PPT Case Obgyn DKP POST DATE

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  • 8/17/2019 PPT Case Obgyn DKP POST DATE

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    LAPORAN KASUSMULTIGRAVIDA HAMIL POST DATE DENGAN

    DKP, RIWAYAT SC DAN RIWAYAT CHF

    KHARIMA SARI DELIA

     J510155086

    Pem!m!"#$ %&' S()!*+"+ S'OG, OS+-

    KEPANITERAAN KLINIK RSUD KARANGANYAR

    FAKULTAS KEDOKTERANUNIVERSITAS MUHAMMADIYAH SURAKARTA

    .016

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    RPD

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    Riwayat Penyakit Keluarga R!/*) -e&( $ %!-"#2

    R!/*) H!e&)e"-! $ %!-"#2

    R!/*) D!e)e- Me2!)(- $ %!-"#2

    R!/*) Pe"*!) J")("# $ %!-"#2

    R!/*) A2e! $ %!-"#2

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    Riwayat Menstruasi  HPMT $ 15363.015

      Me"&4e $ 1. )("

      S!2(- !% $ .8 &!  Lm !% $ 63 &!

    Riwayat Perkawinan 

     J(m2 Pe&/!"" $ 1 2!  De"#" -(m! -e&"# $ 1. )("

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    Riwayat Obstetrik 

    G7 P. A0  1. )(", 2!32!, L 7.00#& -+")"

      5,5 )(", 2!32!, L .900#&, SC )-!"%!-! &e-+

      Se&"#

    Operasi yang pernah dialami $ SC

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    Kehamilan sekarang $  HPMT $ 15363.015

      H&! Pe&!&" L!& $ ..373.016

      U-! Kem!2" $ :0 m!"##( ; 1 &!  Pe"#/-" Kem!2"$ %! !%" %" 2!"!

    -e-!2!-

    Riwayat Keluarga BerencanaSebelum Kehamilan ini :  K -(")!

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    Anamnesis Sistem

    S!-)em Ce&e&+-!"2 $ "*e&! e2 "#

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    RESME A!AM!ES"S

    Se+&"# /"!), (-! 75 )(", G7 P. A0 ,%)"# e PONEK RSUD K&"#"*&!&!m" %&! +2!2!"! %e"#" DKP %"

    &!/*) SC " e%( )- !"%!-! &e-+'Ke2(" e2(& 2e"%!& %& -(% 7 &!,)" %!-e&)! &- e"4e"#3e"4e"#'

     Te&%) &!/*) 2em >")("#

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    Pemeriksaan #isik 

    Status $eneralis  Ke%" Um(m $ !

      Ke-%&"$ C+m+- Me")!-

     T 1604mN$ 81 Bm") TD 110B0

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    Ke2 $ N+&m+4e2, -!me)&!-

    K(2!) $ D2m )- N+&m2

    M) $ D2m )- N+&m2

    H!%("# $ D2m )- N+&m2

     Te2!"# $ D2m )- N+&m2

    M(2() $ D2m )- N+&m2

    Lee& $ D2m )- N+&m2

  • 8/17/2019 PPT Case Obgyn DKP POST DATE

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    P&(3&($  I"-e-!$ e"#em"#" &( -!me)&!

    ")& "" %" !&!, )!% % #e&"

    *"# )e&)!"##2, &e)&-! %% ;B;, SICme2e&

      P2-!$ @&em!)(- "" %" !&! -m,)!% % #e&" *"# )e&)!"##2'

      Pe&(-!$ -+"+&

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     J")("#$  I"-e-!$ !4)(- 4+&%!- )!% )m'  P2-!$ !4)(- 4+&%!- )!% )e&, ()

    "#) ")("# )!% me2e&  A(-(2)-!$ ("*! >")("# I %" II m(&"!,

    &e#(2e&, !-!"#

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    A%+me"$  I"-e-!$ eme-&" #&?!%&(m

