Parade 30-3-2016 EDITParade 30-3-2016 EDITParade 30-3-2016 EDITParade 30-3-2016 EDIT
Transcript of Parade 30-3-2016 EDITParade 30-3-2016 EDITParade 30-3-2016 EDITParade 30-3-2016 EDIT
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PARADE PASIEN BARUBEDAH PLASTIK
Bagian Ilmu BedahBagian Ilmu Bedah PlastikPlastikFakultas Kedokteran UniersitasFakultas Kedokteran Uniersitas
HasanuddinHasanuddin Rumah Sakit Dr! "ahidinRumah Sakit Dr! "ahidin
SudirohusodoSudirohusodo#akassar#akassar
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$!IDENTITAS PASIEN• Nama : Nur Fathya
• RM : 749665
• Jenis kelamin : perempuan
• Tanggal lahir : 26-02-205
• !mur : tahun "ulan
• #lamat : Tama$na
• MR% : 2&-0&-206
• 'era(atan : )$ntara & #tas
*elakang +*4
• ,'J' : r.#.J.Rie(passsa/%p.*'-R
• Jaminan : J+N
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ANA#NESIS
• Keluhan utama % &en'olan (adalengan kanan
•
Anamnesis ter(im(in % dialami se'aklahir! A)aln*a &en'olan han*ase&esar ka+ang tanah, lalumem&esar (erlahan selama $ tahun
ini! Tidak ada ri)a*at gatal dan(erdarahan!
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F;T; KLINIS
Regio Ante&ra+hii De4tra
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LAB;RAT;RIU#<3$856835$7=
PEMERIKSAAN HASIL RUJUKAN
RBC :,97 4.00-6.00
WBC $3,$ 4.00-0.0
HB $5 2.0-6.0
HCT 63 27.0-41.0
PLT 9>$ 50-400
PT $5,6 0-4
APTT 6$,6 22.0-&0.0
INR 5,2? --
SGOT :5 &1
SGPT $> 4UREUM $: 0-50
KREATININ 5,65 /&
NA $:: &6-45
K :,6 &/5-5/
CL $5> 97-
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DIA-N;SIS
Hemangioma regio Ante&ra+hiide4tra
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PLANNIN-
E4sisi hemangioma
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3!IDENTITAS PASIEN
• Nama : #"u Naim
• RM : 70420
• Jenis kelamin : )aki-laki
• Tanggal lahir : 2--990
• !mur : 25 tahun
• #lamat : +ampung 3$a
• MR% : 2&-0&-206
• 'era(atan : )$ntara & #tas
*elakang +*
• ,'J' : r.#.J.Rie(passsa/%p.*'-R
• Jaminan : J+N
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ANA#NESIS
• Keluhan utama % Ingin +a&ut im(lant
• Anamnesis ter(im(in % Pasien ingin
angkat im(lant di )a'ah! Pasien merasa
terganggu karena (erasaan menggan'al!
Pasien 'uga ingin mele(askan im(lant
(ada lengan kirin*a *ang di(asang
&ersamaan dengan im(lant di )a'ahn*a!
