tu.buli-buli.ppt
Post on 18-Feb-2018
220 Views
Preview:
TRANSCRIPT
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 1/18
TUMOR BULI-BULI
KASUS BEDAH
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 2/18
IDENTITAS PASIENNama : Tn. A
Umur : 80 tahun
JK : Laki-lakiRM :
MRS : 9-09-0!"
Jaminan : B#JS
Ruan$an : U%D
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 3/18
ANAMNES&S
• KU : Buan$ air k'(il urin' (am)ur *arah• AT :
#a+i'n ru,ukan RSU Anuta)ura *'n$an k'luhan uan$
air k'(il urin' (am)ur *arah. K'luhan *ira+akan +',aktan$$al !-08-0!". #a+i'n +'rin$ t'ran$un malamuntuk k'n(in$. BAK tan)a *i+'rtai *'n$an ra+a )ana+ila BAK. #a+i'n ,u$a m'n$'luhkan n/'ri )in$$an$/an$ *ira+akan +'min$$u /an$ lalu. D'mam 1-23
+akit k')ala 1-2. BAB lan(ar.• R4. #'n$5atan : #a+i'n r'n(ana 5)'ra+i TUR# )a*a
ulan A)ril 0!" ta)i atal kar'na )a*a +aat itu)'r)in*ahan RSUD Un*ata.
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 4/18
Ri4a/at Trauma : 1-2R4. Al'r$i : 1-2
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 5/18
PRIMARY SURVEY A : #at'nt3 un/i tamahan 1-2
B : +)5ntan3 RR : 0 kali6m'nit
& : )'r$'rakan th5rak+ +im'tri+ ka7ki
# : N/'ri t'kan 1-23 +'iman$ ka7ki
# : +5n5r ilat'ral
A : B# : '+ikul'r ;6;3 BT -6-
< : akral han$at3 TD : !0680 mmH$3 N : 80
kali6m'nit3 r'$ul'r3 kuat an$kat. Sian5+i+ 1-2D : %<S E="M>3 '+ar )u)il i+5k5r ;6;3
r'?'k+ (aha/a ;6;
E : S : @3"°<
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 6/18
#EM. &S&K
• Statu+ %'n'rali+ata :
Sakit +'*an$6%ii aik6<5m)5+ m'nti+ 1E="M>2
Tan*a ital :
TD : !0680 mmH$3 N : 806m3 R : 06m3
S : @3"°<
K')ala :
Mata : K5n,un$tia an'mi+ -6-3 +kl'ra ikt'rik -6-
Hi*un$ : Ti*ak tam)ak k'lainan
Biir : Ti*ak tam)ak +ian5+i+
L'h'r : #'m'+aran K'l'n,ar 1-23 n/'ri t'kan 1-2
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 7/18
Th5rak+ :
#ARU& : +im'tri+ kanan 7 kiri
# : n/'ri t'kan 1-23 ma++a 1-23 kr')ita+i 1-23 kanan 7 kiri
# : +5n5r ;6;3 ata+ )aru-h')ar S&< lin'ami*(lai(ula *'tra.
A : B# '+ikul'r ;6;3 Rh -6-3 Ch -6-
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 8/18
JANTUN%
& : i(tu+ (5r*i+ ti*ak tam)ak
# : i(tu+ (5r*i+ t'raa )a*a S&< lin'a
mi*(lai(ula +ini+tra# : #'kak
ata+ ,antun$ kanan : S&< && )ara+t'rnal *'tra
ata+ ,antun$ kiri : S&< lin'a mi*(lai(ula
+ini+tra
ata+ ,antun$ ata+ : S&< && )ara+t'rnal +ini+tra
A : BJ &6&& murni r'$ul'r3 murmur 1-2
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 9/18
A*5m'n :
& : tam)ak *atar3 +'irama $'rak na)a+
A : #'ri+taltik 1;23 k'+an n5rmal
# : N/'ri t'kan +u)ra)uik 1-23 ma++a 1-23h')ar6li'n ti*ak t'raa
# : Tim)ani
%'nitalia : DBN
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 10/18
Statu+ Ur5l5$i+ :R'$i5 (5+'rt5'rt'ra +ini+tra
& : Tam)ak alli$'nm'nt tulan$ 'rt'ra
aik3 $iu+ 1-23 4arna kulit +ama *'n$an+'kitar3 ma++a tum5r 1-2
# : n/'ri t'kan 1-23 ma++a tum5r 1-2
# : n/'ri k'tuk 1-2
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 11/18
R'$i5 (5+'rt5'rt'ra *'tra
& : Tam)ak alli$'nm'nt tulan$ 'rt'raaik3 $iu+ 1-23 4arna kulit +ama *'n$an+'kitar3 ma++a tum5r 1-2
# : n/'ri t'kan 1-23 ma++a tum5r 1-2
# : n/'ri k'tuk 1-2
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 12/18
• R'$i5 Su)ra)uik
& : Bul$in$ 1-23 4arna kulit +ama *'n$an+'kitar3 ma++a tum5r 1-2
# : N/'ri t'kan 1-23 ma++a tum5r 1-23 uli-uli k'+an k5+5n$
• R'$i5 %'nitalia Ek+t'rna
#'ni+
& : tam)ak )'ni+ t'lah *i+unati UE )a*au,un$ $lan* )'ni+3 ma++a tum5r1-2
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 13/18
S(r5tum& : Tam)ak 4arna l'ih $'la) *ari +'kitar3 ma++atum5r 1-2# : N/'ri t'kan 1-23 ma++a tum5r 1-2
• R'(tal T5u(h'
+)in(ht'r ani m'n('kikMuk5+a ani intakAm)ula tak
T'raa )'n5n,5lan )r5+tat k' arah r'ktum (m3k5n+i+t'n+i )a*at k'n/al3 )'rmukaan rata3 n/'ri 1-2
Han*+(55n : l'n*ir 1-23 '('+ a*a3 *arah 1-2.• #a*a )'m'rik+aan uli-uli t'raa ma++a )a*at
k'ra+3 *a)at *i$'rakkan
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 14/18
#'m'rik+aan )'nun,an$US%
Tam)ak tum5r uli-uli
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 15/18
Pemeriksaan PenunjangDarah rutinUrinali+i+
Ur'um
Kr'atinin%DS
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 16/18
D. S'm'ntara
Tu.Buli-Buli
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 17/18
Tindakan Awa
#rimar/ +ur'/ 1AB<DE2Anamn'+i+
#'m'rik+aan i+ik
&n,. Tran+amin
7/23/2019 Tu.Buli-Buli.ppt
http://slidepdf.com/reader/full/tubuli-bulippt 18/18
R'n(ana t'ra)i
top related