Download - CeMaS-SKiZo
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CeMaS
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SkenaRio
• Seorang Pr.30 th datang karena sering merasa cemas, khawatir akan bernasib buruk,gelisah,berdebar debar,nyeri lambung,keluar keringat, ini dirasakan setiap hari dan sdh berlangsung selama 2 bulan
• Dari hasil PF dan PP:tidak ada kelainan
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“Instruksi”
• A.Lakukan px.riwayat psikiatri yang belum tercantum.
• B.Lakukan px.status mental sesuai kasus yang diperlukan
• C.DD dan DX.MulTiaksial• D.Beri medikamentosa lengkap!
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A.Px.Rwyt psiKiaTri Yg Blm
TercAntum?
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• A.Faktor yang memperburuk?Semakin cemas kalo lht TV harga-harga naik,Sedangkan pendapatan pas-pasan
• B.Faktor yang memperingan?Ikut pengajian,olah raga,cream bath
• C.Riwayat Pengobatan sekarang?Beli Obat di warung
• D.RPD?Blm pernah menderita spti ini/tdk ad rwyat pykit kronis
• E.RPK?-
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• F.Rsos-ek:Anak no.1 yg biasa sll membantu ortu masalah ekonomi terutama krn sbgai tlg punggung klrga
• H.Harapan thd keluhan?Bisa diobati dan keluhan hilang.
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• B.Status Mental?Simtom 1 & 2
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SimTom 1
• Penampilan:Rapi,BerkerudUng• Px.Daya IngaT?• Px.KonseNtraSI?• Px.MooD-AfeK-Perasaan sesuai?• Px.Pikiran Abstrak?Isi Pikiran Normal• Kualitas dan Kuantitas Bicara?Bisa menjawab dan
kooperatif• Orientasi?• Tilikan?
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SiMtoM 2
• Halusinasi Dan WaHam? -
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C.DD
•Cemas•Panik•Fobia
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C.Dx.Multiaksial
• Axis I :F 41.1.Gangguan Cemas Menyeluruh• Axis II :Tidak ada diagnosa(Kepribadian
anankastik)Klo dPPDGJ’ F.60.5 ’• Axis III :Tidak ada diagnosa• Axis IV :Ekonomi• Axis V :75 Mutakhir
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F.41.1.CeMas MenyeluruH
• Gambaran klinis• A.KecemasaN:kawatir nasib buruk,merasa
sprti dujung tanduk,sulit konsentrasi.• B.Ketegangan MotoriK:Gelisah,Gemetar,tdk
dpt sanTai.• C.Overaktifitas OtonOm:Berkeringat,sesak
nafas,Jantung berdebar2,Kepala terasa ringan, pusing,Nyeri Lambung.
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• D.Terapi ?
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• Obat:• Alprazolam 0,3 mg 3 x 1• Alternatif:Clordiazepoksid 2 mg • Edukasi:• Minum obat dan kontrol teratur• Masuk kerja• Konseling• Kontrol 2 minggu sekali
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station cemas
Wanita berpenampilan rapi,duduk dg menggerak-gerakkan kaki,tidak bisa santai,tangan bergerak-gerak terus
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SkiZofReniA 1
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SkenAriO
• Seorang lk2 usia 25th dibawa ke IGD olh klrganya dg keluhan utama tingkah laku aneh,bicara kacau,hendaya fx.sosial,wktu luang,pkrjaan,dan perawatan diri,sudah brlsg 2 bulan,dan baru prtama kali sakit seperti ini,rwyt NAPZA disangkal,dicurigai adanya Halusinasi Auditorik dan waham AneH
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“Instruksi”
• A.Lakukan px.Riwayat Psikiatri• B.Lakukan Px.Status meNtal yg seSuai• C.DD• D.Dx.Multiaksial
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A.Px.riWayat psikiaTri
• Assalamualaikum wr.wb• PerkenaLan Diri• BismiLLaH• I.C• Mulai aNamnesaIdentitas• KU• RPS:Onset,StressoR,SindRom,GaF
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• RPD• RPK• R.PrAMorbiD• R.sos-ek
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B.Px.sTatUs MentaL
• CuRiga SkiZofreNia?• A.Halusinasi AuDitorik4S -Sumber?Hati/TeliNga -Sering? -SadaR/TdK -SuAranya sepeRti apa?
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• B.WahaM -Delusion of conTrol -Delusion of Influence -DelusioN of Passivity -DelusioN of PerceptioNDan juga: -Thought of Echo -ThougHt of Insertion or wiThdrawl -Thought of BroadcastiNg
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C.DD
• A.Gg.Mental OrganiK• B.SkizoFrenia ParaNoid
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D.Dx.MultiAksiaL
• Aksis I :F.20.0 SkizofrEnia ParanoiD• Aksis II :Tidak ada diagnosis• Aksis III :Tidak ada diagnosis• Aksis IV :PHK• Aksis V :21-30 (Mutakhir)
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SkizoFrenia 2
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SkeNarIo
• Datang seOrang laki-laki 25 th diantar saudaranya dg keluhan Berperilaku Aneh,Tidak Mau bicara..seperti patung
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A.Px.RiWayat PsikiatRi
• Assalamualaikum wr.wb• PerkenaLan Diri• BismiLLaH• I.C• Mulai aNamnesaIdentitas• KU• RPS:Onset,StressoR,SindRom,GaF
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• RPD• RPK• R.PrAMorbiD• R.sos-ek
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B.Px.staTus MenTal• Karena PasieN tidak mau bicara dan hanya
mematungmengarah skIzofrEnia KataTonik• Maka:LangsUng disebutkan saJa sbb:• -Perilaku:StuPor• -BicaRa:MutismE• -KesadaraN:StupoR• -PikiRan:AuTistik• -SikaP:Negatif Pasif• -Memori dan Orientasi:Tidak Bisa diNilai• -Tilikan??ditanyakan lsg ke pasien
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C.DD
• A.Gg.MentaL oRganik• B.SkizofReniA kataTonik
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D.Dx.MulTiaKsiaL
• Aksis I :F.20.2 SkizofrEnia KataTonik• Aksis II :Tidak ada diagnosis• Aksis III :Tidak ada diagnosis• Aksis IV :Ditinggal IstrI• Aksis V :11-20 (Mutakhir)