scenario c blok 23 tahun 2016 b7

7/21/2019 Scenario c Blok 23 Tahun 2016 b7

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SCENARIO C BLOK 23 TAHUN 2016

I. Scenario

Tn. Rs beruur 2! "a#un$ seoran% buru# &en'a(a& )are" 'an% su(a# ber#en"i

be)er*a se*a) 3 bu+an 'an% +a+u )arena &en'a)i" 'an% (i(eri"an'a$ (a"an% )e &o+i)+ini)

(en%an )e+u#an sebab se+uru# "ubu# se*a) 3 in%%u 'an% +a+u (an urin ber,arna )eru#.

-a(a u+an'a sebab "er*a(i &a(a (aera# u)a "eru"aa "er+i#a" ban%un "i(ur +a+u

(ii)u"i sebab &a(a "un%)ai (an )eu(ian &eru" (irasa)an ebesar.

Se*a) 6 bu+an 'an% +a+u Tn.Rs serin% en%e+u#)an (ea 'an% "i(a) "er+a+u

"in%%i 'an% #i+an% "ibu+$ n'eri sen(i "eru"aa &a(a *ari "an%an )a)i$ ba(an +ea# (an

u(a# +e+a#. Tn.RS serin% beroba" )e &us)esas bi+a (ea a"au n'eri sen(i "ibu+.

Tn.Rs *u%a en%e+u#)an rabu" serin% ron"o)$ saria,an 'an% serin% "ibu+ (i+an%i"

+an%i" u+u" 'an% "i(a) n'eri$ "ibu+ berca) )eera#an &a(a )e(ua &i&i 'an% en*a(i

+ebi# era# bi+a "er)ena a"a#ari.Tn.RS ei+i)i sau(ara )ebar 'an% su(a# enin%%a+ 3 "a#un +a+u$ )e+u#an

'an% (ia+ai sau(aran'a "ersebu" beru&a berca) era# &a(a u)a$ rabu" ron"o)$ n'eri

sen(i (an )e*an%)e*an%.

-eeri)saan /isi)Kea(aan uu sa)i" se(an%$ "e)anan (ara# 1200 H%$ sensoriu )o&os en"is$

/re)uensi na/as 20eni"$ /re)uensi na(i 42eni"$ su#u 35.3Kea(aan s&esi/i) Ke+a&a a+o&esia 78$ )on*un%"i9a &a+&ebra+ &uca" 78$ s)+era i"eri) 8$ u)a a+ar ras#

78$ u+u" u+serrasi 78

-eeri)saan +abora"oriu

Hb $3 %r:$ RBC +e)osi" !0003$ "robosi" 4.000$ #i"un% *enis 002!13611.

Hea"o)ri" 22 9o+:$ re"i)u+osi" 1:$ LE; 10! *a

Urin ur"in e&i"e+ 78$ +eu)osi" 3!L-B. Eri"rosi" 2<L-B$ si+in(er 778$ )ris"a+ 8$

&ro"ein 7778$ %+u)osa 8$ ni"ri" 8$ bi+irubin 78$ urobi+ino%en 78

Kiia (ara# =;S 102%(L$ ureu 2%(L$ )rea"inin 0$4%(L$ &ro"ein "o"a+

<$!%r(L$ a+buin 1$!%r(L$ %+obu+in <$%(L$ )o+es"ero+ "o"a+ 225%(L$ "ri%+iseri(a



201%(L$ H;L )o+es"ero+ 23%(L$ L;L )o+es"ero+ 1! %(L$ Na 1<5o+L$ )a+iu

3$!o+L$ Ca 4$6 o+L

Lab 2

>C? 2 /+$ >CH 2 &%$ >CHC 3%(L$ C3 !0 %(L$ C< ! %(L$ an"i (s;NA !32$!

IU+

nora+ 0200 IU+8$ ANA @11000. Tes cobs (ire) 78$ in(ire) 78. Urin esbac#

3$%r(L$ se+ LE 78$ "#ora)s /o"o nora+ "#ora)s.

II. K+ari/i)asi Is"i+a#

1. Sebab se+uru# "ubu# e(ea anasar)a$ &enin%)a"an 9o+ue cairan in"ersisia+

'an% "a&a) secara )+ini) 'an% "a&a) &a(a se+uru# "ubu#.

2. A+o&esia )eron"o)an rabu" 'an% (a&a" (isebab)an o+e# /a)"or )e"urunan$ sua"u

&en'a)i" a"au %a'a #i(u& "er"en"u.