Ri)a*at ;(erasi (asang im(lan (ada
&ulan maret 35$9 di RS!"ahidin
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PE#ERIKSAAN FISIK
Status Generalis % Baik. -i/i 0uku(. 0om(os #entisStatus Vitalis % Tekanan Darah % $35.>5 mmHg
Nadi % >5 4.menit
RR % $>4.menit
Suhu % 67,6 o0
Status Lokalis :
In@raor&ita sinistra
Ins(eksi % tam(ak s+ar (as+a o(erasi
Pal(asi % Tera&a im(lant (ada regio su(raor&itasinistra /*goma sinistra
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F;T; KLINIS
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KESANPE#ERIKSAAN
• Shermanns (late
ter(asang (ada(osisi *ang &aik
• Deiasi se(tum
nasi sinistra
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LAB;RAT;RIU#<33856835$7=
PEMERIKSAAN HASIL RUJUKAN
RBC 9,7? 4.00-6.00
WBC >,5 4.00-0.0
HB $7,? 2.0-6.0
HCT 9$ 27.0-41.0
PLT 3>9 50-400PT $5,2 0-4
APTT 65,> 22.0-&0.0
INR $,56 --
SGOT 32 &1
SGPT 69 4UREUM 65 0-50
KREATININ $,55 /&
NA $:6 &6-45
K :,9 &/5-5/
CL $5> 97-
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DIA-N;SIS
Post ;RIF regio /*gomaksillasinistra dan /*gor&ita sinistra
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PLANNIN-
AC Im(lant
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6! IDENTITAS PASIEN
• Nama : Muh. Ri(an• RM : 744016
• Jenis kelamin : )aki-laki
• Tanggal lahir : 21-4-2006
• !mur : 9 tahun
• #lamat : Mangempang
• MR% : 29-0&-206
• 'era(atan : )$ntara & #tas
*elakang +2*6
• ,'J' : r.#.J.Rie(passsa/%p.*'-R
• Jaminan : J+N
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ANA#NESIS
• Keluhan utama %&en'olan keras (ada
daun telinga kanan
•
Anamnesis ter(im(in % dialami se'ak $tahun se&elum masuk rumah sakit,
a)aln*a (asien mengalami ke+elakaan
lalu lintas, telinga kanan ro&ek dan
di'ahit di (uskesmas, kemudian tum&uh
&en'olan keras dari &ekas 'ahitan
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PE#ERIKSAAN FISIK Status Generalis % Baik. -i/i 0uku(. 0om(os #entis
Status Vitalis % Tekanan Darah % 25.75 mmHg
Nadi % >> 4.menit
RR % 354.menit
Suhu % 67,9o
0Status Lokalis :
Regio Auri+ula De4tra
Ins(eksi % Tam(ak &en'olan se&esar kelereng, )arna kulitsama dengan sekitarn*a
Pal(asi % Tera&a &en'olan ukuran 3!943!9+m, konsistensi keras, tidak n*eri
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LAB;RAT;RIU#<3$856835$7=
PEMERIKSAAN HASIL RUJUKAN
RBC 4.29 4.00-6.00
WBC 1/0 4.00-0.0
HB 2/4 2.0-6.0
HCT &1 27.0-41.0
PLT &9 50-400PT /& 0-4
APTT &4/ 22.0-&0.0
INR /07 --
SGOT 22 &1
SGPT 4 4UREUM 9 0-50
KREATININ 0.50 /&
NA 4 &6-45
K &/9 &/5-5/
CL 05 97-
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DIA-N;SIS
Keloid auri+ula de4tra
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PLANNIN-
Eksisi keloid
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:!IDENTITAS PASIEN
• Nama : #leaner Tahalea
• RM : 7457&7
• Jenis kelamin : laki-laki
• Tanggal lahir : 09-06-952
• !mur : 6& tahun
• #lamat : )ateri / #m"$n
• MR% : 21-0&-206
•
'era(atan : )$ntara & #tas*elakang +5*
• ,'J' : r.#.J.Rie(passsa/%p.*'-R
• Jaminan : J+N
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ANA#NESIS
• Keluhan utama % &en'olan di &a)ah matakanan
• Anamnesis ter(im(in %
Dialami se'ak $ tahun lalu *ang makinlama makin mem&esar!
Ri)a*at ter(a(as sinar matahari ada!
