full makalah

7/24/2019 Full Makalah

1/64

LAPORAN KASUS PENGGANTI CPC

SEORANG LAKI-LAKI 62 TAHUN MENDERITA SINDROMA GERIATRI,

TIROIDITIS KRONIS HASHIMOTO, DM TIPE 1, CHF NYHA III,

AUTOIMMUNE HEMOLYTIC ANEMIA, DAN VITILIGO

Disusun Oleh:

Nanindita Fauzia Maharani

BAGIAN ILMU PENYAKIT DALAM

FAKULTAS KEDOKTEAN UNI!ESITAS DIPONEGOO

SUP Dr KAIADI SEMAANG

"#$%

1


2/64

DAFTAR MASALAH

No Tanggal Maala! A"#$% No Tanggal Maala! Pa$%

1 23/10/201528/10/2015 HipotiroidismTiroiditis H!s"imoto

213/10/201503/12/2015

#$ Tip 2#$ Tip 1

3 23/10/2015 CH% N&HA III

' 13/10/2015 Hiprt(si st!) 1

5 23/10/2015 Autoimune hemolytic anemia

* 13/10/2015 +iti,i)o d()!( ritrodrm! 2 25/10/2015 Eritrodrm!

- 13/10/2015 E..si P,r! #p,s

8 13/10/2015 Hmip!rs dtr!

13/10/2015 Aotmi!

10 13/10/2015 Hipo!,4mi(mi!

11 15/10/2015 #is,ipidmi!

12 13/10/2015 I(o(ti((si! A,i

13 23/10/2015 #prsi ri()!(

1' 23/10/2015 Frailty

15 23/10/2015 #p(d(

1* 13/10/2015 Hipo(!trmi! 1 23/10/2015 Hipo(!trmi!

1-0*/11/2015

1-/11/2015

Piri6"m!tri

ISK

18 30/10/2015Hospitalized Acquired

Pneumonia 7HAP3 1'/102015 HAP

1 0/11/2015 U,s d4its )r!d 1 R9 ),t!

20 2*/11/2015 A4ss m!(s dtr!

2


3/64

LAPORAN KASUS

I& IDENTITAS PENDERITA

N!m! : T(9 $

Umr : *2 t!"(

A,!m!t : Pdri!( Lor; Sm!r!()

Pr

R!() : Gri!tri Lt 1

Nomor C$ : C55'80

$!s RS :1'61062015

#i!ss!( : 2261062015

#P>P : dr9 =!m4!() >o(i K; Sp9P#; K6Gr

II& 1& DATA DASAR

ANAMNESIS 'a(#oana)n*$+ #anggal 2O"#o*. 2/10 a) /&// 3$

K*l(!an (#a)a 4*a" na%a

R$3a5a# *n5a"$# *"a.ang 4

? 5 "!ri p!si( m()," ss! (!.!s; dir!s!!( "!mpir sp!(

? 1 4,!( p!si( m()," ,m!s s,r" t4"; sri() @p!t ,,!" 4i,! 4r!ti.it!s d!( s4!)i!(

4s!r !t(B! di"!4is!( (t 4ristir!"!t di tmp!t tidr9 Tid! !d! m!, m!p( m(t!";

tid! !d! p(r(!( 4r!t 4!d!(; d! !i !)! 4)!; tid! dm!m; tid! !d! 4rri()!t

m!,!m; s!r! sr!; 4!() !ir 4s!r sri() di4!(t d()!( o4!t p(@!"!r; 4!() !ir @i, !r(!