3. Saria,an s"oa"i"is$ a(a+a# ra(an% &a(a ron%%a u+u" bibir (an +i(a#8 'an%

(isebab)an o+e# *aur can(i(a a+bicans a"au oni+iasis (an #'%iene.<. >a+ar ras# bu""er/+' ras#$ eru&si )u+i" 'an% e+i&u"i #i(un% (an (aera#

se)i"arn'a &a(a &i&i 'an% eben"u) &o+a )u&u)u&u se&er"i &a(a +u&us

eri"aa"osus (an (era"i"is seboroi).

!. U+serasi &roses a(an'a +u)a "erbu)a 'an% un%)in su+i" un"u) sebu#.

6. Asi"es e/usi (an a)uu+asi cairan se+osa (iron%%an ab(oen.

5. Ni"ri" #asi+ re(u)si (ari ni"ra" 'an% (i+a)u)an o+e# ba)"eri eur&a) &enan(a

a(an'a in/e)si sa+uran )ei#.

. Krea"inin a(a+a#&ro(u) +iba# (ari &ro"ein (a%in% (a+a a)anan (an o"o"o"o"

"ubu# enin%)a" bi+a a(a %an%%uan %in*a+.

4. Ureu #asi+ a)#ir e"abo+ise &ro"ein berasa+ (ari asa aonio 'an% "e+a#

(i&in(a# aonia)n'a (i(a+a #a"i (an enca&ai %in*a+ (an (ie)sresi)an

30%r#ari.

III. I(en"i/i)asi >asa+a#

1. Tn. Rs berumur 25 tahun, seorang buruh penyadap karet yang sudah

berhenti bekerja sejak 3 bulan yang lalu karena penyakit yang dideritanya,

datang ke poliklinik dengan keluhan sembab seluruh tubuh sejak 3 minggu

yang lalu dan urin berwarna keruh.

2. -a(a u+an'a sebab "er*a(i &a(a (aera# u)a "eru"aa "er+i#a" ban%un "i(ur

+a+u (ii)u"i sebab &a(a "un%)ai (an )eu(ian &eru" (irasa)an ebesar.

3. Se*a) 6 bu+an 'an% +a+u Tn.Rs serin% en%e+u#)an (ea 'an% "i(a) "er+a+u

"in%%i 'an% #i+an% "ibu+$ n'eri sen(i "eru"aa &a(a *ari "an%an )a)i$ ba(an +ea#



(an u(a# +e+a#. Tn.RS serin% beroba" )e &us)esas bi+a (ea a"au n'eri sen(i

"ibu+. Tn.Rs *u%a en%e+u#)an rabu" serin% ron"o)$ saria,an 'an% serin%

"ibu+ (i+an%i"+an%i" u+u" 'an% "i(a) n'eri$ "ibu+ berca) )eera#an &a(a

)e(ua &i&i 'an% en*a(i +ebi# era# bi+a "er)ena a"a#ari.

<. Tn.RS ei+i)i sau(ara )ebar 'an% su(a# enin%%a+ 3 "a#un +a+u$ )e+u#an

'an% (ia+ai sau(aran'a "ersebu" beru&a berca) era# &a(a u)a$ rabu"

ron"o)$ n'eri sen(i (an )e*an%)e*an%.!. -eeri)saan /isi)

Kea(aan uu sa)i" se(an%$ "e)anan (ara# 1200 H%$ sensoriu )o&os

en"is$ /re)uensi na/as 20eni"$ /re)uensi na(i 42eni"$ su#u 35.3Kea(aan s&esi/i)

Ke+a&a a+o&esia 78$ )on*un%"i9a &a+&ebra+ &uca" 78$ s)+era i"eri) 8$ u)a

a+ar ras# 78$ u+u" u+serrasi 78. an"un%&aru (a+a ba"as nora+. ab(oen

asi"es$ e(ea "un%)ai.

6. -eeri)saan +abora"oriuHb $3 %r:$ RBC +e)osi" !0003$ "robosi" 4.000$ #i"un% *enis

002!13611. Hea"o)ri" 22 9o+:$ re"i)u+osi" 1:$ LE; 10! *a

5. Urin ur"in e&i"e+ 78$ +eu)osi" 3!L-B. Eri"rosi" 2<L-B$ si+in(er 778$ )ris"a+

8$ &ro"ein 7778$ %+u)osa 8$ ni"ri" 8$ bi+irubin 78$ urobi+ino%en 78

. Kiia (ara# =;S 102%(L$ ureu 2%(L$ )rea"inin 0$4%(L$ &ro"ein "o"a+

<$!%r(L$ a+buin 1$!%r(L$ %+obu+in <$%(L$ )o+es"ero+ "o"a+ 225%(L$

"ri%+iseri(a 201%(L$ H;L )o+es"ero+ 23%(L$ L;L )o+es"ero+ 1! %(L$ Na

1<5o+L$ )a+iu 3$!o+L$ Ca 4$6 o+L4. Lab 2

>C? 2 /+$ >CH 2 &%$ >CHC 3%(L$ C3 !0 %(L$ C< ! %(L$ an"i (s

;NA !32$! IU+

nora+ 0200 IU+8$ ANA @11000. Tes cobs (ire) 78$ in(ire) 78. Urin

esbac# 3$%r(L$ se+ LE 78$ "#ora)s /o"o nora+ "#ora)s.

