%$#-#(#ya '$r8ar#a %u#-#( 3$%a! *$3$r!- !$" +a# BAB

'$r8ar#a 3ua! *$3$r!- +$m3u). Pa*-$# &u(a m$#($)u"%a#

#y$r- 3a+a 3$ru! %a#a# a!a* 597 !$ru* m$#$ru*, !-+a% "-)a#(

+$#(a# 3$ru'a"a# 3*-*-, #y$r- !-+a% +-3$#(aru"- a%!--!a* +a#

#y$r- m$#&a)ar %$ 3u#((u#(. Pa*-$# &u(a m$#($)u"%a# 3$ru!3a*-$# *$ma%-# "ar- *$ma%-# m$m'$*ar. Mua) 597 mu#!a" 57

#a*u ma%a# m$#uru# 597. D$mam 597 "-)a#( !-m'u),

'$r%$r-#(a! 57 m$#((-(-) 57 +$mam !uru# *$!$)a" +-'$r-%a#

'a! +- RSUD Dur-


5/22

Pa*-$# &u(a m$#($)u"%a# 3$#uru#a# '$ra!

'a+a# *$&a% %$)u"a# +-ra*a%a#.

Pa*-$# +- ra8a! +- RSUD Dur- %$mu+-a#

+-ru&u% %$ RSUD AA


6/22


7/22


8/22

RIWAYAT SOSIAL, EKONOMI, KEBIASAAN

Pa*-$# *$ra#( -'u ruma" !a#((a

R-8aya! %$'-a*a# ma%a# +-)uar ruma" 57

R-8aya! 3$#((u#aa# 'a!'a!a# *$r!a &arum*u#!-% #ar%!-%a 57

R-8aya! '$r3$r(-a# 57

R-8aya! m-#um a)%") 57

R-8aya! m$r%% 57


9/22

PEMERIKSAAN UMUM

K$a+aa# umum : !am3a% *a%-! *$+a#(

K$*a+ara#: m3*m$#!-*

T$%a#a# +ara" : 10;0 mm(

Fr$%u$#*- #a+- : / %(TB : 1>0 m

IMT : 22,2 5#rm8$-("!7


10/22

PEMERIKSAAN FISIK

K$3a)a +a# )$"$r

Ma!a : *%)$ra -%!$r-% 59;97, %#&u#(!-?a a#$m-*

5;7, !-+a% $%u#(, 3u3-) -*%r u%ura#

2mm, r$)$%* a"aya 59;97

T$)-#(a : +a)am 'a!a* #rma)

-+u#( : +a)am 'a!a* #rma)

Mu)u! : '-'-r !-+a% %$r-#(, 3ua! 57

L$"$r : 3$m'$*ara# KGB 57, 3$m'$*ara# !-r-+

57, J@P #rma) >2 m 2O


11/22

T"ra%* Paru

I#*3$%*- : B$#!u% +-#+-#( +a+a *-m$!r-* %-r- +a# %a#a#

Pa)3a*- : ?%a) r$m-!u* #rma) %-r- +a# %a#a#

P$r%u*- : *#r *$)uru" )a3a#(a# 3aru

Au*%u)!a*- : *uara #aa* ?$*-%u)ar 59;97,*uara #aa* !am'a"a# : 8"$$-#( 5;7, r#%"- 5;7

Ja#!u#(

I#*3$%*- : -!u* r+-* !-+a% !$r)-"a!

Pa)3a*- : -!u* r+-* !$ra'a 597 3a+a )-#$a m-+)a?-u)a *-#-*!ra

SIK @ P$r%u*- : 'a!a* %a#a# &a#!u#( : )-#$a 3ara*!$r#a)-* +$

: 'a!a* %-r- &a#!u#( : )-#$a m-+)a?-u)a *-#-*!ra SIK @

Au*%u)!a*- : m1m2, 32a2, a2a1, 3231 'u#y- &a#!u#( S1 +a# S2

#rma) r$(u)ar, (a))3 57, murmur 57


12/22

A'+m$# I#*3$%*- : 3$ru! !am3a% $m'u#(, +-*!$#*- 597, 8ar#a %u)-!

%$%u#-#(a#, ?$#$%!a*- 57, *ar 57, *3-+$r #$?- 57,

a3u! m$+u*a 57 Au*%u)!a*-: '-*-#( u*u* 597 #rma), r$%u$#*-


13/22

E%*!r$m-!a*

A%ra) "a#(a!

