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PARADE PASIEN BARUBEDAH PLASTIK 

Bagian Ilmu BedahBagian Ilmu Bedah PlastikPlastikFakultas Kedokteran UniersitasFakultas Kedokteran Uniersitas

HasanuddinHasanuddin Rumah Sakit Dr! "ahidinRumah Sakit Dr! "ahidin

SudirohusodoSudirohusodo#akassar#akassar

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$!IDENTITAS PASIEN•  Nama : Nur Fathya

• RM : 749665

• Jenis kelamin : perempuan

• Tanggal lahir : 26-02-205

• !mur : tahun "ulan

• #lamat : Tama$na

• MR% : 2&-0&-206

• 'era(atan : )$ntara & #tas

*elakang +*4

• ,'J' : r.#.J.Rie(passsa/%p.*'-R

• Jaminan : J+N

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ANA#NESIS

• Keluhan utama % &en'olan (adalengan kanan

Anamnesis ter(im(in % dialami se'aklahir! A)aln*a &en'olan han*ase&esar ka+ang tanah, lalumem&esar (erlahan selama $ tahun

ini! Tidak ada ri)a*at gatal dan(erdarahan!

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F;T; KLINIS

Regio Ante&ra+hii De4tra

 

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LAB;RAT;RIU#<3$856835$7=

PEMERIKSAAN HASIL RUJUKAN

RBC :,97 4.00-6.00

WBC $3,$ 4.00-0.0

HB $5 2.0-6.0

HCT 63 27.0-41.0

PLT 9>$ 50-400

PT $5,6 0-4

APTT 6$,6 22.0-&0.0

INR  5,2? --

SGOT :5 &1

SGPT $> 4UREUM $: 0-50

KREATININ 5,65 /&

NA $:: &6-45

K  :,6 &/5-5/

CL $5> 97-

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DIA-N;SIS

Hemangioma regio Ante&ra+hiide4tra

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PLANNIN-

E4sisi hemangioma

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3!IDENTITAS PASIEN

•  Nama : #"u Naim

• RM : 70420

• Jenis kelamin : )aki-laki

• Tanggal lahir : 2--990

• !mur : 25 tahun

• #lamat : +ampung 3$a

• MR% : 2&-0&-206

• 'era(atan : )$ntara & #tas

*elakang +*

• ,'J' : r.#.J.Rie(passsa/%p.*'-R

• Jaminan : J+N

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ANA#NESIS

• Keluhan utama % Ingin +a&ut im(lant

• Anamnesis ter(im(in % Pasien ingin

angkat im(lant di )a'ah! Pasien merasa

terganggu karena (erasaan menggan'al!

Pasien 'uga ingin mele(askan im(lant

(ada lengan kirin*a *ang di(asang

&ersamaan dengan im(lant di )a'ahn*a!

Ri)a*at ;(erasi (asang im(lan (ada

&ulan maret 35$9 di RS!"ahidin

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PE#ERIKSAAN FISIK 

Status Generalis % Baik. -i/i 0uku(. 0om(os #entisStatus Vitalis % Tekanan Darah % $35.>5 mmHg

  Nadi % >5 4.menit

  RR % $>4.menit

  Suhu % 67,6 o0

Status Lokalis :

In@raor&ita sinistra

Ins(eksi % tam(ak s+ar (as+a o(erasi

Pal(asi % Tera&a im(lant (ada regio su(raor&itasinistra /*goma sinistra

 

