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TUGAS LAPORAN KASUS ILMU PENYAKIT KULIT DAN KELAMIN

DERMATITIS NUMULARIS

OLEH :

KIKI MEGASARI

10700157

Pembimbing :

Dr. E! P.R. S"#KK 

Dr. N$r Ain%

SMF ILMU PENYAKIT KULIT DAN KELAMIN

FAKULTAS KEDOKTERAN

UNIVERSITAS WIJAYA KUSUMA

RSUD NGANJUK

2015

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I. IDENTITAS PASIEN :

 N%m% : n!. Sii R$&mini

A'%m% : ('n. S$"ri!%)i n*.+ RT 005# R,.00+

  Ke-. K$*re*

(eni& /e'%min : Perem"$%n

Um$r :

Pen)i)i/%n : 2

Pe/er%%n : ,ir%&3%&%

Ag%m% : I&'%m

S$/$ : (%3%

S%$& : S$)% Meni/%

II. ANAMNESIS

Ke'$%n $%m% :

2 g%%' "%)% "$ngg$ng /%/i /%n%n

Ri3%!% Pen!%/i Se/%r%ng :

2 "%&ien )%%ng )eng%n /e'$%n g%%' "%)% "$ngg$ng /%/i /%n%n 4b$'%n.

K$'i er%&% eb%'. S%% /ering er%&% g%%'. A3%'n!% imb$' bini/2bini/ 

/e-i' beri&i %ir !%ng berger*mb*' /em$)i%n "e-%.

Ri3%!% Pen!%/i D%$'$ :

- Sebe'$mn!% be'$m "ern% men)eri% "en!%/i &e"eri ini

- A'ergi *b% )i&%ng/%'

- A'ergi m%/%n%n )i&%ng/%'

Ri3%!% Peng*b%%n :

- P%&ien men)%"% "eng*b%%n )i RS 6%!%ng/%r% ber$"% /e*-*n%*'e /rim#

&%'e" 82# )%n *b% min$m.

Ri3%!% Pen!%/i Ke'$%rg% :

- %/ %)% !%ng men)eri% g%%' )%'%m 1 'ing/$ng%n /e'$%rg%.

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III. PEMERIKSAAN FISIK 

A.STATUS GENERALIS

2 Ke%)%%n $m$m : b%i/ 

2 Ke&%)%r%n : -*m"*& meni&

2 T%n)%2%n)% 9i%'

Te/%n%n )%r% : 180+0

S$$ : ;<=

 N%)i : +0>meni

RR : 80>meni

- Ke"%'%2'eer 

M%% : /*n$ngi9% : %nemi& ?2@

  S/'er% : i/er$& ?2@

  P$"i' : i&*/*r  

  Re'e/ =%%!% : BB

Te'ing% : )%'%m b%%& n*rm%'

Hi)$ng : )%'%m b%%& n*rm%'# )!&"ne$ ?2@

M$'$ : )%'%m b%%& n*rm%'# &i%n*&i& ?2@

Leer : %/ er%b% m%&&% )%n "embe&%r%n /e'en%r 

- T*r%>

In&"e/&i : ben$/ : &imeri&

  Perger%/%n : &imeri&

  I=S rer%/&i : ?2@

P%'"%&i : remi$& r%b% : n*rm%'

  Perger%/%n n%%& : n*rm%'

Per/$&i : &*n*r 

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A$&/$'%&i : -*r : S1S8: $ngg%' reg$'%r# m$r2m$r ?2@# g%''*" ?2@

  P$'m* : 9e&i/$'er BB# r*n/i 22# 3eeing 22

- Ab)*men

In&"e/&i : '%# ben$/ n*rm%'

A$&/$'%&i : bi&ing $&$& ?B@ n*rm%'