ri)a*at o(erasi eksisi &asalioma $ &ulan*ang lalu di RS )ahidin
Ri)a*at o(erasi skin a( 3 minggu *anglalu di RS )ahidin
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PE#ERIKSAAN FISIK
• Status generalis %KU &aik.gi/i kurang.+om(os mentis
• Status italis %Nadi % 23 kali.menit
Na(as % 35 kali.menitSuhu % 67,? 0
• Status lokalis %Regio (al(e&ralis De4tra%ins(eksi % tam(ak 'aringan granulasi(al(asi % n*eri tekan tidak ada
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F;T; KLINIS<32856835$7=
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LAB;RAT;RIU#<3$856835$7=
PEMERIKSAAN HASIL RUJUKAN
RBC 5.&7 4.00-6.00
WBC 1.& 4.00-0.0
HB &.9 2.0-6.0
HCT 44 27.0-41.0
PLT 259 50-400PT . 0-4
APTT 29.5 22.0-&0.0
INR .05 --
SGOT 27 &1
SGPT && 4UREUM 27 0-50
KREATININ 0.9 /&
NA 42 &6-45
K &.5 &/5-5/
CL 0& 97-
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DIA-N;SIS
Basalioma (ost eksisi
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PLANNIN-
Skin -ra@t
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9! IDENTITAS PASIEN
• Nama : ahyui• RM : 752&
• Jenis kelamin : )aki-laki
• Tanggal lahir : 6--990
• !mur : 25 tahun• #lamat : *TN *ukit arta$
• MR% : 29-0&-206
• 'era(atan : )$ntara & #tas
,epan +5 *• ,'J' : ,r.r.F$nny J$sh/%p.*'-R
• Jaminan : J+N
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ANA#NESIS
• Keluhan utama % N*eri (ada )a'ah
• Anamnesis ter(im(in %
Dialami se'ak 9 hari *ang lalu aki&at
ke+elakaan lalu lintas! Pasien
meru(akan konsul dari &edah sara@!
Ri)a*at muntah dan (enurunan
kesadaran tidak ada!
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PE#ERIKSAAN FISIK
Status Generalis % Baik. -i/i 0uku(. 0om(os#entis
Status Vitalis % Tekanan Darah % $$5.?5 mmHg
Nadi % >> 4.menit
RR % 354.menit
Suhu % 67,9 o0
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PE#ERIKSAAN FISIK
Status Lokalis :Regio Zygomaksilla Sinistra
Ins(eksi % tam(ak luka ekskoriasi ukuran
$!94$ +m, hematom 8 , edema Pal(asi % n*eri tekan ada, kre(itasi ada
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F;T; KLINIS
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#S0T Ke(ala 6 Dimensi NonKontras
KESANPE#ERIKSAAN
• Fraktur os
ma4illaris dan os/*gomati+umsinistra
• Hematosinusma4illarissinistra
• Rhinitis +hroni+h ertro i+ans
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DIA-N;SIS
Fraktur os ma4illaris /*gomati+um sinistra
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7! IDENTITAS PASIEN
• Nama : !sman %ari
• RM : 750077
• Jenis kelamin : )aki-laki
•
Tanggal lahir : 2-0-969• !mur : 46 tahun
• #lamat : ,esa lap$lu
• +$nsul : 22-0&-206
• 'era(atan : )$ntara & *a(ah *elakang
• ,'J' : ,R.r.F$nny J$sh/ %p.*'-R 8+
• Jaminan : J+N
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ANA#NESIS
• Keluhan utama % Luka (ada kaki
• Anamnesis ter(im(in %
Luka (ada kaki dirasakan se'ak $tahun dan sudah (ernah dio(erasise&an*ak 3 kali! Pasien dira)at di(era)atan H0U sara@ dengan tetra
(arese L#N e+ sus( -ullian Barres*ndrome
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PE#ERIKSAAN FISIK
• Status generalis %
&aik.gi/i +uku( .+om(os mentis
• Status italis %
TD% $65.>5 N%754.menit P% 354.menit S%67,9 0• Status lokalis %
• regio (edis sinistra
I% ul+er , 'aringan ne+roti+ <=, granulasi <=
P% n*eri tekan <8=
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F;T; KLINIS<36856835$7=
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F;T; KLINIS<3>856835$7=
LAB;RAT;RIU#
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LAB;RAT;RIU#<3$856835$7=
PEMERIKSAAN HASIL RUJUKAN
RBC :!33 4.00-6.00
WBC$7!6
4.00-0.0
HB $$!> 2.0-6.0
HCT 6: 27.0-41.0
PLT :3? 50-400
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LAB;RAT;RIU#<33856835$7=
PEMERIKSAAN HASIL RUJUKAN
'T $$!2 0-4
#'TT 3$!> 22.0-&0.0
NR $!$6 --
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DIA-N;SIS
Ulkus Pedis
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PLANNIN-
De&ridement
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?!IDENTITAS PASIEN
• Nama : tha
• RM : 747291
• Jenis kelamin : 'erempuan
•
Tanggal lahir : 26;2;92• !mur : 2& tahun
• #lamat : Makassar
• 'era(atan : !)*
• ,'J' : ,r.r.F$nny J$sh/%p.*'-R
• Jaminan : J+N
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ANA#NESIS
• Keluhan utama % Luka &akar terkena air(anas
• Anamnesis ter(im(in % Ri)a*at Luka
&akar $ &ulan *ang lalu karena tersiramair (anas! Pasien sem(at dilakukande&ridement dan di ra)at di unit luka
&akar selama 3 minggu! Se&elumn*a(asien (ulang atas (ermintaan sendirikarena akan mengurus BPGS!