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F;T; KLINIS

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KESANPE#ERIKSAAN

• Shermanns (late

ter(asang (ada(osisi *ang &aik

• Deiasi se(tum

nasi sinistra

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LAB;RAT;RIU#<33856835$7=

PEMERIKSAAN HASIL RUJUKAN

RBC 9,7? 4.00-6.00

WBC >,5 4.00-0.0

HB $7,? 2.0-6.0

HCT 9$ 27.0-41.0

PLT 3>9 50-400PT $5,2 0-4

APTT 65,> 22.0-&0.0

INR  $,56 --

SGOT 32 &1

SGPT 69 4UREUM 65 0-50

KREATININ $,55 /&

NA $:6 &6-45

K  :,9 &/5-5/

CL $5> 97-

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DIA-N;SIS

Post ;RIF regio /*gomaksillasinistra dan /*gor&ita sinistra

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PLANNIN-

AC Im(lant

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6! IDENTITAS PASIEN

•  Nama : Muh. Ri(an• RM : 744016

• Jenis kelamin : )aki-laki

• Tanggal lahir : 21-4-2006

• !mur : 9 tahun

• #lamat : Mangempang

• MR% : 29-0&-206

• 'era(atan : )$ntara & #tas

*elakang +2*6

• ,'J' : r.#.J.Rie(passsa/%p.*'-R

• Jaminan : J+N

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ANA#NESIS

• Keluhan utama %&en'olan keras (ada

daun telinga kanan

Anamnesis ter(im(in % dialami se'ak $tahun se&elum masuk rumah sakit,

a)aln*a (asien mengalami ke+elakaan

lalu lintas, telinga kanan ro&ek dan

di'ahit di (uskesmas, kemudian tum&uh

&en'olan keras dari &ekas 'ahitan

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PE#ERIKSAAN FISIK Status Generalis % Baik. -i/i 0uku(. 0om(os #entis

Status Vitalis % Tekanan Darah % 25.75 mmHg

  Nadi % >> 4.menit

  RR % 354.menit

  Suhu % 67,9o

0Status Lokalis :

Regio Auri+ula De4tra

Ins(eksi % Tam(ak &en'olan se&esar kelereng, )arna kulitsama dengan sekitarn*a

Pal(asi % Tera&a &en'olan ukuran 3!943!9+m, konsistensi  keras, tidak n*eri

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LAB;RAT;RIU#<3$856835$7=

PEMERIKSAAN HASIL RUJUKAN

RBC 4.29 4.00-6.00

WBC 1/0 4.00-0.0

HB 2/4 2.0-6.0

HCT &1 27.0-41.0

PLT &9 50-400PT /& 0-4

APTT &4/ 22.0-&0.0

INR  /07 --

SGOT 22 &1

SGPT 4 4UREUM 9 0-50

KREATININ 0.50 /&

NA 4 &6-45

K  &/9 &/5-5/

CL 05 97-

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DIA-N;SIS

Keloid auri+ula de4tra

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PLANNIN-

Eksisi keloid

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:!IDENTITAS PASIEN

• Nama : #leaner Tahalea

• RM : 7457&7

• Jenis kelamin : laki-laki

• Tanggal lahir : 09-06-952

• !mur : 6& tahun

• #lamat : )ateri / #m"$n

• MR% : 21-0&-206

'era(atan : )$ntara & #tas*elakang +5*

• ,'J' : r.#.J.Rie(passsa/%p.*'-R

• Jaminan : J+N

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ANA#NESIS

• Keluhan utama % &en'olan di &a)ah matakanan

• Anamnesis ter(im(in %

Dialami se'ak $ tahun lalu *ang makinlama makin mem&esar!

Ri)a*at ter(a(as sinar matahari ada!

ri)a*at o(erasi eksisi &asalioma $ &ulan*ang lalu di RS )ahidin

Ri)a*at o(erasi skin a( 3 minggu *anglalu di RS )ahidin

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PE#ERIKSAAN FISIK 

• Status generalis %KU &aik.gi/i kurang.+om(os mentis

• Status italis %Nadi % 23 kali.menit

Na(as % 35 kali.menitSuhu % 67,? 0

• Status lokalis %Regio (al(e&ralis De4tra%ins(eksi % tam(ak 'aringan granulasi(al(asi % n*eri tekan tidak ada

