6. morning report rs pertiwi
TRANSCRIPT
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7/24/2019 6. Morning Report Rs Pertiwi
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MORNING REPORTRSKD IBU DAN ANAK PERTIWI
26 OKTOBER 30 OKTOBER 2015
FEBRIANTY PAL
FARHANAH SYA
PUTRI PERDAN
MULYADI
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DAFTAR PASIEN26 OKTOBER 30 OKTOBE
2015
PASIEN JUMLAH
PPN "A# 30
S$ "2# 9
AN$ "A# 9
KURETASE "3# 1
USG 1!
PASIEN
HIPEREMESIS GRA%IDARUM"3B#
PREEKLAMPSIA BERAT "3B#
PREEKLAMPSIA RINGAN "3B#
MIOMA UTERI "2#
ABORTUS SPONTAN INKOMPLI"3B#
KELAINAN LETAK &ANIN
PLASENTA PRE%IA
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PREEKLAMPSIA BERAT "3B'
PLASENTA PRE%IA TOTALIS
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A : S()*+,- (*(/+, G3P2A0 (,-+, HPHT 02022015 ++,- (,-+, 4(+, ,7(* (/: :((/ /+:4 */+ :+4 +, +:(, /(,-( (,-4+4 ++ 4+4 :(;+4 /* 4(+/+, 5 "#< (/+/ "#< :+4 4(++ "'#< /+ "'#< /,+ "#< *=+7+ *+/+ "#< *=+7+ 4): "#< *=)++,"#< *=+7+ AN$ 6 4+ :4(:/+:< *=+7+ 4(+, "#< R=+7+ (,7+4 DM "#< A:/+:((/ +/ "#< R=+7+ /(,--,+4+, KB "#.
Riwayat Obstetri :
1. T+, 1999< +4+4< +(*/< +* ,)*/+ RS A/), )),- )4(*< BBL 2900 -*+/<
2. T+, 2006< +4+4< +*(/< +* ,)*/+ RS I, S,+ )),- )4(*< BBL 3000 -*+/<
3. T+, 2015 4(+/+, :(4+*+,-
Pemeriksaan Fisik >
KU > +4?-@ +4?)/): /(,:
TD > 190?120 //H- N > 80 4+?/(,
P > 20 4+?/(, S > 36
TFU > 29 / S: > /(/+,;+,-
B+-+, (*(,+ > 4(++
(,*,+, > 5?5
"'#
Pemeriksaan Janin :
G*+C T,--+
TB& > 269! /
D&& > 130 4+?/(,
Pemeriksaan Dalam a!ina > +4 +
Pemeriksaan Penun"an! >
USG > -*+C ,--+ *(:(,+: 4(++< ,--,- 4*< +:(,+ )*: +(*+ 4* /(
R+/ /(, :(* ):/ (* ,(*,+< $+*+, +/,), 4 "AFI 5.1#< )/(* :(:+
EFW 289! -*+/.
L+ > P*)(,*+ "'3#
Dia!n#sa :
G3P2A0 -*+C +(*/ 35 /,-- 6 +* ' PEB 'P+:(,+ P*(C+ T)+:
$era%i >
1. I%FD RL 28 /
2. M-SO 0 -*+/ ++/ 100 N+$
/(,< +,; 6 -*+/ M-SO 0 ++/ 5
3. P+:+,- K+((* (+. N(,( 3 10 /-
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MIOMA UTERI "2
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A : S()*+,- (*(/+, ++,- (,-+, *;4+, +* )4(* :(:+: )-7, (,-+, D+-,):: G
(+4 ,+,- ' /)/+ (*. R=+7+ (,-(+*+, +*+ "#< (,* "#< +* 4(+, "#. D(/+/ "
*=+7+ *+/+ "#< *=+7+ (,--,++, )+)++, "#< R=+7+ HPHT 08?01?2015< R=+7+ /
R=+7+ :4: + 3 +*. P+:(, :+ /(,4+ :(+/+ 2 +,.*=+7+ AN$ 4+< *=+7+ /
4(+, "#< R=+7+ (,7+4 DM "#< A:/+ "#< H(*(,: "#< R=+7+ /(,--,+4+, KB "#.
Riwayat Obstetri :
T+, 2015 4(+/+, :(4+*+,-
Pemeriksaan Fisik >KU > +4?-@ +4?)/): /(,:
TD > 110?!0 //H- N > 8 4+?/(,
P > 16 4+?/(, S > 36
TFU > 30 /
S: > /(,+,- 4*
MT?NT > '?
F4:: > +*+ "#
TB& > 3000 -*+/
D&& > 13 4+?/(,
Pemeriksaan Dalam a!ina >%C+?C+-,+ > +4?+4
OUE?OUI > (*?(*
P)*) > (+
K(+, > '
B+-+, (*(,+ >
UUK >
AD?$D >
P(,*,+, >
P+,-- ++/ > 4(:+, 4
P((+:+, +*+ >
Pemeriksaan Penun"an! >
USG > G*+C T,--+ < (+4 /(,+,- 4*< +:(,+ 4+,+, ++:< +/+4 -+/+*+,
(* ++ )*: +,(*)* 4*+, ! 8 /< +*+, +/,), 4(:+, 4 "AFI 6.8#< )/(* ;+,,
3 +*< EFW 315! -*+/
L+ > W !.26< H 11.!< H:A- ,), *(+4< GDS !9 -?< $T?BT !.?2.0
Dia!n#sa :
G1P0A0 G*+C A(*/ (/ ,+* ' L(+4L,+,- ' M)/+ U(*
$era%i >
1. I%FD RL 28 / 3. E,4(+: M
2. SSTP . %+ ,+ T
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TERIMAKAS