ppt case efusi pleura

7/26/2019 Ppt Case Efusi Pleura

1/27

Laporan Kasus

OlehMAYLINNA HAPSARI

PRATAMA, S.Ked

embimbing

dr. Silman Hadori, Sp.Rad,

MH.Kes

DEPARTEMEN RADIOLOGIFAKLTAS KEDOKTERAN NI!ERSITAS MALAHAYATIRS PERTAMINA "INTANG AMIN "ANDAR LAMPNG

#$%&

EFUSI PLEURASINISTRA


2/27

IDENTIFIKASI PASIEN

Nama : Ny. JNo RM : 067208

Umur : 30 tahun

Aamat : M!"ar #ar$ tan%un& raya' M!#u%$

A&ama : I#am

P!"!r%aan : P!tan$

Statu# : M!n$"ah

Su"u (ana : Ja)a

Tan&&a Ma#u" RS : *0 M!$ 20*6 %am:*7.3+ )$,


3/27

ANAMNESIS

ANAMNESIS : Aoanamn!#a

-!uhan Utama : S!#a" naa# yan!ma"$n m!m,!rat #!%a" 2 ,uanyan& au

-!uhan tam,ahan : (atu"' ,!n&"a"'!ma#


4/27

/# atan& "! I1 RSP(A !n&an"!uhan #!#a" naa# yan& #!ma"$nm!m,!rat #!%a" 2 ,uan yan& au./# m!n&a"u #!#a" %$"a #!an&,!ra"t$$ta#. an #!#a" m!m,a$"#aat $#t$rahat. /# m!n&a"u #!r$n&t!r,an&un 4aa maam har$ "ar!na

#!#a". /# %u&a m!n&a"u #u$t untu"t$ur $"ar!na"an #!#a". /#m!n&a"u #!#a" t$a" $4!n&aruh$o!h 5ua5a an !mo#$. /# %u&a

m!nyan&"a aanya m!n&$. /# %u&am!n&a"u ,atu" ,!raha" #!%a" *m$n&&u yan& au. (atu" ,!raha",!r)arna 4ut$h "!nta an t$a"$#!rta$ arah. /# m!n&a"u aam

* "a$ ,atu" #!,anya" * #!no"

R

I'A

YAT

P

ENYAKIT

RI'AYAT PER(ALANANPENYAKIT


5/27

!ma# #!h$n&&a %$"a o# $n&$n,!ra"t$ta# #!r$n& $,antu o!h"!uar&a. /# m!nyan&"a aanya

ny!r$ aa. /# %u&a m!nyan&"aaanya !mam' 4$!"' mua'muntah' 4u#$n&' ny!r$ 4$n&&an&an ny!r$ 4!rut. /# m!n&a"u na#uma"an m!nurun. /# %u&a m!n&a"u

,uan& a$r "!5$ an ,uan& a$r ,!#art$a" aa "!uhan. /# m!nyan&"aaanya 4!nya"$t arah t$n&&$'

%antun&' a#ma an $a,!t!#. /#

%u&a m!n&a"u $ "!uar&a o# t$a"aa yan& m!m$$"$ &!%aa atau4!nya"$t yan& #ama !n&an o#. /#

%u&a m!nyan&"a aanya a!r&$o,at. /# ,!um 4!rnah ,!ro,at#!,!umnya $"ar!na"an rumah o#

R

I'A

YAT

P

ENYAKIT

RI'AYAT PER(ALANANPENYAKIT


6/27

R$)ayat a!r&$ o,at:

/# m!n&ata"an #!ama $n$ o# m$num o,at t$a" m!n$m,u"an

a!r&$.

R$)ayat P!nya"$t ahuu :

S!,!umnya o# ,!um 4!rnah m!n&aam$ "!uhan yan& #ama.

$4!rt!n#$ : 9

$a,!t!# M!$tu# : 9

A#ma : 9Jantun& : 9

R$)ayat P!nya"$t -!uar&a :

M!nurut o# $"!uar&a t$a" aa yan& m!n&!uh"an "!uhan #ama.

