ome prima dr tris kasus kecil
TRANSCRIPT
-
8/15/2019 OME Prima Dr Tris Kasus Kecil
1/8
Laporan Kasus Kecil
Otitis Media dengan Efusi Auris Dextra
Pembimbing :
dr. Tris Sud artono! Sp. T"T#KL
Disusun Ole$ :
Prima Magdalena Desi ant$i Manurung
%&&.'(&).**+,
KEPANITERAAN KLINIK ILMU PENYAKIT TELINGA HIDUNG TENGGOROK
FAKULTAS KEDOKTERAN UNIVERSITAS KRISTEN KRIDA WACANA
PERIODE 3 AGUSTUS – 5 SEPTEMBER 2015
RUMAH SAKIT MARDI RAHAYU KUDUS
LAPO-A KAS/S
0
-
8/15/2019 OME Prima Dr Tris Kasus Kecil
2/8
KEPA 0TE-AA KL0 0K
0LM/ PE 1AK0T TEL0 2A "0D/ 2 TE 22O-OK KEPALA LE"E-
-/MA" SAK0T MA-D0 -A"A1/ K/D/S
Nama P!"ma Ma#$a%&'a D&(")a'*+" Ma',!,'# Ta'$a *a'#a'
NIM 11-201.-33/
P&m "m "'# $! T!"( S,$)a!* ' S4 THT-KL
0. 0DE T0TAS PAS0E Nama T' BT&m4a* 6 *a'##a% %a+"! 7&4a!a 2/ 7,'" 18/0Um,! 55 *a+,'7&'"( 9&%am"' La9"-%a9"P&'$"$"9a' S2 K,!,a'S*a*,( m&'"9a+ S,$a+ M&'"9a+P&9&!:aa' G,!, SMAS,9, a'#(a 7a;aA#ama I(%amA%ama* 7a*"9,% ' RT 03 RW 05 K,$,(
N RM 1.1
-
8/15/2019 OME Prima Dr Tris Kasus Kecil
3/8
-
8/15/2019 OME Prima Dr Tris Kasus Kecil
4/8
-
8/15/2019 OME Prima Dr Tris Kasus Kecil
5/8
-
8/15/2019 OME Prima Dr Tris Kasus Kecil
6/8
Dextra Sinistra/6uran T1 T1Kripta T"$a9 m&%& a! T"$a9 m&%& a!
Permu6aan Ra*a Ra*a9arna M&!a+ m,$a M&!a+ m,$a
Detritus @- @-4ixati;e @ @
Peritonsil A (&( @- A (&( @-
A!9,( a!"'# m&!a+ m,$a ("m&*!"(D"'$"'# 4 (*&!" ! ! a!"'# m&!a+ m,$a #!a',%a(" @-
o Pemeri6saan rutin 6$usus tenggoro6T"$a9 $"%a9,9a' 4&m&!"9(aa' 9a!&'a *"$a9 a$a "'$"9a("
0 . PEME-0KSAA PE / 7A 21 T"m4a' m&*!" a,$" m&*!"2 T&( a%&!#" 9,%"* S=!a*=+ *&(* P!"=9 *&(*
U'*,9 m&'a99a' !+"'"*"( a%&!#" 9a%a, 4&!%, $"%a9,9a' 1 P&m&!"9(aa' %a 9"m"a $a!a+ ,'*,9 m&'=a!" & ("' "% ("(*&m"9 2 P&m&!"9(aa' I#E (4&(" "9
. -ES/ME- Pemeri6saan sub
-
8/15/2019 OME Prima Dr Tris Kasus Kecil
7/8
- R";a)a* ISPA $"(a'#9a%- R";a)a* a(ma $"(a'#9a%
o R";a)a* ( ("a% &9 ' m" K&(a' &9 ' m" =,9,4
- Pemeri6saan ob e6tif 1 K&4a%a-L&+&! $a%am a*a( ' !ma%2 T&%"'#a
P&m&!"9(aa' !,*"' ,m,m *&%"'#a ADS - A,!"=,%a 4!&a,!"=,%a !&*! a,!"=,%a ma(* "$ CAE $a%am a*a( ' !ma%- M&m !a' *"m4a'" AD "'*a9 = '& %"#+* @- ,%#"'# $ 9&9,'"'#a'T&%"'#a AS $a%am a*a( ' !ma%P&m&!"9(aa' !,*"' 9+,(,( *&%"'#a AD
• T&( T )' && AD @-• T&( Va%(a a AD @-
K&(a' F,'#(" *, a &,(*a=+",( a,!"( $&?*!a *&!#a'##,• T&( 4&'a%a
- R"''& AD BC J AC- W& &! La*&!a%"(a(" 9& 9a'a'- S=+;a a=+ AD m&ma':a'#K&(a' C '$,=*" & +&a!"'# % (( 4a$a a,!"( $&?*!a
3 H"$,'#• P&m&!"9(aa' !,*"' ,m,m +"$,'# - (&9!&* (&! m,9 ,(- m,9 (a 9 '9a "' &!" ! $&?*!a &* ("'"(*!a %" "$ &$&ma• P&m&!"9(aa' !,*"' 9+,(,( +"$,'# - T&( a4%"9a(" & &$!"' 1
Ha("% @K&("m4,%a' &$&ma 9 '9a "' &!" ! $&?*!a &* ("'"(*!a
- T&( 4&'#&m ,'a' Ha("% .6/ – .6/K&("m4,%a' O (*!,9(" 4a!("a% $&?*!a &* ("'"(*!a
- T&( 4a%a*a% 4+&' m&'a Ha("% @ F&' m&'a #&%a4 *&!a'# =a ,m 'a(" $&?*!a &* ("'"(*!aK&("m4,%a' ma((a 'a( a!"'# @-
. T&'## ! 9 - P&m&!"9(aa' !,*"' ,m,m *&'## ! 9 $a%am a*a( ' !ma%
0. D0A2 OS0S 3A D0 21 O*"*"( M&$"a $&'#a' E ,(" AD2 O*"*"( M&$"a A9,* (*a$",m 9%,(" *, a AD3 Ba! *!a,ma AD
00. D0A2 OS0S SEME TA-AO*"*"( M&$"a $&'#a' & ,(" AD
000. D0A2 OS0S PAST0B&%,m a$a
6
-
8/15/2019 OME Prima Dr Tris Kasus Kecil
8/8
0=. P-O2 OS0SD, "a a$ 'am
=. PE ATALAKSA AA
1 O4&!a*" Pa!a("'*&("( AD2 M&$"9a m&'* (a
" A'*" " *"9 4! "%a9("("" A'*""' %ama("
""" D&9 '#&(*a'" A'*"+"(*am"'
3 N ' m&$"9a m&'* (a - A "$a'=& +"'$a!" 9 '*a9 a%&!#"- T&!a4" 4!&$"(4 ("(" $&'#a' $&(&'("*"(a(" a%&!#"
=0. KOMPL0KAS01 R&( ! (" *!a'(,$a* =a ,m *"m4a'" m&':a$"
- G%,& &a! - O*"*"( m&$"a a$+&(" a
2 I' &9(" (&9,'$&! - O*"*"( M&$"a A9,*- O*"*"( M&$"a S,4,!a*" K! '"9 AD
D 9*&! 4&m "m "'#
D! T!"( S,$)a!* ' S4 THT-KL
7