Persentasi Skenario a Blok 23 Kelompok Tutorial tahun 2015

7/23/2019 Persentasi Skenario a Blok 23 Kelompok Tutorial tahun 2015

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Persentasi skenario A

blok 23 Kelompok tutorial9



Nama Kelompok

• Muhammad Hadi (04011281320035)

• Naurah Nazhifah(04011381320011)

• Jason Liando (04011381320013)

• Endy A!ross!"y (0401138132001#)

• M$Auzan %idho & (040113813200#5)

• Anusha ' &!ras (04011381320081)

• Muhammad adi" (04011181320005)• i*ri Au"ia +ina (04011181320025)

• +!nara Ea ,afi*ri (0401118132002-)

• Muhammad M ,afi*ra (0401118132005-)

• Nyayu Aisyah (040111813200--)



Skenario

Mrs$ A. /0 y!ar o"d oman. am! *o Moh$Ho!sin Hosi*a" i*h hi!fom"ain of !an!ss$ ,h! a"so had a"i*a*ion. !ha"ia and!ias*ri ain$ ,h! has a"so om"ain h!r n!! and sh! a"ays *a!nN,A+ sin! 4 y!ars ao$ h! d!f!a*ion som!*im!s 6"ood ou"*$

Physical Examination

7!ih* 45 . H!ih* 155 m

'!n!ra" a!aran! a"!. fa*iu!

9i*a" sin H% 110:;minu*!. %% 28:;minu*!. !m 3/./ <. =&

100;#0 mmHH!ad h!i"i*is osi*i!. *onu! ai" a*hroy

No Lymhad!noha*y

A6dom!n !ias*ri ain (>). "i!r and s"!!n non a"a6"!

E:*r!mi*i!s oi"onyhia n!a*i!



Laboratory

H6 / ;dL. H* 20 o" ?.%=< 2$500$000;mm3 .7=<#000;mm3 .rom6osi* 4/0$000;mm3 .%+7 20?.

M<9 /2 f". M<H n 23 )="ood sm!ar anisoy*osis. hyohrom! miroy*!r.oii"oy*osis

a!!s 6"ood ou"* (>)

Additional Examination:

=< 480 @;dL

!rri*in - n;m"

,!rum 6!si 12 @;dL



•&a"i*asi

•<!ha"ia•Eias*ri ain

•&ua*•<h!i"i*is

• A*rofi ai"

• oi"onyhia

•M<9

•M<H• Anisoy*osis

•Hiorommiroy*!r

•&oii"oy*osis

•="ood ou"*



Identifikasi Masalah

1$ Mrs$ A. /0 y!ar o"d oman. am! *o

moh$Ho!sin Hosi*a" i*h hi!f om"ain of !an!ss$ (Chief Complain)

2$ ,h! a"so had a"i*a*ion. !ha"ia and!ias*ri ain$ h! d!f!a*ion som!*im!s 6"oodou"*$

3$ ,h! has a"so om"ain h!r n!! and sh! a"ays*a!n N,A+ sin! 4 y!ars ao$



4$ &hysia" !:amina*ion

7!ih* 45 . H!ih* 155 m

'!n!ra" a!aran! a"!. fa*iu!

9i*a" sin H% 110:;minu*!. %% 28:;minu*!.!m 3/./ <. =& 100;#0 mmH

H!ad h!i"i*is osi*i!. *onu! ai" a*hroy

No Lymhad!noha*y A6dom!n !ias*ri ain (>). "i!r and s"!!nnon a"a6"!

E:*r!mi*i!s oi"onyhias n!a*i!



5$ La6ora*ory

H6 / ;dL. H* 20 o" ?.%=< 2$500$000;mm3.7=< #000;mm3 .rom6osi* 4/0$000;mm3 .%+7

20?. M<9 /2 f". M<H n 23 )="ood sm!ar anisoy*osis. hyohrom!miroy*!r. oii"oy*osis

a!!s 6"ood ou"* (>)

/$ Addi*iona" E:amina*ion

=< 480 @;dL

!rri*in - n;m"

,!rum 6!si 12 @;dL



eritropoesis





Sintesis Hemoglobin

• andunan h!mo"o6in norma" ra*aBra*a 1/ ;d"ada ria dan 14 ;d" ada ani*a. yans!muanya *!rdaa* da"am !ri*rosi*$ +ida"am 6adan ria #0 ada s!i*ar -00 h!mo"o6ins!r*a 0.3 h!mo"o6in dirusa dan 0.3

disin*!sis s!*ia Cam$ =aian h!m dari mo"!u"h!mo"o6in disin*!sis dari "isin dan susini"BoA$



Katabolisme Hemoglobin

• =i"a !ri*rosi* *ua dirusa di da"am sys*!mr!*iu"o!ndo*!". maa 6aian "o6in mo"!u"h!mo"o6in di!ah dan h!m diu6ah ! 6i"i!rdin$ &ada manusia. !6anyaan 6i"i!rdindiu6ah ! 6i"iru6in dan di!sr!sian ! da"am

!m!du$



ANEMIA DEFISIENSI BESI

• An!mia d!fisi!nsi 6!si ada"ah an!mia yan*im6u" ai6a* osonnya adanan 6!si *u6uh(d!"!*!d iron s*or!) s!hina !ny!diaan 6!siun*u !ri*roo!sis 6!ruran. yan adaahirnya !m6!n*uan h!mo"o6in 6!ruran$



• d!fisi!nsi 6!si daa* di6ai m!nCadi 3 *ina*an

1. Iron depleted state

2. Iron deficient erythropoiesis

3. Iron deficiency anemia







kesimpulan

• Ny$ A. /0 *ahun m!na"ami an!mia d!fisi!nsi 6!si !$ 'as*ri*is Erosif ai6a* onsumsi N,A+

Cana anCan$



!rima asih

Documents

Persentasi Skenario a Blok 23 Kelompok Tutorial tahun 2015