P%'"%&i : n!eri e/%n ?2@

 He"%r )%n Lien : %/ er%b%

Per/$&i : im"%ni

- E/&remi%&

A/r%' H%ng% : BB

Oe)em% : e/&remi%& &$"eri*r : 22

  E/&remi%& ineri*r : 22

B. STATUS DERMATOLOGI

2 L*/%&i : "$ngg$ng /%/i /%n%n

2 E'*re&en&i : i"er"igmen%&i# &/$%m%# eriem%$&# er*&i# /r$&%

2 U/$r%n : n$m$'%r  

2 Di&rib$&i : &*'ier  

IV. DIAGNOSA BANDING

1. Derm%ii& n$m$'%ri&

8. Derm%ii& /*n%/ %'ergi/%

;. Tine% "e)i&

V. PEMERIKSAAN PENUNJANG

1. Ui em"e' ?"%- e&@

8. Pemeri/&%%n KOH

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VI. DIAGNOSA KERJA

Derm%ii& N$m$'%ri&

VII. PENATALAKSANAAN

%. Ter%"i me)i/%men*&%

Si&emi/ :

R T%b. Me!' "re)ni&*ne 1mg N*.IC

S. 1. ). ). %b.1

  RT%b. =TM N*.I

S. ;.).). %b. 1

T*"i/%' :

R De&*>!me%&*ne -re%m Tb.I

S. $. e

 b. E)$/%&i :

Mene'%&/%n en%ng "en!%/i !%ng )i)eri% "%&ien

Mengin)%ri mengg%r$/ "%)% )%er% 'e&i %g%r %/ er%)i ine/&i

&e/$n)er 

Min$m *b% &e-%r% er%$r &e&$%i %n$r%n )*/er 

 Men%g% /eber&i%n b%)%n

G$n%/%n &%b$n &%% m%n)i !%ng meng%n)$ng "e'emb%b

-. M*ni*ring :

/*nr*' 7 %ri '%gi

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VIII. PROGNOSIS

A) &%n%m : b*n%m

A) 9i%m : b*n%m

A) -*&mei-%m : b*n%m

IX. RESUME

- P%&ien 3%ni% bern%m% N!. Sii R$&mini )%%ng /e "*'i /$'i /e'%min RSUD

 Ng%n$/ )eng%n /e'$%n "r$ri$& "%)% )*r&$m "e)i& )e>r%. "r$ri$& )ir%&%/%n

&e%/ 4b$'%n !%ng '%'$. S%% /$'i /ering er%&% g%%' )%n er%&% eb%'. A3%'

imb$' ber$"% 9e&i/e' berger*mb*' !%ng /em$)i%n "e-%.

- Sebe'$mn!% "%&ien be'$m "ern% men)eri% &e"eri ini

- P%&ien men)%"% "eng*b%%n )i RS 6%!%ng/%r% ber$"% /e*-*n%*'e /rim# &%'e"

82# )%n *b% min$m.

- D%'%m 'ing/$ng%n /e'$%rg% %/ %)% !%ng men)eri% "en!%/i !%ng &%m%.

- S%$& gener%'i& )%'%m b%%& n*rm%'.

- D%'%m &%$& )erm%*'*gi& )i)%"%/%n m%/$'% eriem%$&# i"er"igmen%&i#

&/$%m%# er*&i# )%n /r$&% "%)% "$ngg$ng /%/i /%n%n )%n )i&rib$&i &*'ier.

- D%ri %&i' %n%mne&% )%n "emeri/&%%n i&i/ )%"% )i&im"$'/%n b%3% "en)eri%

meng%'%mi )erm%ii& n$m$'%ri& )eng%n )i%gn*&e b%n)ing )erm%ii& /*n%/ %'ergi

)%n ine% "e)i&.

- Ter%"i !%ng )iberi/%n "%)% "%&ien ini ber$"% %b'e me!' "re)ni&*'*n 1mg

1/%'i &e%ri# %b'e =TM ;/%'i &e%ri# )%n $n$/ er%"i *"i-%' "%&ien men)%"%

/rim )e&*>!me%&*ne.

- Un$/ e)$/%&i "en)eri% )iberi%$ mengen%i "en!%/i !%ng )i)eri%n!%#

mengin)%ri mengg%r$/ "%)% )%er% 'e&i $n$/ mengin)%ri er%)in!% ine/&i

&e/$n)er# min$m *b% &e-%r er%$r )%n men%g% /eber&i%n

- Pr*gn*&i& "%&ien ini b%i/.

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