Post on 06-Jul-2018
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
1/68
CASES REPORT
SKIZOFRENIA PARANOID
EPISODIK BERULANG
DI SUSUN OLEH:NAMA : Zukhruful Muzakkie
NIM : 71 2014 033
PEMIMIN! : "r# She$$% Mu&iara Sari
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
2/68
STATUS PENDERITA
' IDENTIFIKASI PENDERITA
' Na(a : )$# H' U*ia : 3+ &ahu$
' ,e$i* -ela(i$ : Laki.laki
' S&a&u* Perka/i$a$ : Me$ikah
' Suku a$*a: Pale(a$ I$"$e*ia
' Pe$"i"ika$ : )a(a& SD
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
3/68
' Pekeraa$ : )a$i' Aa(a : I*la(
' Ala(a& : De*a Siuk -e5# 6a(u&a$ a$%ua*i$
Su(a&era Sela&a$
' Da&a$ ke 6S : -a(i* 18 A9ril 201
' ;ara ke 6S : Dia$&ar keluara
' )e(9a& Pe(erik*aa$ : I$*&ala*i !a/a& Darura&
6S# "r# Er$al"i ahar Pale(a$
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
4/68
RIWAYAT PSIKIATRI6i/a%a& 9*ikia&ri "i9erleh "ari:
' Au&a$a($e*i* "e$a$ 9e$"eri&a 9a"a -a(i* 18
A9ril 201#
' Alla$a($e*i* "e$a$ kakak ka$"u$ 9e$"eri&a
9a"a -a(i* 18 A9ril 201#
Keluhan Utama
' O* (e$5eh &i"ak karua$#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
5/68
Riwayat Penyakit SekarangPa*ie$ (eru9aka$ 9a*ie$ la(a 6S# Er$al"i
ahar *eak Se9&e(er 2011 "a$ &i"ak k$&rl
*eak Mare& 2014# Pa*ie$ "a&a$ "e$a$
kea"aa$ 9*i*i ke"ua &a$a$ "a$ kaki "iika&
"e$a$ kai$#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
6/68
O* *u"ah 9u&u* a& *ela(a 13 ula$# O*&i"ak (au "iaak k$&rl "a$ * &i"ak (au
(i$u( a Sela(a 9u&u* a& * &a(9ak aik.
aik *aa#
Seak < 3 hari %a$ lalu * aru &au ah/a
&a$ah &e(9a& * ekera "iu*ur leh9e(eri$&ah "a$ "ia"ika$ ala$ lalu li$&a* *
&i"ak &eri(a kare$a &i"ak (e$"a9a&ka$ ua$
a$&i rui#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
7/68
Seak < 2 hari %a$ lalu * *eri$ (e$5eh&i"ak karua$# O* (e$5eh &eru*.&eru*a$ "a$
keluara &aku& * (elukai ra$ lai$# O* &i"ak
&i"ur 2 (ala(#
Seak < 1 hari %a$ lalu * (e$e$"a$ kakak
ka$"u$$%a *e$"iri# O* (arah.(arah &a$9a"a*ar "a$ (au (e(ukuli i*&ri$%a# Maka$ "a$
(i$u( *e9er&i ia*a#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
8/68
RIWAYAT PENYAKIT SEBELUNYA ' Riwayat !angguan P"ikiatrik Se#elumnya
)ahu$ 2011 9e$"eri&a 9er$ah "ira/a& "i 6S# "r#
Er$al"i ahar Pale(a$ "e$a$ "ia$*i*
Skizfre$ia Para$i"#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
9/68
Riwayat K$n%i"i e%i" Umum &
' 6i/a%a& &rau(a ka9i&i* =.>
' 6i/a%a& a*(a =.>
' 6i/a%a& NAPZA =.>
' 6i/a%a& aleri =.>
' 6i/a%a& DM =.>
