laporan kasus metromenoragi ilmu kandungan

7/18/2019 laporan kasus metromenoragi ilmu kandungan

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MAPPING BANGSAL GINEKOLOGI 4B

4. siti rukanah, th, C519083

DPJP : Dr. dr. T . Mirza Iskandar, Sp!"#$

D% s&ua'(us )*++ )ar)in('a '(d*rat* )*ri- ut*ri rad* III/

Puria

z(t*'ia

2*uk(sit(sis

Tr('(sit(sis

P% p*raikan #

raat 67D

inus 2 0 tp'

in;. Ca +uk(nas 1 a'p

in;. #a+n*- 500 '%8 ;a'

in; )*tria-(n* r%4 ;a'

2a "15%4$ : 6%+*u%tr:

3. Ny. Tarisah, 58 th (C490641) 4B

T+ 'asuk 18%3%15.

DPJP : dr. <nd Cah(n(,Sp.!

D/ Ca *pid*r'(id )*ri- ut*ri stad III /

Pas)a < 5

Pas)a (- sst*' 11

C#D st = "CCT 14,$

Pas)a r*pair d(u+* +u'*n

P/

In;. C*tria-(n* r%4;a'

=it /C%C%S 1 ta % 1 ;a'=it 50.000 iu%4 ;a'

6D rutinP*naasan #, T=, PP=

2a

">%4$ 7a%#%C+: 130%,3%10"11%4$ r%Cr : 9?%3,4 @ 6 : 10,1 @ 2: 9.>00 @ Tr : ?3.000

5. #S7! . Sri sunarti, 58 tahun, C>03?1DPJP : Dr. dr. T . Mirza Iskandar, Sp!"#$

D% Ca )*ri- std 3/ r*sidi

DM tip* II

P% Pr( < "8%>$Pr( #*'(t*rapi 7C I= Pa)+ita-*+ Car(p+astin

6itun +uas tuuhC*k D u+an dan u+a darah

ra*r int*rna 7((rapid 8A8A8

2antus 1 unit

2a "11%4$ : 6%2%Tr : 13,8%5,88%132a "1%4$: +uk(sa s*aktu 44>

rin rutin "1%4$: pr(t A%r*duksi 500, nitrit A

? 7 Sutini, 45 tahun C595?>

DPJP: dr. <nd Cah(n(, Sp!

D% Ca )*ri- stad III /

P% Pr( k*'(t*rapi 7C )isp+atin I

#(nsu+ radi(t*rapi AB;ada+ <

P*naasan #,=S, pp

=it /C%C 1 ta % 4 ;a'

2a "10%4$6%2%tr%*r : 10%10,9%53%3,5

r% )r:9%0,5?

C+: 10>

1. 7 ini, 41 tahun C51489?

DPJP:Dr. dr. T . Mirza Iskandar, Sp!"#$

D% )stad*n( )a 'u)in(su' (arii st. IC

i. p*rasi "1?%$ di+akukan T6/S, ('*nt*kt('i,

+i'ad*n*kt('i p*+is i+at*ra+ atas indikasi Ca arii st. IC

k+inis

P% Pr( k*'( Pa-us Car( I

Pr( 7C II tunu a))

6itun +uas tuuh

C*k D

2a "11%4%15$

6%2%tr : 1,8%10,3 - 103%?19? - 103




10. Yusniah, 36 th, C528346 ! P"#$N% 9.Ny Tariyah, 48 th C510160

DPJP: dr. /*sari, Sp!"#$

D% Ca *pid*r'(id )*ri- ut*ri stad III /

<usi p+*ura dup+*ks

n*'ia rinan "6E8,9$

2*uk(sit(sis "2E1>400$

Tr('(sit(sis "848300$

M(d*rat 6idr(n*r(sis 6idr(ur*t*r dup+*ks

D*'a' Tph(id

P% P*raikan #

Inus 7aC+ 0,9F

In; )*tria-(n* r%4;a'

