skenario 5 pleno b23
TRANSCRIPT
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GLAUKOMA AKUT
SUDUTTERTUTUP OD
DAVID CHRISTIAN RONALDTHO 102012210
MAWARSYAH SEPTIANI 102012181
MANDA SETYO WULANDARI 102013008
GRESELDA 102013161
BILLY DANARTO 102013286
EVIALY HADI 102013287
NANANG AGUNG PERMADI 102013354
FERNANDA RISTY ORI!A 102013358NADIAH BAHARUM SHAH 102013526
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S"#$%&'( 5
S#(&%$) *#+*,%$ ,-'% 50 .%/,$%.%$) "# IGD RS #$)%$ "#,/%$*#$)'/%.%$ "%,& +#$%%" '-#&.%'
-%"'. %$ +#&%/ *%% "#,% +%.% -#%"30 +#$'. %$) %,
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Anamnesis
A,.(%(%$%+$#-'- I#$.'.%- *%-'#$ U RPS RPD RP R'9%%. -(-'%
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Pemeriksaan Fisik dan Penunjang
1. Pemeriksaan visus %&., -$##$: 66 2020 F'$)#& ;(,$.'$) 160
H%$+(
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#. Tek. $"%a ma&a
4 T($(+#.#& S;/'(.
5 T($(+#.#& A*%$%-'
6 T($(+#.#& D')'.%
'. Tes %ain g%auk"ma
. T#- +'$,+ %'& 1 L . U' "(*'
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(asi% )ang di daa&:
P%-'#$ +#$)#,/ +,% +,$.%/ *#$)'/%.%$+%.% "%,& +#$%%" .#&,.%+% +%.% "%$%$
P%% *#+#&'"-%%$ '%*%.
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*"rking Diagn"sis
G%,"(+% %",. -,,..#&.,.,* OD primary angleclosure glaucoma OD
P#$'$)"%.%$ TIO +#$%%"%$ ;#*%. "%&$% -,+%.%$%'&%$ /(+(& %,#(,-%"'%. (",-' .&%#",%&
+#-/9(&" (#/ '&'- *#&'#& S,,. ''" +%.% -#+*'.
%$)"%
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Di+eren&ia% Diagn"sis
G%auk"maFak"m"r,k
• )%,"(+% -#",$#& -,,..#&.,.,* '*';, (#/#$-% "%.%&%" +%.,&
-#/'$))% +#$#%"%$/'&%-' #$-%• P#$#%%$ #$.," #$-%• P#$#% %'$: .&%,+%
.,-," *%% "%*-, #$-%• F%".(& -'"(: ,-'% 60
.%/,$• TIO /'$))% 35 ++H)
#.%" #$-% #'/ "# *$.#% #$-% 5++
• R'9%%. *#$,&,$%$
"#.%%+%$ *#$)'/%.%$-##,+$%
G%auk"maFak"%i&ik
• ?)%,"(+% *&(.#'$ -,-,@)%,"(+% -#",$#& -,,..#&,"% %$) .#&%'
%"'%. "%.%&%"/'*#&+%.,&+%.,&
• %.%&%" -.%',+ %$,."%*-, #$-% (;(&*&(.#'$ #$-% +#$;%'&+%-," "# ''" +%.%#*%$ & '$%+%-'(-.&,"-' .,#&"#
• R'9%%. "#/'%$)%$*#$)'/%.%$ #&%/%$%/%$ -#%+%
#&,%$#&.%/,$.%/,$(.(*('% "#,%& %'& +%.%
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E&i"%"gi
P#$'$)"%.%$ .#"%$%$ '$.&%(",%&: B#&.%+%/$% *&(,"-' %,#(,- /,+(&
(#/ %%$ -''%& B#&",&%$)$% *#$)#,%&%$ ;%'&%$ +%.%
'%#&%/ -,,. ''" +%.% %.%, ';#%/*,*'
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Eidemi"%"gi
G%,"(+% -,,. .#&.,.,*: (&%$) A-'% G%,"(+% -,,. .#&,"%: (&%$) A&'"% %$ E&(*% 1 *#& 100 (&%$) *%% &%- A-'% %$ &%- E-"'+(
P#+*,%$: %"'%"' 4:1 U-'% 40 .%/,$ "# %.%- %.%, -#"'.%& 6070 .%/,$
-'"( +#$#&'.% )%,"(+% -,,. .#&.,.,*+#$'$)"%.
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Pa&",si"%"gi
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Mani-es&asi K%inis
N#&' /#%. *%% +%.% %$ "#*%% -#;%&% +#$%%" M#'/%. -#*#&.' *#%$)'/%( M,% +,$.%/ "#(*%" +%.% #$)"%" +%.% +#&%/ TIO -%$)%. .'$))': *,*' +##%& "(&$#% -,&%+ %$ ##+
'&'- -#+% +#&%%$) *%*' -%&% (*.'" /'*#+'- ##+%$ %*%$) *%$%$) +#$;',. #&%. #$-% $%+*%" "#&,/
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Pena&a%aksanaan
1. Agen Osm"&ik G'-#&'$: 115 )&")BB %%+ 50 ;%'&%$ M%$'.(: 12 )&%+")BB %%+ 50 ;%'&%$ IV %%+ 20
;%'&%$ (-'- 2 )&")BB -#%+% 30
2. A/ A-#.%(%+'#: 500 +) IV %$ 500 +)(&%
M#./%(%+'#: 50100 +) *( 23 "%' -#/%&' ?J 600+)/%&'@
D(&(%+'#: .(*';%
!. Mi"&ik kua& P'("%&*'$ 2 %.%, 4 -#.'%* 15 +#$'. -%+*%' 4 *#+#&'%$
T'%" ##".' *%% -#&%$)%$ %$) -,%/ #'/ %&' 12 %+
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#. $e&a0%"ker L#
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6"n0Medika Men&"sa
1 A&)($ %-#& .&%#;,(*%-.
2 I+*%$ D&%'$%-# P%% G%,"(+%
3 T&%#;,#;.(+
4 I&'(.(+ %.%, '&'#;.(+
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K"m%ikasi
#,.%%$
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Pr"gn"sis
B#&)%$.,$) *%% #.#"-' '$' %$ *#$)(%.%$ T#&%*' #$)%$ (%. .#.#- %$.' )%,"(+% %*%.
+#$)($.&( TIO *%% +%.% %$) #,++#$)%%+' "#&,-%"%$ )%,"(+%.(-% ,%- %$*&()$(-'- %'" ?9%%,*,$ .#.%* +#$)%%+'*#$,&,$%$ %*%$) *%$%$)@
4080 %*%.+#$)%%+' -#&%$)%$ %",. *%% 510 .%/,$ "# #*%$ '"% .'%" ' .%$)%$' -#)#&%%$ +#$'+,"%$ "#,.%%$
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#-'+*,%$
H'*(.#-'- '.#&'+% %/9% *#+*,%$.#&-#,. +#$#&'.% )%,"(+% -,,..#&.,.,*
D%&' %$%+$#-'- .#&%*%. "#,/%$ +,% %$+,$.%/
G#%%