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F;T; KLINIS<32856835$7=

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LAB;RAT;RIU#<3$856835$7=

PEMERIKSAAN HASIL RUJUKAN

RBC 5.&7 4.00-6.00

WBC 1.& 4.00-0.0

HB &.9 2.0-6.0

HCT 44 27.0-41.0

PLT 259 50-400PT . 0-4

APTT 29.5 22.0-&0.0

INR  .05 --

SGOT 27 &1

SGPT && 4UREUM 27 0-50

KREATININ 0.9 /&

NA 42 &6-45

K  &.5 &/5-5/

CL 0& 97-

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DIA-N;SIS

Basalioma (ost eksisi

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PLANNIN-

Skin -ra@t

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9! IDENTITAS PASIEN

•  Nama : ahyui• RM : 752&

• Jenis kelamin : )aki-laki

• Tanggal lahir : 6--990

• !mur : 25 tahun• #lamat : *TN *ukit arta$

• MR% : 29-0&-206

• 'era(atan : )$ntara & #tas

,epan +5 *• ,'J' : ,r.r.F$nny J$sh/%p.*'-R

• Jaminan : J+N

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ANA#NESIS

• Keluhan utama % N*eri (ada )a'ah

• Anamnesis ter(im(in %

Dialami se'ak 9 hari *ang lalu aki&at

ke+elakaan lalu lintas! Pasien

meru(akan konsul dari &edah sara@!

Ri)a*at muntah dan (enurunan

kesadaran tidak ada!

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PE#ERIKSAAN FISIK 

Status Generalis % Baik. -i/i 0uku(. 0om(os#entis

Status Vitalis % Tekanan Darah % $$5.?5 mmHg

  Nadi % >> 4.menit

  RR % 354.menit

  Suhu % 67,9 o0

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PE#ERIKSAAN FISIK 

Status Lokalis :Regio Zygomaksilla Sinistra

Ins(eksi % tam(ak luka ekskoriasi ukuran

$!94$ +m, hematom 8 , edema   Pal(asi % n*eri tekan ada, kre(itasi ada

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F;T; KLINIS

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#S0T Ke(ala 6 Dimensi NonKontras

KESANPE#ERIKSAAN

• Fraktur os

ma4illaris dan os/*gomati+umsinistra

• Hematosinusma4illarissinistra

• Rhinitis +hroni+h ertro i+ans

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DIA-N;SIS

Fraktur os ma4illaris /*gomati+um sinistra

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7! IDENTITAS PASIEN

• Nama : !sman %ari

• RM : 750077

• Jenis kelamin : )aki-laki

Tanggal lahir : 2-0-969• !mur : 46 tahun

• #lamat : ,esa lap$lu

• +$nsul : 22-0&-206

• 'era(atan : )$ntara & *a(ah *elakang

• ,'J' : ,R.r.F$nny J$sh/ %p.*'-R 8+

• Jaminan : J+N

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ANA#NESIS

• Keluhan utama % Luka (ada kaki

• Anamnesis ter(im(in %

Luka (ada kaki dirasakan se'ak $tahun dan sudah (ernah dio(erasise&an*ak 3 kali! Pasien dira)at di(era)atan H0U sara@ dengan tetra

(arese L#N e+ sus( -ullian Barres*ndrome

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PE#ERIKSAAN FISIK 

• Status generalis %

&aik.gi/i +uku( .+om(os mentis

• Status italis %

 TD% $65.>5 N%754.menit P% 354.menit S%67,9 0• Status lokalis %

• regio (edis sinistra

I% ul+er , 'aringan ne+roti+ <=, granulasi <=

P% n*eri tekan <8= 

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F;T; KLINIS<36856835$7=

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F;T; KLINIS<3>856835$7=

LAB;RAT;RIU#

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LAB;RAT;RIU#<3$856835$7=

PEMERIKSAAN HASIL RUJUKAN

RBC :!33 4.00-6.00

WBC$7!6

4.00-0.0

HB $$!> 2.0-6.0

HCT 6: 27.0-41.0

PLT :3? 50-400

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LAB;RAT;RIU#<33856835$7=

PEMERIKSAAN HASIL RUJUKAN

'T $$!2 0-4

#'TT 3$!> 22.0-&0.0

NR  $!$6 --

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DIA-N;SIS

Ulkus Pedis

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PLANNIN-

De&ridement

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?!IDENTITAS PASIEN

• Nama : tha

• RM : 747291

• Jenis kelamin : 'erempuan

Tanggal lahir : 26;2;92• !mur : 2& tahun

• #lamat : Makassar

• 'era(atan : !)*

• ,'J' : ,r.r.F$nny J$sh/%p.*'-R

• Jaminan : J+N

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ANA#NESIS

• Keluhan utama % Luka &akar terkena air(anas

• Anamnesis ter(im(in % Ri)a*at Luka

&akar $ &ulan *ang lalu karena tersiramair (anas! Pasien sem(at dilakukande&ridement dan di ra)at di unit luka

