morpot campak dan bp

8/16/2019 Morpot Campak Dan Bp

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LAPORAN JAGA

ANJAR PUSPITANINGRUMDIDI SURYANA

RETTI TRIANDANING



IDENTITAS PASIEN Nama : An. A

Ruang Perawatan : Badar Kelas II

Alamat : Jl. Mawar IV No. 3 RT 11/6 Tugu !tara Ko"a

TT# : $3 %e&tem'er $(13

!mur : $ Ta)un * Bulan 16 +ar,

Agama : Islam

Jen,s Kelam,n : Perem&uanMasu- R% tanggal : Me, $(16

No Re-am Med,s : 10



ANAMNESIS

(Allo Anamnesis – 9 Mei 2016)

! U"ama # Demam se$a% 10 &a'i SMRS

! Tama&an # a"*%+ ,ile%+ m*n"a&+ -an sesa%

RPS# Pasien -a"an. %e '*ma& sa%i" -en.an %el*&an -emam 10

men.a%* -emam -an $*.a -i'asa%an "e'*s mene'*s+ "i-a% -ise'"ai %e$an.! Pasien men.el*& sesa%! Pasien men.el*&%an -emam -ise',ile% /an. -i'asa%an se$a% 10 &a'i "e'a%&i' ini+ a"*% e'-a&a% -aPasien $*.a men.a%* %el*a' e'a%e'a% me'a& a-a s%*ama -me'a& se'"a e'ai' se$a% &a'i SMRS! Pasien men.el*&%an m*n"a& 3isi ma%anan+ 5ol*me 3 1 .elas a*a+ lemas+ na7s* ma%an m%onsis"ensin/a leme%+ am,as 8+ -a'a& + len-e' + "i-a% e'a* *e'*sa se$a% 1 SMRS -en.an in"ensi"asn/a 1 : &a'i -an A "i-a% a



Anamnesis lan$*";!!

RPD # e$an. -emam ()+ am,a% ()+ T ,a'* ()+ 'on%o,nemoni

RPK # am,a% (8)+ e$an. -emam ()+ T ,a'* ()+ 'on%o,nemon Riwayat Kehamilan Ibu # %*n$*n.an AN< "e'a"*' -en.an i-

men.%ons*msi oa"oa"an selama %e&amilan+ i* "i-a% ,e'na&masa %e&amilan+ ,en/*li" %e&amilan "i-a% a-a!

Riwayat Kelahiran # la&i' sea'a no'mal+ la&i' "*n..al+ *%*, menan.is+ "i-a% a-a aa" %on.eni"al+ = 4>00 .'am+ P= >4 m

Riwayat makanan # ASI se$a% *sia 06 *lan+ s*s* 7o'm*la se$a%

ma%anan "ama&an -ie'i se$a% *sia 6 *lan

Riwayat Tumbuh Kembang # isa men.an.%a" %e,ala 4 *lan+ is *lan+ el*m isa e'-i'i sen-i'i 1 "a&*n

Riwayat Imuniai # <G+ ?e,a"i"is + DPT+ Polio+ <am,a% ()

R! Alergi # @a" ()+ Ma%anan s*s* sa,i ()+ *aa-e* ()

R! Peng"batan # ,e'na& -ie'i oa" a"*%+ ,ile%+ m*al+ -an ,en*



PEMERIKSAAN #ISIK

1! EADAAN UMUM # SAIT SEDANG

2! ESADARAAN # <@MP@S MENTIS

4! STATUS GII

SEE=UM SAIT # 1> G ETIA SAIT # 14 G



9B:m

n"

B0C

4!90<

TANDA $ITAL



STAT%S GENERALISATA

• e,ala # Normo2e&)al u'unu'un suda) menutu& ram'ut

),tam d,str,'us, rata t,da- muda) d,2a'ut

• Mata : %,mestr,s -on"ungt,4a anem,s 5/ s2lera ,-ter,- 5/,so-or 57/7 edema &al&e'ral 5/

• ?i-*n. # T,da- ada de4,as, se&tum Perna&asan 2u&,ng ),d

• Telin.a # Normal se2ret 5/

• #,da) : l,da) -otor 57

• Mulut : stomat,t,s 5 ',',r -er,ng 57 g,g, gel,g, leng-a& &e

gus, 5 8ar,ng ),&erem,s 57

• #e)er : K9B 5 &em'esaran t,ro,d 5



Peme'i%saan T&o'a

•

Pa'* #Ins,e%si # ,e'.e'a%an -in-in. -a-a sime"'is

Pal,asi # o%al 7'emi"*s sime"'is (8:8)

Pe'%*si # sono' (8:8)+ a"as ,a'* &e,a' se"in..i I<S >

A*s%*l"asi # 5esi%*le' (:) 'on&i (8:8)+ &eeFin. (:)

• Jan"*n.

