Emg Kelompok 2
Transcript of Emg Kelompok 2
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SEORANG WANITA YANGMENGELUH JANTUNGNYA
KADANG-KADANG BERDEBARDAN NYERI DADA
KELOMPOK 2
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030.05.172 Put! M"#$t! 030.07.0%2 D"&$ Putu S.M.S.
030.07.212 R"'!($ )!*t$*$!
030.07.012 A+,$ Mu*$
030.0.022 A($*t$*!$ /$#!(
030.0.02 A!*t$ St+$!$
030.0.052 A+$! G$("*+$
030.0.072 /4(t+!$ K$$,!($ E.
030.0.102 )"4
030.0.132 Ju#!$ Mut!$$(!
030.0.12 L$u$ E*t"#!$
030.0.1%2 M!#$ W!4$*tut!
030.0.12 N" K$,!#$
030.0.12 P$6(4$ P$$,!t+$ N.
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PENDAHULUAN
P"(4$!t G$"* ,"u8$$( 9"(tu t!t*!*!* :+!8"t!!; 4$(' 8$#!('
*"!(' !6u,8$! $#$, 8$t" *"+$!-+$!. D$8$t t"6$! 8$$ *",u$ u,u<
*"!(' !t",u$( 8$$ &$(!t$ $! 8$$ 8!$. T$($ $( '"6$#$ 8"(4$!t G$"*
4$(' 8$#!(' ,u$+ !"($#! !$#$+ $$(4$ *tu,$< t!t*!*!* $( *"!('
!*"t$! =t$#,8$t!
P$t'"("*!* 8"(4$!t G$"* *$,8$! *"6$u+ !(! 9"#u, !"t$+u! *">$$ 8$*t!.
N$,u( !u'$ =$t '"("t! $( #!('u('$( !ut 9"8"$( $#$, ,"$(!*,"
4$(' 9"#u, !"t$+u! *">$$ 8$*t! ,"(!('$t(4$ !*! ,"("!t$ 8"(4$!tG$"*. B"$*$$( >!!->!! 8"(4$!t(4$< 8"(4$!t G$"* !"#,8$( "
$#$, 8"(4$!t $ut!,u(< $(t$$ #$!( "('$( !t",u$((4$ $(t!9! t"+$$8
"*"8t TSH :T+4t8!( St!,u#$t!(' H,(" - R">"8t A(t!94 ?TSHR-A9;
"('$( $$ 9"$!$*!.
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LAPORAN KASUS
Anamnesis K"#u+$( ut$,$
6$(tu(' $$(' 9""9$ "9$ $$(4$ t"$*$ (4"! *"6$ 9"9"$8$ 9u#$( t"$+!
K"#u+$( t$,9$+$( 6$(tu('(4$ ",9$#! 9""9$ $( *"8"t! $$(
8!('*$( tu9u+ *",$!( uu* 3 t$+u( *u$+ t!$ +$! #$'!
R!&$4$t 8"(4$!t *"$$(' 8"(4$!t 6$(tu(' $( ,"($8$t$( 9$t 4$(' *$#$+.
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LAPORAN KASUS
J$(tu('(4$ $$('-$$(' 9""9$ C $$(4$ t"$*$ (4"!
*"6$ 9"9"$8$ 9u#$( t"$+! *$$t !(! 6$(tu('(4$ ",9$#!
9""9$ $( t$! 8$'! !$ $$( 8!('*$(.
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!+"(t!$( 6u'$ *"t"#$+ +$,8! *",!(''u $"($ 8"ut(4$
*$!t
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LAPORAN KASUS
Pemeriksaan fsik Su+u 37
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J$(tu(' HR *u#!t !t"(tu$(
I$,$ t!$ t"$tu *$,$ *"$#!
BJ I $( II t!$ (*t$(
B!*!(' :-;
P$u-8$u t!$ $$ "#$!($(
A9,"( #",$*< +"8$ $( #!"( t!$t"$9$
E*t",!t$* "",$ -?-
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PEMERIKSAAN
LABORATORIUMPemeriksaan Hasil Normal InterpretasiHb 10,5g/dl 12-15g/dl Anemi disebabkan
melena
Lekosit 6300/mm3 5000-1000/mm3 Normal
!"# 36 $/L 5-%0 $/L Normal
!P# %5 $/L 5-%1 $/L &eningkat
're$m %0mg/dl 15-%0mg/dl Normal
(reatinin 0,)mg/dl 0,6-1,2mg/dl Normal
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PEMERIKSAAN PENUNJANG
Pemeriksaan Hasil Interpretasi
*+ *# 62. dengan elangatio
aorta
(ardiomegali
(! - rate 120+/m
-Pada lead II panang
tidak tampak gelombang
P
-# eleasi/depresi -4
-!elombang patologis
-4
-takikardi
-aritmia
-tiada &I
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PEMBAHASAN
Masalah Dasar Masalah Hipotesis
T!t*!*!* - "#"(6$ t!!4$(' ,",9"*$- tu9u+ uu*
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!9"!$(*"9"#u,(4$:$,!$(";
A(",!$ P"(uu($( H9 8$$8","!*$$( #$9$$+
- 8"$$+$( S/BA- 8"(4$!t"tuu($( :$(",!$+",#!t!;
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Masalah Dasar Masalah Hipotesis
G$(''u$( S/BA M"#"($< 8"(uu($(H9
E=" *$,8!(' 9$t4$(' !9"!$(*"9"#u,(4$
:*$#!*!#$t;I*#$t" *4*t#!>+48"t"(*!(
P","!*$$( TD155?5
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At!$# )!9!#$*! - EKG #"$ II t!$t$,8$ '"#,9$('P- RS $t" 120?,- HR *u#!t
!t"(tu$(- I$,$ t!$
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Diagnosis kerja
B"$*$$( $($,("*!*< 8","!*$$( #$9<$( 8","!*$$( 8"(u(6$('
Tirotoksikosis
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HORMON TIROID
H,(-+,( t!! ,"(*t!,u#$*! ,"t$9#!*,"
$! *"#-*"#. M""$ !8u*! #"+ "#"(6$ t!!.
