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Amy Cansu Parera 120111108 (Diagnosis)

SKENARIO 2

Seorang pasien Tn A !8 "a#undatang ke UGD dengan $e%u#an mun"a#&mun"a# 'airan

seer"i $oi an *A* +er,arna #i"am se$i"ar 2 -am yang %a%u . Se+e%umnyapasien

sering menge%u# nyeri u%u #a"i. mua%. an $em+ung "eru"ama se-a$ 2 +u%an

"era$#ir. "ia$ anas. "ia$ $uning, pasien sering menge%u# nyeri aa $eua

%u"u"nya "eru"ama saa" i%ia". Nyeri lutut sudah dirasakan se-a$ 1 "a#un %a%u.

Dari pemeriksaan fsik didapatkan :

1. Keadaan Umum :a Kesaaran 'omos men"is+ Tama$ u'a" an %ema#' Tama$ $esa$i"an

2. Tanda ital :a Te$anan ara# /0 mm3g+ Nai 1104meni" (regu%ar. isi $e'i%)' Su#u 56.0C Pernaasan 204meni"

!. ** 80 $g 7 T* 160 'm". Kepala : #ata $on-ung"ia anemis 99 7 s'%era i$"eri$ &&$. T#ora4 : "ia$ aa $e%ainan%. &'domen :

a Inse$si : Tia$ "ama$ $o%a"era%+ Pa%asi : Sue% 7 Nyeri "e$an eigas"rium 9 7 3ear an %ien "ia$

"era+a' Per$usi : Timani Aus$u%"asi : *; (9) norma%

(. )ktremitas : A$ra% ingin an u'a"

&nalisis kasus 'erdasarkan keluhan yang mun*ul :

1. Ke%u#an mun"a#&mun"a# 'airan seer"i $oi an *A* +er,arna #i"am

se$i"ar 2 -am yang %a%u+oee ground -omitus reers to a parti*ular appearan*e o -omit.

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oesophageal -ari*es are the *ause o 'lood in your -omit, you6ll need to 'e

admitted to hospital immediately.' Seere gas"ro&oeso#agea% reu4 isease

Gastro5oesophageal re0u9 disease /G4D is 3here a*id leaks out o the

stoma*h and up into the oesophagus. 7 you ha-e se-ere G4D it *an irritate

the lining o your oesophagus and *ause 'leeding.

Tear in "#e oeso#agus8rolonged ret*hing *an tear the lining o your oesophagus, 3hi*h *an also

result in 'leeding.e S,a%%o,e +%oo

7t6s possi'le to s3allo3 'lood in *ertain *ir*umstan*es ; or e9ample, ater a

se-ere nose'leed.The a'o-e *onditions may also *ause you to ha-e 'lood in your stools /*ausing 'la*k,

tarry poo.

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kemudian dari kon=ungti-a pasien yang anemis, dengan pemeriksaan ekstremitas

akral dingin dan pu*at.

Sehingga, untuk iagnosis $er-a:

Per=ora"e e"i' u%'er engan aanya "ana&"ana syo$

Dengan iagnosis +aning:

1. Seere gas"ro&oeso#agea% reu4 isease2. Eso=agi"is!. Bas"ri"is". Bas"roen"eri"is$. Can'er o= "#e oeso#agusor s"oma'# 'an'er%. S,a%%o,e +%oo(. A +%oo 'oni"ion su'# as "#rom+o'y"oenia (a reu'e

num+er o= %a"e%e"s in "#e +%oo). %eu$aemia. #aemo#i%ia or

anaemia

Sum+er *a'aan :

AorBe-iC, 7-ana, &leksandar latiC, 7rena >anko-iC. 4riginal arti*le :Treatment o 8erorati-e8epti* Ul*er. S*ientif* >ournal o the Ea*ulty o #edi*ine in NiF 211H2I/2:J$51(. Surgi*al+lini*, +lini*al +enter NiF, Ser'ia.

S &nand, #D. 8epti* Ul*er Disease. #eds*ape. an J, 21$

&ki-a, > #arkus, #D, 8hD. +hroni* Gastritis. #eds*ape.