Ins,e%si # i%"*s %o'-is "i-a% "e'li&a"

Pal,asi # i%"*s %o'-is "e'aa ,a-a I<S >+ linea mi-la5i%*la sinis"'a

Pe'%*si # a"as a"as I<S 4+ linea ,a'as"ena'lis sinis"'a+ a"as %anans"e'nalis -e"'a+ a"as %i'i I<S > mi-la5i%*la sinis"'a

A*s%*l"asi # *n/i $an"*n. I -an II 'e.*la'+ m*'m*' ()+ .allo, ()



Peme'i%saan A-omen

Ins,e%si # ,e'm*%aan -a"a'+ '*am ma*la ,a,*la A*s%*l"asi # isin. *s*s no'mal (8)

Pal,asi a-omen s*,el n/e'i "e%an ()+ ,emesa'a-an lim7a ()

Pe'%*si # "im,ani sel*'*& la,an. a-omen



E%s"'emi"as

•

A"as # *-em (:)+ "*'.o' %*li" ai%+ a%'al &an.a"+ ()+ <RT 2 -e"i%+ '*am ,a,*la ma*lo (8)

• aa& # *-em (:)+ "*'.o' %*li" ai%+ a%'al &an.asianosis ()+ <RT 2 -e"i%+ '*am ,a,*la ma*lo



Peme'i%aan Pen*n$an.

•

Peme'i%saan =ao'a"o'i*m9 Mei 2016Pemerikaan &ail Satuan Nilai Ru'uka

? 11+9 .:-= 10+H12+H

=e*%osi" 26+HB 104:= >+>01>+>0

?" 4> 4>B4

T'omosi" B>9 104:= 21B91

E'i"'osi" B+B 104:= 4+60>+20

M< > 7= 4101

M<? 2> ,. 2441

M<?< 4B .:-= 264B



RESUME

•

Ana% la%ila%i+ *sia 2 Ta&*n H *lan+ 14 %.+ MR%el*&an Ke'is 10 &a'i -i'asa%an "e'*s mene'*s+ "i-amen..i.il -an %e$an.! Pasien sesa%! Pasien a"*% /an. -i'asa%an se$a% 10 &a'i "e'a%&i' ini+ a"*% e'-sesa%! Pasien $*.a men.a%* %el*a' e'a%e'a% m $*.a ma"a me'a& se'"a e'ai' se$a% &a'i SMRS

men.el*&%an m*n"a& 3 4 %ali SMRS+ isi ma%anan+ 5o.elas a*a+ lemas+ na7s* ma%an men*'*n! A %onsileme%+ am,as 8+ -a'a& + len-e' + "i-a% e'a* "i-a% e'*sa se$a% 1 SMRS -en.an in"ensi"asn/a 1 :A "i-a% a-a %el*&an!



Peme'i%saan Kisi%

•

ea-aan *m*m # ,asien "am,a% sa%i" se-an.• esa-a'an # %om,osmen"is

• S*&* # 4!9L<

• Na-i # 9B :meni"

• Na7as # B0:meni"

• on$*n."i5a &i,e'emis (8:8)+ '*am ma%*lo,a,*%*li" (8)+ ii' %e'in. (8)+ li-a& %o"o' (8) -en.an,in..i'an li-a& &i,e'emis+ 7a'in. &i,e'emis (8)a*s%*l"asi ,a'* 'on%i (8:8)+ "*'.o' ai%



DIAGN@SIS

•

Ke'is e! mo'ili -an 'on%o,ne*monia• S"a"*s im*nisasi im*nisasi "i-a% len.%a, am

• S"a"*s "*m*& %eman. ses*ai *m*'



PROGNOSIS

• Prognosis ad vitam : Bonam

• Prognosis ad functionam : Bonam

• Prognosis ad sanationam : Bonam

morpot campak dan bp

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