4i!s!;

di mp!t !())ot! )r!; disrt!i r!m4t ro(to9

R$3a5a# *n5a"$# 7a!(l( 4

? 1 t!"( B!() ,!, p!si( pr(!" dir!!t !i4!t stro; "i())! p!si( m()!,!mi

,m!"!( !())ot! )r! !(!(; d!( dir!!t "!mpir 1 4,!(9 St,!" m(d!p!t!(

3


4/64

pr!!t!( .isiotr!pi; p!si( m()!t!!( d!p!t 4r!ti.it!s sprti 4i!s!9

? 4,!( B!() ,!, p!si( m(

4rp! ,! B!() s,it sm4"; ,!m! ,!m!!( ,! sm!i( m,!s d!( "!rs di,!!(

opr!si

? ' 4,!( B!() ,!, st,!" di,!!( opr!si; ,it p!si( tr!s! )!t!, d!( ,!r 4r@!6

4r@! mr!"!( "!mpir di s,r" t4"; ,!, 4rsisi; d!( tr!s! )!t!,9 P!si( sd!"

3 dir!!t !r(! ,"!( B!() s!m!

Ri!B!t d!r!" ti())i 7? dit!"i s

Ri!B!t (@i() m!(is 7? dit!"i s

p!si( 4!r mi(m o4!t s

s(ti!( i(s,i(

Ri!B!t tr!(s.si 76

Ri!B!t s!it tmor/ )!(!s!( 76

Ri!B!t s!it )o(do 76

Ri!B!t

R$3a5a# $"oo$al *"ono)$ 7an l$ng"(ngan 4

6 P(drit! mrp!!( p(si(!( PNS; sd!" - t!"(; )i!t!( s"!ri6"!ri s!!t i(i

m()r

prm!"!((B!; sprti m(

p(drit! d!ri !() p(si(!(; d!( p()o4!t!( p(drit! dit!())() =P>S9

6 P(drit! mmi,ii 3 or!() !(!:

19 L!i6,!i; si! 31 t!"(; 4r

m(i!"; d()!( )!


5/64

39 L!i6,!i; si! 2* t!"(; 4r

G!200 mtr9 >!,!(!( di d!r!" rm!" !sp!, d!( d!t!r9

6 #i 4,!!() rm!" p!si( mmi,ii !m!r B!() dis!!( (t os6os!( ptri s4!(B!

- !m!r

6 Ri!B!t mroo s

6 P!si( mm,i"!r! 4r() prtt 5 or

6 Lo!si rm!"

S"o. P$"olog$ 7an F(ng$ 4

GCS : E'$*+5 %()si dprsi : -/15 7dprsi ri()!( Sor mi(i m(t!, : 22/30 7)!())!( o)(iti. sd!() Sor Norto( : 1'/20 7m()i(!( @i, tr

Ko(ti((si 76 =rp!!i!( 7?

II& 2 PEMERIKSAAN FISIK '2 O"#o*. 2/10 a) /&// 8I9+

K!d!!( Umm : s!it sd!(); 4!d!( tr,i"!t 4()!; trp!s!() (!s!, !(,

Ks!d!r!( : ompos m(tis; GCS:E' +5 $* 15

T!(d! it!, : t!(!( d!r!" :130/0 mmH) 74r4!ri()

5


6/64

(!di : -- /m(it; r),r6r),r; isi d!( t)!()!( @p

s" : 3*;5oC 7!i,,r

,!


7/64

A7o)*n:

I(spsi : !)! mm4(@it; (t!si 76

As,t!si : =U 7? N

Prsi : timp!(i; PS 7? N; PA 76; !r! tr!4 timp!(i; (Bri to C+A 6/6

P!,p!si : sp,; "p!r d!( ,i( tid! tr!4!; (Bri t!( pi)!strim 76

E"#.*)$#a : Sprior I(.rior

- Edm! ?/? ?/?

6 Ar!, di()i( 6/6 6/6

6 C,44i() .i()r ?/? 6/6

6 Gr! ?/? ?/?

6 K!t!( otot '''/555 '''/3''

6 To(s ?N/?N ?N/?N

KONDISI PASIEN

:1 t!"( s4,m dir!!t

-

? ' 4,!( s4,m m!s RS#K


8/64

P*.a3a#an 7$ RSDK

In7*= D$agno#$" )*n(.(# 9$ll*3$>?

