lapja dhf tanpa syok bilkhis wahyuni.pptx

7/26/2019 LAPJA DHF tanpa syok bilkhis wahyuni.pptx

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LAPORAN JAGA21 MEI 2016

Dokter muda

Konsulen Jaga dr. H. Wilson, Sp.A M.Biomed

Tanggal pemeriksaan 19/05/2016


2/22

LAPORAN JAGA5 MEI 2016

Pasien Lama Pasien Baru

DHF Tanpa Syok Syok Hipovol!ik


3/22

IDENTITAS

I. Identitas Pasien

No" MR # 1$5%$0

Tan&&al !a'(k # 1)*05*2016

Na!a # An" +,

-!(. # 5 /a(n $ (lan

Jni' kla!in # p.!p(an

Anak # 1A&a!a # I'la!

Ala!a/ # 'iak .aya


4/22

EL-HAN -TAMA

Alloana!n'i' 3i(4 anA(/oana!n'i'

- #

D!a! naik /(.(n 'ak 7 $a.i SMRS


5/22

RIWAYAT PENYAKITSEKARANG

Pa'in a/an& n&an kl(an !a! /ia8/ia'ak $ a.i yan& lal(" D!a! /in&&i i.a'akan /.('!n.('" Mn&&i&il 384" Slain i/( pa'in !.a'akanny.i paa p.'nian l(/(/9 'aki/ kpala 'ak

!a! /i!(l" Pa'in (&a !n&l(kan !(n/a 2kali .i'i 'i'a !akanan 'anyak : &la' a;(a /iapkali !(n/a i'./ai na


6/22

RI,A=AT PEN=AITDAH-L- Pa'in /iak p.na

!n&ala!i kl(an '.(pa


7/22

RIWAYAT PENYAKITKELUARGA

Tiak aa kl(a.&a yan&!n&ala!i kl(an 'p./i ini

T/an&&a pa'in aa yan&!n.i/a D+D


8/22

RIWAYAT LINGKUNGAN

Pa'in /in&&al i lin&k(n&anpaa/ pn((k

S(!. ai. !in(! # &alon i'i(lan& Pka.an&an # .'i Sa!pa # i aka. an

i(an& i /paKesan : lingkungan baik


9/22

RI,A=AT EHAMILAN Ri>aya/ AN? .(/in i ianRi>aya/ pnyaki/ 'la!a ka!ilani'an&kal

Ri>aya/ kon'(!'i oa/ 'aa/ a!ili'an&kal

la!a a!il # %)8$0 !in&&(Ditolong oleh bidn !n"ng bdn l#p

$r lhir norml/spontn %ing&r &epl l#p

Bert lhir 2900 grm %ing&r dd l#p

%ngs#ng menngis

st lhir

' (ndi&si )


10/22

Kelainan bawaan : 384

Riwaat imunisasi :

Hpa/i/i' + # l(pa

Polio # l(pa

+?G # l(pa 3'@a. +?G ln&an

kanan4 DPT # l(pa

?a!pak # (lan k )


11/22

Riwaat tumbu! "emban# :

Riwaat $emberian ASI :

ASI k'kl('i< 'a!pai (!(. 6 (lank!(ian ilan(/kan n&an MPASI

*i+'t t#mb#h &embng m#r *i+'t t#mb#h &embng m#r

-ert+ l#p %ri 1,2 thn

Miring b#ln igi pertm t#mb#h 6 b#ln

-engrp b#ln Bi$r 1, th#n

D#d#& 5 b#ln Memb$ )

Merng&& b#ln Se&olh 5 thn

Berdiri b#ln


12/22

P!.ik'aan (!(!

aaan (!(! # /a!pak 'aki/ 'an&

'aa.an # @o!po' !n/i'

F.k>n'i Nai # )BC*!ni/

F.k>n'i P.na


13/22

P!.ik'aan Fi'ik

Ke$ala

Ma/a # kon(n&/iva an!i' 8*89 'kl.a ik/.ik 8*8 9 !apalp.a 8*8 9 !a/a @k(n& 8*8

Hi(n& # via'i 'p/(! 3849'k./ 38*84


14/22

P!.ik'aan Fi'ik

M(l(/ # !(ko'a !(l(/ a'a9lia ko/o. 3849 &('i .a.a384

L. # /on'il T18T1 9ip.!i' 3849 p!'a.an

G+ 3849 kak( k((k 384


15/22

P!.ik'aan Fi'ikT&ra"s '$ulm&(

In'pk'i # 'i!/.i' 9 ./.ak'i inin& aa 384

Palpa'i # vokal


16/22

Abd&men

In'pk'i # i'/n'i 384

A('k(l/a'i# +- 34 no.!al

P.k('i# Ti!pani i 'l(.( lapan& ao!n

Palpa'i # ny.i /kan pi&a'/.i(! 3849 pa/o!&ali 384ko'i'/n'i knyal9 / 'plno!&ali384

Kulit

.in& 3849 /(.&o. k(li/ aik"

E"stremitas

S(p.io. # ak.al an&a/9 !a 3849 ?RT 2 'iano'i' 384

In


17/22

P!.ik'aan Lao.a/o.i(!

1)*05*2016

H!o&loin # 119% &*l

L(ko'i/ # 2"B00*!!%E.i/.o'i/ # $956 (/a*!!%

H!a/ok.i/ # %591

T.o!o'i/ # 121"000*!!%


18/22

)IAGN*SIS KER+A

DHF /anpa 'yok

)IAGN*SIS BAN)INGD!a! n&(


19/22

REN,ANA TIN)AKAN

Ti.a a.in&

O'.va'i TTK

T.api @ai.an T.api 'i!p/o!a/ik

P.ik'a a.a .(/in /iap a.i


20/22

TATALASANA

TERAPI ?AIRAN

IKFD RL # ++ 1 k&

k(/(an # %@@*k&*a.i1B /p!*!ak.o4

P@/ % C1*2 @/

E@yna/(. 'y. 1C1 @/


21/22

PROGNOSIS

A vi/a! # ona!

A n&'iona! # ona!

A 'ana/iona! # ona!


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lapja dhf tanpa syok bilkhis wahyuni.pptx

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