' 6i/a%a& hi9er&e$*i =.>
' 6i/a%a& kea$ =.>
' 6i/a%a& "e(a( &i$i =.>
' 6i/a%a& alkhl =.>
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
10/68
RIWAYAT KE'IDUPAN PRIBADI' Riwayat Prem$r#i% &
' a%i : Nr(al 5uku9 ula$ "i&l$ "uku$
' A$ak : Peria$ (u"ah eraul a$%ak
&e(a$
' 6e(aa : Peria$ (u"ah eraul a$%ak
&e(a$
' De/a*a : 9ekera kera* (u"ah eraul
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
11/68
Situa"i Kehi%u(an Sekarang &
Sela(a i$i 9e$"eri&a &i$al er&ia er*a(a
i*&ri "a$ *a&u ra$ a$ak laki.laki$%a#
Riwayat Keluarga &
6i/a%a& keluara "e$a$ eala 9e$%aki& %a$
*a(a a"a %ai&u *e9u9u 9a*ie$#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
12/68
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
13/68
Per"e("i Tentang Diri %an Kehi%u(an
' Pe$"eri&a (era*a &i"ak *aki& "a$ &i"ak a"a
(a*alah#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
14/68
PEERIKSAAN STATUS ENTAL
De"kri("i Umum
Pe$a(9ila$ :
' Pe$"eri&a a"alah *era$ 9ria eru*ia 3+ &ahu$
era(u& &i9i* "a$ er9akaia$ (e$u$aka$
ka* 5ela$a ea$* *er&a *a$"al e9i
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
15/68
Perilaku "a$ ak&i?i&a* 9*ik(&r :
' Pe$"eri&a &a(9ak $r(al *e5ara 9erilaku "a$
ak&i?i&a* 9*ik(&r#
' Sika9 &erha"a9 9e(erik*a :
-$&ak =@> k9era&if
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
16/68
$$% %an A)ek
' M" : lail &erke$"ali "a$ "i*&i(ik
' Afek : afek &i"ak *e*uai
' -e*era*ia$ : &i"ak *era*i "ala( hal
9ikira$ 9era*aa$ "a$ 9erilaku
Pem#i*araan
' Flight of ideas
!angguan Per"e("i
' Halu*i$a*i "a$ ilu*i : Halu*i$a*i au"i&rik =@>
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
17/68
Pikiran
Pr*e* "a$ e$&uk 9ikira$ : Flight of ideas
' Pr"uk&i?i&a* : kura$ aik
' -$&i$ui&a* : k$&i$u
' He$"a%a eraha*a : &i"ak a"a
I*i 9ikira$ :
' !a$ua$ 9ikira$ : aha( =.>
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
18/68
Ke"a%aran %an K$gni"i
)i$ka& ke*a"ara$ "a$ ke*ia9a$ : 5(9*
(e$&i*
Orie$&a*i
' ak&u : aik
' )e(9a& : aik
' Ora$ : aik
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
19/68
Da%a i$a&
' Da%a i$a& a$ka 9a$a$ : aik
' Da%a i$a& a$ka *eera : aik
' Da%a i$a& a$ka 9e$"ek : aik
' Da%a i$a& *eera : aik
-$*e$&ra*i "a$ 9erha&ia$ : (u"ah &eralih
-e(a(9ua$ (e(a5a "a$ (e$uli* :
' Pe$"eri&a "a9a& (e(a5a "a$ (e$uli*
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
20/68
-e(a(9ua$ ?i*u*9a*ial :
' Pe$"eri&a "a9a& (e$ela*ka$ 5ara 9erala$a$
