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8/18/2019 Laporan Kasus Dads

1/13

LAPORAN KASUS

SEORANG ANAK LAKI-LAKI USIA 15 BULAN DENGAN DIARE AKUT

DEHIDRASI SEDANGDISUSUN OLEH :

DR. ARINDA ANGGANA RARAS

PENDAMPING :

DR. ALEXANDER BRAMUKHAER


2/13

DATA PASIEN Nama: An. M Z E

Umur : 15 buan

!"n#$ %"am#n : La%#-a%#

Aama& :!un'$"m# ()* Kan'%un'

A'ama : I$am

N+. ,M : 1(1/(

Ban'$a : Lu0man

Tan''a Ma$u%: (( O%&+b"r (1*

Tan''a K"uar : (5 O%&+b"r (1*


3/13

ANAMESISKeluhan Utama: BAB a#r

Riwayat Penyakit Sekarang 2A+anam"$#$ 3"n'an #bu 4a$#"n

1Har# SMRS 2(1)1)1*

• BAB a#r 56)7ar# 8arna%un#n'9 $"4"r u#anb"ra$ 2-9 am4a$ 2-9 "n3#r2-9 3ara7 2-9 n"m4r+&2-9 bau a$am 2-. Mun&a72; (6 $"&"a7 3#b"r# $u$uASI9 m#num 2; %ua&9naan'%a 4an>an'$"b"umna 2-9 r#8aa&'an $u$u


4/13

R#8aa& P"na%#& Da7uu

• R#8aa& $a%#& $"4"r #n# $"b"umna 2-• R#8aa& 'an $u$u


5/13

R#8aa& P"r%"mban'an P+$&na&a

• P"m"#7araan 4+$&na&a 3# 4+$an3u $"a4 buan9 %"a3aan an$"7a&.

R#8aa K+n&ra$"4$#

• Ibu 4"n3"r#&a m"n'#%u KB $un%. S#%a4 &"r7a3a4 KB an' 3#a%#n 3an 4"raa.

R#8aa& Imun#$a$#• Imun#$a$# 3a$ar "n'%a4 $"$ua# u$#a

R#8aa& Tumbu7 K"mban' Ana%

• K"$an: Tumbu7 K"mban' ana% $"$ua# u$#a


6/13

PEMERIKSAAN FISIK Tanggal 23 Okt!er 2"#$ %ukul #3&$' (I)

S"+ran' anak laki*laki 9 #' !ulan9 B"ra& Ba3an : 9? %'9 T#n''# Ba3a

KU: Sa3ar9 na


7/13

H#3un' : na


8/13

-r

In$4"%$# : #%&u$ %+r3#$ a% &am4a%

Pa4a$# :#%&u$ %+r3#$ &"raba 3# $"a #'a IF ( mm"3#a LM,S9 a% %ua& an'%a&9 a%m""bar. T7r# 2-

P"r%u$# :$u#& 3#n#a#

Au$%u&a$# : $uara >an&un' I 3an II n+rma9#rama r"'u"r9 'a+4 2-9b#$#n' 2-. M1M(9A1=A(9 P1=P(

A!+men

In$4"%$# : 3a&ar9 @"n"%&a$# 2-.Au$%u&a$# : b#$#n' u$u$ ;

P"r%u$# : m4an#9 4"%a% $#$# ; n+rma9 4"%a%a#7 -

Pa4a$# : $u4"9 "ma$9 NT 2-9 &ur'+r %u#&%"mba# amba&9 H"4ar &"raba J m ba8a7aru$ +$&a &"4# &a>am9 %"na9 ra&a9 L#"n a%

&"raba

Ek.tremita. /

$u4"r#n


9/13

P"m"r#%$aan P"nun>an'1. P"m"r#%$aan Dara7 Run 2(( O%&+b"r (1*

Hb : 19* ' 21-11 ' ana% u$#a = &a7un

H& : ( 2? *

L"%+$#&: / ) mmQ 2*1-1?)mmQ

Er#&r+$#& : ?.5. )mm%Q 2*91-59? >&)mmQ

Tr+mb+$#& : (5. )mmQ 21* *r#bu)mmQ

(. "$"$ Run 2(? O%&+b"r (1*

arna : Kun#n' L"u%+$#& : 1-(

Bau : - Er#&r+$#& : (-5

K+n$#$&"n$# : L"mb"% T"ur ,a#n' :N"'a


10/13

DATAR MASALAH

0IA1NOSIS SEME

D#ar" A%u& D"7#3rS"3an'

0IA1NOSIS )AN0IN1

D#ar" A%u& D"7#3ra$# S"3an'

DD) : - S"%r"&+r#%

DD) : - In


11/13

P"na&aa%$anaan Su4+r


12/13

R"nana P"m"a7an Ma$aa7 A$$"$m"n& : D#ar" A%u& D"7#3ra$# S"3an'

IP D6 : S : -

O : P"m"r#%$aan 3ara7 run9 4"m"r#%$aan ""%&r+#&9am (()>am 1?)>am 2( &4m"@aua$# a4 >am. !#%a &an3a 3"7#3ra$# $u3a7 2- an>u&%an 3"n'an In"%$# ,"


13/13

IP E6:

M"mb"r#&a7u %"4a3a +ran'&ua m"n'"na# %+n3#$# ana% 3an 4"m"r#%$aan an' a%an 3#a%u%an.

M"n'an>ur%an &"&a4 m"mb"r#%an ma%anan 3an m#numan %"4a3a ana% $"ama 3#ar" 3"n'an 4+r

un&u% m"n'7#n3ar%an "#%a ana% mun&a7 ma%a 3#7"n%an9 &un''u ; 1 m"n#& au 3#an>u&%an a'#m#$ana $"$"n3+% a4 (-? m"n#&.

M"n>"a$%an 4a3a #bu 4"runa m"n>a'a %"b"r$#7an 3#r# 3an aa&-aa& ma%an)m#num 23+& 3"n'

$"b"um m"mbua& $u$u 3an m"n''una%an aa&-aa& ma%an)m#num an' $u3a7 3#u# b"r$#7 a&a

S"ama 3#ra8a& 3# ban'$a a&au4un 3# ruma79 b#a ana% buan' a#r b"$ar 7aru$ $"'"ra 3#b"r$#7%a

3"n'an "ana an' b"r$#79 b#a n>a m"n'+&+r# 4"ra% $"'"ra b"r$#7%an 3an 'an 3"n'an 4"ra

M"m4"rba#%# ara 4"n#a4an 3an 4"n#m4anan ma%anan 4"n3am4#n' ASI 2un&u% m"n'uran'# 4

ba%&"r#

S"au m"n''una%an a#r b"r$#7 un&u% m#num. M"ma$a% a&au m"n3#3#7%an ma%anan 3"n'an b"nar 3an m"n#a4%an ma%anan $"$aa& $"b"um

M"n>"a$%an %"4a3a #bu m"n'"na# &an3a-&an3a 3"7#3ra$# $"4"r r"8"9 %"7au$an9 ma&a "%un'

%"uar a#r ma&a9 b#b#r %"r#n'. B#a ba# 3#ar" 3#$"r&a# mun&a7 b"ruan'9 ba# &am4a% %"7au$an $"b

%" Ruma7 Sa%#& a&au 4+#%#n#% &"r3"%a& 24"nn' b#a $"&"a7 4uan' 3ar# RSI K"n3a9 ba# $a%#& a

M"n>"a$%an %"4a3a #bu ba78a $ru4 #n 7aru$ 3#%+n$um$# 7#n''a 1-1* 7ar# $"%a#4un nann

$"mbu7.

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