Daa. P*n$la$anN $ l a $

A7a N$!$l

G*ala-g*ala

K,m!"!( T4" 0 ?2

Piir!( ,!m4!t 63 ?1

Kr!() ri()!t ?* 62K,it ri() ?3 6*

Tid! t!"!( di()i( ?' 65

R!m4t ri() 62 ?2

=r!t 4!d!( (!i ?1 61

Ko(stip!si ?2 61

S!r! sr! ?5 6*

P!r!stsi ?5 6'

Kt,i!( ?2 0

Tan7a-#an7a

Pr)r!!( ,!m4!t ?11 63

K,it !s!r ?- 6-K,it tr!4! di()i( ?3 62

D!


9/64

II& PEMERIKSAAN PENUN


10/64

Lim.osit * 20 '0 J

$o(osit 1 2 10 J

L!i(6,!i( A$C 2J

Eritrosit =ri(ti : 1/100 ,osit

Trom4osit '3'000 '10000 150 '00 ri4/ mm

Rti,osit 89'2 095 195 J

PPT/K 1292/109 9' 1193 dti

!PTT/K ''9'/339* 239' 3*98 dti

%i4ri(o)( 2009' 180 350 m)/d,

K I M I A K L I N I K

NILAI NORMAL

1;1/;2/10 10;1/;2/10 1;1/;2/10 21;1/;2/10

G#S 1*3 '* 150 -' 10* m)/ d,

Urm 55 81 15 3 m)/ d,

Cr!ti(i( 19* 19 0;* 1;3 m)/d,

N!trim 131 131 13' 13- 13* 1'5 mmo,/ L

10


11/64

K!,im '9* '9- '95 '9* 3;5 5;1 mmo,/ L

C,orid! 5 102 101 8 10- mmo,/ L

C!,@im 291 291 2912 2952 mmo,/L

$!)(sim 09-- 190 09-' 09 mmo,/L

SGOT '1 22 15 3' U/L

SGPT 32 23 15 *0 U/L

=i,ir4i( tot!, 191 090 190 m)/d,

=i,ir4i( dir 0931 090 093 m)/d,

Proti( tot!, -9- *9' 892 )/dL

A,4mi( 290 391 39' 590 )/dL

As!m r!t -90 395 -92 m)/d,

Ko,stro, Tot!, 222

120 2'* m)/d,

Tri),isrid 12 200 m)/d,

H#L 51 150 m)/d,

11


12/64

L#L 150 '0 *0 m)/d,

Ga)a.an Da.a! T*$ '1@;1/;2/10+

Eritrosit A(isositosis ri()!( 7(ormositi; m!rositi; Poii,ositosis sd!() 7o!,osit;

,iptosit; t!r drop @,,; @i)!r @,,; r(!si; Eritrosit md! 7?

Trom4osit Estim!si


13/64

9&

EKG

Ir!m! : Si(s

%r(si : -0 /m(it; 6r),r

Ais : LA#G, P : 0;10 dti; P mitr!, 76; P p,mo(!, 76

PR i(tr!, : 0;1' dti

RS @omp, : 0;08 dti

o(! tr!(sisi : +'

S)m9 ST : Iso,tri

G, T : i(rtd 7? +36*; T!,, 76R/S di +1 1 mm

S +1 ? R +5 35 mm

Ks!( : $n( .$#)*, LAH9, non *$%$> ST-T >!ang* V-6 '(*" $"*)$ an#*.ola#*.al+

C& B FOTO THORAKS AP-LATERAL '1;1/;2/10+

13

H*)a#olog$ '1;1/;2/10+ Ha$l

Coom4s Tst #ir 1?/pos 1

Coom4s Tst I(dir 6/()

Co,d A),ti(i( ?/pos

D!rm A),ti(i( ?/pos

I)(no*.olog$ '2;1/;2/10+ Ha$l Sa#(an R(("an

TSHs 539*

IU/mL

HBpot"Broid : F -

Et"Broid : 0925 5

HBprt"Broid : 0915

%T' 1900 pmo,/L 109* 19'


14/64

KESAN 4

C!rdiom)!,B 7L.t +(tri@, disrt!i ,o()!tio !ort!