"ari ru(ah$%a *a(9ai &ia ke 6S# "r# Er$al"i
ahar Pale(a$
-e(a(9ua$ (e$l$ "iri *e$"iri :
' aik 9a*ie$ (a*ih er9akaia$ ra9i *er&a (a*ih
"a9a& (aka$ (i$u( "a$ (a$"i *e$"iri#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
21/68
Pengen%alian Im(ul"
' I(9ul*i?i&a* =@>
Daya Nilai
Da%a $ilai **ial : aik
Ui "a%a $ilai : aik
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
22/68
Pe$ilaia$ reali&a :
6)A &era$u "ala( hal 9ikira$ 9era*aa$
9erua&a$ "a$ 9erilaku#
)ilika$ : Deraa& 1 9e$"eri&a (e$%a$kal 9e$uh ah/a
"iri$%a *aki
Tara) Da(at Di(er*aya
' Pe$ela*a$ %a$ "ierika$ 9e$"eri&a kura$
"i9er5a%a#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
23/68
PEERIKSAAN DIA!N+STIK LEBI'
LAN,UT
Statu" Internu"
' -ea"aa$ u(u( : 5uku9 *&ail
' -e*a"ara$ : 5(9* (e$&i*
' )a$"a ?i&al : )D : 12+8+ ((H
N : 7 B(e$i&
66 : 20 B(e$i&
)e(9 : 380 0;
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
24/68
' -e9ala : $r(*efali 5$# 9al9era a$e(i*
*klera ik&erik =.>
' )hraB : ,a$&u$ : SI.SII $r(al *uara
&a(aha$ =.>
' Paru : ?e*ikuler $r(al =@>
' A"(e$ : "a&ar le(a* $%eri e9ia*&riu( =.>
U =@> $r(al
' Pe(e*ara$ he9ar "a$ lie$ =.>
' Ek*&re(i&a* : ha$a& e"e(a =.> *ia$*i* =.>
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
25/68
' Statu" Neur$l$giku"
' !;S: 1
' E : (e(uka (a&a *9$&a$ =4>
' C : eri5ara *9$&a$ =>
' M : eraka$ *e*uai 9eri$&ah =8>
' u$*i *e$*rik : &i"ak &era$u
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
26/68
' u$*i (&rik :
kekua&a$ && &$u* &&
$ N
$ N
Ek*&ra9ira(i"al *i$"r( :' )i"ak "i&e(uka$ eala ek*&ra9ira(i"al *e9er&i&re(r =.> ra"iki$e*ia =.> "a$ rii"i&a* =.>#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
27/68
' 6eflek* fi*ili* : $r(al
' 6eflek* 9a&li* : &i"ak "i&e(uka$ refleB
9a&li*
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
28/68
IK'TISAR PENEUAAN BERAKNA
' er"a*arka$ /a/a$5ara 9*ikia&ri "i"a9a&ka$
i$fr(a*i ah/a 9e$"eri&a *era$ 9ria eru*ia
3+ &ahu$ a*al a$%ua*i$ I*la( "e$a$
9e$"i"ika$ &erakhir &a(a& SD "e$a$ 9ekeraa$
*eaai *era$ 9e&a$i# Pe$"eri&a "ia/a ke 6S#
"r# Er$al"i ahar Pale(a$ 9a"a hari -a(i*
18 A9ril 201 "e$a$ keluha$ (e$5eh &i"ak
karua$#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
29/68
' Pa"a 9e(erik*aa$ *&a&u* (e$&al "i"a9a&ka$
9e$"eri&a er9e$a(9ila$ ra(u& aak &i9i*
er9akaia$ ra9i (e$u$aka$ ka* 5ela$a
ea$* *er&a *a$"al e9i Sela(a 9e(erik*aa$
9e$"eri&a &a(9ak k9era&if "a$ (e$a/a
*e&ia9 9er&a$%aa$ 9e(erik*a $a(u$ &erka"a$