Para)*ta'(+ 1 ta % ? ;a'

Di*t iasa

a*r int*rna

a*r *dah ur(+(i

P*naasan #, T=, PP=

2a"3%4$ : 6:8,9@ 2*u:1>4000@ Tr:848300

"9%4$: s*r(+(i Tu*- TG "?%p(siti kuat$

*%%st%s%+%': 0%0%1%8>%?%5 MC 1F M%Ca: 0,?>%1,81

11. 7. Titin Sunarti, 53 tahun, C439?9 PULANG

DPJP: Dr. dr. T*uku Mirza Iskandar, Sp! "#$

D% d*n( )a )*ri- ut*ri std III / Pas)a p+a-us )ar( I

8. D;uarni, 50 tahun, C15914

DPJP : dr. <nd C., Sp.!

D% P30 50 tahun pas)a hist*r*kt('i t(ta+ /S "su(pti'a+d*u+kin$ a%i )a (arii std IIIC

Mi+d 67 6 pr(-i'a+ kiri

P%!anti a+ut s*tiap hari inus 2 1 tp'

In; '*tr(nidaz(+* 500 '% 8 ;a'In; ka+n*- 500'%8;a'

In; k*t(r(+a) 30 '%8;a'Di*t iasa

P*naasan #, =S, PP=ra+ ")*adr(-i+ 500 '%1 ;a', '*tr(nidaz(+ 500 '%8 ;a', as.

M**na'at "500%8 ;a', it /C%C%SG 1 ta%4 ;a' DC

drain

2a "1%4$ : 6%2%Tr : 11,4%>,8%55,9

1. 7asriHah, 33 tahun, C51?1DPJP: dr. 6art(n(,Sp! "#$

D%P30 35 tahun P*rdarahan disunsi(na ut*rus 6*patitis /

Pas)a kur*tas* *rtinkat

P%a'(-i)i++in 500 '%8 ;a's. M**na'at 500 '%8 ;a'

P*naasan #, T=, PP=

2a "9%4$: T%PT: 4%39/i+. T(ta+%i+. Dir*k:3,>4%1,8?

&. $ni 'anyani, 49 th (C522356)

T+ 'asuk 3%3%15

DPJP : dr. <nd Cah(n(,Sp.!

D/ Ca *pid*r'(id )*ri- ut*ri stad III /Pas)a < k* 0 PC =

P/

In; (ndans*tr(n 8 ' iIn; ur(s*'id* 40 ' i

C*k D pas)a < 0P*naasan #, =S, PP=

2a:

"1%4$ 6%2%Tr: 10,8%8,1%15>,4"11%4$ 6%2%Tr: 11,5%?,1%80




1?. /<D6 15. 7. Su'artini, 53 tahun, C5185

DPJP : dr. T*uku Mirza Iskandar, Sp. ! "#$

D% kista ad*n('a (arii s*r(su' stad IIIC

Pas)a su(pti'a+ d*u+kin "G* 015 di SD#$

i. p*rasi kandunan di Pur(dadi "00?$

<usi p+*ura p*raikan

Tr('(sit(sis "58000$

n*'ia "11,1$

Pas)a k*'(t*rapi pa-us )ar( I

P%

Inus* 2 0 tp'

3 +p'

In; )*tria-(n* r%4 ;a'

=it /C%C%SG 1 ta%1 ;a'

sa' '**na'at 500'%8;a'

Di*t iasa

T*rpasan SD hari k*A5 "'(nit(r )airan SD$

P*naasan #, T=, PP=

2a "10%4$:6%2%Tr : 11,1%9,5?%58.000

S! d "10%4$ :

A Massa s(+id +(u+at*d >,11-9,83-8,4? )' )uria asa+

(ariu' kanan

A Tak ta'pak n(du+ pada h*par, +i*n, 'aupun para(rta

'*tastasis "A$

1>. Bah 14. 7. Su'iati, 5? tahun, C508845

DPJP: dr. Mirza

D% Ca )*ri- std I=

i. #*'( Pa-us Car(sin 7C III

M*tas paru

P% Pr( #*'( Pa-us Car( 7C I=

C*k +a

saha (at

2a "%4$: 6%2*u%Tr: 10,9%8,0%>?