G!m4!r!( dm! p,mo(mE..si p,r! dp,s

D& CT SCAN KEPALA POLOS '1;1/;2/10+

KESAN 4

I(.!r p!d! @oro(! r!di!t! !(!(; (@,s ,(ti.orms !(!(; t"!,!ms !(!(; pri6(tri,!r @or( !(trior (tri, ,!tr!,is iri

T! t!mp! prd!r!"!( i(tr!r!(i!, Si(sitis m!si,!ris !(!( iri; .ro(t!,is !(!( sp"(oiditis d!( tmoiditis !(!( iri G!m4!r!( !)i() !tro.i sr4ri

III& HASIL KONSULTASI ANTAR 9AGIAN DIVISI KULIT '10 OKTO9ER 2/10+

St!ts drm!to,o)i : Lo!si : s,r" t4"

1'


15/64

UKK : m!,! ritm; s!m!

Lo!si : !i; t()!i; ,()!(; t!()!(

UKK : m!,! "ipopi)m(t!si; .isr!

Assssm( : Eritrodrm! d()!( iti,i)o

IV& DAFTAR A9NORMALITAS

19 Lm!s

29 Ss! (!.!s 4i,! 4r!ti.it!s

39 =()! "!mpir di s,r" 4!d!(

'9 K,it )!t!,; ri(); 4r@! pti"!(

59 Ko(stip!si

*9 Ri!B!t stro

-9 Ri!B!t opr!si .ist, !i4!t ,! B!() s,it sm4"

89 K,!i(!( ,it dir!s!!( s

159 Ati.it!s "!mpir sm! di4!(tAKS %

1*9 =r@! "ipopi)m(t!si di d! ,()!(; t!()!(; !i; t()!i

1-9 T!ip(!

189 Hiprt(si st!) 1

19 Ko(229 Kd! 4!s!, p!r : R=H 7?; S#

239 Kmp!t strmit!s dm

2'9 Hmip!rs dtr! !(!(

259 A(mi! 7H4 -;35

2*9 Rti,ositosis

15


16/64

2-9 Hipr4i,ir4i(mi! i(dir@t

289 Coom4s tst ?/positi.

29 Ts !),ti(!si !rm !(d @o,d : ?/pos

309 Lositosis 71'500

319 Aotmi!

329 Ri!B!t "ipo(!trmi!

339 Hipo!,4mi(mi! 7391

3'9 Hipr),imi!

359 Hipr!)r)!si trom4osit

3*9 EKG : LAH=; ST6T @"!()s (o( spsi.i

3-9 6T"or!s : !rdiom)!,i 7L+; )!m4!r!( dm! p,mo(m; ..si p,r! dp,s

389 CT S@!( Kp!,! : I(.!r p!d! @oro(! r!di!t! !(!(; (@,s ,(ti.ormis !(!(;

t"!,!ms !(!(; pri(tri,!r @or( !(trior (tri, ,!tr!,is iri

V& MASALAH

A& S$n7.o)a G*.$a#.$"

si(drom! sr4r!, 76; o(.sio 76; )!())!( oto(om 76; i(o(ti((si! 7?;

