sbl_skill lab onko

7/26/2019 Sbl_skill Lab Onko

1/20

SEORANG WANITA 4 8 TAHUN DENGAN

STRUMANODULER NON TOKSIK SINISTRA

CURIGA GANAS T3N0MX

SKILL LAB


2/20

I. IDENTITAS

PENDERITANama : Ny. W

Umu : 48 !a"u#

$%#&' (%)am : *%%m+ua#

A)ama! : B,-,#

*%(%-aa# : I/u uma" !a#a

N,. CM : C12482


3/20

II. DAFTAR MASALAHNo. Masalah Aktif Tangga

l

No. Masalah Pasif Tangga

l


4/20

III. DATA SUBYEKTIFAu!,a#am#%'&' +aa !a#a) 22 M%& 205+u(u) 8.00 WIB & *,)& B%a" O#(,),& RSDK

Kelhan ta!a" /%#-,)a# & )%"% (&&


5/20

#. RI$AYAT PENYAKIT

SEKARAN%"6 1 /u)a# SMRS7 !%a+a! /%#-,)a# +aa)%"% '&'& (&& )%"% '%/%'a (%)%%#. *a'&%#!&a( /%,/a! (a%#a !&a( #y%&. D%mam7

/a!u(7 +&)%(7 a# !auma '%/%)um mu#u)/%#-,)a# &'a#(a).

6 3 /u)a# ya# )a)u7 +a'&%# m%a'a(a#/%#-,)a# !%'%/u! m%m/%'a 6 1 m. S%'a(

9;7 a#ua# m%#%)a# 9;7 'uaa '%a( 9;.B%%/a%/a 9;7 !a#a# /%%!a 9;7 (u)&!'% /%(%a! 9;7 (u)&! (% 9;7 !&a(!a"a# +a#a' 9;7 !&a( !a"a# 9;7 mua")a+a 9;7 /%a! /aa# mua" #a&( 9;7 &a%

9;7 'u)&! /ua# a& /%'a 9;.


6/20

6 2 "a& '%/%)um ma'u( uma" 'a(&!7 (a%#a/%#-,)a# &a'a '%ma( m%m/%'a7 +a'&%#

a!a# (% ,(!% umum. Suaa '%a(&'a#(a)7 #y%& 9;7 '%'a( 9;7 /a!u( 9;7a#ua# m%#%)a# 9;7 /%#-,)a# & !%m+a!)a &'a#(a)7 /%a! /aa# m%#uu#

&'a#(a)7 '% /%(%a! +aa (%ua!a#a##ya 9;7 #a


7/20

&. RI$AYAT PENYAKIT

DAHULU"R&=aya! +%#yaa# a%a" )%"% 'aa! (%&) 9;

R&=aya! /%#-,)a# & )%"% '%/%)um#ya 9;

R&=aya! ,+%a'& a%a" )%"% 9;

R&=aya! a)%& 9;

R&=aya! +%#u#aa# ,/a!,/a!a# 9;

R&=aya! "&+%!%#'& 9;

R&=aya! DM 9;

R&=aya! +%#ya(&! -a#!u# 9;


8/20

'. Ri(a)at Pen)akit

Kela*gaR&=aya! (%)uaa %#a# /%#-,)a# & )%"% 9;

R&=aya! (%)uaa %#a# (%a#a'a# +aa,a# )a 9;


9/20

+. Ri(a)at Sosial

Ekono!i*a'&%# /%+%#&&(a# !ama! SMA a# /%(%-a'%/aa& &/u uma" !a#a. *a'&%# m%m&)&(& 3

,a# a#a( ya# ma'&" u'&a '%(,)a". Suam&+a'&%# /%+%#&&(a# !ama! SMA a# /%(%-a'%/aa& +%a=a& '=a'!a. B&aya +%a=a!a#%#a# B*$S (%)a' III #,# *BI.

