Lapkas Tension-type Headache [Autosaved]

8/17/2019 Lapkas Tension-type Headache [Autosaved]

1/15

TENSION-TYPE HE

LAPORAN KASRIADHUS MACHFUD ALF

PUSKE5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$


2/15

• IDENTITAS PASIEN

• N$'$ + N),I

• J!ni" *!l$'in + P!r!'p%$n

• U"i$ + 4- #$&%n

• A.$'$ + I"l$'

• P!*!r$$n + I% R%'$& $n..$

• Al$'$# + R$n(!.$n 1

• K%n%n.$n *! p*' + 4 '$r!# 2016

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$


3/15

• Keluhan Utama : S$*i# *!p$l$ "%($& 5 &$ri )$n. l$l

•

Riwayat Penyakit SekaranP$"i!n ($#$n. (!n.$n *!l%&$n "$*i# *!p$l$ "!$* 5 &

l$l% , K!p$l$ #!r$"$ !r$# *!n3$n. ($n &il$n. #i'%l, S*!p$l$ (ir$"$*$n ($ri #!n.*%* "$'p$i $.i$n $#$" *!p$'!n)$n.*$l "$*i# *!p$l$ (i r$"$*$n &$n)$ "!!l$&, "$*#i($* !r#$'$& !r$# i*$ '!l$*%*$n $*#i#$" ,"$*i# *!(i"!#$i (!'$', p$"i!n '!n.$#$*$n "!rin. "$*i# *!p$l$ $r% '!l$&ir*$n $n$* )$n. *!#i.$ ($n p$"i!n '!r$"$ #i*%r$n. !r*%$li#$",$#%* 78 pil!* 98 "!"$*78 '%$l78M%n#$&78.$n..%$n AK78.$n..%$n A 78

TOANA!NESIS "#$%&%#'(

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$


4/15

• P!rn$& '!n.$l$'i (!n.$n *!l%&$n )$n. "$'$• P$"i!n '!'p%n)$i ri:$)$# &ip!r#!n"i 'in%' ;$# ($n

"!3$r$ r%#in *! (;*#!r,• Ri:$)$# DM 78

RiwayatPenyakitDahulu

• A($ ri:$)$# &ip!r#!n"i (i*!l%$r.$ n!n!*8• Ri:$)$# DM #i($* (i*!#$&%i

RiwayatPenyakitKeluara

• S!($n. '!n.;n"%'"i ;$#7;$#$n ($r$& #in..i

Riwayat

Pen)*atan

• .$n..%$n #i(%r )$n. "!rin. #!r$n.%n $#$% $n.%n (i• P$"i!n !*!r$ "!$.$i i% r%'$& #$n..$• J$r$n. ;l$&r$.$ #i($* *;n"%'"i $l*;&;l,• D%l% "!rin. '$*$ '$*$n$n )$n. !r'in)$* ($n i*$n

"!*$r$n. "%($& !r&!n#i,

RiwayatP+ik)+)+ial

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$


5/15

• Kea,aan umum + $'p$* "$*i# "!($n.

• Ke+a,aran + C;'p;"'!n#i"

• Tan,a ital – TD : #$.%/. mmH

– N +


6/15

Uni!r"i#$" M%&$''$(i)$& J$*$r#$5/12/16

• Kepala : normochepal

• Mata : anemis (-/-), ikterik (-/-), edema palpebr

• Hidung : normonasi, deviasi septum (-), sekret (-),epi

• Mulut : mukosa bibir kering (-), sianosis (-), lidah tr

faring hiperemis (-), tonsil T-T,

•

Telinga : tidak dilakukan• !eher : tidak dilakukan


7/15

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$

• Thora"

#antung : $# %-%% murni reguler, murmur (-

&aru : vesikuler ('/'), ronkhi (-/-), he

• *bdomen

%nspeksi : tidak dilakukan

• +kstremitas

*tas : akral hangat, T . detik, edema (-/

$aah : akral hangat, T . detik, edem


8/15

• PE!ERIKSAAN NEURO1O2IS

– SARA0 KRANIA1 – !OTORIK

– SENSORIK

– KOORDINASI

– RE01EK 0ISIO1O2I

– RE01EK PATO1O2I – 0UN2SI 1UHUR

i($* (il$

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$


9/15

RENCANA PE!ERIKSAAN PENUN3AN

• L$;r$#;ri%' + ($r$& r%#in !l!*#r;li# *$($r .%l$

$#$" in(i*$"i %n#%* '!n)in.*ir*$n p!n)!$ "!*• R$(i;l;.i + $#$" in(i*$"i %n#%* '!n)in.*ir*$n p!

"!*%n(!r8,

• ?;l( S#$n($r( + Kri#!ri$ (i$.n;"#i* N)!ri *!p$l$ K"#%(i N@!ri *!p$l$ P!r(;""i 2005 )$n. (i$($p#$"i

S (International Headache Society)

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$


10/15

RESU!E

• S!;r$n. p!r!'p%$n 4- #$&%n ($#$n. *! p%"*!"'$" (!

*!l%&$n "$*i# *!p$l$ "%($& 5 &$ri )$n. l$l% – RPS +K!p$l$ #!r$"$ !r$# *!n3$n. ($n &il$n. #i'%l, S$*i# *!

(ir$"$*$n ($ri #!n.*%* "$'p$i $.i$n $#$" *!p$l$, "$*i# *!p$l

!r#$'$& !r$# i*$ '!l$*%*$n $*#i#$" , p$"i!n '!n.$#$*$n

*!p$l$ "!'!n$* $r% '!l$&ir*$n $n$* )$n. *!#i.$ ($n p$"i!#i(%rn)$ *%r$n. !r*%$li#$", pil!* 98

– RPD + p!rn$& '!n.$l$'i (!n.$n *!l%&$n )$n. "$'$ P$"i!n ri:$)$# &ip!r#!n"i 'in%' ;$# ($n *;n#r;l "!3$r$ r%#in *! (;*

– RPK : $($ ri:$)$# &ip!r#!n"i (i *!l%$r.$

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$


11/15

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$

• Kea,aan umum + $'p$* "$*i# "!($n.

• Ke+a,aran + C;'p;"'!n#i"• Tan,a ital

– TD : #$.%/. mmH

– N +


12/15

DIA?NOSIS

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$

Di$.ni"$ *!r$ +• #!n"i;n #)p! &!$($3&!

DiB!r!n"i$l Di$.n;"$ +• Mi.r$in• Cl%"#!r &!$($3&!• Sin%"i#i"


13/15

Penatalak+anaanN)nme,ikament)+a ,an E,uka+i

Reula+i li4e+tyle

M!n.$#%r ($n #i(%r)$n. 3%*%p

M$*$n ($n (i!# )$n.$i*

M!n.!#$&%i ($n'!n.&in($ri '$*$n

)$n. ($p$# '!'i3%n)!ri *!p$l$

!r;l$&r$.$ #!r$#%r

Hin,ari +tre++

M!n.&in($ri lin.*%n.$n";"i$l )$n. ($p$#

'!n)!$*$n "#r!"

R!l$*"$"i ;#;#

P"i*;#!r$pi

0i+i)tera5i !r$pi p$n$"

%l#r$";%n(

Pi$# ($n #r$*"i l!&!r

P!r!.$n.$n ;#;#7;#;#l!&!r

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$


14/15

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$

Penatalak+anaanM!(i*$'!n#;"$


15/15

PRO2NOSIS

5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$

• Se6ara umum7 ,a5at ,ikatakan 5r)n)+i+ T

Lapkas Tension-type Headache [Autosaved]

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