boyolali 9-16 des yl tc

8/17/2019 Boyolali 9-16 Des YL TC

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Stase RSUD Pandan Arang

Boyolali Melaporkan Pasien9-16 Desember 201

dr. C.Andrew (CT)

dr. Yulinar Budi Adhi(YL)

Program Pendidikan Dokter Spesialis !bstetridan "inekologi#ak$ltas %edokteran Uni&ersitas 'egeri

Sebelas MaretR$ma( Sakit Dr) Moe*ardi S$rakarta



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



PAR,US#S!.!"S

%ASUS

3



PAR,US #S!.!"S 1 %as$s

1. Ny. HT, G2P1A0 , 30 thn UK 38 mgg

Lahir bayi laki-laki BBL 3300 gr A

8-!-10

"



PAR,USPA,!.!"S

12 %ASUS

#



Postdate/postterm kas$s

1.Ny. $% G1P0A0, 33 th, UK & "1 mgg

Primigra'i(a Hamil )*+t(at

Lahir bayi )rm)an, BBL 3300 gr, A 8-!-10

/



%+,UBA' P+A D' kas$s

1. Ny. , G1P0A0, 3 th UK & 38 mgg

KP 1 hari )a(a Primigra'i(a HamilAtrmHT g+ta+i*nal

Lahir bayi )rm)an,BBL 2!00 gr, A 8-!-10

2. Ny.H,G2P1A0, 3/thn UK & 3" mgg

KP 8 4am )a(a +5n(igra'i(a hamil)rtrm

Lahir bayi laki-laki ,BBL 1800 gr A /--8



Ktban )5ah (ini6

3. Ny. 7, G2P1A0, 2# th UK & 3 mgg

KP 10 4am )a(a +5n(igra'i(a Hamil Atrm

Lahir bayi )rm)an,BBL 3300 gr, A 8-!-10

". Ny. 7N, G2P1A0, 22 th UK & 38 mgg

KP 2 hari +5n(igra'i(a Hamil atrm

Lahir bayi laki-laki,BBL 2800 gr, A 8-!-10

#. Ny. 7N, G2P1A0, 22 th UK & 38 mgg

KP 2 hari +5n(igra'i(a Hamil atrm7i 9#thn yll

Lahir bayi laki-laki,BBL 3100 gr, A 8-!-10

8



3ak$m +kstraksi2%as$s

!



Presbo / U"R1 kas$s

1. Ny.7 G"P3A0 3# thn k "0 mgg )*+t manal ai( a:i KP Pr+b* )a(a

mltigra'i(a hamil atrm

lahir bayi laki-laki BBL 2800 gr A 8-!-10

10



MA4!R !BS,+,R

1 %ASUS

11



"'+%!.!"

1 kas$s1. Ny.;L P2A1 30 thn

)*+t manal )la+nta a:i rtn+i*

)la+nta

12



MA4!R "'+%!.!"%as$s

13



%!'S+R3A,#

ka++

1"

