mr 7 nov
TRANSCRIPT
7/25/2019 MR 7 nov
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MORNING REPORT7 November 2015
Laboratorium ObsGynProgram Stu i Pen i i!an "o!ter
#NISM$RS#" %an&uru'an %e(an&en
7/25/2019 MR 7 nov
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Pasien 1•
2 November 2015Ny )!* +1 ta'un* atang engan!e,u'an !en-eng2 se&a! ta i sore &am
17.00 /I . Langsung !e (us!esmas &am 1 .+0 i!ata!an (embu!aan 5-m ru&u! RS#" %an&uru'an.
7/25/2019 MR 7 nov
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• Pemeri!saan isi!3
KU : Cukup, CMTD : 120/80 mmHg N : 82x/menitRR : 20x/menit S : 36,5 4 C
: 55 kg T : 1!2"#$p#%i: T&U 3 '#(i )#*#+ "x 33 -m.,"UK , $etkep, kep#$# m#%uk " "
u%ku$t#%i : x/mntu$ #/ #gin# : p + -m* e6 75 * !et
89:* $ %e( ;
7/25/2019 MR 7 nov
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• D4 N S4S :
2P1001 $b 000 , UK 37 !0 minggu 9eng#n %t(um#n 9u%# t xi- eut+ ( i9.
• ";N T < KS N N:- 4n=u% R<- DC- "e(%i#p#n p#(tu% n (m#$
7/25/2019 MR 7 nov
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Pasien 2• 2 November 2015
Ny N!* +< ta'un* atang engan!e,u'an !en-eng2 se&a! &am 0 .+0/I . =am 20.00 /I !e bi an
itemu!an (o 2 -m an te!ananara' tinggi. Ru&u! RS#"
%an&uru'an.
7/25/2019 MR 7 nov
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• Pemeri!saan isi!3
KU : Cukup, CMTD : 220/130 mmHg N : 8!x/menitRR : 20 x/menit S : 36,3 4 C
"#$p#%i: T&U ! '#(i )#*#+ "x 2> -m.,"UK , $etkep, kep#$# m#%uk " "
u%ku$t#%i : 1!5x/mnt
u$ #/ #gin# : S$ mp, p 1>2-m*!et 8>:* e6 25 *
7/25/2019 MR 7 nov
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• D4 N S4S :
IIIP2002 $b 000 , UK 35 36 minggu 9eng#n "; p#(%i#$H;<<" S n9( me
• ";N T < KS N N:- 4n=u% R<- DC- "( t#p SM
7/25/2019 MR 7 nov
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Pasien +• 22 "esember 2011
Ny T* 27 ta'un* atang engan!e,u'an !e,uar -airan !etubanmerebes se&a! 8 20?12?11: an
isertai !en-eng2 'i,ang timbu,. Ta i(agi &am 0 .00 /I !e bi an
itemu!an (o 1-m* !et 8>: Ru&u!RS#" %an&uru'an.
7/25/2019 MR 7 nov
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• Pemeri!saan isi!3
KU : Cukup, CMTD : 160/100 mmHg N : 80x/menitRR : 18x/menit S : 36,3 4 C
: 53 kgT : 13> -m"#$p#%i: T&U 3 '#(i )#*#+ "x 32 -m., "UK4,$etkep, kep#$# )e$um m#%uk " "
u%ku$t#%i : 155x/mntu$ #/ #gin# :S$ mp, p 1-m* !et 8>:*
e6 25 * $ %e( ;
7/25/2019 MR 7 nov
http://slidepdf.com/reader/full/mr-7-nov 10/29
• D4 N S4S :
IP
0000$b
000 , UK !0 !1 minggu 9eng#n "RM 9#n
%u%p C"D
• ";N T < KS N N:- 4n=u% R<- DC- "( SC
7/25/2019 MR 7 nov
http://slidepdf.com/reader/full/mr-7-nov 11/29
Pasien <• + November 2015
Ny I@* 25 ta'un* atang enganru&u!an AP". Pasien 'ami, -u!u(bu,an engan ,u!a be!as SA 5 ta'unyang ,a,u. Pasien atang !e rsu!an&uru'an (u!u, &am 10.00 /I .
7/25/2019 MR 7 nov
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• Pemeri!saan isi!3
KU : -ukup, CMTD : 130/>0 mmHg N : 70x/menitRR : 20x/menit S : 36,5 4 C
"#$p#%i: T&U 2 '#(i )#*#+ "x 3! -m.,"UK , $et%u, )e$um m#%uk " "
u%ku$t#%i : 1!2 x/ menit
u$ #/ #gin# : t##, p menutup?
7/25/2019 MR 7 nov
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• D4 N S4S :
2P
1001$b
000 , UK 38 37 minggu )ek#% SC
• ";N T < KS N N:- 4n=u% R<- DC- "( SC
7/25/2019 MR 7 nov
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Pasien 5
• + November 2015Ny $n* 1B ta'un* atang engan
!e,u'an
7/25/2019 MR 7 nov
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• Pemeri!saan isi!3
KU : Cukup, CMTD : 110/80 mmHg N : 83x/menitRR : 22x/menit S : 3> 4 C
"#$p#%i: T&U 1 '#(i )#*#+ "x 27 -m.,"UK4, $etkep, )e$um m#%uk " "
u%ku$t#%i : 156x/mnt
u$ #/ #gin# : )$ 9%$ m ., pmenutu(** !et 8>:*
7/25/2019 MR 7 nov
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• D4 N S4S :IP0000 $b 000
, UK !2 !3 minggu 9eng#n %e( tinu%
9#n ";• ";N T < KS N N:
- 4n=u% R<- DC- "( SC- Te(#pi SM- M nit ( tt
7/25/2019 MR 7 nov
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Pasien C• < November 2015
Ny "$* 2< ta'un* atang !e RS#"!ontro, !an ungan !arena 2 bu,anyang ,a,u menga,ami (er ara'anse,ama + 'ari* ,a,u (eri!sa usg tg, 2Co!t 2015 i a(at!an ,eta! sungsang
an (,asenta menutu(i &a,an ,a'ir i Ru&u! RS#" %an&uru'an.