S!T%PT : %>

r%Cr : 19%0,9

7a%#%C+: 14%4,1%105

18. 7. ukati, 8 tahun, C513948

DPJP : dr. 6ar

D% #ista *nd('*tri(sis

13. T'T




22. Ny. *arinah/ 58 tahun/ C52643&

DPJP : dr. T Mirza, Sp.! "#$

D% pas)a (pti'a+ d*u+kin "/S$ a.i )a (arii stadiu' IIIC

"k+inis$

Pas)a a pa)kin 614

P%


C*i-i'* 00'%8 ;a'

sa' '**na'at 500'%8 ;a'

Di*t iasa

P*naasan #, T=, PP=

!anti a+ut tiap hari

M(nit(r Pr(duksi drain% 8;a' AB"13%4$: 1100))

2a "5%4$ 6%2*u%Tr: 1,8>%8,94%144,3

#u+tur darah "A$ ">%4$

#u+tur urin "9%4$: arna )(k+at aak k*ruh%pr(t >5%ur(i+1%i+

1%as*t(n 15%nitrit %*p. tuu+us 15,1%+*u ?9>,8%si+.pat(+(i

11,19%'u)us 13,8?

2a "10%4$ ur 48%)r 1,0?

1. Ny +iyanti, 48 th, C52&145

Dr. <di i(( 'ari, Sp!# "#$

D% P40, 48 th

Ca r*)ti '*tastasis aina pas)a si'(id(st('i 64

Dd% Ca aina Ca r*)ti

Gistu+a r*)t(aina

P% a*r *dah di*sti


In;. C*tria-(n* r%4 ;a'

In; k*t(r(+a) 30 '%8;a'

In; ranitidin 50 '%1;a'

P*naasan #, T=, PP=

2a "10%4%015$: 6 1,3%2*u 13,8%Tr( 85

P: 'u)(*pid*r'(id )a *rdi*r*nsiasi '(d*rat*

2a "8%4$

PPT%PTT#%PTT: 10,9% 30%3,?

3. T6T "7. Su)i Murninsih$ 0. 7. #asati, 53 tahun, C50301DPJP : dr. <nd Cah(n(,Sp.!

D%Ca *pid*r'(id )*ri- ut*ri stadiu' III/

iaat 7C IIIPas)a 7C I=

P%in; (ndans*ntr(n 8 '

Pr( < "4 ;uni 015$

4. 7. T(rati, C4>9?85

DPJP : dr. T Mirza, Sp.! "#$

D%Ca *pid*r'(id )*ri- ut*ri stadiu' III/

iaat k*'(radiasi +*nkapP(st at*r +(adin

Ppr( at*r +(adin II

19. 7n, 7uru+ dzi'ah, 4 tahun, C51>983

DPJP : dr. <di i(( 'ari, Sp. ! "#$

D% P00 4 tahun

Pas)a S GS : #ista *nd('*tri(sis kiri, T(nsi kista

P%

Inus 2 0 tp'

In; )*(ta-i'* 1 r%1 ;a' i

Puasa sa'pai d*nan p*rista+ti) aik "(+*h 'akan s*dikitAs*dikit$

na+*sik TS n*st*si

P*naasan #, =S, PP=, distr*ss, a+an)* )airan

2a :"9%4$ 6%2%Tr : 1%>,%>1.00




8. Gatikhatun, 44 tahun, C519010 "67D$

DPJP : Dr. dr. T. MirzaIskandar, Sp!"#$

D% d*n(Ca C*ri- ut*ri stad III/

C#D stad = (n 6D

M(d*rat* 676 dup+*-

iaat (p*rasi kandunan 014 "hist*r*kt('i sut(ta+$

iaat n*r(st('i i+at*ra+

Pas)a 6D >-

Pas)a < 11-

!anuan a*kti ip(+ar kini *pis(d* d*pr*si *rat tanpa *;a+a

psik(tik

P(st transus* PC untuk p*raikan #

P% Pr( 6D rutin "auASatu$

Pr( < 1 "p*raikan #$ tanpa k*'(t*rapi

Inus 2 0 tp'