9e$"eri&a &a(9ak i$u$#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
30/68
' Sua*a$a (" 9e$"eri&a "i"a9a&ka$ &a(9ak
lail &erke$"ali "a$ "i*&i(ik "e$a$ afek &i"ak
*e*uai# Pe$"eri&a &a(9ak &i"ak *era*i "ala( hal
9ikira$ 9era*aa$ "a$ 9erilaku# Sela(a
9e(i5araa$ 9e$"eri&a (e$uukka$ a(ara$
flight of ideas# )a(9ak a$ua$ 9er*e9*i
eru9a halu*i$a*i au"i&rik#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
31/68
' Pr*e* "a$ e$&uk 9ikira$ 9a"a 9e$"eri&a
eru9a flight of ideas "e$a$ 9r"uk&i?i&a*
kura$ aik "a$ k$&i$u# !a$ua$ 9ikira$
9a"a 9e$"eri&a &i"ak "i&e(uka$ a"a$%a /aha( #
Dala( 9e$ilaia$ reali&a* 9a"a 9e$"eri&a
&era$u "ala( hal 9ikira$ 9era*aa$
9erua&a$ "a$ 9erilaku#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
32/68
' Dala( 9er&i(a$a$ &ilika$ &erha"a9 9e$%aki&
&er(a*uk &ilika$ "eraa& 1 9e$"eri&a
(e$%a$kal 9e$uh ah/a "iri$%a *aki Sela(a
/a/a$5ara 9*ikia&ri 9e$ela*a$ %a$ "ierika$
9e$"eri&a kura$ "i9er5a%a#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
33/68
F+RULASI DIA!N+STIK
' er"a*arka$ ri/a%a& 9e$"eri&a "i&e(uka$
a"a$%a kea"ia$ %a$ (e$5e&u*ka$ 9eruaha$
9la 9erilaku "a$ 9*ikli* %a$ er(a$ife*&a*i
&i(ul$%a eala "a$ &a$"a kli$i* %a$ kha*
erkai&a$ "e$a$ a"a$%a a$ua$ kei/aa$
*er&a "i&e(uka$ a"a$%a "i*&re* "a$ "i*aili&a*
ri$a$ "ala( kehi"u9a$ *ehari.hari#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
34/68
De$a$ "e(ikia$ "a9a& "i*i(9ulka$ 9e$"eri&a
(e$ala(i *ua&u a$ua$ kei/aa$# Pa"a
9e(erik*aa$ *&a&u* i$&er$u* &i"ak "i&e(uka$
9a"a 9e$"eri&a ri/a%a& &rau(a ke9ala# Selai$
i&u 9e$"eri&a &i"ak "i&e(uka$ ri/a%a&
hi9er&e$*i#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
35/68
' S&a&u* $eurli ua &i"ak "i&e(uka$ kelai$a$
%a$ (e$i$"ika*ika$ a"a$%a a$ua$ (e"i*
u(u( %a$ *e5ara fi*ili "a9a& (e$i(ulka$
"i*fu$*i &ak *er&a (e$akia&ka$ a$ua$
kei/aa$ %a$ "i"eri&a *ela(a i$i# De$a$
"e(ikia$ a$ua$ (e$&al a$ik =00 0+>
"a9a& "i*i$kirka$#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
36/68
' Pa"a /a/a$5ara 9*ikia&ri "i&e(uka$ 9e$"eri&a
&i"ak (i$u(.(i$u(a$ eralkhl *er&a
9e$"eri&a &i"ak 9er$ah (e$k$*u(*i a&.
a&a$ &erlara$ *ehi$a ke(u$ki$a$
a$ua$ (e$&al akia& za& 9*ikak&if =10
1+> ua "a9a& "i*i$kirka$#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
37/68
' Pa"a "ia$*i* (ul&iak*ial ak*i* I "i&e(uka$
a"a$%a halu*i$a*i au"i&rik# Pa"a 9e$"eri&a
"i&e(uka$ eaai eala "efi$i&if a"a$%a
*kizfre$ia "a$ a$ua$ afek&if %a$ *a(a.