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PE#ERIKSAAN FISIK •
Status generalis %KU &aik.gi/i &aik.+om(os mentis
• Status italis %
Nadi % 27 kali.menit
Na(as % 35 kali.menit
Suhu % 67,? 0
• Status lokalis %
– Regio Thorax
Ins(eksi % Burn In'ur* -rade 3B >
Pal(asi % N*eri
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– Regio Abdomen
Ins(eksi % Burn In'ur* -rade 3B 2
Pal(asi % N*eri
– Regio Perineum
Ins(eksi % Burn In'ur* -rade 3B $
Pal(asi % N*eri
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F;T; KLINIS
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F;T; KLINIS<32856835$7=
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DIA-N;SIS
• 0om&ustio -rade IIB8III 66, Postde&ridement
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PLANNIN-
De&ridement e4sisi tangensial
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$!IDENTITAS PASIEN•
Nama : #kmal• RM : 75257
• Jenis kelamin : laki-laki
• Tanggal lahir : 05-05-2000
• !mur : 5 tahun• #lamat : *$le /%in<ai
• MR% : 26-0&-206
• 'era(atan : )$ntara & #tas
*elakang +5*6• ,'J' :,r. r. F$nny J$sh/ %p.*'-R
• Jaminan : J+N
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ANA#NESIS
• Keluhan utama % luka ro&ek luas (ada)a'ah
• Anamnesis ter(im(in % dialami se'ak> 'am
se&elum masuk rumah sakit aki&atke+elakaan lalu8lintas, ri)a*at(ingsan.(enurunan kesadaran tidak ada,ri)a*at mual dan muntah $ kali,
• #ekanisme % (asien mengendarai motortan(a menggunakan helem ti&a ti&amena&rak mo&il dari &elakang,
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PE#ERIKSAAN FISIK
• Primar* sure*%Air)a*% +lear
Breathing% simetris
RR% 35 4.menit0ir+ulation% TD% $35 .25 mmH-
N% >: 4.menit
Disa&ilit*% -0S$9 E:#719
Eks(osure% Suhu% 67,> 0
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Status lokalis
• Ins(eksi% Tam(ak luka ro&ek ukuran:43 +m, (erdarahan ada,luka kotor,&one eks(osure
Luka le+et di (i(i ukuran > +m
• Pal(asi % n*eri tekan
F;T; KLINIS
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F;T; KLINIS<32856835$7=
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./*%+&T*TAS PAS*+&
• Nama : rnestina
• RM : 7292&&
• Jenis kelamin : 'erempuan
• Tanggal lahir : 1-1-910
• !mur : &5 tahun
• #lamat : +ampung i
• Tgl. +$nsul : 22 = 02 -206
•
'era(atan : )$ntara & ** +4 *2
• ,'J' : ,r.r. F$nny J$sh/ %p.*'-R
• Jaminan : J+N
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A&A&+S*S
• +eluhan utama : )uka paa "$k$ng
• #namnesis terpimpin : ialami se<ak 2 minggu se"elum
masuk rumah sakit. 'asien merupakan k$nsul ari "agianneur$l$gi engan iagn$sa gli$"last$ma multi>$rme. 'asien
sulit untuk m$"ilisasi an mengalami kelemahan paa "agian
tu"uh se"elah kanan
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P++R*"SAA& F*S*S• +aaan !mum
– %akit seang; gi?i ukup; saar
• %tatus @italis
– T, A 90;0 mmg
– NA 10;menit
– 'A 20;menit
– %A &6/7 3
•
%tatus l$kalisRegi$ Bluteus
– nspeksi: tampak asil Flap *aik
F)T) "L*&*S 0$10102.3
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F)T) "L*&*S 0$10102.3
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F)T) "L*&*S 0410102.3
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F)T) "L*&*S 51$102.3