&akar selama 3 minggu! Se&elumn*a(asien (ulang atas (ermintaan sendirikarena akan mengurus BPGS!

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PE#ERIKSAAN FISIK •

Status generalis %KU &aik.gi/i &aik.+om(os mentis

• Status italis %

Nadi % 27 kali.menit

Na(as % 35 kali.menit

Suhu % 67,? 0

• Status lokalis %

 – Regio Thorax

Ins(eksi % Burn In'ur* -rade 3B >

Pal(asi % N*eri

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 – Regio Abdomen

Ins(eksi % Burn In'ur* -rade 3B 2

Pal(asi % N*eri

 – Regio Perineum

Ins(eksi % Burn In'ur* -rade 3B $

Pal(asi % N*eri

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F;T; KLINIS

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F;T; KLINIS<32856835$7=

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DIA-N;SIS

• 0om&ustio -rade IIB8III 66, Postde&ridement

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PLANNIN-

De&ridement e4sisi tangensial

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$!IDENTITAS PASIEN•

 Nama : #kmal• RM : 75257

• Jenis kelamin : laki-laki

• Tanggal lahir : 05-05-2000

• !mur : 5 tahun• #lamat : *$le /%in<ai

• MR% : 26-0&-206

• 'era(atan : )$ntara & #tas

*elakang +5*6• ,'J' :,r. r. F$nny J$sh/ %p.*'-R

• Jaminan : J+N

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ANA#NESIS

• Keluhan utama % luka ro&ek luas (ada)a'ah

• Anamnesis ter(im(in % dialami se'ak> 'am

se&elum masuk rumah sakit aki&atke+elakaan lalu8lintas, ri)a*at(ingsan.(enurunan kesadaran tidak ada,ri)a*at mual dan muntah $ kali,

• #ekanisme % (asien mengendarai motortan(a menggunakan helem ti&a ti&amena&rak mo&il dari &elakang,

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PE#ERIKSAAN FISIK 

• Primar* sure*%Air)a*% +lear

Breathing% simetris

RR% 35 4.menit0ir+ulation% TD% $35 .25 mmH-

N% >: 4.menit

Disa&ilit*% -0S$9 E:#719

Eks(osure% Suhu% 67,> 0

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Status lokalis

• Ins(eksi% Tam(ak luka ro&ek ukuran:43 +m, (erdarahan ada,luka kotor,&one eks(osure

  Luka le+et di (i(i ukuran > +m

• Pal(asi % n*eri tekan

F;T; KLINIS

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F;T; KLINIS<32856835$7=

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./*%+&T*TAS PAS*+&

•  Nama : rnestina

• RM : 7292&&

• Jenis kelamin : 'erempuan

• Tanggal lahir : 1-1-910

• !mur : &5 tahun

• #lamat : +ampung i

• Tgl. +$nsul : 22 = 02 -206

'era(atan : )$ntara & ** +4 *2

• ,'J' : ,r.r. F$nny J$sh/ %p.*'-R

• Jaminan : J+N

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A&A&+S*S

• +eluhan utama : )uka paa "$k$ng

• #namnesis terpimpin : ialami se<ak 2 minggu se"elum

masuk rumah sakit. 'asien merupakan k$nsul ari "agianneur$l$gi engan iagn$sa gli$"last$ma multi>$rme. 'asien

sulit untuk m$"ilisasi an mengalami kelemahan paa "agian

tu"uh se"elah kanan

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P++R*"SAA& F*S*S• +aaan !mum