*a(a (e$$l 9a"a *aa& %a$ er*a(aa$# Pa"a
9e$"eri&a ua "i&e(uka$ ri/a%a& 9er$ah
"ira/a& "i 6S# "r# Er$al"i ahar 9a"a &ahu$
2011 9u&u* a& ke(u"ia$ 9e$%aki&$%a ka(uh
lai#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
38/68
' Maka "ia$*i* 9a"a 9e$"eri&a i$i &er(a*uk
"ala( 20#03 Skizfre$ia Para$i" E9i*"ik
erula$#
' Pa"a "ia$*i* (ul&iak*ial ak*i* II &i"ak
"i&e(uka$ a$ua$ ke9ria"ia$#
' Pa"a ak*i* III &i"ak &er"a9a& "ia$*i*#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
39/68
' Pa"a ak*i* IC "i"a9a&ka$ *&re**r (a*alah
9ekeraa$ "i(a$a &a$ah &e(9a& 9e$"eri&a
ekera "iu*ur 9e(eri$&ah u$&uk 9e(ua&a$
ala$ lalu li$&a* $a(u$ 9e$"eri&a &i"ak
(e$"a9a&ka$ a$&i rui#
' Pa"a ak*i* C "i"a9a&ka$ !lal A**e**(e$& f
u$5&i$i$ =!A> S5ale 0.41 "i(a$a &er"a9a&
eala era& =*eriu*> "i*aili&a* era
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
40/68
E-ALUASI ULTIAKSIAL
' Ak*i* I : 20#03 Skizfre$ia Para$i"
E9i*"ik erula$
' Ak*i* II : )i"ak a"a "ia$*i*
' Ak*i* III: )i"ak a"a "ia$*i*
' Ak*i* IC : Ma*alah 9ekeraa$
' Ak*i* C : !A S5ale 0.41
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
41/68
DAFTAR ASALA'
+rgan$#i$l$gik
Di&e(uka$ fak&r e$e&ik a$ua$ kei/aa$#
P"ik$l$gik
Pe$"eri&a (e$ala(i halu*i$a*i au"i&rik#
Lingkungan %an S$"ial Ek$n$mi
Pe$"eri&a &i$al er*a(a "e$a$ i*&ri "a$ 1
ra$ a$ak$%a#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
42/68
PR+!N+SIS
' Quo ad vitam & $a(
' Quo ad functionam & "uia
' Quo ad sanasionam & "uia
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
43/68
REN.ANA PENATALAKSANAAN
P"ik$)armaka
' I$# ?al"i(eB 1 a(9 i?#
' I$# L"(er 1 a(9 i(#
' ;hlr9r(azi$e "e$a$ "*i* 100 ( "ierika$
*ea$%ak 2B1 &a 9er hari#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
44/68
' 6i*9eri"$e "e$a$ "*i* 2 ( "ierika$
*ea$%ak 2B1 &a 9erhari#
' )riheB%9he$i"%l "e$a$ "*i* 2 ( "ierika$
*ea$%ak 2B1 &a 9er hari#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
45/68
P"ik$tera(i
)erha"a9 9e$"eri&a :
' Me(erika$ e"uka*i &erha"a9 9e$"eri&a aar
(e(aha(i a$ua$$%a leih la$u& 5ara
9e$a&a$ "a$ 9e$a$a$a$$%a efek *a(9i$
%a$ "a9a& (u$5ul *er&a 9e$&i$$%a ke9a&uha$
"a$ ke&era&ura$ "ala( (i$u( a
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
46/68
' I$&er?e$*i la$*u$ "a$ "uku$a$ u$&uk
(e$i$ka&ka$ ra*a 9er5a%a "iri i$"i?i"u
9eraika$ fu$*i **ial "a$ 9e$5a9aia$ kuali&a*
hi"u9 %a$ aik#
' Me(&i?a*i 9e$"eri&a aar &i"ak (era*a 9u&u*
a*a "a$ *e(a$a& "ala( (e$ala$i hi"u9#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
47/68
)erha"a9 keluara
' Me$u$aka$ (e&"e 9*ik.e"uka*i "e$a$
(e$%a(9aika$ i$fr(a*i ke9a"a keluara
(e$e$ai eraai ke(u$ki$a$ 9e$%ea
9e$%aki& 9erala$a$ 9e$%aki& "a$ 9e$a&a$
