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LAPORAN KASUS UJIAN BEDAH

“PERITONITIS ET CAUSA APPENDICITIS PERFORASI”

Pembimbing :

 dr. Rosich Attaqi, Sp.B

Disusun oleh :

RIDWAN

!."!.#"#"

$%PANI&%RAAN $'INI$ I'() B%DA*

RS) DR. '+%$(+N+ *ADI $)D)S

A$)'&AS $%D+$&%RAN )NI-%RSI&AS )NISS)'A

"!

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'AP+RAN $AS)S

I. ID%N&I&AS PASI%N

 Nama : Tn. K 

Umur : 47 taun

A!amat : Pan"an# $%&$% Ba'( Ku)u*

P'+'r"aan : Buru

P'n),),+an : SD

A#ama : I*!am

Su+u -an#*a : Jaa

Statu* /'r+a,nan : 0'n,+a

 N1.R0 : 723 25

D,raat ), : Ban#*a! C'm/a+a %

0a*u+ RS : 24 S'/t'm-'r %$23

P'm'r,+*aan ),!a+u+an tan##a! 23 S'/t'm-'r %$23 /u+u! 2$6$$ IB

II. ANA(N%SIS

• K'!uan Utama

 N8'r, ), *'!uru !a/an# /'rut

• R,a8at P'n8a+,t S'+aran# :

Pa*,'n )atan# +' I9D RSU Ku)u* )'n#an +'!uan a)an8a

 N8'r, ), *'!uru !a/an# P'rut. K'!uan n8'r, /'rut ,n, *u)a ),ra*a+an

*'"a+ ar, 8an# !a!u. Pa*,'n m'n#ata+an ",+a n8'r, /'rut t'r*'-ut

*a+,t t'ru* m'n'ru* )an n8'r, /a!,n# '-at t'ra*a ), -a#,an /'rut +anan

 -aa. Pa*,'n m'nutur+an +'!uan ),aa!, )'mam *'"a+ ; ar, 8an#

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!a!u( )'mam ),ra*a+an /a*,'n na,+ turun t'ta/, *'!ama )'mam /a*,'n

t,)a+ /'rna m'n#u+urn8a )'n#an t'rm1m't'r. Pa)a aa!n8a /a*,'n

m'n#'!u+an n8'r, ), u!u at, 8an# *'ma+,n !ama *'ma+,n -'rtam-a

)an n8'r, m'n"a!ar +' /'rut +anan -aa 8an# n8'r,n8a ),ra*a+an

*'ma+,n -'rtam-a -'rat )an t'ru*

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Pa*,'n a)a!a !u!u*an SD )an -'+'r"a *'-a#a, Buru( /a*,'n ),raat ),

 -an#*a! C'm/a+a % m'n##una+an /'m-,a8aan BPJS

III. P%(%RI$SAAN ISI$ /! September "!0

 

K'a)aan umum : Tam/a+ *a+,t S')an#

K'*a)aran : C1m/1* 0'nt,*

 

Tan)a ,ta!

o T'+anan )ara : 2%$&$ mmH#

o  Na), : 2$%?&m'n,t

o Suu : .1C

o RR : %4?&m'n,t

  S&A&)S 1%N%RA'ISA&A

K'/a!a : N1rm1'/a! Ku!,t : tur#1r -a,+( /uat >

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In*/'+*, : *,m'tr,* )a!am ),am )an /'r#'ra+an( t,)a+ 

tam/a+ r'tra+*, /a)a *'!a ,#a ,nt'r1*ta!

Pa!/a*, : *t'm =r'm,tu* +anan )an +,r, *ama +uat

P'r+u*, : *1n1r /a)a +')ua !a/an# /aru

Au*+u!ta*, : *uara )a*ar '*,+u!'r( r1n+, @ 0'n,n#+at

o P'r+u*, : H,/'rt,m/an, /a)a a-)1m'n( /'+a+ /a)a '/ar 

>@( n8'r, 1*t1'rt'-ra! @ ), *'!uru +ua)ran ( R1*,n# S,#n >@( P*1a*

S,#n >@( 1-turat1r S,#n >@( n8'r, t'+an !'/a* >@( D'=an*

mu*u!ar >@( m.-urn'8 >@

E+*tr'm,ta* : ')'ma >@( ),*ar#' >

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I-. ASS%S(%N&

  Diagnosis $er3a

P'r,t1n,t,* ' A//'n),+*,t,* P'r=1ra*,

  Diagnosis Banding

P'r,t1n,t,* ' P'r=1ra*, 9a*t'r 

P'r,t1n,t,* ' P'r=1ra*, U*u*

-. P%(%RI$SAAN P%N)N4AN1

!. 'aboratorium darah /"" Agustus "!0

HE0ATOLO9I

*ema Rutin Di55 

H'm1#!1-,n 2;( #&)L

Er,tr1*,t 3(;3 "t&u!