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F)T) "L*&*S .31$102.3
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F)T) "L*&*S 041$102.3
LA6)RAT)R*7
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LA6)RAT)R*7.410102.3
PEMERIKSAAN HASIL RUJUKANRBC &.92 4.00-6.00
WBC 0.0 4.00-0.0
HB 0.5 2.0-6.0
HCT &.2 27.0-41.0
PLT 226 50-400PT .6 0-4
APTT 25.0 22.0-&0.0
INR /2 --
Na/K/Cl 4;2.9;06
GDS 0 40SGOT 2& &1
SGPT & 4
UREUM 4 0-50
KREATININ 0/&4
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LA6)RAT)R*7 .1$102.3
PEMERIKSAAN HASIL
Albumin &.1
Na 4
K &.&
Cl 02
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%*AG&)SA
• P;H8? skin a(
• Ulkus de+u&itus
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A&AG++&T
• CF, R) 20 tpm
• 3e>ta?iime g;2<;C
• Metr$nia?$le 500mg;1<;C
• Ranitiin 50mg;2<;C
• Ra(at luka D BC per 2 hari
•
M$"ilisasi miring kanan an kiri tiap 2 <am
3 IDENTITAS PASIEN
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3!IDENTITAS PASIEN
• Nama : a(atia
• RM : 7411
• Jenis kelamin : 'erempuan
• Tanggal lahir : 22-04-961
• !mur : 47 tahun
• #lamat : Makassar
• +$nsul : 6;0&;6
•'era(atan : )$ntara & *, +4*6
• ,'J' : ,r.r.F$nny J$sh/%p.*'-R
• Jaminan : J+N
ANA#NESIS
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ANA#NESIS
• Keluhan utama % Luka (ada Pantat
• Anamnesis ter(im(in % PasienDikonsul dari &edah sara@ dengan
diagnosis Fraktur kom(resi Lum&al I8IIdengan ulkus deku&itus! Pasien tidakda(at menggerakkan kedua tungkai
se'ak $ &ulan! Pasien &erå terus8menerus sehingga ada luka di atas(antatn*a
PE#ERIKSAAN FISIK
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PE#ERIKSAAN FISIK •
Status generalis %KU &aik.gi/i kurang.+om(os mentis
• Status italis %
Nadi % 23 kali.menit
Na(as % 35 kali.menit
Suhu % 67,? 0
• Status lokalis % Regio Sacrococcygeus
Ins(eksi % Tam(ak ul+er, Sludge, Perdarahanakti@ 8, Nekrotik minimal
Pal(asi % N*eri 8
F;T; KLINIS
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F;T; KLINIS<32856835$7=
LAB;RAT;RIU#<56856835$7=
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<56856835$7=
PEMERIKSAAN HASIL RUJUKAN
RBC &/16 4.00-6.00
WBC 0/2 4.00-0.0
HB /5 2.0-6.0
HCT &5 27.0-41.0
PLT 2&2 50-400
PT /9 0-4
APTT 22/9 22.0-&0.0
GDS 09 40
SGOT 25 &1
SGPT 55 4
UREUM 27 0-50
KREATININ 0/6 /&HbsAg Reati@e
ANTI HC N$n reati@e
NA &2 &6-45
K &/0 &/5-5/
CL 0& 97-
DIA-N;SIS
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DIA-N;SIS
• Post De&ridement hari ke8? et +ausaulkus deku&itus regio sa+ro+o++igeal
• Fraktur Kom(resi Lum&al I8II
PLANNIN-
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PLANNIN-
Skin Fla(
6 IDENTITAS PASIEN
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6!IDENTITAS PASIEN
• Nama : %t. Maryam usai"a #spar
• RM : 74469
• Jenis kelamin : 'erempuan
• Tanggal lahir : 06-04-205
• !mur : "ulan
• #lamat : #spar #mir ,g )ili
• +$nsul : 2-0&-206
•'era(atan : '3! "e 7
• ,'J' : r. #.J Rieu(passa %p.*/ %p.*'
• Jaminan : J+N
ANA#NESIS
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ANA#NESIS
• Keluhan utama %
0elah (ada langit8langit mulutsam(ai &i&ir
• Anamnesis ter(im(in %
Dialami se'ak lahir, ri)a*at i&umenderita (en*akit dan minum o&at8o&atan ketika hamil disangkal!