1@ I: I))o$l$#5713 Iso,!tio(Imp!@tio( Impot(@

In#a$l$#5 I))(no-7*%$>$*n>5

I!tro)(i@ In%*>#$on

In#*l*>#(al $)a$.)*n#712 I(!(itio(

I(som(i! I)a$.)*n# o% $$onM "!ri();sm,,

In>on#$n*n>* Imp@(itB

Kaa$#a %(ng$onal

%r!i,tB 71'#p(d( 715

9& Maala! M*7$

19 Hipotiroidism 71; 3; '; 5; 8; 11; 12; 20; 23

29 #i!4ts $,its 7-; ; 3'; 35

39 CH% N&HA III 72; 1-; 21; 3*; 3-

'9 Hiprt(si st!) 1 710; 1859 Autoimmune hemolytic anemia71; 25; 2*; 2-; 28; 2

*9 E..si p,r! dp,s 722; 30

1*


17/64

-9 Eritrodrm! d()!( iti,i)o 7'; 1*

89 Hmip!rs dtr! 7*; 2'; 38

9 Aotmi! 731109 Hipo!,4mi(mi! 733

119 Hipo(!trmi!pr4!i!( 732

VI& RENCANA PEMECAHAN MASALAH

19 Hipotiroidism

Assssm(t : Etio,o)i : Atoim( : Tiroiditis H!s"imoto

I(.si

K)!(!s!(

S(dr : )!())!( "ipo.isis d!( "ipot!,!ms

K)!!t!( : @om! midm!

Ip# : A(ti TPO

IpR : Lot"Broi( 100 m@)/2'

Ip$ : %T'; TSHs ti!p 4,!(; KUT+/8

IpE : $(


18/64

I(s,i( !(!,o) ),!r)i( 20 (it 7SC s4,m tidr

Ip$ : G#S I6II ti!p mi())

IpE : P(B!it di!4ts B!() didrit! p!si( d!p!t m(im4,!(

4o@or!( )i(

.()si )i(

39 CH% N&HA III

Assssm( : #E : HH#; IH#

#A : L+H

%()si sisto,i d!( di!sto,i

Ip# : E@"o@!rdio)r!.i

IpR : Posisi dd

O2 3 ' LP$

N!C, 09J 1* tpm

%rosmid '0 m)/2'

C!ptopri, *;25 m)/12

N6!sti, sisti( 200 m)/8

L!@t,os! sBrp 15 @@/8

N4,isr /'

tid! m()

'9 Hiprt(si st!) 1

Asssm( : %!tor rsio: HH#

Komp,i!si : rti(op!ti; (.rop!ti

Ip# : E@"o@!rdio)r!.i; .(dsopi; (ti( rti(

IpR : #it r(d!" )!r!m

C!ptopri, *;25 m)/8

18


19/64

Ip$ : KUT+/8

IpE : Istir!"!t @p; r!()i m!!( !si(

59 Mied type autoimmune hemolytic anemia7AIHA

Asssm( : 6

Ip# : 6

IpR : Tr!(s.si DE 1 !(to()/"!ri

CB@,ospori( 50 m)/12

As!m .o,!t '00 m@)/8

Ip$ : H4 post orsi

IpE : A!( di,!!( tr!(s.si d!r!" (t mmpr4!ii H4

*9 Eritrodrm! d()!( +iti,i)o

Asssm( : Atoim(: s(dr pro4,m 1

Ip# : =iopsi ,it

IpR : $tB,prd(iso,o( 1* m) 71 0 1 H2 po

CT$ ' m)/ 8

#osBmt"!so( oi(t o,s/ 12

Ur! @r!m 10J o,s/12

Komprs N!C, 09J/12

B!() ,@t

Ip$ : 6

IpE : $(


20/64

Ip$ : RR; ro(t)( t"or! ,!()

IpE : A!( di,!!( pmris!!( @!ir!( p!r

89 Hmip!rs dtr!

Asssm( : Etio,o)i : SNH s,

Rsio : Immo4i,it!sd!( omp,i!si(B!