I?. Ana+isis >asa+a#

1. Tn. Rs beruur 2! "a#un$ seoran% buru# &en'a(a& )are" 'an% su(a# ber#en"i

be)er*a se*a) 3 bu+an 'an% +a+u )arena &en'a)i" 'an% (i(eri"an'a$ (a"an% )e

&o+i)+ini) (en%an )e+u#an sebab se+uru# "ubu# se*a) 3 in%%u 'an% +a+u (an

urin ber,arna )eru#.

a. A&a #ubun%an *enis )e+ain$ usia (an &e)er*aan &a(a )asus Ameng,

Harin8



b. A&a e"io+o%i (an ba%aiana e)anise sebab se+uru# "ubu# !i"ky, #eje8

c. A&a e"io+o%i (an ba%aiana e)anise urin ber,arna )eru# #eje, $yah8

2. -a(a u+an'a sebab "er*a(i &a(a (aera# u)a "eru"aa "er+i#a" ban%un "i(ur

+a+u (ii)u"i sebab &a(a "un%)ai (an )eu(ian &eru" (irasa)an ebesar.

a. >en%a&a &a(a a,a+n'a sebab (irasa)an &a(a saa" ban%un "i(ur !esi,

%aim&

b. Ba%aiana &er*a+anan e(ea anasar)a 'an% (ia+ai Tn.Rs )ena&a &a(a

,a*a#$ "un%)ai )eu(ian se+uru# "ubu#8 'arjun, ka alia&

3. Se*a) 6 bu+an 'an% +a+u Tn.Rs serin% en%e+u#)an (ea 'an% "i(a) "er+a+u

"in%%i 'an% #i+an% "ibu+$ n'eri sen(i "eru"aa &a(a *ari "an%an )a)i$ ba(an +ea#

(an u(a# +e+a#. Tn.RS serin% beroba" )e &us)esas bi+a (ea a"au n'eri sen(i

"ibu+. Tn.Rs *u%a en%e+u#)an rabu" serin% ron"o)$ saria,an 'an% serin%"ibu+ (i+an%i"+an%i" u+u" 'an% "i(a) n'eri$ "ibu+ berca) )eera#an &a(a

)e(ua &i&i 'an% en*a(i +ebi# era# bi+a "er)ena a"a#ari.

a. ba%aiana e"io+o%i (an e)anise (ea 'an% "i(a) "er+a+u "in%%i (an

#i+an% "ibu+ &a(a )asus 'di"ky, syah&

b. ba%aiana e"io+o%i (an e)anise n'eri sen(i "eru"aa &a(a *ari "an%an (an

)a)i &a(a )asus ka alia, arjun&

c. ba%aiana e"io+o%i (an e)anise ba(an +ea# (an u(a# +e+a# &a(a )asus

'dyah, ekik&

(. ba%aiana e"io+o%i (an e)anise rabu" serin% ron"o) &a(a )asus arjun,

baim&

e. ba%aiana e"io+o%i (an e)anise saria,an (i+an%i" u+u" "e"a&i "i(a) n'eri

&a(a )asus arjun, ka alia&

/. ba%aiana e"io+o%i (an e)anise "ibu+ berca) )eera#an (an +ebi# era#

saa" "er)ena a"a#ari &a(a )asus desi, baim&

%. A&a)a# &en%aru# &en%oba"an 'an% (iberi)an o+e# &us)esas 'an% ber)ai"an

(en%an )asus Tn.RS desi, ka alia&

#. Ba%aiana #ubun%an %e*a+a (en%an )asus arjun, desi&

<. Tn.RS ei+i)i sau(ara )ebar 'an% su(a# enin%%a+ 3 "a#un +a+u$ )e+u#an

'an% (ia+ai sau(aran'a "ersebu" beru&a berca) era# &a(a u)a$ rabu"

ron"o)$ n'eri sen(i (an )e*an%)e*an%.

a. ba%aiana #ubun%an ri,a'a" )e+uar%a &a(a )asus 'ekik, dyah&



b. Ba%aiana e)anise )e*an% &a(a sau(ara )ebar Tn.Rs (an a(a)a#

#ubun%an (en%an )asus Tn.Rs se)aran% jeje, di"ky&

!. -eeri)saan /isi)

Kea(aan uu sa)i" se(an%$ "e)anan (ara# 1200 H%$ sensoriu )o&os

en"is$ /re)uensi na/as 20eni"$ /re)uensi na(i 42eni"$ su#u 35.3

Kea(aan s&esi/i)