=RT 2 +$!-% I%!$r-% 597

E+$ma 57

Pa)mar $r-!$m 57


14/22

PEMERIKSAAN PENUNJANG

Dara" ru!-# : '$)um %$)uar

K-m-a +ara" :

G)u%*a : / m(;+)

Ur$um : >/,> m(;+)

=r$a!-#-# : !-+a% a+a "a*-) )a'

AST : 41/ u;)

ALT : 200 u;)B-) T!a) : 1/,/6 m(;+)

B-) D-r$! : 1, m(;+)


15/22

RESUME

Ny F , 4 !a"u# 2 m-#((u SMRS 3a*-$# m$#($)u"%a# %u#-#(

3a+a *$)uru" !u'u". P$r!ama mu#u) +- ma!a %u#-#( %$"-&aua#

%$mu+-a# !a#(a# +a# *$)uru" !u'u". S$ma%-# "ar- !u'u" *$ma%-#

%u#-#(. Pa*-$# m$#($)u"%a# %$#-#(#ya '$r8ar#a %u#-#( 3$%a!

*$3$r!- !$" +a# BAB '$r8ar#a 3ua! *$3$r!- +$m3u). D$mam 597

Ny$r- 3a+a 3$ru! %a#a# a!a* 597 !$ru* m$#$ru*, !-+a% "-)a#( +$#(a#

3$ru'a"a# 3*-*-, #y$r- !-+a% +-3$#(aru"- a%!--!a* +a# #y$r-

m$#&a)ar %$ 3u#((u#(. Pa*-$# &u(a m$#($)u"%a# 3$ru! 3a*-$#

*$ma%-# "ar- *$ma%-# m$m'$*ar. Mua) 597 mu#!a" 57 #a*u ma%a#

m$#uru# 597. P$m$r-%*aa# -*-% +-!$mu%a# *%)$ra -%!$r-% 597 #y$r-

!$%a# 597 +- r$(- $3-(a*!r-um "-3%#+r-um +$%*!ra C )um'a)+$%*!ra;*-#-*!ra . $3ar !$ra'a 2 &ar- +-'a8a" ar%u* %*!a +$%*!ra,

%#*-*!$#*- 3a+a!, 3$rmu%aa# ra!a, '$r'$#&)'$#&), !$3- !a&am .

S3)$#m$(a)- +$#(a# 3$m'$*ara# "-#((a S"u#$r 2;. S$)uru"

!u'u" %u#-#(. Dar- "a*-) )a'ra!r-um +-+a3a!%a# : Ur$um 5>/,>

m(;+)7, AST 541/ u;)7 , ALT 5200 u;)7, B-) T! 51/,/6 m(;+)7 B-) D 51,m(;+)7.


16/22

DAFTAR MASALA

I%!$r-% $ *u*3$! "$3a!ma


17/22


18/22

P$m$r-%*aa# -*-% :

S%)$ra -%!$r-% 59;97, #y$r- !$%a# 597 +- r$(-

$3-(a*!r-um "-3%#+r-um +$%*!ra C )um'a)

+$%*!ra;*-#-*!ra . $3ar !$ra'a 2 &ar- +-'a8a" ar%u*

%*!a +$%*!ra, %#*-*!$#*- 3a+a!, 3$rmu%aa# ra!a,

'$r'$#&)'$#&), !$3- !a&am . S3)$#m$(a)- +$#(a#

3$m'$*ara# "-#((a S"u#$r 2;. S$)uru" !u'u"

%u#-#(597

P$m$r-%*aa# 3$#u#&a#( :

Ur$um 5>/,> m(;+)7, AST 541/ u;)7 , ALT 5200 u;)7,

B-) T!a) 51/,/6 m(;+)7, B-) D-r$! 51, m(;+)7.


19/22

D-a(#*-* 'a#+-#(:

S-r*-* $3a!-*

$3a!-!-*

A'*$* "$3ar

K)$)-!-a*-*

K)$*-*!-!-*

=a a3u! 3a#%r$a*

3a#%r$a!-!-*


20/22

U*u)a# 3$m$r-%*aa# 3$#u#&a#( :

'*A(, I(M A@

AFP

USG A'+m$#


21/22

Ta!a)a%*a#a

N# Farma%)(-:

T-ra" 'ar-#( !!a)

D-$! ma%a#a# )u#a%

Farma%)(-

I@FD RL 20 !3m

I#& Ra#-!-+-#

I#& M$!)3ram-+$ 10 m(


22/22

TERIMA KASI

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LAPORAN JAGA merak .pptx