R$)ayat So#$a E"onom$ :

/# t$n&&a $ "am4un& ,!r#ama #uam$nya' o# ,!"!r%a #!,a&a$

4!tan$. Statu# !"onom$ : "uran&


7/27

-!aaan Umum : Tam4a" #a"$t #!an&-!#aaran : ;om4o# m!nt$#

1;S : E


8/27

STATUS 1ENERALIS

-!4aa

(!ntu" : Normo5!4ha$Ram,ut : $tam' t$a" muah ronto"

Mata : S"!ra norma "a>"$' "on%un&t$a an!m$# "a>"$

T!$n&a : Normot$a "a>"$

$un& : Normona#$' #!"r!t t$a" aa' !a#$ t$a" aaMuut : ($,$r norma' #$ano#$# t$a" aa' 4!o t$a"

aa

L!h!r

P!m,!#aran -1( : t$a" aa 4!m,!#aran

P!m,!#aran T$ro$ : t$a" aa 4!m,!#aran

J=P : t$a" aa 4!n$n&"atan

Tra5h!a : t$a" aa !$a#$


9/27

Thora@

9 ;or

In#4!"#$: $5tu# 5or$# t$a" t!r$hat

Pa4a#$ : $5tu# 5or$# t$a" t!ra,aP!r"u#$

(ata# "anan ata# : I;S II $n!a 4ara#t!rna#$# !@tra

(ata# "$r$ ata# : I;S II $n!a 4ara#t!rna$# #$n$#tra

(ata# "anan ,a)ah : I;S I= $n!a 4ara#t!rna$# !@tra

(ata# "$r$ ,a)ah : I;S = $n!a m$5a$"uar$# #$n$#tra

Au#"uta#$ : (J I an II norma' r!&uar' murmur an &ao4 t$a"aa

Pumo

In#4!"#$: #tat$#' $nam$#' #$m!tr$# "anan an "$r$

Pa4a#$ : r!m$tu# #uara "anan norma' "$r$ m!!mah

P!r"u#$ : "anan #onor' "$r$ r!u4

Au#"uta#$ : #uara naa# !#$"u!r "anan norma' "$r$ !#$"u!rm!!mah' ron"$ 9 "anan an "$r$' )h!!B$n& 9 "anan an "$r$


10/27

A,om!n

In#4!"#$ : atar' a5$t!# t$a" aa' ma##a

an %!%a# t$a" $t!mu"anAu#"uta#$ : ,$#$n& u#u# 4o#$t$

Pa4a#$ : Ny!r$ t!"an t$a" aa' h!4aran$!n t$a" t!ra,a

P!r"u#$ : t$m4an$ #!uruh a4an& a,om!n

E"tr!m$ta#

Su4!r$or : a"ra han&at an !!ma t$a"aa

In!r$or : a"ra han&at an !!ma "ananan "$r$


11/27

IA1N/SIS -ERJA

Eu#$ P!ura S$n$#tra

IA1N/SIS (ANIN1

T( 4aru

PENATALA-SANAANFarma"oo&$ :

I RL C &tt>t4m

/2 3 $t!r > m!n$t

Am,ro@o #yr 3 @ * 5Furo#!m$ 2 @ * > $

L!oDo@a5$n * @ *

N!uro,$on * @ * > r$4


12/27

PEMERI-SAAN PENUNJAN1

US1

Tora"o#$nt!#$#

S4utum (TA

PR/1N/SAuo a =$tam: u,$a a ,onam

uo a Fun&t$onam : u,$a a ,onam

uo a Sanat$onam : u,$a a ,onam


13/27

PEMERIKSAAN PENN(ANGEMAT/L/1I

PEMERI-SAAN ASIL N/RMAL

!mo&o,$n ).*

L": *


14/27

URINE

PEMERI-SAAN ASIL N/RMAL

Garna -un$n& -un$n&

-!%!rn$han J!rn$h J!rn$h

(!rat J!n$# *.020*.00+9*.030

4 6 +98

L!u"o#$t>!#$# 9 N!&at$ *0 !u"o>u

N$tr$t 9 N!&at$

Prot!$n %$$ N!&at$ H 30 m&>

1u"o#a 9N!&at$ H 30 m&>

-!ton 9 N!&at$ H +0 m&>

Uro,$$no&!n 9 N!&at$ H * m&>

($$ru,$n 9 N!&at$ H 2 m&>

arah Samar *$ N!&at$ H *0 !ry>

S!$m!n L!u"o#$t +96 *0 > LP(

Er$tro#$t %$-%# + > LP(

E4$t! (!,!ra4a

(a"t!r$ S!$"$t

-r$#ta 9

S$$n!r 9


15/27

-IMIA ARA

PEMERI-SAA

N

ASIL N/RMAL

Ur!a 3* *09

;r!at$n$n *.2

L" : 0.?9*.+

m&>

Gn : 0.79*.3

m&>1ua arah

S!)a"tu*27

H 200 m&>


16/27

Thora PA


17/27

ECPERTISEPo#$#$ tra"!a $ t!n&ah

M!$a#t$num #u4!r$or t$a" m!!,arJantun& #u$t $n$a$' ,ata# "$r$ t!rtutu4 4!r#!u,un&an

