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Morning Report

August, 18th 2015

Supervisor:dr. Gede made punarbawa, Sp.G

!M "aga:#ebri, rian

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Morning Reportaugust 10th 2015

Case Resume$RMA%%A&R

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'A()%G*+S

%A&R

1. G3P2A0L2 38-39 weeks S/L/IU, transversepresentation with P!"#12 ho$rs

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ase 1

$ame : Mrs. MAge : -- ears o/dAddress : &aan

Admitted : 15082015$o. RM : 552-8

G3P2A0L2 38-39 weeks S/L/IU,transverse presentation % P!" #12

ho$rs

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&I"' SU()'*&I+' !()'*&I+' ASS'SS"'& PLAIG

11/08/20123.12 wita

Patient reere ro LU G to&( G with G3P2A0L2 38-39weeks S/L/IU transversepresentation. Patient onessea4oina5 pain sprea to the5ank 6%7 sine as a:o,water 5eake o$t ro herwo4 6%7 sine as a:o,45oo s5i 6-7, ;" 6%7.

istor o /12/201'0 :, G= 3>-38weeks, U; 32 , transversepresentation, ;( 6%7, (= 9k:

Genera5 stat$sG* = we55onsio$sness= *"(P = 110/>0 :P= 8 4p= 20 4p&= 3@,8B*

Loa5 stat$s'e = an 6-/-7, it 6-/-7P$5o = ves 6%/%7, rh 6-/-7, wh6-/-7*or = S1S2 sin:5e re:$5ar, 6-7, : 6-7

 A4 = striae :raviar$ 6%7,5inea ni:ra 6%7, sar 6-7

'?t = eea 6-/-7, war ara56%/%7.

!4stetri stat$sL1 = 4akL2 = hea on the ri:ht sieL3 = -L = /U;= 31

'; = - :r U* = 1?10C D0E;( = 11-12-12+& = F 0 , e 0, anion6-7, transverse presentation.

G3P2A0L2 38-39weeks S/L/IU,transversepresentation %P!" #12 ho$rs

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&I"' SU()'*&I+' !()'*&I+' ASS'SS"'& PLAIG

istor o USG = 2?, at Sp!GLast = 1/08/201es$5t = S/L/IU, transverse G=38-39 weeks, ';= 320 :r,anion not 5ear, inia5,p5aenta at $n$s :r II-III, ;(6%7 100-120?/in$teS$::estion = pro S*&Pistor o ai5 p5annin:= -e?t ai5 p5annin: = InH 3onth

!4stetri istor=I. Ater/a5e/Spt/2>00 :r/

ears/5iveII. Ater/ea5e/Spt/2900 :r/3

ears/5iveIII. &his

Laboratory (11/08/2015 23.56):(= 10.8 :/5(*= 3.9*&= 31.1 (*= 8.3PL&= 294sA:= non reative(& = 3C10E*& = @C1E

Chronologist : at KLU GH(15-08-2015)

12.50 !"#$ : 'atient reered #orm

obstetri3 po/ with #eta/distress and 'RM 5 das

transverse presentation.'atient 3on#essed historo# water /ea4ed out #romher womb sin3e 5 dasago, #eta/ movement 67.

  'atient 3on#essed this isthe -rd pregnan3. $ohistor o# abortus. A// thebab are /ive. )istor o#

severe disease 7  %M' : 9129201

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&I"' SU()'*&I+' !()'*&I+' ASS'SS"'& PLAIG

!4stetri stat$sL1 = 4reehL2 = 4ak on the 5et sieL3 = heaL = 1/U;= 30

 A4* = 9>'; = 2910 :r U* = -;( = 13>?/in$tes+& = not o

# : G3P2A0L2 38 weeks S/L/IU,transverse presentation withP!" as % eta5 istress

' : 3o to S'=

2 /pm*n#us !5 20 tpm!Reered to $(& G)1-.15!oing 02 /pm*n#usion !5 20 tpm!o !S4in (est ampi3i//in  

in>e3ted at 1-.-0 wita

1.00 ?)& 67 12

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&I"' SU()'*&I+' !()'*&I+' ASS'SS"'& PLAIG

20.00 Genera5 stat$sG* = we55onsio$sness= *"(P = 110/>0 :P= 80 4p= 18 4p&= 3@,>B*

U* = 1?10C D0E;( = 11-12-12

*-Setion 4e:in at21.00

 At 21.1> (a4 was4orn, a5e, A-S @-8,3000 :, (L 0 , *3 , an$s 6%7on:enita5 anoa5 6-7

P5aenta was 4ornop5ete5

Intraoperative inin: =4iorn $teri

22.30 G* = we55onsio$sness= *"(P = 110/80 :P= 88 4p= 20 4p&= 3@.B*

U* = we55U; = 2 in:ers 4e5ow $4i5ia5U! = 200 /ho$rs

 Ative 45eein: 6-7

2 ho$rs post *S !4servation :enera5onition an vita5si:n

!4servation U*,U;, an ative45eein:

1@/08/2010>.00

G* = we55onsio$sness= *"(P = 110/>0 :P= >@ 4p= 20 4p&= 3@.3B*

U* = we55

U; = 2 in:ers 4e5ow $4i5ia5U! = 100 /ho$rsLohea r$4ra 6%7

!4servation :enera5onition an vita5si:n

!4servation U*,U;, an 5ohea

*I' other to eat anrink

*I' other to 4reast

eein: *I' other to

o4i5iJation

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.. "han& 'ou ..