P: sa' '**na'at 500' % 8 ;a'

'itripti+in 5 '%4 ;a'

Di*t s*suai TS izi

/a+an)* )airan

P*naasan #, =S, PP=

2a "14%4$: 6%2*u%Tr : 10,9%8,4%09,3

"11%4$ r%Cr : 54%3,15

>. T6T "7. aisah$

29. T'T ?. I7T<7

30. 7. Istianah, 45 tahun, C55313

DPJP : Dr. dr. T. MirzaIskandar, Sp!"#$

D% Ca )*ri- std II/

#ista (arii

P% Pas)a 2apar(t('i ('*nt*)t(' (pti'a+ d*u+kinAB Susp. Ca

adn*ksa 61

C*(ta-i' 1 %1 ;a'

In;. #a+n*- 1 a'p% ? ;a'

C*k 6

2a "1%4$ 6%2%Tr : 1,?%?,9r%9?,?r

25. Ny. unaah, 3& tahun, C51390&

DPJP : dr Supri;(n(, Sp! "#$

D% s&ua'(s )*++ karsin('a s*ri- ut*ri std III/

Pas)a 7*( d;uant Ch*'(t*rapi II

Pas)a < =II Pas)a p+at(sin )(n) III "13%4$

P% P*raikan #

=it /C%C%S 1 ta % 1 ;a'

=it 50.000 iu%4 ;a'

P*naasan #, =S, PP=

2a "11%4$ 6%2%Tr : 10,1%4,>r%3?r




34 T'T 33.7. Minarti, 44 tahun, C50?55

DPJP : dr. Mirza I, Sp! "#$

D% )st ad*n( )a (arii s*r(su' papi+i*ru' inad*kuat stain

iaat /S 'i('*kt('i ('*nt*kt('i "(kt(*r 014 di

*+iza*th$

p(st punsi p+*ura 6 "11 pri+ 015$

iaat punsi p+*ura - "'ar*t 015 di SD# dan 8 apri+ 015

di *+iza*th$

P%

In;. C*tria-(n* r% 4 ;a'

#a+n*- 500 '%8 ;a'

P*naasan #, =S, PP=

Pr( MSCT ad('*n a++ ad

2a "8%4$: 6%2%Tr: 11,5%9,>%5>>

35. T6T "7. S*pti Marani$ 3. T6T

36. *dah 31. 7. Ju'iati, 44 tahun, C499?4DPJP: dr. <ndi Cah(n(, Sp.!

D% )a )*ri- ut*ri std III/

Pas)a at*r +(adin II "at*r +(adin III tidak dip*r+ukan kar*nad(sis sudah '*'*nuhi - 850 )!$

Pas)a 7C I=P*rdarahan p*raina'

P%

M(nit(r PP=

2a "11%4$: 6%2%Tr: 1,4%4,95%39




40. Int*rna 39. Sriatun, 45 tahun, C 490348

DPJP : dr. T*uku Mirza Iskandar, Sp! "#$

D% Ca *pid*r'(id )*ri- ut*ri std III /

7# dn a padat

C#D sta* = (n 6D "CCT: 9,?$

<usi p+*ura dup+*-

Pas)a < >

C#D st. = (n 6D r 98@ Cr ?,15

Pas)a 6D ?-

n*'ia rinan "9$

!r(ss h*'aturia

Pas)a p*'asanan d(u+* +u'*n "13%04$

P% P*raikan #

3 +p'