I(st!4i,itB

6 G(r!, RO$ r@is

6 Strt@"i()

6 $o4i,is!si 4rt!"!p

Ip$ : KUT+/8

109 Hipo!,4mi(mi!

Assssm( : P(B!it ro(is

$!,(trisi

Ip# : 6

IpR : #it str! pti" t,r

Ip$ : C !,4mi( ,!()

20


21/64

IpE : Kr!()!( proti( di!i4!t!( p(B!it ro(is

119 #is,ipidmi!

Assssm( : S(dr pro4,m 1 d!( 2

Ip# : 6

IpR : #it r(d!" ,m!

Ip# : 6

IpR : 6 Psiotr!pi

6 At!si pro4,m mdis B!() didrit!

Ip$ : K!d!!( mm; dr!

IpE : $m4ri!( moti!si sm!()!t "idp p!d! p!si( (t

p(Bm4"!(; d!( pr4!i!( o(disi mm p!si(

1'9Frailty

Assssm( : S(dr d!ri pro4,m mdis B!() m,tip,

Komp,i!si :!ailure to thri"e

21


22/64

Ip# : #!r!" rti(; !,4mi(

IpR : $mpr4!ii s,r" pro4,m mdis

I(.s RL 12 tts/m(it

#it (!si tim #$; RG 2100 !,ori

R"!4i,it!si mdis: ,!ti"!( otot d()!( .isiotr!pi; mo4i,is!si

Ip$ : Ko(disi mm; 4!,!(@ @!ir!(; !sp!( diit

IpE : p((t mmpr4!ii o(disi i(i s"i())! tid! m(

IpR : $mpr4!ii s,r" pro4,m mdis

R"!4i,it!si mdis: ,!ti"!( otot d()!( .isiotr!pi; mo4i,is!si

Ip$ : Ko(disi mm

IpE : P(


23/64

S : ,m!s

O : K!d!!( mm : ,m!"; !)! p@!t

Ks!d!r!( : omposm(tis T!(!( #!r!" : 130/0 mmH) 74r4!ri()

N!di : -8/m(it 7r),r; !t !()!t

S" : 3*9-0

C RR : 1* /m(it

Mon$#o.$ng F(ng$ T$.o$7

E

:Hipotiroidism dis4!4!( !r(! !toim(Tiroiditis H!s"imoto

Rsio )!!t!( : @om! midm!

Komp,i!si : ..si p,r!; ..si pri@!rd

P :

# : E@"o@!rdio)r!.i

R : Lot"Broi( 200 m@)/2'

$ : KUT+/8

16;11 %T' 11931 pmo,/L 109* 19'

2;11 TSHs 1595* IU/mLHBpot"Broid : F - Et"Broid : 0925 5

HBprt"Broid : 0915


24/64

O : HA1C 4 *;2 J 7N: * 8 J

Mon$#o.$ng GD I;II

U.$n R(#$n

D!r(! : K(i(); !)! r" Krist!,C! o!,!t

Uri@ !@id

::

:

() /L?/pos

?/pos

=> : 19025 Si,i(dr P!to,o)i

Si,9 ,i,i( : 1 2 /LPK

pH : 595 Si,9Hi!,i( : 2 3 /LPK

Proti( : //m)/d, Si,9 Gr!(,!r

K!s!r

: 8 10 /LPK

Rdsi : 0//m)/d,Si,9 Gr!(,!r H!,s

: ' * /LPK

Uro4i,i(o)( : 190 m)/d, Si,9Epit, : 6/() LPK

=i,ir4i( : 6/() m)/d, Si,9Eritrosit : 6/() LPK

Asto( : 6/() m)/d, Si,9Losit : 0 1 /LPK

Nitrit : 6/() m)/d, $@s : ?/pos

Epit, : 3 5 /LPK =!tri : ?? /pos

Epit, T4,s : 0 1 /LP=O!, .!t 4odis

?/pos

&!st @,, : 6/()

Losit : 10 2//LP= Sprm! : 6/()