 – %akit seang; gi?i ukup; saar 

• %tatus @italis

 – T, A 90;0 mmg

 – NA 10;menit

 – 'A 20;menit

 – %A &6/7 3

%tatus l$kalisRegi$ Bluteus

 – nspeksi: tampak asil Flap *aik 

F)T) "L*&*S 0$10102.3

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F)T) "L*&*S 0$10102.3

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F)T) "L*&*S 0410102.3

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F)T) "L*&*S 51$102.3

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F)T) "L*&*S .31$102.3

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F)T) "L*&*S 041$102.3

LA6)RAT)R*7

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LA6)RAT)R*7.410102.3

PEMERIKSAAN   HASIL RUJUKANRBC &.92 4.00-6.00

WBC 0.0 4.00-0.0

HB 0.5 2.0-6.0

HCT &.2 27.0-41.0

PLT 226 50-400PT .6 0-4

APTT 25.0 22.0-&0.0

INR  /2 --

Na/K/Cl 4;2.9;06

GDS 0 40SGOT 2& &1

SGPT & 4

UREUM 4 0-50

KREATININ 0/&4

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LA6)RAT)R*7 .1$102.3

PEMERIKSAAN HASIL

Albumin &.1

Na 4

K  &.&

Cl 02

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%*AG&)SA

• P;H8? skin a(

• Ulkus de+u&itus

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A&AG++&T

• CF, R) 20 tpm

• 3e>ta?iime g;2<;C

• Metr$nia?$le 500mg;1<;C

• Ranitiin 50mg;2<;C

• Ra(at luka D BC per 2 hari

M$"ilisasi miring kanan an kiri tiap 2 <am

3 IDENTITAS PASIEN

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3!IDENTITAS PASIEN

• Nama : a(atia

• RM : 7411

• Jenis kelamin : 'erempuan

• Tanggal lahir : 22-04-961

• !mur : 47 tahun

• #lamat : Makassar  

• +$nsul : 6;0&;6

•'era(atan : )$ntara & *, +4*6

• ,'J' : ,r.r.F$nny J$sh/%p.*'-R

• Jaminan : J+N

ANA#NESIS

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ANA#NESIS

• Keluhan utama % Luka (ada Pantat

• Anamnesis ter(im(in % PasienDikonsul dari &edah sara@ dengan

diagnosis Fraktur kom(resi Lum&al I8IIdengan ulkus deku&itus! Pasien tidakda(at menggerakkan kedua tungkai

se'ak $ &ulan! Pasien &er&aring terus8menerus sehingga ada luka di atas(antatn*a

PE#ERIKSAAN FISIK

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PE#ERIKSAAN FISIK •

Status generalis %KU &aik.gi/i kurang.+om(os mentis

• Status italis %

Nadi % 23 kali.menit

Na(as % 35 kali.menit

Suhu % 67,? 0

• Status lokalis % Regio Sacrococcygeus

Ins(eksi % Tam(ak ul+er, Sludge, Perdarahanakti@ 8, Nekrotik minimal

Pal(asi % N*eri 8

F;T; KLINIS

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F;T; KLINIS<32856835$7=

LAB;RAT;RIU#<56856835$7=

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<56856835$7=

PEMERIKSAAN HASIL RUJUKAN

RBC &/16 4.00-6.00

WBC 0/2 4.00-0.0

HB /5 2.0-6.0

HCT &5 27.0-41.0

PLT 2&2 50-400

PT /9 0-4

APTT 22/9 22.0-&0.0

GDS 09 40

SGOT 25 &1

SGPT 55 4

UREUM 27 0-50

KREATININ 0/6 /&HbsAg Reati@e

ANTI HC  N$n reati@e

NA &2 &6-45

K  &/0 &/5-5/

CL 0& 97-

DIA-N;SIS

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DIA-N;SIS

• Post De&ridement hari ke8? et +ausaulkus deku&itus regio sa+ro+o++igeal

• Fraktur Kom(resi Lum&al I8II

PLANNIN-

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PLANNIN-

Skin Fla(

6 IDENTITAS PASIEN

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6!IDENTITAS PASIEN

• Nama : %t. Maryam usai"a #spar 

• RM : 74469

• Jenis kelamin : 'erempuan

• Tanggal lahir : 06-04-205

• !mur : "ulan

• #lamat : #spar #mir ,g )ili

• +$nsul : 2-0&-206

•'era(atan : '3! "e 7

• ,'J' : r. #.J Rieu(passa %p.*/ %p.*'