%a$ "a9a& "ilakuka$
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
48/68
*ehi$a keluara "a9a& (e(aha(i "a$
(e$eri(a k$"i*i 9e$"eri&a *er&a (e(a$&u
9e$"eri&a "ala( hal (i$u( a& *er&a k$&rl
*e5ara &era&ur "a$ (e$e$ali eala.eala
keka(uha$ u$&uk *eera "ik$*ul&a*ika$
ke9a"a "k&er#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
49/68
' Me(erika$ 9e$er&ia$ ke9a"a keluara aka$
9e$&i$$%a 9era$ keluara 9a"a 9erala$a$
9e$%aki& "a$ 9r*e* 9e$%e(uha$ 9e$%aki&
9a"a 9e$"eri&a#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
50/68
DISKUSI
Pa"a k$"i*i 9e$"eri&a "i&e(uka$ halu*i$a*i
au"i&rik %a$ (eru9aka$ eala 9*i&if "ari
*kizfre$ia# Sela(a /a/a$5ara 9*ikia&ri
&er"a9a& k$&ak %a$ aik "ari 9e$"eri&a *ika9
9e$"eri&a 5uku9 k9era&if ek*9re*i /aah
ia*a ar&ikula*i kura$ ela*
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
51/68
"a$ ?lu(e *uara $aik &uru$ 9e$"eri&a
&erka"a$ (ere*9$ 9a$"a$a$ &erha"a9
9e(erik*a ika "i9a$il "a$ "iaak eri5ara#
)er"a9a& ri/a%a& e9i*"e 9*ik&ik 9a"a (a*a
la(9au#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
52/68
Pa"a *aa& aka$ "ierika$ &era9i i$ek*i
9e$"eri&a (e$lak (u$ki$ "i*eaka$ kare$a
5e(a* (aka "ierika$ ?al"i(eB i$ek*i
*ea$%ak 1 a(9# Selai$ i&u 9e$"eri&a ua
"ierika$ &era9i (e$u$aka$ l"(er i$ek*i
"e$a$ "*i* 1 a(9 "ierika$ *e5ara i$&ra
(u*5ular u$&uk (e$a&a*i eala 9*i&if %a$
a"a 9a"a 9e$"eri&a#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
53/68
Se"iaa$ "ala( 1 a(9 F ((l "e$a$
$*e& kera a& erki*ar *eki&ar < 12 a( (aka
9e$"eri&a "a9a& "ierika$ i$ek*i 2 B 1 a(9 (
9er hari# Pali$ &i"ak "ierika$ *ela(a 3 hari
er&uru&.&uru& hi$a efek &era9i &er5a9ai#
)era9i &er*eu& "ik(i$a*ika$ "e$a$
;hlr9r(azi$e "e$a$ "*i* 100 ( "ierika$
*ea$%ak 2B1 &a 9er hari# -e(u"ia$ 9e$"eri&a
"ierika$ 6i*9eri"$e "e$a$ "*i* 2 (#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
54/68
O$*e& kera a& erki*ar *eki&ar < 12 a(
(aka 9e$"eri&a "ierika$ 2 B 1 &a 1 ( 9er hari#
Oa& a$&i 9*ik*i* %a$ kua& =l"(er> *eri$
(e$i(ulka$ eala ek*&ra9ira(i"al (aka
u$&uk (e$a&a*i$%a "a9a& "i&a(ahka$
)riheB%9e$i"%l =Ar&a$e> "e$a$ "*i* 2 (
"ierika$ *ea$%ak 2B1 &a 9er hari#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
55/68
Pa"a 9e$"eri&a i$i ua "ierika$ &era9i lai$
eru9a 9*ik&era9i# Dala( 9er*9ek&if "ala(
aha*a ka&a 9*ik&era9i era*al "ari ka&a psyche
%a$ erar&i i/a "a$ ha&i# Se"a$ka$ "ala(
aha*a I$ri* er(ak$a 9e$a&a$ "a$
9e$%e(uha$#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
56/68
ir(a$ Allah S):
Gahai (a$u*ia *e*u$uh$%a &elah "a&a$
ke9a"a(u 9elaara$ "ari )uha$(u "a$
9e$%e(uh u$&uk 9e$%aki& %a$ a"a "ala(
"a"a "a$ 9e&u$uk *er&a rah(a& ai ra$.
