boyolali 26nov - 2 des yl rr

8/17/2019 Boyolali 26nov - 2 Des YL RR

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Stase RSUD Pandan Arang

Boyolali Melaporkan Pasien26 November – 2 Desember 20!

dr. Robert Ridwan (YA )

dr. Yulinar Budi Adhi(YL)

Program Pendidikan Dokter Spesialis "bstetridan #inekologi$ak%ltas &edokteran Universitas Negeri

Sebelas MaretR%ma' Sakit Dr( Moe)ardi S%rakarta


2/41

R*SUM*TOTAL PASIEN : 24 PASIEN• PARTUS FISIOLOGIS : 2 PASIEN• PARTUS PATOLOGIS : 12 PASIEN• MAYOR OBSTETRI : 2PASIEN• MINOR OBSTETRI : 2PASIEN

• MAYOR GINEKOLOGI : 1PASIEN• MINOR GINEKOLOGI : 3PASIEN• RENCANA MAYOR OBSTETRI : -PASIEN• RENCANA MINOR OBSTETRI : - PASIEN• RENCANA MINOR GINEKOLOGI : - PASIEN• KONSERVATIF : 1PASIEN• SISA VK : - PASIEN•Insers IU! : PASIEN

2


3/41

PAR+US$,S,"-"#,S

&ASUS

3


4/41

PAR+US $,S,"-"#,S 2 &as%s

1. Ny. Dia H, G2P1A0 , 29 thn UK 38mgg

Lahir bayi laki-laki L 3100 gr A!8-9-10

2. Ny. !"ranti G3P2A0 #2 thn "k 38mgg

lahir bayi $%r%m$"an L 3100 grA! 8-9-10

#


5/41

PAR+USPA+"-"#,S

2 &ASUS

&


6/41

Postdate.postterm/ kas%s

1.Ny. 'L G1P0A0, 1( th, UK ) #1 mgg

KPD 1 hari $a*a Primigra+i*a Hamil$t*at%

Lahir bayi $%r%m$"an, L 3(00 gr, A! &-/-(

2.Ny. ! G1P0A0, 22 th , UK #1 mgg

Primigra+i*a hamil $t*at%

Lahir bayi $%r%m$"an ,L 2(00 gr, A!8-9-10

/


7/41

(((Postdate.postterm

3.Ny. PU G2P1A0 2#thn UK ) #2 mgg!%"n*igra+i*a hamil $t%rm

lahir bayi $%r%m$"an L 3200 gr A!

8-9-10#.Ny. U G3P2A0 3# thn UK #1 mgg

"ltigra+i*a hamil $t%rm

lahir bayi laki-laki L 3&00 gr A! 8-9-10


8/41

&*+UBAN P*A1 D,N, / kas%s

1. Ny. !, G1P0A0, 22 th UK ) 3( mgg

KPD 1 hari $a*a Primigra+i*a Hamil

At%rmLahir bayi $%r%m$"an,L 2300 gr, A! (-8-9

2. Ny.',G1P0A0, 22thn UK ) 39 mgg KPD 1& 4am $a*a $rimigra+i*a hamil

at%rm

Lahir bayi laki-laki ,L 2/00 gr A! 8-9-

8


9/41

K%t"ban $%ah *ini5

3. Ny. !L, G2P1A0, 21 th UK ) 3( mgg

KPD 1/ 4am $a*a %"n*igra+i*a HamilAt%rm

Lahir bayi $%r%m$"an,L 2900 gr, A!

8-9-10

#. Ny. 6!, G2P1A0, 38 th UK ) 39 mgg

KPD 1 hari %"n*igra+i*a Hamil

at%rm7ri ! #,& thn yllLahir bayi $%r%m$"an,L 2900 gr, A! 8-9-10

9


10/41

ak%m *kstraksi2&as%s

1. Ny. ', G2P0A1, 2# th UK ) #0 mgg

Kala :%tal *itr% !%k"n*igra+i*a Hamilat%rm

Lahir bayi Laki-laki, L 3000 gr, A! /-(-8

2 .Ny.L6 G1P0A0 2( thn Uk 3/ mgg

P; KPD 12 4am $a*a $rimigra+i*a hamil$r%t%rm

Lahir bayi $%r%m$"an L 2100 gram A! (-8-9allar*r% 30 %"ai "ia k%hamilan 3&-3/mgg

10


11/41

Presbo . ,U#R kas%s

1. Ny.N G1P0A0 2( thn "k 39 mgg $t man"al ai* a


12/41

U=D1 ka"

1. Ny. K G3P2A0 #1 thn "k 30 mgg

P; U=D m"ltigra+i*a h $r%t%rm

Lahir bayi $%r%m$"an L 1(00 grma%rai >-?


