invaginasi bedah (1).ppt
TRANSCRIPT
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INVAGINASILAPORAN KASUS
BILLIASTRI REVINESIAWIRATAMA HADI TJUANDACUT KEUMALA PUTRITARA RIZVIRA MONICA
ANNISA PUTRI SIREGARMONICA NATALIA HUTAPEAFENNYJESSICA PATRICIA PANGARIBUANELVITA NORA SUSANA
Dosen Pembimbing : dr. Mahyono, SpB, SpBA
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BAB 1Latar belakang
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BAB 2Tinjauan pustaka
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Etiologi
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Jenis Intususepsi
Ileo-colica Ileo-ileal Ileo-caecal
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Trias invaginasi
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The Brighton Collaboration Intussuseption Working Group
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Foto Polos Abdomen
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Barium Enema
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USG
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CT-scan
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Diagnosis Banding
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Penatalaksanaan non operatif
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PENATALAKSANAAN OPERATIF
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BAB 3Laporan kasus
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Identitas Pasien
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II. Anamnesis
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III. Status Presens
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IV. Pemeriksaan Fisik
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Hasil Laboratorium di IGD
Darah Lengkap
Hb 10,5 g%
Eritrosit 4,17 x 106/mm3
Leukosit 10,42 x 103/mm3
Hematokrit 31,4%
Trombosit 420 x 103/mm3
Faal Hemostasis
PT 27,5 (14)
APTT 30,6 (34,7)
TT 22,6 (16,8)
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AGDA
pH 7,411
pCO2 24,3 mmHg
pO2 183,8 mmHg
HCO3 15,1 mmol/L
Total CO2 15,9 mmol/L
BE -7,4
Saturasi O2 99,6
Fungsi Ginjal
Ureum 57,1 mg/dl
Kreatinin 0,43 mg/dl
Kgd Ad random 78,5 mg/dl
Elektrolit
Natrium 138 mEq/L
Kalium 3,4 mEq/L
Klorida 105 mEq/L
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Hasil Foto Thoraks IGD
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Hasil Foto Abdomen di IGD
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Tanggal S O A P Rencana
1-14 April 2015
PICU
Follow up
14-23
April 2015
Ruangan
Muntah(+)
Sens:CM
HR: 120 x/i
RR: 24 x/i
Kepala:Mata:
anemis (-/-),
ikterik (-/-)
Abdomen:
I: simetris,
distensi (-),
stoma viabel,
produksi (+)
P: soepel
A: Peristaltik (+)
Extremitas :
edema (-/-),
akral hangat
Post
Ileostomy
d/t
invaginasi
-IVFD RL
20gtt/i mikro
-Inj
Metoklopera
mid
0,3cc/8jam
-Inj ranitidin
0,5cc/12jam
- Cefadroxil
syrup 2 x Cth
I
-Parasetamol
syrup 3 x Cth
I
-Follow up
-Lopografi
distal
- R
e
n
c
a
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24-29
April
2015
Ruangan
Muntah(
+)
Sens:CM
HR: 116 x/i
RR: 20 x/i
Kepala:Mata
: anemis
(-/-), ikterik
(-/-)
Abdomen:
I: simetris,
distensi (-),
stoma
viabel,
produksi (+)
P: soepel
A:
Peristaltik
(+)
Extremitas :
edema (-/-),
akral
hangat
Post
Ileostomy
d/t
invaginas
i
-IVFD RL
20gtt/i
mikro
-Inj
Metoklope
ramid
0,3cc/8jam
-Inj
ranitidin
0,5cc/12ja
m
-
Cefadroxil
syrup 2 x
Cth I
-
Parasetam
ol syrup 3
x Cth I
-Follow up
-Rencana
Close
ilesostomy
Hasil Lopografi distal: post colostomy pada daerah caecum, tidak tampak extravasasi zat
kontras di daerah tersebut. Pada colon sigmoid masih tampak bayangan fecal material
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29-30
April
2015
Ruanga
n
Demam
(+)
Sens:CM
HR: 108 x/i
RR: 20 x/i
Kepala:Mata
: anemis
(-/-), ikterik
(-/-)
Abdomen:
I: simetris,
distensi (-),
luka post op
tertutup
verband
P: soepel
A: Peristaltik
(+)
Extremitas :
edema (-/-),
akral hangat
Genital:
rectal tube
terpasang,
feses(+)
Post
Ileostom
y closure
( H 0-1)
- Diet TPN
-IVFD D5%
NaCl 0,45%
(400cc) +
D40%
(100cc)
32cc/jam
-IVFD
Aminofusin
pediatric 5%
8cc/jam
-IVFD Ivelip
2cc/jam
-IVFD
paracetamol
drip
200mg/8jam
- Inj
metronidazol
e
150mg/8jam
-Inj
Ceftriaxone
400mg/12ja
m
-Follow up
-Dilakukan
ileostomy
closure
tanggal 29
April 2015
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1-3
Mei
2015
Ruanga
n
Demam
(-)
Sens:CM
HR: 108 x/i
RR: 20 x/i
Kepala:Mata:
anemis (-/-),
ikterik (-/-)
Abdomen:
I: simetris,
distensi (-),
luka post op
tertutup
verband
P: soepel
A: Peristaltik
(+)
Extremitas :
edema (-/-),
akral hangat
Genital:
rectal tube
terpasang,
feses(+)
Post
Ileostom
y closure
( H 2-4)
- Diet TPN
-IVFD D5%
NaCl 0,45%
(400cc) +
D40% (100cc)
32cc/jam
-IVFD
Aminofusin
pediatric 5%
8cc/jam
-IVFD Ivelip
2cc/jam
-IVFD
paracetamol
drip
200mg/8jam
- Inj
metronidazol
e
150mg/8jam
-Inj
Ceftriaxone
400mg/12jam
-Follow
up
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BAB 4Kesimpulan
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