ra$ %a$ eri(a$ =9er5a%a "a$ %aki$># =S#
Ju$u* : 7>
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
57/68
Dala( hal i$i "ierika$ e"uka*i &erha"a9
9e$"eri&a aar (e(aha(i a$ua$$%a leih
la$u& 5ara 9e$a&a$ "a$ 9e$a$a$a$$%a
efek *a(9i$ %a$ "a9a& (u$5ul *er&a
9e$&i$$%a ke9a&uha$ "a$ ke&era&ura$ "ala(
(i$u( a I$&er?e$*i la$*u$ "a$ "uku$a$
&erha"a9 9e$"eri&a u$&uk (e$i$ka&ka$ ra*a
9er5a%a "iri i$"i?i"u 9eraika$ fu$*i **ial
"a$ 9e$5a9aia$ kuali&a* hi"u9 %a$ aik#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
58/68
Me(&i?a*i 9e$"eri&a aar &i"ak (era*a 9u&u*
a*a "a$ *e(a$a& "ala( (e$ala$i hi"u9#
-eluara 9e$"eri&a ua "ierika$ &era9i
keluara "ala( e$&uk 9*ik.e"uka*i "e$a$
(e$%a(9aika$ i$fr(a*i ke9a"a keluara
(e$e$ai eraai ke(u$ki$a$ 9e$%ea
9e$%aki& 9erala$a$ 9e$%aki& "a$ 9e$a&a$
%a$ "a9a& "ilakuka$
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
59/68
*ehi$a keluara "a9a& (e(aha(i "a$
(e$eri(a k$"i*i 9e$"eri&a *er&a (e(a$&u
9e$"eri&a "ala( hal (i$u( a& *er&a k$&rl
*e5ara &era&ur "a$ (e$e$ali eala.eala
keka(uha$ u$&uk *eera "ik$*ul&a*ika$
ke9a"a "k&er#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
60/68
Me(erika$ 9e$er&ia$ ke9a"a keluara
aka$ 9e$&i$$%a 9era$ keluara 9a"a 9erala$a$
9e$%aki& "a$ 9r*e* 9e$%e(uha$ 9e$%aki&
9a"a 9e$"eri&a#
I*la( ua (e$a$urka$ u(a&$%a u$&uk
era& "a$ (e$"a&a$i "k&er *9e*iali*#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
61/68
' GSe*u$u$%a e$kau &erke$a 9e$%aki& (aka
"a&a$ka$lah Al.Hari*& i$ -al"ah *au"ara
a$i )*aKif kare$ a"ia *e*u$uh$%a "k&er
%a$ 9a$"ai (e(ilih 9e$a&a$ =H6# Au
Dau">#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
62/68
Pr$*i* 9e$"eri&a i$i a"alah "uia a"
$a( kare$a &i"ak a"a a$ua$ 9re(ri"#
ila 9e$"eri&a &aa& (e$ala$i &era9i a"a$%a
(&i?a*i 9e$"eri&a u$&uk *e(uh *er&a a"a$%a
"uku$a$ "ari keluara %a$ 5uku9 (aka aka$
(e(a$&u 9eraika$ 9e$"eri&a#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
63/68
Pr$*i* 9e$"eri&a i$i a"alah "uia a"
$a( kare$a &i"ak a"a a$ua$ 9re(ri"#
ila 9e$"eri&a &aa& (e$ala$i &era9i a"a$%a
(&i?a*i 9e$"eri&a u$&uk *e(uh *er&a a"a$%a
"uku$a$ "ari keluara %a$ 5uku9 (aka aka$
(e(a$&u 9eraika$ 9e$"eri&a#
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
64/68
FOLLOW UP
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
65/68
FOLLOW UP
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
66/68
FOLLOW UP
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
67/68
FOLLOW UP
8/17/2019 Cases Report Ppt Zukhruful Muzakkie Fk Ump 71 2014 033
68/68
TERIMA KASIH