Eritrosit : / //LP= Kp!t!( : 6

2'

P*)*.$"aan ')g;7l+ 26;1/ 2;1/ /2;11 /0;11 16;11 1;11 2;11 /;12

G# P!s! 30 11 13' 38 11- *3 53 22

G# PP 2


25/64

F(n7("o$ 4 '2 No 2/10+

Tid! did!p!t!( t!(d! rti(op!ti di!4ts d!( "iprt(si

S!!t i(i !mi tm!( t!(d! O# ssp@t G,!om!; OS !t!r! s(i,is m!tr

Ha$l EMG 4 '#gl 2@ No 2/10+

$otori : N9 $di!(s !(!(: tid! m(@, ),om4!()

N9 U,(!ris !(!( : L!t(si d4(; !mp,itdo r(d!"; NC+ r(d!"

N9 Ti4i!,is iri : L!t(si d4(; !mp,itdo r(d!"; NC+ r(d!"

N9 pro(!, iri : tid! m(@,

S(sori: N9 $di!(s d!( N9 U,(!ris !(!(: tid! m(@,

% ! : N9 $di!(s !(!(: r!() prodti.

N9 U,(!ris !(!( : m!si" prodti.

H R.,s : N9 Ti4i!,is iri : r!() prodti.

Ks!( : #!p!t ss!i d()!( )!m4!r!( po,i(rop!ti s(sorimotor N9 $di!(s; N9 U,(!ris

!(!(; N9 Ti4i!,is; d!( N9 Pro(!, iri ,si dmB,i(!si !so(!,; disrt!i

po,ir!di,op!ti C5 C* !(!( d!( L5 S1 iri

E :6 #$ Tip 1; m!si" m()i( LA#A 7Latent Autoimune Diabetes in Adultsd()!( did!p!t!( po,i(rop!ti B!() m!si" m()i( !i4!t di!4ts

6 Rsio KA#

6 Piri!6Hm!tri! ##/ ISK P.ol*) 1

25


26/64

P :

# : K,tr ri(

R : #it #$ 100 !,/ '5 ) proti(; 25J Lm!; *0J KH

I(s,i( Asp!rt * * * (it 7SC

I(s,i( )!r),i( 10 (it 7SC p, 23900

=i,! G#S *0 m)/d, : =o,s 2 .,s #'0J; I+%# #10J 1* tpm

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27/64

Pmris!!( P((

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28/64

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30/64

Ksimp,!( : 6 L+H Ko(s(stris

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31/64

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32/64

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33/64

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34/64

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35/64

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37/64

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39/64

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41/64

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42/64

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43/64

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44/64

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45/64

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46/64

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47/64

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48/64

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49/64

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50/64

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DAFTAR PUSTAKA

19 Ross #S; Coopr #S; $,dr >E9 #isordrs t"!t @!s "Bpot"Broidism9 Do,tr K,r9 Spt

1*; 201'9 A!i,!4, o( : 9ptod!t9@om

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39 >!mso( >L; $!(d, S>; Dtm!( AP9 #isordrs o. t" t"Broid ),!(d9 I(: I(: K!spr #L;

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'9 R"m!( SU; Cop #D; S(s(B A#; =ri(si D9 T"Broid disordrs i( ,dr,B p!ti(ts9

Sot" $d >9 2005875:5'365'

59 Gsi() A; Li(si A; Li(s! $K9 T" t"Broid ),!(d !(d t" pro@ss o. !)i() "!t is

( T"Broid Rs!r@" 2012; 5:1*9 A!i,!4, !t:"ttp://9t"Broidrs!r@"; =@6P@@o P; C"rosos G;

#()!( K; Grossm!( A; Hrs"m!( >$; Ko@" C; $@L!@",!( R; N $; R4!r R; Si()r %;+i(i A; Di@rt $O; ditors9 Sor@E(dott I(tr(t9 Sot" #!rtmot" 7$A:

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