K%'a# ','&a) %(,#,m& u(u+.


10/20

I,. DATA -BYEKTIFKeaaan !! : Ba&(7 ,m+,' m%#!&'

Tana ,ital

T%(a#a# aa": 20>80mmH

RR : 20?>m%#&!

HR : 88?>m%#&! %u)%7 &'&7 a#

!%a#a# u(u+Su"u : 31,C a('&)%


11/20

Stats %ene*alis

K%+a)a : m%','%;7

'()%a &(!%&( 9>;7 Ma!a ,=,# 9>;

T%)a : &'"a% 9;7 #y%& !%(a# 9>; H&u# : &'"a% 9>;7 #a


12/20

THORAX/o*

I#'+%('& : I!u' ,&'

!&a( !am+a(

*a)+a'& : I!u' ,&'!%a/a & SIC LMCS

*%(u'& : K,#ua'&

-a#!u# /#Au'(u)!a'& : Suaa -a#!u#III mu#&7 %u)%7/&' 9;7 a)),+ 9;

Pl!o

I#'+%('& :

S!a!&' : "%m&!",a??'?

Dam&' : "%m&!",a??'?

*a)+a'& : '!%m


13/20

ABDOMENI#'+%('& : a!a7 /%#-,)a# 9;7 @%#%(!a'& 9;

*a)+a'& : 'u+%) 9;7 #y%& !%(a# 9; %&,'u+a+u/&(;7 %


14/20

EKSTREMITASSuperior Inferior

Sianosis > >

Akral dingin > >

E%ma > >

Ca+&))ay

R%))

F2>F2 F2>F2

!u, K%m/a)& %+a! K%m/a)& %+a!


15/20

STATUS LOKALIS REGIO

COLLII#'+%('& : Tam+a( /ua" ma''a /u)a! +aa )%"%'&'& (&& /a&a# %+a#7 =a#a 'ama %#a# (u)&!

'%(&!a#ya7 ma''a &(u! /%%a( 'aa!m%#%)a#.

*a)+a'& : T%a/a /ua" ma''a /u)a! +aa )%"%'&'& (&& /a&a# %+a# /%u(ua# 6 +a#-a# 1 ?)%/a 5 ? a)am 5 m7 /%#!u( /u)a!7 %u)%7(,#'&'!%#'& (%#ya)7 +%mu(aa# "a)u'7 /a!a'!%a'7 #y%& !%(a# 9;7 m,/&)%7 ma''a &(u!/%%a( 'aa! m%#%)a#. +%/%'aa# (%)%#-a%!a" /%# )%"%7 (%!&a( 9;7 'u+a)a@&u)a 9;


16/20


17/20

,. DIA%N-SIS KER0AS!uma N,u)% N,#T,('&(

DD> Tum, !&,& u&a a#a'

Tum, !&,& u&a -a(


18/20

,I. INITIAL PLANSI+D? : S :

O : *%m%&('aa# T47 T37 TSH aa"7 a# USG

C,))&

I+R? :

I+M? : K%aaa# umum7 !a#a @&!a)


19/20

I+E? :

M%#-%)a'(a# (%+aa +a'&%# a# (%)uaa /a"=a

+a'&%# (%mu#(a# m%#%&!a +%/%'aa#(%)%#-a ,#,( a# aa#ya (%u&aa# (% aa"(%a#a'a#.

M%#-%)a'(a# (%+aa +a'&%# /a"=a a(a#

&)a(u(a# +%m%&('aa# (aa ",m,# ",m,#ya# /%"u/u#a# %#a# (%)%#-a ,#,(u#!u( m%m+%(&a(a# (%a#a'a# (%)%#-a,#,( a# m%#%!a"u&


20/20

SEORANG WANITA 4 8 TAHUN DENGAN

STRUMANODULER NON TOKSIK SINISTRA

CURIGA GANAS T3N0MX

sbl_skill lab onko

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