PE#ERIKSAAN FISIK
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PE#ERIKSAAN FISIK
• Status generalis %
sakit &erat. gi/i &uruk. sadar
• Status italis
N% $554.menit P%754.menit S%62,3 0
• Status lokalis%
Regio La&ialis su(erior% tam(ak +elah kom(lit &ilateral
Regio (alatum% tam(ak +elah &ilateral
F;T; KLINIS
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<33856835$7=
LAB;RAT;RIU#
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<33856835$7=
PEMERIKSAAN HASIL RUJUKAN
RBC &.5& 4.00-6.00
WBC 6.4 4.00-0.0
HB 0.5 2.0-6.0
HCT &2 27.0-41.0PLT && 50-400
GDS 10 40
SGOT &2 &1
SGPT 5 4
UREUM 2 0-50
KREATININ 0.22 /&NA &5 &6-45
K &.5 &/5-5/
CL 96 97-
DIA-N;SIS
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DIA-N;SIS
La&iognato(alatos+hisis &ilateralkom(lit
0AP
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: IDENTITAS PASIEN
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:!IDENTITAS PASIEN
• Nama : Nurhalima Munir
• RM : 7462&9
• Jenis kelamin : 'erempuan
• Tanggal lahir : -2-990
• !mur : 25 tahun
• #lamat : 'arang *$""$
• MR% : 9-0&-206
•
'era(atan : )$ntara & #tas *elakang +&*• ,'J' : r. #.J. Rie(passa/ %p.*/ %p.*'
• Jaminan : J+N
ANA#NESIS
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ANA#NESIS
• Keluhan utama %
Tulang rahang &a)ah tidak simetris
• Anamnesis ter(im(in %
Dialami se'ak 35 tahun se&elum masukrumah sakit aki&at (em&engkakanrahang &a)ah kiri *ang &erakhir
dengan keluarn*a nanah! Ri)a*ato(erasi $ tahun *ang lalu di Enrekang<o(erasi untuk keluhan *ang sama=
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F;T; KLINIS
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LAB;RAT;RIU#
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<3$86835$7=PEMERIKSAAN HASIL RUJUKAN
RBC 4.2 4.00-6.00
WBC 6.1 4.00-0.0
HB 2.& 2.0-6.0
HCT &6 27.0-41.0
PLT &22 50-400
PT 2.2 0-4
APTT &0. 22.0-&0.0
INR .06 --
GDS 1& 40
SGOT 20 &1
SGPT 9 4UREUM 2& 0-50
KREATININ 0.60 /&
NA 4 &6-45
K 4.0 &/5-5/
CL 05 97-
Foto 0T S+an 6D
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Foto 0T8S+an 6D
DIA-N;SIS
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DIA-N;SIS
Hi(otro+ lesion mandi&ula sinistra
Post o(erasi hari ke $
9 IDENTITAS PASIEN
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9!IDENTITAS PASIEN
• Nama : ina• RM : 7445
• Jenis kelamin : 'erempuan
• Tanggal lahir : 05-05-990
• !mur : 25 tahun
• #lamat : Jl. Muh Eamin
• MR% : 20-0&-206
• 'era(atan : )$ntara & #tas *elakang
+4*4
• ,'J' : ,r. r. F$nny J$sh/ %p.*'-R
• Jaminan : J+N
ANA#NESIS
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ANA#NESIS
• Keluhan utama %
Ben'olan (ada li(atan siku kanan
• Anamnesis ter(im(in %