K"#"(6$ t!! 9"t",8$t 8$$ 9$'!$( 9$&$+
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u$$ :t$>+"$; $( ,",8u(4$! *u$tu 9"(tu
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u$ *$4$8 :#9"*; $( !#"$t$( #"+ *u$tu
9$'!$( t"('$+ :!*t+,u*;.
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Du$ +,(-+,( t!! 4$(' 8$#!(' 8"(t!('
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H,( 4$(' 8$#!(' $t!= *">$$ 9!#'!
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9"*$ $! T !u9$+ " T3 - +,( 4$(' #"9!+
$t!= 4$(' ,",8"('$u+! ,"t$9#!*," *"#-*"#.
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TIROTOKSIKOSIS
T!t*!*!* $$#$+ *u$tu (!*!
"$>u($( 4$(' !*"9$9$( #"+ *u$tu
"#"9!+$( +,(-+,( t!! $!
8"(4"9$9 ,$($ *$6$. T!t*!*!* $8$t
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9"#"9!+$( $! +,(-+,( t!! $t$u#"+ 8u*! +,(-+,( t!! 4$('
9"#"9!+$( #"+ "#"(6$ t!!
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PATO)ISIOLOGI
P"(4$!t 6$(tu(' G$" D!*"$*" G#!*$,!('!#$( !9"#$$(' ,$t$
R"t"(*! A! E8t+$#,u*
A,!$(S$#!*!#$ t I!t$*! L$,9u(' P"$$+$( S/BA
T!! M"#"($ A(",!$
P"$('*$('$( G$(''u G(RH M"t$9#!*," RR *!,8$t!* BB Su+u
HR R$*$ /",$* A,"(+"$ G#!#!*!* < L!8#!*!* < Pt"#!*!*
$*(*t!*! H!8"t"(*! /$!,"'$#!
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D!$'(*!*P","!*$$( L$9.
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)u('*! +,( t!!
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5. P"('$u+ 8$$ $!$*u#" $"($
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*!*t", *$$=
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N$=*u ,$$( $( $*u8$( ,$$($(,"(!('$t ,"(!('$t(4$ "9utu+$( ,"t$9#!<
BB 9!$*$(4$ 9"u$(' $t$u kurus $"($tu9u+ ,",9$$ 9$+$( 9$$ "('$(">"8$t$( $9(,$#.
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T!t*!*!* "#$!($( $!$*u#"
D!*"9$9$( "=" #$('*u(' +,( t!!4$(' ,",8u(4$! 8"('$u+ 8$$
"*!t$9!#!t$* 6$(tu(' 4$(' ,"(!('$t$(="u"(*! "(4ut 6$(tu(' $( 6u'$ #"+!(t"$*! +,( t!! !tu *"(!! "('$($t"#$,!(.
Kecepatan dan kekuatan denyut jantungdapat menjadi sangat meningkat palpitasi
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K"t"#!9$t$( *u*u($( *$$= ! t$($! "&$*8$$$( ,"(t$# 4$(' 9"#"9!+$(
*$,8$! 8$$ "$$$( 8$*!"( 4$(' ,u$+
t"*!(''u('< t"'$(' , cemas< $( *$('$t",*!($#..
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P","!*$$( Y$(' D!$(6u$(
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R"(>$($ T!($ S"#$(6ut(4$
P$*!"( !$&$t !($8 M"!$,"(t*$
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S8"*!$#!* M$t$
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PROGNOSIS
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KESIMPULAN
"*!,8u#$( $! $*u* 4$(' !9"!< N4.A($ ,"("!t$ t!*!*!* 4$('",u('!($( 9"*$ !*"9$9$(
(*u,*! 9$t $,!$(" 9$'! 8"(4$!t 6$(tu('(4$. P"($t$#$*$($$( 4$('*"'"$ $( $"u$t 8"#u u(tu,"(>"'$+ ,u(>u#(4$ ,8#!$*!
9"9$+$4$ 4$(' 9#"+ ,"('$(>$, 6!&$N4. A($.
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DA)TAR PUSTAKA
P!>" SA< W!#*( LM. P$t+8+4*!#'4 >#!(!>$#>(>"8t* = !*"$*" 8>"**"*. E %. E#*"!"S>!"(>" 2002.
G$9" AJ.$*>u#$ !*"$*" $( #!8!* !( !$9"t"*.M" /#!( Nt+ A,. 1231.
Su4 AW< S"t!4+$! B< A#&! I< S!,$!9$t$ KM<S"t!$t! S. Buu A6$ I#,u P"(4$!t D$#$,. E I.
J$$t$ B$#$! P"("9!t )KUI 200%. S+"& L. )!*!#'! M$(u*!$ $! S"# " S"#. E. 2.
O'$( E(!( P"!=" K"#"(6$ T!!. J$$t$ P"("9!t Buu K"t"$( EG/2002
R$,!" JL< P"t(" P< Ku(>! EJ< A*"(*! JA. T+4!St, I(u>" 94 St$('u#$t!(. Sut+"( M"!>$#A**>!$t!( 200
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TERIMA KASIH