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    TD: 100/80 mmHg

    N: 80x/menit

    R: 20x/menit

    S: 36.8C

    S:

    Nyeri pada perut, Kembung

    (+), Mual (-), Muntah (-),

    sulit BAB (+)

    O:

    o KU: TSS

    o KS: CM

    o Kepala: Normocephale

    o Mata: CA (+/+) SI (+/+)

    o THT: dbn

    o Cor: BJI-BJII regular, G(-

    ), M(-)

    o Pulmo: SNV, rh (-/-), wh

    (-/-)

    o Abd:Bising usus (+), NT

    (+), Hepar membesar,

    shifting dullness (+),

    Ballotement (+)

    o Eks: Edema (+) pada

    ekstremitas bawah,akral

    hangat.

    A:

    Hepatoma

    P:

    IVFD RL 20 TPM

    Inj. Ranitidin 2x1 amp

    Inj. Ketorolac 3x1 amp

    Curcuma 3x1

    Asam Folat 3x1

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    TD: 110/80 mmHg

    N: 88x/menit

    R: 20x/menit

    S: 38C

    S:

    Nyeri pada perut, Kembung (+),

    Mual (-), Muntah (-), sulit BAB

    (+)

    O:

    o KU: TSS

    o KS: CM

    o Kepala: Normocephale

    o Mata: CA (+/+) SI (+/+)

    o THT: dbn

    o Cor: BJI-BJII regular, G(-),

    M(-)

    o Pulmo: SNV, rh (-/-), wh (-

    /-)

    o Abd:Bising usus (+), NT

    (+), Hepar teraba 4 cm

    b.a.c, konsistensi kenyal,

    permukaan berbenjol di

    lobus dekstra, shifting

    dullness (+), Ballotement

    (+)

    o Eks: Edema (+) pada

    ekstremitas bawah, akral

    A:

    Hepatoma

    P:

    IVFD RL 20 TPM

    Aminoleban/hari

    Inj. Ranitidin 2x1 amp

    Inj. Ketorolac 3x1 amp

    Curcuma 3x1

    Asam Folat 3x1

    Spironolacton 1x100 mg

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    TD: 120/70 mmHg

    N: 87x/menit

    R: 20x/menit

    S: 37,8C

    S:

    Nyeri pada perut, Kembung (+),

    Mual (-), Muntah (-), sulit BAB

    (+)

    O:

    o KU: TSS

    o KS: CM

    o Kepala: Normocephale

    o Mata: CA (-/-) SI (+/+)

    o THT: dbn

    o Cor: BJI-BJII regular, G(-),

    M(-)

    o Pulmo: SNV, rh (-/-), wh (-

    /-)

    o Abd:Bising usus (+), NT

    (+), Hepar teraba 4 cm

    b.a.c, konsistensi kenyal,

    permukaan berbenjol di

    lobus dekstra, shifting

    dullness (+), Ballotement

    (+)

    o Eks: Edema (+) pada

    ekstremitas bawah,akral

    A:

    Hepatoma

    P:

    IVFD RL 20 TPM

    Aminoleban/hari

    Inj. Ranitidin 2x1 amp

    Inj. Ketorolac 3x1 amp

    Curcuma 3x1

    Asam Folat 3x1

    Spironolacton 1x100 mg

    Levofloxacin 1x500 mg

    NGT (+) terbuka

    Puasa (+)

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    TD: 100/70 mmHg

    N: 80x/menit

    R: 18x/menit

    S: 36C

    S:

    Nyeri pada perut, Kembung (+),

    Mual (-), Muntah (-), sulit BAB

    (+)

    O:o KU: TSS

    o KS: CM

    o Kepala: Normocephale

    o Mata: CA (+/+) SI (+/+)

    o THT: dbn

    o Cor: BJI-BJII regular, G(-),

    M(-)

    o Pulmo: SNV, rh (-/-), wh (-

    /-)

    o Abd:Bising usus (+), NT

    (+), Hepar teraba 4 cm

    b.a.c, konsistensi kenyal,

    permukaan berbenjol di

    lobus dekstra, shifting

    dullness (+), Ballotement

    (+)

    o Eks: Edema (+) pada

    ekstremitas bawahakral

    han at.

    A:

    HepatomaP:

    IVFD RL 20 TPM

    Aminoleban/hari

    Inj. Ranitidin 2x1 amp

    Inj. Ketorolac 3x1 amp

    Curcuma 3x1

    Asam Folat 3x1

    Spironolacton 3x100 mg

    Levofloxacin 1x500 mg

    NGT (+) terbuka

    Puasa (+)

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    ANALISA KASUS

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    Ket:

    1. Ligamentum coronarium

    2. Lobus hepatis dextra

    3. Vesica biliaris

    4. Diafragma

    5. Lobus hepatis sinistra

    6. Ligamentum falciforme

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    Ket:

    1. Appendix fibrosa hepatis

    2. Lobus caudatus

    3. Lobus hepatis sinistra4. Arteri hepatika propria

    5. Ligamentum teres hepatis

    6. Lobus quadrates

    7. Vesica biliaris8. Lobus hepatis dextra

    9. Vena porta hepatis

    10. Vena cava inferior

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    http://www.ajronline.org/cgi/reprint/159/4/735.pdf

    http://www.ajronline.org/cgi/reprint/159/4/735.pdfhttp://www.ajronline.org/cgi/reprint/159/4/735.pdf
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    Abdul. 2006. Temuan Ultrasonografi Kanker Hati Hepato Selular(Hepatoma). Diakses dari http:/ repository.usu.ac.id/bitstream.pdf Rasyid, Abdul. 2006.Pentingnya Peranan Radiologi Dalam Deteksi Dini

    Pengobatan Kanker Hati Primer. Diakses dari: AAxelrod David, LeeuwenDirk J van. Hepatocellular Carsinoma.Updated:Sep18, 2008www.emedicine.com

    Singgih B., Datau E.A., 2006, Hepatoma dan Sindrom Hepatorenal.

    Jacobson R.D., 2009. Hepatocelluler Carcinoma. Diakses darihttp://emedicine.medscape.com/article/369226-overview

    Suhaerni, erni. 2010. PemeriksaanUltrasonographi Pada Pasien DenganSuspect Hematoma.Diakses dari www.fkumyecase.net

    http://www.emedicine.com/http://www.emedicine.com/http://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://www.emedicine.com/