8/16/2019 mr 12 feb 2

1/21

Kamis 11 FEBRUARI 20161. Ny.Dini Fitrianingsih/ 39 thn

Dx : A!n"isitis a#$t2. Ny.%iti D&$ariah / '( thn

Dx : )ang*i+n man$s "!#stra

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2/21

8/16/2019 mr 12 feb 2

3/21

Anamn!sis

KU: Ny!ri !r$t "i agian #anan aah

R-%: -asi!n "atang #! I)D R%U 5a&i "iantar +*!h s$aminya #ar!na mny!ri "i !r$t #anan aah s!&a# hari *a*$ a"a aa*nya ny!ri t!agian $*$ hati nam$n hari !ri#$tnya ny!ri !rin"ah #! !r$t

#anan aah. -asi!n &$ga m!ng!*$h "!mam s!&a# 3 hari *a*$. $a* "isang#a* -asi!n.

R-D : 5,748 D748

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-rimary %$r!y Airay "an 4sin! imm+i*i;ati+n : !as

Br!athing : %+ntan. RR : 20 x/ m!nit

ir

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%!

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Pulmo I : normochest

 P: $erak na(as simetris

P: sonor

 A: vesikular% )h -/-% *h -/-

Abdomen I: (lat% eas &-'

 A: , normal %

P : .eri tekan &+' pada kuadran kanan ba0ah P: Timpani

1kstremitas: akral han$at ++% edema - -% crt2# detik

  ++ - -

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%tat$s @+#a*is :

R!gi+ : A"+m!n

< B$rn!y t!st > -s+as sign >

t$rat+r sign >

R+sing sign 4

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Ass!ssm!nt

A!n"isitis a#$t

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-*anning Diagn+sis

D@ U@

-*an+ t!st

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Diagn+sis

A!n"isitis a#$t

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11/21

 ,!rai

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IDEN,I,A% -ENDERI,A

Nama : Ny. %iti D&$ariyah

Um$r : '( tah$n !nis K!*amin : !r!m$an

-!n"i"i#an : %A

-!#!r&aan : irasasta

Agama : Is*am

A*amat : ,aangsari %i"+ar&+

N+.r!g : 61(3(

 am #!&a"ian : 4

 am "atang : 1.''

 am !m!ri#saan : 1=:00

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Anamn!sis

KU: B!n&+*an "i $ngg$ng tangan #anan

R-%: -asi!n "atang #! I)D R%U 5a&i "iantar +*!h K!*$arganya m!ng!*$h a"a !n&+*an "i $ngg$ng tangan #anannya s!&a#

R-D : 5,748 D748

8/16/2019 mr 12 feb 2

14/21

-rimary %$r!y Airay "an 4sin! imm+i*i;ati+n : !as

Br!athing : %+ntan. RR : 1= x/ m!nit

ir

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15/21

%!

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16/21

Pulmo I : normochest

 P: $erak na(as simetris

P: sonor

 A: vesikular% )h -/-% *h -/-

Abdomen I: (lat% eas &-'

 A: , normal %

P : .eri tekan &+' pada kuadran kanan ba0ah P: Timpani

1kstremitas: akral han$at ++% edema - -% crt2# detik

  ++ - -

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%tat$s @+#a*is :

R!gi+ : an$s D!xtra

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Ass!ssm!nt

)ang*i+n an$s D!xtra

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-*anning Diagn+sis

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20/21

Diagn+sis

)ang*i+n an$s D!xtra

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 ,!rai