7/25/2019 MR 7 nov
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• Pemeri!saan isi!3
KU : Cukup, CMTD : 120/>0 mmHg N : 80x/menitRR : 20x/menit S : 36 4 C
: 52 Kg"#$p#%i: T&U 3 '#(i )#*#+ "x 26 -m.,"UK , $etkep, kep#$# m#%uk " "
u%ku$t#%i : 1!6x/mntu$ #/ #gin# : )$ 9 , p tertutu(* !et
8>:*
7/25/2019 MR 7 nov
http://slidepdf.com/reader/full/mr-7-nov 19/29
• D4 N S4S :
IP
0000$b
000 , UK 3> 38 T/4/H 9eng#n $et%u @
"$#%ent# "(e i# T t#$i% @ Cep+#$ "e$ i-Di%p( p (ti n
• ";N T < KS N N:- 4n=u% R<- DC-
"( SC
7/25/2019 MR 7 nov
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Pasien 7• < November 2015
Ny ES* +1 ta'un* atang !e IG" RS#"!an&uru'an engan (er ara'an.
Sebe,umnya su a' me,a'ir!an sebu,anyang ,a,u i u!un an ter&a i (er ara'an
!e bi an iberi (ernyataan &a,an ,a'irmenutu( an te,a' ,a'ir semua* (er ara'an
se(erti mens se,ama sebu,an. Per ara'an A pu%ke%m#% (u'uk RSUD K#n'u(u+#n !e,uar
(,asenta i IG" RS#" %an&uru'an.
7/25/2019 MR 7 nov
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• Pemeri!saan isi!3
KU : % k, CMTD : 53/!8 mmHg N : 115x/menitRR : 28x/menit S : 35,5 4 C
"#$p#%i: T&U 3 '#(i 9i#t#% S mpu) 5 -m.,u$ #/ #gin# : )$ 9 @., p menutu(*
,u!a robe! (erineum 89:
7/25/2019 MR 7 nov
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• D4 N S4S :P+00+ $b 000 , Hem ((+#gi- " %t "#(tum 9#n % k +ip $emik
• ";N T < KS N N:- 4 2 <ine
-
4n=u% R< g( ' k - T(#n=u%i 9#(#+
- #+it )ek#% epi%i t m- Dex#met+#% ne 1 #mp- " %p#(gin 1 #mp- k%it %in 9(ip 3 #mp- &u( 1 #mp
7/25/2019 MR 7 nov
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Pasien • 5 November 2015
Ny SL* +2 ta'un* atang engan!ontro, !e'ami,an ,ebi' bu,an. 5novemver 2015 &am 0C.00 (eri!sa!ebi an ru&u! (us!esmas ru&u!RS#" %an&uru'an
7/25/2019 MR 7 nov
http://slidepdf.com/reader/full/mr-7-nov 24/29
• Pemeri!saan isi!3
KU : -ukup, CMTD : 120/70 mmHg N : 8!x/menitRR : 20x/menit S : 36,8 4 A
"#$p#%i: T&U 2 '#(i 9i)#*#+ "x 3! -m.,"UK , $etkep, kep#$# )e$um m#%uk " "
u%ku$t#%i : 160x/mnt
u$ #/ #gin# : )$ 9%$ mp @., pmenutu(* !et 8>:.
7/25/2019 MR 7 nov
http://slidepdf.com/reader/full/mr-7-nov 25/29
• D4 N S4S :
IIP
1001$b
000 , UK !2 !3 9eng#n %e( tinu%?
• ";N T < KS N N:- 4n=u% R<- *#%i TT- )% p#(tu% %p nt#n
7/25/2019 MR 7 nov
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7/25/2019 MR 7 nov
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PEMERI%S$$N ISI% 1. %# 3 AM* -u!u(2. T" 3 1<0?B0 mm g N 3 F?menit RR 3 20
F?menit S3+7*+ 4 A.+. %e(a,a 3 anemis >?>* s!,era i!teri! >?><. T'oraF 3 ron!'i >?>. /'ee ing >?>5. $b omen 3
"#$p#%i: T&U ! '#(i )#*#+ "x 26 -m., "UK , $etkep, kep#$#
)e$um m#%uk " "u%ku$t#%i : 156x/mntu$ #/ #gin# :S$ mp, p menutu(* !et 89:* $
%e( ;
7/25/2019 MR 7 nov
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"I$GNOSIS 3 GIIP1001$b000 u! +<>+5minggu engan Premature ru(ture o@membrane 8PRM: 9 (remature
Penata,a!sanaan 3-
In@us RL- Ae@triaFone- "eFamet'asone-
Observasi vita, sign
7/25/2019 MR 7 nov
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TERIM$ %$SI