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    PEMER"KSAA! OBS%E%R"K

    I"-e-! $ )m eme-&" #&?!%&(m,2!"e "!#& "!" )("##2 

    LP 1 $ TFU 7 >&! %!/ &+4e--(- !+!%e(- "!", !&!$ )e&e-)&em!)-

      LP 7 $ #!" / >"!" e2, %) %!#e&",

      LP : $ +"?ee", e2 e2(m m-( "##(2

    HIS

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    Peme&!-" D2m

    Inspeksi

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    Pemeriksaan Hasil Nilai Rujukan Normal

    Hemoglobin 11,4 (L) 12-16 gr%

    Hematokrit 35,4 3-43 !ol %

    "ekosit #,2$ 5-1 1&3'(l

    )rombosit 162 15-3&3'(l

    *ritrosit 4,12 4,-5,&6'(l

    +P 1,3 6,5-12 l

    ./ 16,$ $,-1

    +0 #5,$ #2-$2 l

    +0H0 32,2 32,-3, g'l

    ran% 3,2 5-%

    "imosit% 22,$ 25-4%

    +onosit% 2,6 3-$%

    *osinoil % ,$ ,5-5%

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    olongan .ara

    +asa Pembekuan0)

    5 2-#

    +asa Peraraan

    )

    2 1-3

    .7 $3 -15-

    78) 1 -46

    7P) 1 -42

    0reatinin ,$ ,5-,$

    (reum 1$ 1-5

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    D@)& M-2

    P-!e" -(% 2e/) HPL 1 &!

    D!%)" e2 e2(m m-("##(2

    R!/*) SC )- !"%!-! &e-+ R!/*) 2em >")("#

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    &"A$!OSA  DKP % M(2)!#&?!% m!2 +-) %)e

    %e"#" &!/*) SC %" R!/*) CHF

    PE!A%A'AKSA!AA!  Oe&-! SC

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    A"2!-!- K-(-

    P% -!e" !"! %!%)" em!2" :0m!"##( ;1 &! %)"# e +2! %e"#"e2(& 2e"%!& %& )" %!-e&)! &-

    e"4e"#3e"4e"#' A"m"e-!- %!%)" &!/*) 2em >")("#' P-!e" me"#e2( -e- "@- >!me2(" )!?!)- e&), e&>2" %&!

    m& e m& m"%!, %" &(- )!%(&me"##("" . ")2' Ke2(" %!&-"% A#(-)(- .01:, %" &( %!e&!-"(2" N+?eme& .01: e 2!"! M)e-!

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    O2e %+)e& (m(m, %!%!#"+-!- 2em >")("# e&%-&" -!2 &em >")("#' P-!e" %!e&! +) ()" me"##("" K -(")!'Se)e2 -!e" me2e- K -(")!,e2(" -e- "@- )!% e&"

    %!2m! 2#! !"## -) !"!' D&! eme&!-" -! )!% %!%)"

    )"% )"% CHF

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    K&!)e&! CHF F&m!"#m

    M*+&

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    P% -!e" !"!,

    Palpasi  e2 e2(m m-( "##(2,

    Perasat Osb(rn$ %e"#" -)( )"#" %!)--

    -!m!-!-, )"#" *"# 2!" %! )- &!m,em(%!" %+&+"# @("%(- ()e&!

    Pemeriksaan sudut Munr( kerr muller)MKM*

    S(%() MKM %!e")( +2e #&!- -!"##("# e&m("

    %2m -!m-!- (!- %" #&!- -!"##("# e2 >"!"'

      MKM 90 $ DKP e&)

      MKM 90 $ DKP R!"#"

      MKM 90 $ T % DKP

      P% -!e" !"! e2(m %!2(" eme&!-"-(%() MKM'

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    Pel+imetri klinik 

    D!me)e& )&"-?e&-

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    D!#"+-!- DKP %!%-&" % e2*"# e2(m m-( "##(2, %!m"-e&(-"* % (-! em!2" 76

    m!"##( e2 -(% )(&(" "##(2'