Lapjag MInggu
-
Upload
haruno-rosydz -
Category
Documents
-
view
226 -
download
0
description
Transcript of Lapjag MInggu
![Page 1: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/1.jpg)
Oleh:Cilvina Wulandari, S. KedLila Sandi Ismail, S. KedWidya Nursantari, S. Ked
LAPORAN JAGA
RSUD CIANJUR
STASE ILMU KESEHATAN ANAKFAKULTAS KEDOKTERAN DAN KESEHATAN UNIVERSITAS MUHAMMADIYAH JAKARTA
6 November 2011
RUMAH SAKIT ISLAM JAKARTA CEMPAKA PUTIH
![Page 2: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/2.jpg)
IDENTITAS PASIEN
Nama Lengkap : An. SATTL : Jakarta, 3 November 2006Usia : 5 tahun Jenis Kelamin : Laki-lakiNama Orangtua : Tn. AA/ Ny. KAlamat : Rawasari Selatan CemPut-JakPusTgl masuk RS : 6-11-2011 Pukul 20.05 WIBRuangan : MelatiNo. RM : 00-61-74-97Dokter yang merawat : dr. Mahdi, Sp. A
![Page 3: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/3.jpg)
ANAMNESIS
![Page 4: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/4.jpg)
ANAMNESISRIWAYAT PENYAKIT
SEKARANG
![Page 5: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/5.jpg)
![Page 6: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/6.jpg)
ANAMNESIS
![Page 7: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/7.jpg)
ANAMNESIS
![Page 8: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/8.jpg)
ANAMNESIS
![Page 9: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/9.jpg)
ANAMNESIS
![Page 10: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/10.jpg)
PEMERIKSAAN FISIK
![Page 11: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/11.jpg)
PEMERIKSAAN FISIKStatus Generalis
![Page 12: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/12.jpg)
PEMERIKSAAN FISIKStatus Generalis
![Page 13: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/13.jpg)
PEMERIKSAAN FISIKStatus Generalis
![Page 14: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/14.jpg)
PEMERIKSAAN FISIK
![Page 15: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/15.jpg)
PEMERIKSAAN PENUNJANG
PEMERIKSAAN DARAH
Jenis Pemeriksaan Hasil Nilai Rujukan
Hemoglobin 4,4 12 -16 g/dl
Trombosit 258 150 – 450 Ribu/µL
Leukosit 17,9 4.8 – 10.8 Ribu/µL
Hematokrit 13,9 42.00 – 52.00 %
![Page 16: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/16.jpg)
RESUME
![Page 17: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/17.jpg)
DAFTAR MASALAH
![Page 18: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/18.jpg)
ASSESSMENT
• Jaundice e.c Hepatitis virus A
DD/ Jaundice e.c hepatitis virus B
• Atas dasar anamnesis
Kedua mata dan kulit kuning sejak satu hari SMRS disertai dengan
demam, mual (+), badan terasa lemas, tidak nafsu makan.
Pemeriksaan Fisik
Sklera ikterik (+/+), kulit ikterus (+)
Pemeriksaan Penunjang
SGOT :
SGPT :
![Page 19: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/19.jpg)
Rencana Terapi
• Bedrest• Infus Asering (BB = 15kg)
10 kg (10 x 100 = 1000cc)5 kg (1000 + 50 x 5 = 1250cc)Jumlah 2250 cc(pasien mau minum)2000/24 = 83 / 4 = 20 tpmPemeriksaan Serologis (Anti HVA IgM dan Anti HVA IgG
![Page 20: Lapjag MInggu](https://reader036.fdocument.pub/reader036/viewer/2022062304/563dbb31550346aa9aab0615/html5/thumbnails/20.jpg)
ASSESSMENT
• Gizi Kurang e.c intake sulit
Atas dasar anamnesis
badan terasa lemas, tidak nafsu makan.
Pemeriksaan Fisik
BB/TB : 15/20 x 100 % = 75% (Gizi Kurang)
R/Th : Asupan kalori = BEEx faktor risiko= 859