Kel 7 Kasus Kanker

8/18/2019 Kel 7 Kasus Kanker

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Nama : Wina Diniarti

NIM : PO.71.31.1.13.042

“ KASUS KANKER “


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Ny. Li!a" #$ran% i&' r'ma( tan%%ar'm'r 4) ta('n m#r'*a+an i&' !ari ,$ran% ana+. Dira-at !i RS !aam ran%+a

*#n%$&atan /a S#ri Pr$%r#i P$t SS II.#ia' '!a( m#naani $*#rai +an+#rra(im" aat ini #!an% m#naani *r$%ramra!iai !an !atan% +# RS 'nt'+ SS +# III.

Ny. Li!a #rin% m#raa m'a" m''t t#raa+#rin%" m#raa" m#raa (a'" ti!a+ a!ana' ma+an" i+a ma+an t#raa in%inm'nta(. Ny. Li!a #'m a+it : 4,+%" #+aran%: 3, +%" 5 : 1,4 6m !anLLA 1", 6m. 8ai La& : UN : 27 m%9!"8& : 10" %9!" AL : 3"3 %9L.

'at r#n6ana a'(an %ii 'nt'+ Ny. Li!a ;


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A. I!#ntita Pai#n Nama : Ny. Li!a

Uia : 4) ta('n


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2. #r+aitan !#n%an Ri-ayat >ii = A+tiita ?ii+ : Rin%an = Maaa( >I : S#rin% m#raa m'a" i+a

ma+an t#raa in%in m'nta( = P#r'&a(an : #'m @4, +%" #+aran% @3, +% = Ri-ayat P$a Ma+an : ti!a+ !i+#ta('i

3. P#m#ri+aan ?ii+

= Uia : 4) ta('n

= 5 : 1,4 6m

= #+aran% : 3, +%" #'m : 4, +%

= LLA : 1", 6m


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I @ 5=100B C 10 @ 1,4=100B C 10 1,4=100B

@ ,4 C ,"4 @ 4") +%

IM5 @

4. P#m#ri+aan Kini : =


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,. P#m#ri+aan i$+imia

JenisPemeriksaan

HasilPemeriksaan

Nilai Normal Keterangan

UN 27 m%9! ,=2, m%9! Ur#mia

8& 10" %9! 12=1) %9! An#mia

AL 3"3 %9! 3"=, %9L 8y*$a&'min$mia


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C. Diagnosa Medis

1B P#nin%+atan +#&'t'(an at %ii *#i+

r+aitan !#n%an *#nin%+atan +#&'t'(an at %ii!itan!ai !#n%an *ai#n m#n!#rita8y*$a&'min$mia !#n%an +a!ar AL 3"3 %9LE NI.,.1B2B #rat &a!an +'ran% r+aitan% !#n%an*#nin%+atan +#&'t'(an #n#r%i !itan!ai !#n%anLILA 1", 6m N/.3.1B3B P#r'&a(an niai a&$rat$ri'm r+aitan%!#n%an !i'n%i %ina yan% !i&'+ti+an !#n%an(ai +a!ar UN 27 m%9! 'r#miaB N/.2.2B 4B P#r'&a(an 'n%i >I5 r+aitan !#n%an*#r'&a(an tr'+t'r anat$mi >I5 !i&'+ti+an!#n%an *ai#n m#n%aami m'a !an i+a ma+an

t#raa in%in m'nta( N/.1.4B


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D. Int#r#ni >ii

1. Pannin%

= 5#ra*i Di#t : Di#t Kan+#r = #nt'+ Ma+anan : Ma+anan L'na+ = /ara P#mrian : Ora

2. 5''an Di#t

5''an !i#t *#nya+it +an+#r a!aa( 'nt'+ m#n6a*ai !anm#m*#rta(an+an tat' %ii $*tima !#n%an 6ara :

1B M#mri+an ma+anan yan% #im&an% #'ai !#n%an+#a!aan *#nya+it #rta !aya t#rima *ai#n

2B M#n6#%a( ata' m#n%(am&at *#n'r'nan rat &a!an#6ara r#&i(an

3B M#n%'ran%i raa m'a" m'nta( !an !iar#

4B M#n%'a*aya+an *#r'&a(an i+a* !an *#ria+' #(at

t#r(a!a* ma+anan $#( *ai#n !an +#'ar%anya


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.

