Reyjen Kasus Blighted Ovum
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Transcript of Reyjen Kasus Blighted Ovum
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Presentasi KasusBlighted Ovum
Oleh:dr.REYJEN
Pembimbing:dr. Yolanda Desire
PROGRAM DOKTER INTERNSIP INDONESIARUMAH SAKIT TV IV CIJANTUNG
2015
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RSIDENTITAS PASIEN
Nama : Ny. KUmur : 32 TahunJenis Kelamin : PerempuanAgama : IslamStatus : MenikahPekerjaan : Tidak bekerjaAlamat : Asrama Yon Kav I, RT 4 / RW
11, Pasir Gunung Sebitan, Cimanggis, Depok
MRS : 1 April 2015Dikirim oleh : Poliklinik KandunganDirawat di : Ruang KarinaNo CM : k 000087
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RSANAMNESIS
• 1 April 2015 di Ruang Karina RS TK IV Cijantung Kesdam
AUTOANAMNESA
• Keluar Flek dari VaginaKELUHAN UTAMA
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RIWAYAT PENYAKIT SEKARANG
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RIWAYAT PENYAKIT DAHULU
Jantung Disangkal
Darah Tinggi Disangkal
Kencing manis Disangkal
Asma Disangkal
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RIWAYAT PENYAKIT KELUARGA
Jantung Disangkal
Darah Tinggi Disangkal
Kencing manis Disangkal
Asma Disangkal
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Pasien tidak bekerja, dan suami pasien bekerja sebagai anggota TNI
RIWAYAT SOSIAL EKONOMI
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RSOBJEKTIF
• BaikKesan umum
• Compos Mentis, GCS = E4M6V5Kesadaran
• 110/70 mmHgTekanan Darah
• 82x/menit, reguler, isi dan tegangan cukupNadi
• 24x/menitLaju Pernafasan
• 36,40C (Axilar)Suhu
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Pasien tidak bekerja, dan suami pasien bekerja sebagai anggota TNI
PEMERIKSAAN FISIK
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RSDIAGNOSA
• G2P1A0, Hamil 13 minggu dengan Abortus Iminens
Diagnosa Sementara
• Blighted Ovum• Kehamilan Ektopik• Mola Hidatosa
Diagnosa Banding
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RSPemeriksaan
PenunjangLaboratorium Darah Lengkap
Laboratorium Darah Lengkap tanggal 1 April 2015
WBC 5.1 / mm3 4 – 10,0 Normal
HBG 10.4 g/dL 11,0 – 16,5 Normal
HCT 32 % 37,0 – 43,0 Normal
PLT 232/mm3 160 - 400 Normal
CT 2,00 1 – 3 Normal
BT 6,24 5 – 10 Normal
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USGTanggal 31 Maret 2015
Gestational sac Uteri tepi irreguler, tidak tampak embrionic poleKesan: Blighted Ovum
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RSRESUME
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RSASSESMENT
G2P1A0 Hamil 13 Minggu, Blighted Ovum dengan Abortus Iminens
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RSPLANNING
Nonfarmakologi
Monitor tanda vital
Pemeriksaan Lab darah
(H2TL+CT & BT)
Puasa 6 jam sebelum tindakan Kuretase
Kuretase
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Farmakologi
Infus RL 12 tpmMethergin tablet
3 x 1 tablet
Amoxcycylyn tablet
3 x 500 mg
Sulfas Ferosus tablet
3 x 1 tablet
Asam Mefenamat tablet
3 x 500 mg
Cytotek2 x ½ tablet
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RSPROGNOSIS
•BonamAd Vitam
•BonamAd Fungsionam
•Dubia at BonamAd Sanationam
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TINJAUAN PUSTAKAPendarahan Pada Kehamilan Muda