Lj Meningoensefalokel
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Transcript of Lj Meningoensefalokel
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Laporan Jaga
Elva Gabriella0908113640
KEPANITERAAN KLINIK
BAGIAN BEDAH FK UR
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IdentitasNama : An. TJenis kelamin : perempuanUsia : 3 blTgl Masuk : 26-3-13No. RM : 797314
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Keluhan utama
- Alloanamnesis- Benjolan sebesar bola kasti di antara kedua mata sejak lahir
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Riwayat Penyakit Sekarang
Sejak lahir +/- 3 bulan yang lalu, pada
dahi pasien ditemukan massa yang
melebar seperti hati ayam berwarna
merah kehitaman hampir menutupi
kedua mata pasien, awalnya benjolan
hanya sebesar telur ayam kampung
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Riwayat Penyakit Sekarang
Pasien pernah dirawat di bagian
perinatologi, benjolan disatukan dan
sekarang mata tidak tertutup sepenuhnya
lagi.
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Riwayat penyakit sekarang Benjolan semakin lama irasa
semakin membesar, sekarang seukuran bola kasti dan hampir menutup mata kanan.
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Riwayat Penyakit Dahulu
Demam (+) Batuk (+)
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Riwayat Penyakit Keluarga
Ibu pasien menderita labioschizis
komplit unilateral sinistra
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Status Generalis Keadaan : sakit sedang Kesadaran : compos mentis Status gizi : baik Nadi : 120 x/i Nafas : 25 x/i Suhu : 37,5
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Pem Fisik Umum
A. Kepala : Status lokalis
B. MataRf cahaya -/+, pupil isokor 2mm DS
C. Leher, Thx, Abd, Eks : DBN
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Status Lokalis
Kepala (Regio Fasialis bagian frontalis)
Inspeksi : tampak benjolan sebesar bola kasti diantara kedua mata. Permukaan licin, batas tegas, berwarna kemerahan,keluar cairan kekuningan
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Status lokalis Palpasi : benjolan teraba lunak,
kistik (seperti berisi cairan), nyeri tekan (+),
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Diagnosis Kerja : Meningoensefalokel
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Pemeriksaan Penunjang
Pemeriksaan Darah lrutin CT scan kepala
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Hasil Pemeriksaan WBC : 16,1 x 103
RBC : 3,04 g/dL HGB : 10,3 d/dL HCT : 29,7 L% PLT : 699
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Diagnosis Meningoensefalokel
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Terapi
Konservatif : terapi simptomatis
Pembedahan : meningoensefalokel
repair
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TERIMA KASIH