13/41

MA3"R "BS+*+R,

&ASUS

13


14/41

1. 1. N"#SR G3P2A$ 4$ %&n '( 3) *++

ReSCTPe*,MO ./ KP! 1 &.r *'0%+r..

&.*0 .%er* + r5 SC 26

Lahir bayi laki-laki, L 2/00 gr, A! /-(-

8

1#


15/41

#,N*&"-"#,

! kas%s1. Ny. ' G2P1A0 2( thn "k 1/ mgg

Pt k"r%ta% a


16/41

#,N*&"-"#,

#. Ny.! G3P2A0 31 thn "k 13mgg

$t k"r%ta% a


17/41

MA3"R #,N*&"-"#, &as%s

Hit%r%ktmi 'tal ) 1 Ka"

1.Ny. !P, P2A0, &0 th

Pt !"$ra%r+ial hit%r%ktmi aimyma "t%ri

1(


18/41

&"NS*RA+,$

ka"

18

K ti:


19/41

Kn%r+ati: )

ka"1. Ny. G1P0A0 38 thn Uk ) 33 mgg KPD 1 hari $a*a $rimigra+i*a hamil

$r%t%rm

19


20/41

D,S&US,

20


21/41

#P0A04 25 t'4 U& 7mingg%

Pr%b Primigra+i*a hamilat%rm *g riayat ama

21


22/41

&ronologis Se7r.n+ G1P$A$ 8 29 %.&'n '( 3 *+ .%.n+ en+.n (e0'&.n

(en;en+-(en;en+#.sen *er.s. &.*0 ) '0.n8+er.(.n


23/41

Pemeriksaan $isik K' : .(8 ;*

VS T! : 11$/9$ **?+ N : 6/*en% 6/*n%

Rr : 2$6/*n% S : 38 7CM.%. C. -/- SI -/-

T&7r.6 : C7r : B@ I-II 14$ 6/*en% sn+ =->

P'0*7 : S!V =,/,> ST=-/->

A s'e0 NT =>8 %er.. 3-46/1$/2$

Gen : VU %en.n+ nn+ .+n. n8 P7r%7 %.(

%er..8e*.(..n 0en+(. e : $AK=,> KK=->

en'n


24/41


25/41


26/41

2/


27/41

P%rmaalahan

ana4%m%n $a*a

K%hamilanb%rik"tnya


28/41


29/41


30/41

;$i*%milgi *an %tilgi


31/41

&-AS,$,&AS,


32/41

A!A

'h% Am%rian 'hrai !i%ty )

"at" $%nyakit *%ngan iri r%$ntrakh%a *an brnk" t%rha*a$b%rbagai rangangan mani:%taia*anya $%ny%m$itan 4alan na$ayang l"a *an *%ra4atnya *a$at

b%r"bah-"bah


33/41

A!A PADA K;HALAN

• Ama brnkial% m%r"$akan $%nyakitbtr"ki *i$%rkirakan 1B-#B anitahamil m%n*%rita ama

• 29B ka" m%mbaik

•#9B ka" t%ta$

• 22B ka" m%mb"r"k


34/41

PA'C=!CLCG


35/41

P*N#ARU1 &*1AM,-AN+*R1ADAP ASMA

Prg%t%rn *an $rtaglan*in ;ka%rbai %rangan ama $a*atrim%t%r ata" $a*a aat$%ralinan


36/41

P;NGAUH A!A ';HADAPK;HALAN


37/41

t%r*a$at kr%lai b%rmakna antara:"ngi $ar" ib" *%ngan b%rat lahir

4anin

Angka k%matian $%rinatal 2E li$at


38/41

P%nanganan ama krnik$a*a k%hamilan

1. ant"an $iklgik m%n%nangkan$%n*%rita baha k%hamilannyati*ak akan m%m$%rb"r"k $%r4alanan

klini $%nyakit

2. %nghin*ari al%rg%n yang t%lah*ik%tah"i *a$at m%nimb"lkan

%rangan ama3. D%%nitiai ata" im"nt%ra$i


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#. Fika *i$%rl"kan *a$at *ib%rikan t%rb"latin"l:at 2,&-& mh $%r ral 3 kali %hari, ata"b%ta agni lainnya.

&. 'ambahkan krtikt%ri* ral/. P%rtimbangan antibitika $rlaki $a*a

k%m"ngkinan a*anya in:%ki al"ran na:aata.

(. rmlyn *i"m m%n%gah t%r4a*inya%rangan ama, *%ngan *i 20-#0 mg, #kali %hari %ara inhalai

l k h il


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'atalakaana K%hamilan!%lan4"tnya

• P%natalakanaan $ai%n ini "nt"kk%hamilan %lan4"tnya yait" "nt"k*a$at m%ngntrl ama nya

Kn"l *%ngan '! $ar"


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+*R,MA&AS,1

boyolali 26nov - 2 des yl rr

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