faktor risiko dan pencegahan hipertiroid

8/10/2019 Faktor Risiko Dan Pencegahan Hipertiroid

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LAPORAN BBDM 3.2 SKENARIO 3

BERAT BADAN MENURUN DENGAN BENJOLAN DI LEHER

BBDM 1

AIDILLAH MAYUDA 22010113120001

OZI RAHMAT FIRDAUS 22010113120002

RECCI LABESA 22010113120003

ALFIAN SANTIKATMAKA 22010113520005

TRI AGRINA 22010113120006

NOOR FADHILAH 22010113120079

JAMES OTNIEL 22010113120081

ALICE ALERIA 22010113120082

AHMAD REZA 22010113120083

ROSINONDANG DEOLITA SIMAMORA 2201011312008!

CLARIN HAYES 22010113130156

LUTFI AULIA RAHMAN 22010113130157

DELI "AHYU OKTAIANI USMA 22010113130158

RONA ELFIZA 220101131!0159

FITRI EKA "ULANDARI 220101131!0160

#ROGRAM #ENDIDIKAN SARJANA KEDOKTERAN FAKULTAS

KEDOKTERAN UNIERSITAS DI#ONEGORO

TAHUN AKADEMIK 201!


2/17

BBDM 3.2 Skenario 3

Berat a!an Men"r"n !en#an Ben$o%an !i Le&er

S$%&'() *'(+,' -.+' 3 ,'/-( $()'( $-/'( $&', ''( 4$(-&-( .',- -'(

.$$-4 4'.- RS '.+$( 4$()$-/ ,+4- $(%'( + $/$& $(%'( $&'/'('/'(

4$4$.'& ,+' ($&+ ,$'( $4'4 :;< ('+ ,-&-( $&$&+()', '(' :; 371 C N'+ >108 '+?4$(+, +&&$)-'& HR> 100 '+?4$(+,= L'- $&(''.'( >

27 '+?4$(+, '' 4',' ,$&'', $.%,/'4-.=

A. Ter'ino%o#i

1= E@%,'4-. > 4',' 4$%,%, '&$(' $(+()','( ,$'('( +(,&'%-$& '( $4$()''(

%,%, %,%, 4','

2= N'+ +&&$)-$& > +&'4' ('+ '() ,+' ,$&',-&

3= D+'&$ > -'() '+& $.'& ','- $$'.+ '() $($& $()'( &$-$(.+ $+/ '&+ 3@ .$/'&+

B. De(ine t&e )ro%e'

$(%'( + $/$&

BB 4$(-&-(

U.+'( 35 ,'-( *'(+,' :$()'&-/ +&-. +4%.+, $&$'.+ 4$()$-'&'( .+,%,%.+ 4$&'().'()

+('4'.+ +&%'. '( %,%, $.,&'%-$&

E@%,'4-. -)' ,$&'+ '&$(' $()$(''( '&%/+&', %4$. '()

4$($''( &$,$(.+ '+&


4/17

G'())-'( ,+&%+ 4$()'())- .$ $,' '(&$'. &%-.+ +(.-+( )-%.'

4$(+()',,$&'+ $()$(''( + 4','

T+' '' ($&+ '&$(' $&'&,+ ,+' $&.+())-()'( ($)'( .'&'

B$(%'( '&$(' &%.$. '-,%+4-( LATS .$$&,+ TSH ,$,'+ ,+' '' -4'(

'+(' .$/+())' ,$&-. 4$4$.'& '( ,+' '' '() 4$($'(

#$(+()','( RR '&$('

o #$4$()''($($'('( ''( (''. $&-.'/' -(,- $&(''.

o H+$&4$,'%+.4$ $(+()','( /'.+ 4$,'%+.4 #$(+()','( '-

$&(''.'( -(,- 4$()$-'&'( '('. ''4 $(,- -'

o K'&$(' ',$%'4+( 4$(+()','( '- $&(''.'(

BAK .$&+() '&$(' /+$&4$,'%+.4$&$(' %* 4$(+()', BAK $+/ .$&+()

D. Peta Kon,e)

E. Sa,aran e%a$ar

'< I(.+$(.+ '( $,+%%)+ /+$&,+&%++.4$ '( /+%,+&%+< #',%)$($.+. '( ',%+.+%%)+ G&'$. +.$'.$

< #$4$&+.''( +.+ '( $(-('()

< T$&'+

$< F',%& &+.+% '( $($)'/'(

1. In,i!en,i Dan Etio%o#i Hi)otiroi!i,'e - Hi)ertiroi!i,'e

PEMERIKSAAN

GEJALA

LABORATOR

IUM

PENATALAKSANAA

DIAGNOSIS

FISIK


5/17

A. Hi)otiroi!

'= H+%,+&%++.4$ '', +'.++'.+'( .$')'+ :1< &+4$& :$)')''( ,+&%+

D$()'( )%+,$&

A,&%+ ,+&%+ ++%',+ +-)' .$')'+ .,'+-4 '/+& $('+, , +&%+ '-,%4-(

.$,$'/ ,+&%++,+. H'./+4%,% ','- $('+, G&'$.=

T$&'+ +%+( &'+%',+ -(,- $('+, G&'$.=

T+&%+$,'4+ .-,%,' -(,- $('+, G&'$. ','- )%+,$& (%-'&=

A.-'( +%+$ $&$+/'( :$ ', *'&(' %(,&'.