Ke+a&a a+o&esia 78$ )on*un%"i9a &a+&ebra+ &uca" 78$ s)+era i"eri) 8$ u)a

a+ar ras# 78$ u+u" u+serrasi 78. an"un%&aru (a+a ba"as nora+. ab(oen

asi"es$ e(ea "un%)ai.

a. Ba%aiana in"er&re"asi (an e)anise abnora+ &a(a &eeri)saan /isi)

'syah, jeje&

6. -eeri)saan +abora"oriu

Hb $3 %r:$ RBC +e)osi" !0003$ "robosi" 4.000$ #i"un% *enis

002!13611. Hea"o)ri" 22 9o+:$ re"i)u+osi" 1:$ LE; 10! *aa. Ba%aiana in"er&re"asi (an e)anise abnora+ &a(a &eeri)saan +ab1

'di"ky, jeje&

b. >en%a&a ,a+au&un Hb ren(a# "i(a) (i"eu)an "an(a )o&ensasi &a(a

Tn.RS di"ky, jeje&

5. Urin ur"in e&i"e+ 78$ +eu)osi" 3!L-B. Eri"rosi" 2<L-B$ si+in(er 778$ )ris"a+

8$ &ro"ein 7778$ %+u)osa 8$ ni"ri" 8$ bi+irubin 78$ urobi+ino%en 78

a. Ba%aiana in"er&re"asi (an e)anise abnora+ &a(a &eeri)saan urin

ru"in ka alia, baim&

b. Ba%aiana %abaran i)ros)o&is urin &a(a )asus ka alia, baim&

. Kiia (ara# =;S 102%(L$ ureu 2%(L$ )rea"inin 0$4%(L$ &ro"ein "o"a+

<$!%r(L$ a+buin 1$!%r(L$ %+obu+in <$%(L$ )o+es"ero+ "o"a+ 225%(L$

"ri%+iseri(a 201%(L$ H;L )o+es"ero+ 23%(L$ L;L )o+es"ero+ 1! %(L$ Na

1<5o+L$ )a+iu 3$!o+L$ Ca 4$6 o+L

a. Ba%aiana in"er&re"asi (an e)anise abnora+ &a(a &eeri)saan )iia

(ara# desi, arjun&

4. Lab 2>C? 2 /+$ >CH 2 &%$ >CHC 3%(L$ C3 !0 %(L$ C< ! %(L$ an"i (s

;NA !32$! IU+



nora+ 0200 IU+8$ ANA @11000. Tes cobs (ire) 78$ in(ire) 78. Urin

esbac# 3$%r(L$ se+ LE 78$ "#ora)s /o"o nora+ "#ora)s.a. Ba%aiana in"er&re"asi (an e)anise abnora+ &a(a &eeri)saan +ab2

syah, di"ky&

b. A&a sa*a in(i)asi un"u) (i+a)u)ann'a &eeri)saan +ab2 syah, desi&

10. Ana+isa As&e) K+inis

a. Ba%aiana &ene%a))an (ia%nosis (an &eeri)saan &enun*uan% &a(a )asus

syah, jeje&

b. A&a sa*a ;; &a(a )asus ekik, dyah&

c. A&a ; (an (e/inisi &a(a )asus 'dyah, ekik&

(. A&a )+asi/i)asi ; &a(a )asus dyah, ekik&

e. A&a e"io+o%i &a(a )asus dyah, ekik&

/. Ba%aiana e&i(eio+o%i &a(a )asus harin, ameng&

%. A&a sa*a /a)"or resi)o (an &ence"us &a(a )asus harin, ameng&

#. Ba%aiana &a"o/isio+o%i &a(a )asus dyah, ekik&i. Ba%aiana ani/es"asi )+inis &a(a )asus harin, ameng&

*. A&a SK;I &a(a )asus harin, ameng&

). Ba%aiana "a"a+a)sana$ e(u)asi (an &ence%a#an &a(a )asus ka alia, baim&

+. A&a )o&+i)asi &a(a )asus 'syah, di"ky&

. A&a &ro%nosis &a(a )asus harin, ameng&

?. Hi&o"esisTn.Rs$ 2!"a#un seoran% buru# &en'a(a& )are" en(eri"a SLE.

?I. Learnin% Issue1. SLE sin(roa ne/ro"i)$ ar"#ri"is$ aneia8 (kik, !yah, Harin, Ameng82. Rea)si #i&ersensi"i9i"as "i&e 2 (an 38 !esi, %aim, )a Alia, Arjun8

3. Aneia #eo+i"i) au"oiun $yah, !i"ky, #eje8

scenario c blok 23 tahun 2016 b7

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