S$nu# 5o#to4hr!n$5u# "anan norma' "$r$ t!rtutu44!r#!u,un&an

S$nu# 5ar$o4hr!n$5u# "anan norma' "$r$ t!rtutu4

4!r#!u,un&an$ara&ma "anan norma' "$r$ t!rtutu4 4!r#!u,un&an

Pumo:$u# "anan an "$r$ norma

;ora"an ,ron"oa#"u!r ,!rtam,ah

Tam4a" 4!r#!u,un&an o4a" homo&!n $ h!m$thora@ "$r$ ,a)ah-ran$a$#a#$ 9

S"!ta : aam ,ata# norma

KESAN /

E0us1 pleura 21r1


18/27

RESUME

/# atan& "! I1 RSP(A !n&an "!uhan #!#a" naa# yan& #!ma"$n m!m,!rat #!%a" 2 ,uan yan& au. /#m!n&a"u #!#a" %$"a #!an& ,!ra"t$$ta#. an #!#a" m!m,a$" #aat $#t$rahat. /# m!n&a"u #!r$n& t!r,an&un 4aamaam har$ "ar!na #!#a". /# %u&a m!n&a"u #u$t untu" t$ur $"ar!na"an #!#a". /# %u&a m!n&a"u ,atu",!raha" #!%a" * m$n&&u yan& au. (atu" ,!raha" ,!r)arna 4ut$h "!nta an t$a" $#!rta$ arah. /# m!n&a"uaam * "a$ ,atu" #!,anya" * #!no" ma"an. /# m!n&a"u "!ua "a"$nya ,!n&"a". an o# %u&a m!n&a"u ,aant!ra#a !ma# #!h$n&&a %$"a o# $n&$n ,!ra"t$ta# #!r$n& $,antu o!h "!uar&a. /# m!n&a"u na#u ma"an

m!nurun. /# %u&a m!n&a"u ,uan& a$r "!5$ an ,uan& a$r ,!#ar t$a" aa "!uhan. . /# %u&a m!n&a"u $"!uar&a o# t$a" aa yan& m!m$$"$ &!%aa atau 4!nya"$t yan& #ama !n&an o#. /# ,!um 4!rnah ,!ro,at#!,!umnya $"ar!na"an rumah o# ,!raa $ "am4un& yan& $#ana t$a" aa o"t!r #!rta %auh ar$ "ota.

ar$ 4!m!r$"#aan #$" $a4at"an "!aaan umum 4a#$!n tam4a" #a"$t #!an&' "!#aaran 5om4o# m!nt$#!n&an 1;S *+.

Tana =$ta:

T!"anan arah: *?0 mm&' P!rnaa#an: 26 @>m!n$t' Na$: 6? @>m!n$t' Suhu: 36'30;.

Statu# "!4aa' !h!r' 5or' a,om!n !"#tr!m$ta# #u4!r$or aam ,ata# norma

Mata : -on%un&t$a an!m$# "a>"$

PumoIn#4!"#$: #tat$#' $nam$#' #$m!tr$# "anan an "$r$



Au#"uta#$ : #uara naa# !#$"u!r "anan an "$r$' ron"$ 9 "anan an "$r$' )h!!B$n& 9 "anan an "$r$

E"#tr!m$ta# $n!r$or : !!m > "anan an "$r$

a#$ a,orator$um :

,: 8'+

L!u"o#$t : *3200Mono#$t : *m!n$t' Na$: 6? @>m!n$t'Suhu: 36'30;.

Statu# "!4aa' !h!r' 5or'a,om!n !"#tr!m$ta##u4!r$or aam ,ata#normaMata : -on%un&t$a

an!m$# "a>"$PumoIn#4!"#$ : #tat$#' $nam$#'

#$m!tr$# "anan an "$r$Pa4a#$ : r!m$tu# #uara"anan norma' "$r$m!!mahP!r"u#$ : "anan #onor'"$r$ r!u4Au#"uta#$: #uara naa#!#$"u!r "anan an "$r$'

ron"$ 9 "anan an "$r$')h!!B$n& 9 "anan an

-!aaan umum : Pa#$!ntam4a" #!#a" naa#

T$n&"at "!#aaran :;om4o#m!nt$#

TT=RR : Ta"h$4n!aN : Ta"h$"ar$aS : J$"a aa $n!"#$ ,$#ah$4!rt!rm$a

T : ($#a h$4ot!n#$a

-!4aa : M!#o5h!4aMata : ;on%un&t$a an!m$#$un& : S!#a" naa#'5u4$n& h$un&aa : 1!ra"an4!rnaa#an ,!r"uran&Pumo 4aru94aru In#4!"#$ : T!r$hat !"#4an#$

aa #$m!tr$#' tam4a"#!#a" naa# tam4a"4!n&&unaan otot ,antunaa#Pa4a#$ : =o"a Fr!m$tu#m!nurunP!r"u#$ : P!"a"#"on$un!#' r!u4