Dialami se'ak 3 &ulan se&elum masukrumah sakit! 3 tahun *ang lalu, (asienmengalami luka &akar *ang meli&atkanse&agian tu&uh sisi kanann*a! Ri)a*at
o(erasi 34 untuk &en'olan di li(at sikuselama 3 &ulan terakhir! Ben'olan tum&uhkem&ali dan +e(at mem&esar
PE#ERIKSAAN FISIK
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PE#ERIKSAAN FISIK • Status generalis %
KU &aik.+om(os mentis
• Status italis %
Tekanan Darah % $35.>5 mmHg
Nadi % >5 kali.menit
Na(as % $> kali.menit
Suhu % 67,? 0
• Status lokalis % 0u&iti de4tra
I% Tam(ak massa &er&en'ol8&en'ol denganukuran $94> +m ,
P% #assa Ra(uh, mudah &erdarah
F;T; KLINIS
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<3$856835$7=
LAB;RAT;RIU#<3$ 56 35$7=
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<3$856835$7=PEMERIKSAAN HASIL RUJUKAN
RBC 4.06 4.00-6.00WBC 27.6 4.00-0.0
HB 9. 2.0-6.0
HCT &0 27.0-41.0
PLT 541 50-400
PT 0.7 0-4APTT 26.4 22.0-&0.0
INR .0 --
GDS 97 40
SGOT 9 &1
SGPT 25 4UREUM 1 0-50
KREATININ 0.14 /&
NA 42 &6-45
K &.& &/5-5/
CL 0& 97-
PAT;L;-I ANAT;#I
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PAT;L;-I ANAT;#I
• Proses 'inak sus(ek Fi&roma
DIA-N;SIS
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DIA-N;SIS
Tumor regio el&o) 'oint de4tra
Post o(erasi hari ke $ eksisi tumor
2 IDENTITAS PASIEN
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2!IDENTITAS PASIEN
• Nama : %aha"uin• RM : 6176&6
• Jenis kelamin : )aki-laki
• Tanggal lahir : 2-05-915
• !mur : &0 tahun
• #lamat : *ul$ (attang sirap
• MR% : 2-0&-206
• 'era(atan : )$ntara & #tas *elakang
+*4
• ,'J' : r. #.J. Rie(passa/ %p.*/ %p.*'
• Jaminan : J+N
ANA#NESIS
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ANA#NESIS
• Keluhan utama % Keluar urine melaluilu&ang di (angkal (enis
• Anamnesis ter(im(in % dirasakan
se'ak > &ulan *ang lalu setelaho(erasi tumor s+rotum untuk *angkedua kalin*a, ri)a*at o(erasi
(ertama &ulan $3 tahun 35$:
PE#ERIKSAAN FISIK
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PE#ERIKSAAN FISIK • Status generalis %
KU &aik.gi/i &aik .+om(os mentis
• Status italis %
TD% $$5.>5
N%>54.menit
RR% $>4.menitS%67,9 0
• Status lokalis % regio genitalia
I% Tam(ak muara stulae4terna (ada (angkal (enis
P% n*eri tekan <=
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LAB;RAT;RIU#<$? 56 35$7=
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<$?856835$7=PEMERIKSAAN HASIL RUJUKAN
RBC 5.44 4.00-6.00
WBC 6.7 4.00-0.0
HB 5.1 2.0-6.0
HCT 47 27.0-41.0
PLT 250 50-400
PT 0.5 0-4
APTT 25.4 22.0-&0.0
INR .0 --
GDS 1 40
SGOT 20 &1
SGPT 1 4UREUM &7 0-50
KREATININ .21 /&
NA 4 &6-45
K 4/0 &/5-5/
CL 0& 97-
DIA-N;SIS
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DIA-N;SIS
Fistula Uretra
Post o(erasi hari ke 6 urethro(last*