LAPORAN KASUS HT + PJK

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    LAPORAN KASUS

    HIPERTENSI + PJK

    OLEH : MIFTAHULHAQ H. ALI (10542018210)

    Pem!m!"# : $%. &''%!' M*'%! S,.P-

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    A. Identitas Penderita

    N'm' : H'*'" -#. L!"#

    Um% :

    Je"!* Ke'm!" : L'!/'!

    A'm' : " '$$ R'"# : Pe%'''" I

    T'"##' ,eme%!*''" : 2 3'"'%! 2014

    N. M : 2 16 50

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    B. ANAMNESIS

    Tipe Anamnesis: Autoanamnesis

    Keluhan Utama :N7e%! e,''

    Anamnesis Terpimpin

    P'*!e" MRS $e"#'" e'" "7e%! e,'' 7'"# $''m! *e3' 1 '%! SMRS. N7e%! $'$' (+)9 eme''"# (+)9 %'m/%'m ,'$' '"#'" $'" '! e#'"# ee% (+)9 ,*!"# (+)9 *e*' (+)9 m' (+m"' (+)9 ,e% em"# (+).

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    Riwaat Pena!it "ahulu :

    R!'7' HT $'" PJK (+)

    Riwaat Pena!it Keluar#a : T!$' '$' '"##' e'%#' 7'"# ,e"' me"$e%!'

    ,e"7'! 7'"# *'m'

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    . STATUS PRESENT

    S'! e%'#!;! '!

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    ". Status $eneral1. Peme%!*''" Ke,''

    R'm : @'%"' !'m

    @'3' : P

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    %. Thora!s

    Paru

    I"*,e*!:

    -'$' 'm,' $''%

    -!"$!"# $'$' *!me%!*P','*! :

    B' C%em!* ,'% '"'" *'m' $e"#!%!

    Pe%*! :

    S"% ,'$' *e% ','"# ,'%

    ''* ,'% e,'% ,'$' SI B LM $e>

    A*'*! :

    S'%' $'*'% e*!e%9 %"! (/)9 ee

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    &. 'antun#

    I"*,e*! : I%'

    3 K!%! : !"e' '>!'%!* '"e%!% *!"!*%' IS B

    A*'*! : S III %e#'%9 m%"!9 !*!"# (/)

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    ?. A$me"

    I"*,e*! : Pe%m''" $''%

    A*'*! : !*!"# ** (+) e*'" "%m'

    P','*! : N7e%! e'" (+)

    1. He,'% !$' e%''

    2. L!e" !$' e%''

    Pe%*! : T7m,'"!

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    6. Peme%!*''" e*%em!'*

    S,e%!% :

    E$em' (//)9 e',' '"#'" e%!em' ,'m'%!* (//)9(//)9 '%' $!"#!" (//)

    I"Ce%!% : E$em' (//)9 '%' $!"#!" (//)9 *!'"*!* (//)

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    PEMERIKSAAN PENUNJAN=1. LAORATORIUM

    KIMIA -ARAH

    H : 692

    LE- 140

    2. FOTO THORAD

    e%

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    RESUME

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    -IA=NOSIS

    T PARU

    ATELEKTASIS

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    -IA=NOSIS -IFERENSIAL

    PPOK

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    TERAPI

    AMINOFLUI- HARI

    EFTRIADONE 1 =RHR

    -EDAMETASONE 8 JAM

    AMRODOL D1

    RANITI-IN INJ 8 J

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    Pro#nosis

    -!'

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    "ISKUSI

    Te%*!* '$'' ,e%'$'"#'" ,'$' ,'%7'"# $! *e''" e M. Te%Ke'"7''" e%

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    L'"3 -!**! e%$'*'%'" '"'m"e*!*9 $! $',''" ' 7'"# e'

    ''m! *e3' 1 '" 7'"# '

    e%$'*'%'" ,eme%!*''" '9 e%$',' H 7'"# me*e%' ,e"!"#''" LE-

    e%$'*'%'" ,eme%!*''" %'$!#!9 e%$',' e%

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    L'"3 -!**! See' me!' '"'m"e*!* $'" ,eme%!*''"/,eme%!

    '!""7'9 m'' '%* $! e"'" e%',! 7'"# ''" $!

    e%!'" e%'$', ,'*!e" !"! Pe"'''*'"''" *eme"'%' 7'"# $! e%!'" ,'$' ,'

    !"! '$'' Am!"G!$ '%!9

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    TERIMA KASIH