H'mat1+r,t 47(4

Tr1m-1*,t %%4 u!

'e2osit "6,7 8ul *

Netro5il 9#,! *

L,m=1*,t ;(% L

01n1*,t ;(4

E1*,n1=,! $(2 L

Ba*1=,! $.%

0CH %. /#

0CHC 4(4 #&)L

0C (5 =L

RD 2(7

0P 2$(7 =L

PD 2%(4 =L

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a+tu P'n)araan&P'm-'+uan

a+tu /'n)araan %$”

a+tu /'m-'+uan 4$”

KI0IA KLINIK 

)reum 7;,< mg8d' *

$reatinin ",9 mg8d' *

K1!'*t'r1! 5; m#&)L

Tr,#!,*'r,)a 2; #&)L

S9OT 2; U&L

S9PT 2 U&L

Ur, a,) >H@ 3.$ m#&)L

ELEKTROLIT

Ca!*,um >L@ %.%5 mm1!&L

Ka!,um >L@ . mm1!&L

 Natr,um 2; mm1!&L

K!1r,)a 2$4 mm1!&L

(agnesium !,! mmol8' *

REAKSI I0UNOLO9I

Ant, HI n1n r'a+t,= 

HB*A# n1n r'a+t,=  

%. RADIOLO9I :

US9 A-)1m'n

F1t1 P1!1* A-)1m'n

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-I. R%S)(%

T'!a ),/'r,+*a *'1ran# /a*,'n !a+, !a+, umur 47 taun 8an# )atan# +' I9D

)'n#an +'!uan n8'r, '-at )an t'ru* m'n'ru* ),*'!uru !a/an# /'rut. T'r)a/at

)'mam( mua! munta( BAB a,r. Pa*,'n m'm/un8a, r,a8at +'!uan *'ru/a

*'"a+ ; -u!an 8an# !a!u )an ), ),a#n1*a 1!' )1+t'r A//'n),,t,* namun /a*,'n

m'n1!a+ ),!a+u+an O/'ra*,( t'ta/, t,)a+ m'n#+1n*um*, 1-at

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Non = (edi2amentosa :

E)u+a*, :

2. m'n"'!a*+an +'/a)a /a*,'n )an +!uar#a t'ntan# /'n8a+,tn8a

%. m'n"'!a*+an +'/a)a /a*,'n )an +!uar#a t'ntan# /'m'r,+*aan /'nun"an#

8an# a+an ),!a+u+an

. m'n"'!a*+an +'/a)a /a*,'n )an +!uar#a t'ntan# P'r!un8a P'ma*an#an N9T

DC

4. m'n"'!a*+an +'/a)a /a*,'n )an +!uar#a t'ntan# P'r!un8a t,n)a+an O/'ra*,

)an r'*,+1n8a

3. m'n"'!a*+an +'/a)a /a*,'n )an +!uar#a t'ntan# /'r!un8a /'raatan /a*,'n

),ruan# ICU *'t'!a OP

(edi2amentosa :

• In=u* RL %$ t/m

• In". C'=tr,a?1n %#r&%4 "am

•

In". K't1r1!a ? 2 am/• In". Ran,t,),n %?2 am/

-III. PR+1N+SIS

  Ad >itam : -1nam

  Ad 5ungsionam : -1nam

  Ad sanationam : a) -1nam

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DAFTAR PUSTAKA

1. Arief M, Suprohaita, Wahyu.I.K, Wieiek S, 2000, Bedah Digestif,

dalam Kapita Selekta Kedoktera, !d"#$ %ilid" 2$ p #02,

Media Aes'ulapius (K)I, %akarta.

2. *eritoitis dalam "

http"++.s'ri-d.'om+do'+/01+peritoitis. Diakses

tagga32/ %ui20114.

#. Wim de 5og, S5amsuhidayat.6, 1//7, 8aat A-dome, dalam

Buku a5ar Ilmu Bedah$ 221&2#/, !89, %akarta. :

. *eritoitis dalam " http"++.-logspot.'om+do'+peritoitis.

Diakses taggal 2/ %ui20114.

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