• Jaminan : J+N

ANA#NESIS

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ANA#NESIS

• Keluhan utama %

0elah (ada langit8langit mulutsam(ai &i&ir

• Anamnesis ter(im(in %

Dialami se'ak lahir, ri)a*at i&umenderita (en*akit dan minum o&at8o&atan ketika hamil disangkal!

PE#ERIKSAAN FISIK

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PE#ERIKSAAN FISIK 

• Status generalis %

sakit &erat. gi/i &uruk. sadar

• Status italis

N% $554.menit P%754.menit S%62,3 0

• Status lokalis%

Regio La&ialis su(erior% tam(ak +elah kom(lit &ilateral

Regio (alatum% tam(ak +elah &ilateral

F;T; KLINIS

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<33856835$7=

LAB;RAT;RIU#

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<33856835$7=

PEMERIKSAAN HASIL RUJUKAN

RBC &.5& 4.00-6.00

WBC 6.4 4.00-0.0

HB 0.5 2.0-6.0

HCT &2 27.0-41.0PLT && 50-400

GDS 10 40

SGOT &2 &1

SGPT 5 4

UREUM 2 0-50

KREATININ 0.22 /&NA &5 &6-45

K  &.5 &/5-5/

CL 96 97-

DIA-N;SIS

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DIA-N;SIS

La&iognato(alatos+hisis &ilateralkom(lit

0AP

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: IDENTITAS PASIEN

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:!IDENTITAS PASIEN

• Nama : Nurhalima Munir 

• RM : 7462&9

• Jenis kelamin : 'erempuan

• Tanggal lahir : -2-990

• !mur : 25 tahun

• #lamat : 'arang *$""$

• MR% : 9-0&-206

'era(atan : )$ntara & #tas *elakang +&*• ,'J' : r. #.J. Rie(passa/ %p.*/ %p.*'

• Jaminan : J+N

ANA#NESIS

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ANA#NESIS

• Keluhan utama %

 Tulang rahang &a)ah tidak simetris

• Anamnesis ter(im(in %

Dialami se'ak 35 tahun se&elum masukrumah sakit aki&at (em&engkakanrahang &a)ah kiri *ang &erakhir

dengan keluarn*a nanah! Ri)a*ato(erasi $ tahun *ang lalu di Enrekang<o(erasi untuk keluhan *ang sama=

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F;T; KLINIS

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LAB;RAT;RIU#

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<3$86835$7=PEMERIKSAAN HASIL RUJUKAN

RBC 4.2 4.00-6.00

WBC 6.1 4.00-0.0

HB 2.& 2.0-6.0

HCT &6 27.0-41.0

PLT &22 50-400

PT 2.2 0-4

APTT &0. 22.0-&0.0

INR  .06 --

GDS 1& 40

SGOT 20 &1

SGPT 9 4UREUM 2& 0-50

KREATININ 0.60 /&

NA 4 &6-45

K  4.0 &/5-5/

CL 05 97-

Foto 0T S+an 6D

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Foto 0T8S+an 6D

DIA-N;SIS

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DIA-N;SIS

Hi(otro+ lesion mandi&ula sinistra

Post o(erasi hari ke $

9 IDENTITAS PASIEN

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9!IDENTITAS PASIEN

•  Nama : ina• RM : 7445

• Jenis kelamin : 'erempuan

• Tanggal lahir : 05-05-990

• !mur : 25 tahun

• #lamat : Jl. Muh Eamin

• MR% : 20-0&-206

• 'era(atan : )$ntara & #tas *elakang

+4*4

• ,'J' : ,r. r. F$nny J$sh/ %p.*'-R

• Jaminan : J+N

ANA#NESIS

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ANA#NESIS

• Keluhan utama %

Ben'olan (ada li(atan siku kanan

• Anamnesis ter(im(in %

Dialami se'ak 3 &ulan se&elum masukrumah sakit! 3 tahun *ang lalu, (asienmengalami luka &akar *ang meli&atkanse&agian tu&uh sisi kanann*a! Ri)a*at

o(erasi 34 untuk &en'olan di li(at sikuselama 3 &ulan terakhir! Ben'olan tum&uhkem&ali dan +e(at mem&esar

