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Kelompok 15107Stase Ilmu Kesehatan Kulit dan

KelaminFK UGM RSUP Dr Sard!ito

Disusun Oleh:

Helsi Rismiati 14686

Cresti Chandra P 14631Maruti Lintang S 13467

Ulah !itri"ani 14##$

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IDENTITAS

Nama : Ny. S

Alamat : SlemanJenis Kelamin : Perempuan

RM : 1.77.49.23

Tanggal masu : 19 Juni 2!1" #mur : 42 ta$un

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KELUHAN UTAMA

%er&a emera$an pa'a $ampirseluru$ tu(u$ 'isertai 'emam

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RIWAYAT PENYAKIT

SEKARANG 3MSPRS)S pen'erita *a mammae sinistrap+st mastet+mi mammae sinistra pr+em+terapi. )perasi 'i RS#, Sleman 3minggu yll- Terapi saat pulang : &ea'r+/yl2/0!! mg- asam meenamat 3/0!!mg

"SPRS )S mengelu$ 'emam- sepanang$ari 'isertai 'engan mun&ulnnya (er&aemera$an 'imulai 'ari e'ua lengan-emu'ian meluas e aa$- (a'an 'ane'ua pa$a. )S uga mengelu$an nyeritelan 'an sariaan pa'a mulut

0SPRS)S perisa e 'r. umum ,/56- T/ 0ma&am +(at 56 elu$an (elum mem(ai

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4SPRS )S perisa e pusesmasTuri ,/: Alergi- T/: +rata'in 2/1-

'an 'e/amet$as+n 1/!-0mg PRS Kelu$an ti'a mem(ai-

gatal 86- 'emam 86- sariaan

86- )S e #, RSS

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RIWAYAT PENYAKIT DAHULU

Riayat (ent+l(ent+l (i'uran6(ereringat 86

Alergi +(at 6

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RIWAYAT PENYAKIT

KELUARGA Riayat serupa 6

Riayat alergi 6

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PEMERIKSAAN FISIK

Kea'aan #mum: &+mp+s mentis

T, : 13!;"! mmgN : 12! /;menit

RR : 2! /;menit

T : 4! < *

Pem(esaran im+n+'i 86 a/illa 'e/tra= sinistra multiple

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DIAGNOSIS BANDING

,R>SS e& susp. *ea'r+/yl- asammeenamat

?i/e' ,rug >rupti+n

S O O

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PEMERIKSAAN LABORATORIUM

2!;!" 22;!" N+rmal

@%* 12.19 10.34 0-!11-0 1!3;#6

R%* 4.B1 3.7" 3-90-3 1!";#6

% 12.1 9.4 11-0 C 10-0 g;'

M*D 7!.7 73.4 70B7

M* 20.2 20 243! pg

AT 0B9 "43 1B10211!3;#6

mt 34.! 27." 34 C 4! E

Neut 00 "4.3 0! 7!E

ymp 2" 24." 20C 4!E

M+n+ 1.! ".0 2C BE

>+s 10.! 4.4 2C 4 E

%as+ !.! !.2 ! C 1E

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PEMERIKSAAN LABORATORIUM

2!;!" 22;!" N+rmal

Protein total 0.10 "#$%&

'(d)

Al(umin 3.!4 2.74 3-974-94

S)T 1"3 2"1 F 41 G#;

SPT 104 1B! H 4! G#;

Na 122 13" 13" C 140

K 0.47 4.0 3-0 C 0-1

*l B9 1!" 9B C 1!7

%#N 23 2!.9 " C 2!

*reatinine 1.!" !.91 !-" C 1-3

,S B7 12! 70-110

%sAgN+nreati

Anti D* t+tal !.!97

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PEMERIKSAAN LABORATORIUM

21;!" Anga Ruuan

lu&+se Neg Negati

Pr+tein Neg Negati(iliru(in Neg Negati

ur+(ilin+gen N N

p ".0 4-0B

%l++';'ara$ I Negati%J 1.!10 1-!!! C 1-!3!

Ket+n Neg Negati

Nitrit Neg Negati

e+ est I Negati(ateri B37." !-!! C 1!!

Se'imen

eritr+sit7" !20

Se'imenleu+sit01 !2!

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DIAGNOSIS KERJA

,R>SS e& susp. *ea'r+/yl- asammeenamat

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TERAPI

ST)P +(at yang 'i&urigai &ea'r+/yl- asammeenamat6

,iet TKTP

GD?, Na*l !.9E 2! tpm

Gn. Met$ylpre'nis+l+n 120 mg;24 am Gn. entamisin 1Amp;Bam

*etiriin 1/1! mg malam6

T+pial

S$ae l+ti+n 2/ue tu(u$6

Min+sep gargle 2/se$ari

%+ra/ gliserin 2/ue p+st +mpres (i(ir6

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Terima asi$

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*erima Kasih*erima Kasih

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