Au#"uta#$ : (uny$ naa#m!n&h$an& atau t$a"


21/27

Pas1en Teor1

P!m!r$"#aan P!nun%an& Po#$#$ tra"!a $ t!n&ahM!$a#t$num #u4!r$ort$a" m!!,ar

Jantun& #u$t $n$a$' ,ata#"$r$ t!rtutu44!r#!u,un&anS$nu# 5o#to4hr!n$5u#"anan norma' "$r$ t!rtutu44!r#!u,un&anS$nu# 5ar$o4hr!n$5u#"anan norma' "$r$ t!rtutu44!r#!u,un&an$ara&ma "anan norma'"$r$ t!rtutu44!r#!u,un&anPumo:

$u# "anan an "$r$norma

;ora"an,ron"oa#"u!r,!rtam,ah

Tam4a"4!r#!u,un&an o4a"homo&!n $h!m$thora@ "$r$,a)ah

-ran$a$#a#$ 9S"!ta : aam ,ata#

1am,aran !u#$ 4!ura4aa ra$o&ra tora"#4o#$#$ t!&a" aaah:

* 4!num4uan #$nu#"o#tor!n$"u# ,$a 5a$ran+00 m 4aa Foto PA'an 200 m 4aa otoat!ra2 M!n$#5u# #$&n3 #!rta 4!r#!u,un&anua# yan& mun&"$n$#!rta$ 4!noron&an

%antun& an m!$a#t$num.

a yan& a&a" ,!r,!a$%um4a$ 4aa 4o#$#$#u4$n! !n&an$t!mu"annya tana9

tana ra$oo&$" ,!ru4a:* 4!n$n&"atan !n#$ta#h!m$tora"# yan& t!r"!na2 M!n$#5u# #$&n3 h$an&nya ,ayan&anatau ,ata# h!m$$ara&ma


22/27

A4$5a 5a44$n&


23/27


24/27

KESIMPLAN/# atan& "! I1 RSP(A !n&an "!uhan #!#a" naa# yan&

#!ma"$n m!m,!rat #!%a" 2 ,uan yan& au. /# m!n&a"u

#!#a" %$"a #!an& ,!ra"t$$ta#. an #!#a" m!m,a$" #aat$#t$rahat. /# m!n&a"u #!r$n& t!r,an&un 4aa maam har$"ar!na #!#a". /# %u&a m!n&a"u #u$t untu" t$ur $"ar!na"an#!#a". /# %u&a m!n&a"u ,atu" ,!raha" #!%a" * m$n&&uyan& au. (atu" ,!raha" ,!r)arna 4ut$h "!nta an t$a"$#!rta$ arah. /# m!n&a"u aam * "a$ ,atu" #!,anya" *#!no" ma"an. /# m!n&a"u "!ua "a"$nya ,!n&"a". an o#%u&a m!n&a"u ,aan t!ra#a !ma# #!h$n&&a %$"a o# $n&$n,!ra"t$ta# #!r$n& $,antu o!h "!uar&a. /# m!n&a"u na#uma"an m!nurun. /# %u&a m!n&a"u ,uan& a$r "!5$ an,uan& a$r ,!#ar t$a" aa "!uhan. . /# %u&a m!n&a"u $

"!uar&a o# t$a" aa yan& m!m$$"$ &!%aa atau 4!nya"$tyan& #ama !n&an o#. /# ,!um 4!rnah ,!ro,at#!,!umnya $"ar!na"an rumah o# ,!raa $ "am4un& yan&$#ana t$a" aa o"t!r #!rta %auh ar$ "ota.


25/27

ar$ 4!m!r$"#aan #$" $a4at"an "!aaan umum 4a#$!n tam4a" #a"$t #!an&'"!#aaran 5om4o# m!nt$# !n&an 1;S *+.

Tana =$ta:

T!"anan arah: *?0 mm&' P!rnaa#an: 26 @>m!n$t' Na$: 6? @>m!n$t' Suhu:36'30;.

Statu# "!4aa' !h!r' 5or' a,om!n !"#tr!m$ta# #u4!r$or aam ,ata# norma

Mata : -on%un&t$a an!m$# "a>"$

Pumo

In#4!"#$: #tat$#' $nam$#' #$m!tr$# "anan an "$r$



Au#"uta#$ : #uara naa# !#$"u!r "anan an "$r$' ron"$ 9 "anan an "$r$' )h!!B$n&9 "anan an "$r$

E"#tr!m$ta# $n!r$or : !!m > "anan an "$r$

a#$ a,orator$um :

,: 8'+

L!u"o#$t : *3200

Mono#$t : *

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