PE#ERIKSAAN FISIK

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PE#ERIKSAAN FISIK • Status generalis %

KU &aik.+om(os mentis

• Status italis %

 Tekanan Darah % $35.>5 mmHg

Nadi % >5 kali.menit

Na(as % $> kali.menit

Suhu % 67,? 0

• Status lokalis % 0u&iti de4tra

I% Tam(ak massa &er&en'ol8&en'ol denganukuran $94> +m ,

P% #assa Ra(uh, mudah &erdarah

F;T; KLINIS

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<3$856835$7=

LAB;RAT;RIU#<3$ 56 35$7=

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<3$856835$7=PEMERIKSAAN HASIL RUJUKAN

RBC 4.06 4.00-6.00WBC 27.6 4.00-0.0

HB 9. 2.0-6.0

HCT &0 27.0-41.0

PLT 541 50-400

PT 0.7 0-4APTT 26.4 22.0-&0.0

INR  .0 --

GDS 97 40

SGOT 9 &1

SGPT 25 4UREUM 1 0-50

KREATININ 0.14 /&

NA 42 &6-45

K  &.& &/5-5/

CL 0& 97-

PAT;L;-I ANAT;#I

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PAT;L;-I ANAT;#I

• Proses 'inak sus(ek Fi&roma

DIA-N;SIS

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DIA-N;SIS

 Tumor regio el&o) 'oint de4tra

Post o(erasi hari ke $ eksisi tumor

2 IDENTITAS PASIEN

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2!IDENTITAS PASIEN

•  Nama : %aha"uin• RM : 6176&6

• Jenis kelamin : )aki-laki

• Tanggal lahir : 2-05-915

• !mur : &0 tahun

• #lamat : *ul$ (attang sirap

• MR% : 2-0&-206

• 'era(atan : )$ntara & #tas *elakang

+*4

• ,'J' : r. #.J. Rie(passa/ %p.*/ %p.*'

• Jaminan : J+N

ANA#NESIS

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ANA#NESIS

• Keluhan utama % Keluar urine melaluilu&ang di (angkal (enis

• Anamnesis ter(im(in % dirasakan

se'ak > &ulan *ang lalu setelaho(erasi tumor s+rotum untuk *angkedua kalin*a, ri)a*at o(erasi

(ertama &ulan $3 tahun 35$:

PE#ERIKSAAN FISIK

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PE#ERIKSAAN FISIK • Status generalis %

KU &aik.gi/i &aik .+om(os mentis

• Status italis %

 TD% $$5.>5

N%>54.menit

RR% $>4.menitS%67,9 0

• Status lokalis % regio genitalia

I% Tam(ak muara stulae4terna (ada (angkal (enis

P% n*eri tekan <=

 

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LAB;RAT;RIU#<$? 56 35$7=

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<$?856835$7=PEMERIKSAAN HASIL RUJUKAN

RBC 5.44 4.00-6.00

WBC 6.7 4.00-0.0

HB 5.1 2.0-6.0

HCT 47 27.0-41.0

PLT 250 50-400

PT 0.5 0-4

APTT 25.4 22.0-&0.0

INR  .0 --

GDS 1 40

SGOT 20 &1

SGPT 1 4UREUM &7 0-50

KREATININ .21 /&

NA 4 &6-45

K  4/0 &/5-5/

CL 0& 97-

DIA-N;SIS

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DIA-N;SIS

Fistula Uretra

Post o(erasi hari ke 6 urethro(last*

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