1. En#r%i tin%%i yait' 1443"4 ++a2. Pr$t#in tin%%i yait' 1", %9 yait' ,4") %3. L#ma+ #!an% yait' 20 !ari +#&'t'(an#n#r%i t$ta yait' 24 %4. Kar&$(i!rat 6'+'* yait' ia +#&'t'(an

#n#r%i t$ta yait' 2,2 %,. Fitamin !an min#ra 6'+'*" t#r'tama it.A" +$m*#+" / !an E. ia *#r' !itam&a( !aamnt'+ '*#m#n

). R#n!a( I$!i'm &ia #!an% m#naanim#!iai ra!i$a+ti int#rna7. ia im'nita m#n'r'n #'+$it G 10 'Bata'*ai#n m#n%aami +#m$t#ra*i a%r#i" *ai#n

(ar' m#n!a*at+an ma+anan yan% t#ri


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4. P#r(it'n%an +#&'t'(an #n#r%i !an at %ii ainnya

= A : 3, +%= 5 : 1,4 6m= Uia : 4) ta('n= IM5: 14"7,= I : 4") +%

a. En#r%iEE @ 10 -B H )"2, 8B =, AB C 1)1

@ 10 4")B H )"2, 1,4B C ,4)B C 1)1

@ 4) H )2", C 230 =1)1

@ 10,7" , ++a

5EE @ EE ? ?a

@ 10,7", ++a 1"4 1"3

@ 124" ), ++a


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&. Pr$t#in @ 1", %9

@ 1", % 4") @ 72" % 4 ++a @ 21") ++a

6. L#ma+

@1, !ari +#&'t'(an #n#r%i t$ta

@ 1, 124"), ++a

@ 2"7 ++a : @ 32 %


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!. Kar&$(i!rat@ E C PHLB

@ 124"), ++a C 21") H 2"7B @ 124"), ++a C ,0"3 ++a @ 1344"3, ++a : 4 @ 33) %

#. Fitamin A @ : AK> +#&'t'(an AK>

@ 4") : )2 J ,00 m6%

@ 31" m6%

. Fitamin E

@ : AK> +#&'t'(an AK>

@ 4"): )2 J 1, m6%

@ 11"7, m%


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%. Fitamin /

@ : AK> +#&'t'(an AK>@ 4) : )2 J ,00 m6%@ 31" m6%

(. ?# @ 13 m%


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Kar#na *ai#n !aam+#a!aan m'a" ma+a

#n#r%i

En#r%i : 124"), ++a @ 1443"4 ++aPr$t#in : 72" % @ ,4") %

L#ma+ : 32 % @ 24 %

K8 : 33) % @ 2,2 %


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E. M$nit$rin% !an Ea'ai

1. R#n6ana *aram#t#r yan% !im$nit$rAntr$*$m#tri : ?ii+ Kini : =i$+imia : Ka!ar UN" 8& !an A&'minDi#tary : E"P"L"K8" Fit" Min#ra !an ?#

2. R#n6ana +$n'tai %ii

Maaa( >ii : P#n%at'ran *$a ma+an !an +'aita&a(an ma+anan

5''an : M#mri+an in$rmai t#nta% ma+anan yan%#(at !an *$a ma+an yan% #im&an%

K$n'tai >ii :

1. M#n#a+an *$a ma+an yan% #im&an%

2. M#n#a+an t#ntan% *#nya+it +an+#r

3. M#n#a+an t#ntan% M yan% !ian'r+an

4. M#n#a+an t#ntan% M yan% !i(in!ari


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5#rima Kai(

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