a. M$4$&+'( $-'.+ $'' 4'.'&'', ''4 /' 4$&-'/ %' $&+'- 4''( '(

4$4'.'&'','( $4''+'( )'&'4 %+-4

. M$()%(.-4.+ 4''('( '() 4$&-''( .-4$& %+-4 .$$&,+ +'( '-,

7. M$()%(.-4.+ %+-4 $()'( '&' 4$4$&+'( )'&'4 $&%+-4 .$,$'/ +4'.'

,+' +'(-&'( 4$4$&+'( )'&'4 .$$-4 4$4'.' -(,- 4$()/+('&+ /+'()('

%+-4 '&+ 4''('(

!. I%+.'+ '+& 4+(-4 -(,- *+''/ ,$&,$(,- $()'( &$.+% ,+())+= C'&' +(+ 4$4$&+'(

$-(,-()'( '() $+/ +'(+()'( $()'( )'&'4 '&$(' '', ,$&'()'- '$&'/

-'. '( ,$&$(+= I%+.'.+ +'-'( $()'( %+' +$&+'( ''4 .'-&'( '+&

''4 +' %+' '() +$&+'( ''4 '+& '() 4$()'+& '( $('4'/'( %+'

''4 .$+''( '+& 4+(-4=

e. M$4$&+'( '.- 4+(' $&%+-4 :++%%< '' $(-- + '$&'/ $($4+

$&', '( $($4+ .$'()= S'.'&'( $4$&+'((' '''/ .$4-' &+' $&-.+' 020

,'/-( '( *'(+,' 035 ,'/-( ,$&4'.- *'(+,' /'4+ '( 4$(-.-+ '() ,+())' +

'$&'/ $($4+. $&', '( $($4+. .$'()= D%.+. $4$&+'((' $&'&+'.+ .$.-'+

-4-& '( $'4+(=

(. M$4$&+'( .-(,+'( %+-4 ''4 4+(' :++%% !0< +$&+'( 3 ,'/-( .$'+

$()'( %.+. -(,- $*'.' '( '(''(' + ','. 6 ,'/-( 1 '( -(,- '(' -&'()'&+ 6 ,'/-( 0208 =

2. Pen7e#a&an Sek"n!er

#$($)'/'( .$-($& '''/ -'' 4$($,$.+ .$'&' +(+ .-',- $('+, 4$()-'''(

%&'() '() ,$'/ .'+, ')'& .$4-/ 4$()/'4', &%)&$.++,'. $('+, '() +'-'(

4$'-+ $$&'' '&' '+,- >

a. Dia#no,i,

a.1. In,)ek,i

I(.$.+ +'-'( %$/ $4$&+.' '() $&'' + $'( $($&+,' '() $&'' '' %.+.+

-- $()'( $'' .$++, $.+ ','- $/$& .$++, ,$&-'=

J+' ,$&'', $4$()''( ','- (%- $&- +$&/',+'( $$&'' %4%($( '+,- %'.+

--&'( -4'/ (%- $(,- :+-. ','- (%-$& $+


15/17

a.3. Te, 6"n#,i Hor'on

S,',-. -().+%(' $$('& ,+&%+ '', +'.,+'( $()'( $&'(,'&' ,$.,$. -().+ ,+&%+ -(,-

4$(+')(%.' $('+, ,+&%+ +'(,'&'(' ''& ,%,' ,+&%.+( '( ,&+%%,+&%+( .$&-4 +--&

$()'( &'+%+)'( '..'= T+&%.+( $'. .$&-4 4$()--& ''& ,+&%.+( ''4 .+&-'.+'() .$'&' 4$,'%+ ',+= K''& TSH '.4' '', +--& $()'( '..'

&'+%+4-(%4$,&+=

K''& TSH '.4' .$(.+,+ '', +$&'' .$')'+ +(+',%& -().+ ,+&%+= K''& ,+())+ ''

'.+$( /+%,+&%++.4$ .$'+(' ''& ''( $&'' + '*'/ (%&4' '' '.+$(

$(+()','( '-,%+4-( :/+$&, +&%++.4$


16/17

4$4$&,+4'()'( %+-4 &'+%',+ '( ,+' '', +,$&'+ $()'( %',%', '(,+ ,+&%+=

R$'.+&$'.+ '() 4$&-)+'( '() +''4+ '( -(,- '.+$( /'4+ $()'( ,+&%,%.+%.+.

'&'/ ','- $'4-/'(=#'' *'(+,' /'4+ ','- *'(+,' '() 4$())-(''( %(,&'.$.+

/%&4%(' :.-(,+ ','- + KB


17/17

DA6TAR PUSTAKA

1= B'&&$,, E=J= T/$ ,/&%+ )'(= I( B%&%( "F B%-'$ EL= M$+'

/.+%%)=A $-'& '( 4%$-'& '&%'/= I., E+,+%(= S'-($&.= #/+'$/+'=

2003 > 1035 10!8=

2= A/+ #$('+, D''4= 1996=Ilmu Penyakit Dalam= J''&,' > B''+ #$($&+, FKUI=

3= M')($& JA > T/&%+ .,+4-',+() /%&4%($> +%.(,/$.+. $ +%%) '(

+%',++,= E(%& R$ 1990 11>35!

!= G+(%$& D= R$)-',+%( % 4',$&(' ,/&%+ -&+() &$)('(= J C+(

E(%&+(% M$,' 199071> 276=

5= "' JR= A-,%+44-($ ,/&%+ +.$'.$= E(%&+(% M$,' C+( N%&,/A4

1987229>1=

6= "++( TJ= M$/'(+.4 % +.$'.$ > &$$,%& '-,%+44-(+, +( $(%&+($ +.%&$&.=N E() J M$ 1990 323> 1318

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