Lapja Dhf Popy - Copy
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Transcript of Lapja Dhf Popy - Copy
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LAPORAN JAGA26 FEBUARI 2016
Dokter muda Popy Novianti
Konsulen Jaga dr. Devi, Sp.A M.Biomed
Tanggal pemeriksaan 30/03/2016
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IDENTITAS
I. Identitas Pasien
No. MR : 142617
Tanggal a!"# : $0%0$%2016
Naa : An. M
U"& : 1$ 'a("n
J)n*! #)la*n : la#*+la#*
Ana# ,) : 2
Agaa : ,&*!')n
Alaa' : T"alang
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,ELU-AN UTAMA
Alloanan)!*! Tan')/
,U : D)a !)a# 6 (a&* anglal"
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RIWAYAT PENYAKITSEKARANG
Pa!*)n a'ang )ngan #)l"(an )a !)a# 6 (a&* anglal". )a "n3"l )naa# an ')&"! )n)&"!.,)"*an *" 5a!*)n )aa ana#na )&oa' #)*an ol)( *an ')&!)"' *)&*#an oa' 5)n"&"n 5ana!5a&a3)'aol/ )a '"&"n na"n ))&a5a a#)"*an )a na*# lag*. ,)"*an 5a!*)n #)al**aa )&oa' #) IGD RSUD S*a#
S)la*n *'" 5a!*)n "ga )ng)l"(#an "al an "n'a( 2#al* 5aa "n'a(an ')&a5a' !*!a a#anan an 3a*&anl)n*& +/ a&a( +/ n)&* #)5ala a)&a( #)n*ng n)&*
!)n* G"!* )&a&a( 8/ !)a# 4 (a&* ang lal" **!an +/
a'"# +/ 5*l)# +/ n)&* ')ngg)&o#an +/
B*n'*#+*n'*# #))&a(an * l)ngan 8/ n)&* !)n* 8/
BAB 8/ BA, 8/ a&na #"n*ng ')( n)&* !aa' BA, +/
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RI9AAT PENA,ITDA-ULU Pa!*)n )l" 5)&na(
)ngala* #)aaan !)5)&'**n*
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RIWAYAT PENYAKITKELUARGA
aa #)l"a&ga ang )ngala*#)l"(an !)5)&'* *n* #a#a#5a!*)n/ )a !)a# 6 (a&*
ll !aa !aa )&oa' an*&aa'
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RIWAYAT LINGKUNGAN
Pa!*)n '*nggal * l*ng#"ngan '*a#5aa' 5)n""#
D* !)#*'a& ')5a' '*nggal 5a!*)n
aa ana# la*n ang * &aa' *&"a( !a#*' #a&)na 5)na#*')a )&a&a(
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RI9AAT ,E-AMILAN R*aa' AN; &"'*n * *an R*aa' 5)na#*' !)laa #)(a*lan*!ang#al
R*aa' #on!"!* oa' !aa' (a*l*!ang#al
laa (a*l : < "lanDitolong oleh idan Pan!ang adan "#pa
$ara lahir normal "ing%ar %epala "#pa
Berat lahir 2&00 gram "ing%ar dada "#pa
"ang'#ng menangi'
'aat lahir
ya (ndi%a'i )
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Kelainan bawaan : +/
Riwayat imunisasi :
Tan') 5a!*)n '*a# )ng)'a("*&*aa' *"n*!a!* na !#a& B;G8/
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Riwayat tumbuh emban! :
Riwayat "embe#ian ASI :
ASI )#!#l"!*= !a5a* ""& 6 "lan#)"*an *lan"'#an )ngan MPASI
*i+ayat t#m#h %emang m#r *i+ayat t#m#h %emang m#r
-erta+a l#pa "ari )
Miring l#pa igi pertama t#m#h l#pa
-eng%#rap l#pa Bi$ara "#pa
D#d#% l#pa Mema$a 6 tah#n
Merang%a% l#pa Se%olah 6 tah#n
Berdiri l#pa
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P))&*#!aan ""
,)aaan "" : 'a5a# !a#*' !)ang
,)!aa&an : 3o5o! )n'*!
T)#anan a&a( :
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P))&*#!aan F*!*#
Ke"ala
Ma'a : #on"ng'*a an)*! +%+ !#l)&a *#(')&*# +%+ ))a5al5)&a +%+ a'a 3)#"ng +%+
-*"ng : )*a!* !)5'" +/!)#&)' +%+/
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P))&*#!aan F*!*#
M"l"' : "#o!a "l"' a!a(l*a( #o'o& +/ g"!* )&a&a(+/
L)()& : 'on!*l T1+T1 (*5)&)*! +/ 5))!a&an
,GB +/
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P))&*#!aan F*!*#T%#as &"ulm%'
In!5)#!* : !*)'&*! &)'&a#!* *n*ng aa +/
Pal5a!* : o#al =&)*'"! !*)'&*! #a%#*
P)"!* : !ono& * !)l"&"( la5angan 5a&"
A"!#"l'a!* : )!*#"la& &( +%+ ( +%+
T%#as &(%#'
In!5)#!* : *3'"! 3o&*! '*a# ')&l*(a'
Pal5a!* : *3'"! 3o&*! ')&aa * SI; @ *3la*3"la!*n
P)"!* : a'a! an'"ng ala a'a! no&al
A"!#"l'a!* : BJ 1 an 2 &)g"l)& "&"& +/ gallo5 +/
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Abd%men
In!5)#!* : *!')n!* +/
Pal5a!* : n)&* ')#an )5*ga!'&*" 8/ ()5a'o)gal* 8/!5l)no)gal*+/
P)"!*: T*5an* * !)l"&"( la5ang ao)n
A"!#"l'a!*: BU 8/ No&al
Kulit
,)&*ng +/ '"&go& #"l*' a*# 8/
Est#emitas
S"5)&*o& : a#&al (anga' ))a +/ ;RT 2 5')#*) 8/!*ano!*! +/
In=)&*o& : a#&al (anga' ))a +/ ;RT 2 5')#*)+/!*ano!*! +/
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P))&*#!aan Lao&a'o&*"
$0%0$%2016
-)oglo*n : 1$4
L)"#o!*' : 27E&*'&o!*' : @2@
-)a'o#&*' : $
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)IAGN*SIS KER+A
D-F g&a) II
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REN,ANA TIN)AKAN
T*&a( a&*ng
O!)&a!* TT
T)&a5* 3a*&an T)&a5* !*5'oa'*#
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TATALA,SANA
TERAPI ;AIRAN
IFD RL : BB $0 #g
433%#g%a40 '5%a#&o
P3' H 'al)'
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PROGNOSIS
A *'a : ona
A ng!*ona : ona
A !ana'*ona : ona
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Terima kasih
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$0+$+2016 S")3'*) : D)a +/ n)&* !)n* +/ n)&* #)5ala
+/ g"!* )&a&a( +/ !)!a# +/ na=!" a#an)a*#
O)3*): TD : 100%60 -g
T : $64 )&aa' 3)l3*"! RR : 22 >%*
-R : >%*
;a +%+ R( +%+ ao)n !"5)l a#&al (anga' ;RT 2 !
A!!)!!)n'
P)&a*#an Plan
T)&a5* lan"'
IFD $ 33%#gBB%a $0 '5