mr fanny.ppt
TRANSCRIPT
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22 Mei 2015
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Nama : Tn. Jhon Masneno JK : Laki-laki Umur : 60 tahun Agama : Kristen Protestan Alamat : Maulafa-Kupang Tgl MRS : 22 Mei 2015 pukul 19.00
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Keluhan Utama :luka gigitan anjing
Riwayat penyakit sekarang :Pasien datang dengan keluhan luka akibat digigit anjing sekitar 30 menit sebelum MRS. Pasien digigit oleh anjing peliharaan orang di pasar. Saat itu pasien sedang mengendarai sepeda motor di pasar, kemudian ada seekor anjing yang berlari mendekati pasien dan tiba-tiba menggigit pasien. Pasien segera menarik kakinya anjing kemudian berlari meninggalkan pasien. Riwayat jatuh dari morot (-), pingsan (-), mual/muntah (-).
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Tanda-tanda Vital :- TD :160/110- N : 84x/ menit- RR : 19 x / menit
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Survey Primer A : Clear, patent B : Spontan, RR 1 x/m C : TD: 160/110, Nadi 84 x/m, CRT <3” D : GCS E4V5M6 E :
- vulnus morsum caninum regio lateral pedin sinistra
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Survey Sekunder
Kepala : Normal Mata : Palpebra : Hematom -/-
Konjungtiva : Anemis (-/-)
Sklera : Ikterik (-/-)
Pupil : Isokor, Refleks cahaya +/+
◦ Telinga : Otorrhea (-/-)◦ Hidung : Deformitas (-), udem (-), epistaksis (-)◦ Mulut : Dalam batas normal◦ Leher : Pembesaran KGB (-)
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Jantung : S1/2 Tunggal, Murmur (-), Gallop (-) Pulmo
◦ Inspeksi : Pengembangan dada simetris, jejas (-)◦Palpasi : Massa (-), krepitasi (-)◦Perkusi : Sonor (+/+)◦Auskultasi : Vesiculer (+/+) , Ronchi (-/-),Wheezing (-/-)
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Abdomen◦ Inspeksi : Datar, ikut gerakan pernapasan, jejas (-)◦ Auskultasi : Bising usus (+) normal◦ Palpasi : Supel, nyeri tekan (-)◦ Perkusi : Timpani (+)
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Ekstremitas : ◦ Look : Tampak vulnus morsum caninum regio lateral pedis sinistra◦ Feel : Hangat, CRT < 3’.◦ Movement : dalam batas normal
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Vulnus morsum caninum regio lateral pedis sinistra
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Wound toilet + Cross insisi Inj. ATS 1 ampul IM (skin test)