K ti<



K*n+r'ati< &

ka++

1#



DS%US

1/



"1P0A05 2 t(5 U% 78mingg$

Pr+b* Primigra'i(a hamilatrm (g riayat a+ma

1



%ronologis Se"r#n$ G1P%A% & 2' (#)*n *+ 3, $ .#(#n$ .en$#n +e/*)#n

+en0en$-+en0en$#sen er#s# )#/ */#n&$er#+#n 5#nn

#s) .r#s#&+en0en$-+en0en$ (er#(*r s*.#) .r#s#+#n & #r

+#6#) s*.#) .r#s# +e/*#r se5#+ 3 5# SMRS&/en.r .#r#) 789

$. karang

HP;T & !:3:201# HPL & 1":12:201#R6##( Pen#+( !#)*/*

R6##( ;er(ens : .s#n$+#/

RI6##( Pen#+( <#n(*n$ : .s#n$+#/

RI6##( !M : .s#n$+#/R6##( As# : se5#+ *s# 1' ()n 71% ()n /9

K"n(r"/ r*(n

R6##( A/er$ "#(= #+#n#n : .s#n$+#/

18



Pemeriksaan #isik K* : #+& 0

VS T! : 11%='% ;$ N : ,,>=en( >=n(

Rr : 2%>=n( S : 3?&@ "CM#(# C# -=- SI -=-

T)"r#> : C"r : B< I-II 14% >=en( sn$ 7-9

P*/" : S!V 78=89 ST7-=-9

A. s*e/ NT 79& (er## 5#nn (*n$$#/ IU res" "+"n$

s*.#) #s*+ #n$$*/ 2=3 #$#n&!<< 1@4>=re$

;s789 3-4>=1%=2%

Gen : VU (en#n$ .n.n$ D#$n# .n& P"r(" (#+

(er##&e#+##n /en$+# e : ,%AK789 KK7-9

en*n5*+ s#0r* . 5# 11

= & Kala $$ )a(a )rimigra'i(a hamil atrm

Plan & )im)in )r+alinan

manal ai(

1!



Lahir bayi laki-laki BBL 2"00gr A -8-!

= & $UG7 )r+b* )*+t manal ai( )a(a)rimi)ara hamil atrm

.AB!RA,!RUM



.AB!RA,!RUM1-12-201

21

.ab 'ilai .ab 'ilai

Hb 12,! Hb+Ag N*n 7akti<

Ht "2,2 L> #0

AL 1#200 PT 1#,3

AT 218 APTT 2,/

A> ",3/ G //

G*l rh A



22



Prma+alahan

;ana4mn )a(a

Khamilanbriktnya



P+R,UMBUA' A'',+RAMBA, :P,;



>)i(mi*l*gi (an ti*l*gi



%.AS#%AS



A;A

Th Amri5an Th*ra5i5 *5ity &

+at )nyakit (ngan 5iri r+)*ntrakha (an br*nk+ ? trha(a)brbagai rang+angan mani<+ta+ia(anya )nym)itan 4alan na)a+yang la+ (an (ra4atnya (a)at

brbah-bah



A;A PAA K>HA;$LAN

• A+ma br*nkial mr)akan )nyakit*b+trk+i (i)rkirakan 1@-"@ anitahamil mn(rita a+ma

• 2!@ ka++ mmbaik

• "!@ ka++ tta)• 22@ ka++ mmbrk



PAT$$LG$



P+'"ARU %+AM.A',+RADAP ASMA

CPr*g+tr*n (an ? )r*+taglan(in >k+a+rba+i +rangan a+ma )a(atrim+tr $$$ ata )a(a +aat)r+alinan



P>NGA7UH A;A T>7HAAPK>HA;$LAN



tr(a)at k*rla+i brmakna antara<ng+i )ar ib (ngan brat lahir

4anin

Angka kmatian )rinatal ? 2D li)at



Pnanganan a+ma kr*nik)a(a khamilan

1. Bantan )+ik*l*gik mnnangkan)n(rita baha khamilannyati(ak akan mm)rbrk )r4alanan

klini+ )nyakit

2. ;nghin(ari alrgn yang tlah(iktahi (a)at mnimblkan

+rangan a+ma

3. +n+iti+a+i ata imn*tra)i



". Eika (i)rlkan (a)at (ibrikan trblatin+l<at 2,#-# mh )r *ral 3 kali +hari, atabta ag*ni+ lainnya.

#. Tambahkan k*rtik*+tr*i( *ral/. Prtimbangan antibi*tika )r*Flak+i+ )a(a

kmngkinan a(anya in<k+i +alran na<a+ata+.

. 9r*m*lyn +*(im mn5gah tr4a(inya+rangan a+ma, (ngan (*+i+ 20-"0 mg, "kali +hari +5ara inhala+i



Tatalaka+ana Khamilanlan4tnya

• Pnatalak+anaan )a+in ini ntkkhamilan +lan4tnya yait ntk(a)at mng*ntr*l a+ma nya

K*n+l (ngan T )ar



,+RMA%AS

boyolali 9-16 des yl tc

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