Inus a'in(us)in ? tp' "500))%4 ;a'$

Pr( < 8 tanpa k*'( tunda

6D rutin "s*+asa, ;u'at$C*k D p(st 6D

sa' '**na'at 500 '%8 ;a' p(In; asa' tran*-a'at 1 a'p%? ;a'

P*naasan #, =S, PP=

2a "08%04$: h%2%tr: 9%?,3%118,0 "0?%04$: r%)r: 98%?,15

7a%#%C+: 140%3,?%98"11%04$ : 6%2%Tr: 10,1%?,4%118,5

41. *u-iah 66 th, C510392

DPJP : dr. Mirza Sp.! "#$

D% Ca *pid*r'(id C*ri- ut*ri stadiu' III/

Pas)a 7C 3Pas)a < 5 PC =II

P% Pr( /ra)hit*rapi "19%5$

=it /C%C%SG 1 ta%1 ;a'=it 50.000 iu%4 ;a'

P*naasan #, =S, PP=

2a "?%4$6%2*u%Tr(: 10,>%4,5%153,4

38. .#asiati, 41 tahun, C4>8>?9DPJP : dr. MirzaSp.!"#$

D% Ca *pid*r'(id C*ri- ut*ri III/

C#D sta* = "))t : >,01$Pas)a Pa)+ita-*+ Car(p+astin I

iaat 7C =IP(st 6D -

Pas)a < 0-T*rpasan DJ st*nt

Tr('(sit(p*ni "49>00$

S% Pr( < k* 1 tanpa k*'(t*rapi tunda

Di*t iasa


In;. #a+n*- 500 '%? ;a'

In 2 0 tp'

P*naasan #, =S, PP=

ra*r int*rnaABpr( 6D

/6 srup 3-1 C

P(st Transusi PC k(+ "13%4$

C*k 2a u+an#(nsu+ *a+uasi DJ st*nt

2a "11%4$ : 6%6t%2%Tr%<r : 8,%3,>%4,3%49,>%,>

"10%4$ r%Cr : 8%,?

#u+tur urin : tidak ada p*rtu'uhan ku'an

rin "9%4$: pr(t*in 150 r*duksi "A$ akt*ri "$

4.Su'iah, 5 tahun, C4?135

DPJP : dr. T. Mirza I, Sp!

D% Ca*pid*r'(id C*ri- ut*ri stadiu' III/

I+*us (strukti *) '*tastasis

D=T tunkai kanan ABpas)a *'(+*)t('i 61

iaat p+at(sin 7C =I

Pas)a < >- p+at(sin )(nt =

iaat 6D 4-

P*ninkatan 2GT, i+iruin dd% Susp*k '*tastasis h*par

M(d*rat* 67 dan 6 pr(ksi'a+ kiri

3&. Ny. Darsi, 52thn, C494585

D% )st ad*n()a (arii inad*&uat* stain

C#D st =

Pas)a pa-us )ar( I

i 6D >-

Pas)a su(pti'a+ d*u+kin "kt 014 di SD#$

Pas)a hist*r*kt('i supras*ri)a+ /S "Pur(dadi 013$

t*rpasan d; st*nt "15%%15$




P% *n)ana at*r +(adin I "1? pri+ 015$

in 2 0tp'

di*t iasa

=it 50.000 iu%4 ;a'

=it. /C%C%SG 1 ta%1 ;a'

Pr(*nid supp "i+a n*ri$

a*r int*rna

P*naasan #, =S, PP=

C*k 6 p(st (p

2a "1%4$ 6%2*u%Tr(: 11,3%?,9%>5,

2a "10%4$: + 3,

P% Tunda k*'(t*rapi kar*na CCT r*ndah

P*raikan #


sa' '**na'at 3- 500 '

a*r int*rna

a*r *dah ur(+(i

P*naasan #, =S, PP=

2a "13%4$ ur%)r: 88%4,01

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