lapja hipotiroid

Download LAPJA HIPOTIROID

Post on 28-Feb-2018

219 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

  • 7/25/2019 LAPJA HIPOTIROID

    1/25

    LAPORAN JAGA11 MARET 2016

    Dokter muda Popy Novianti

    Konsulen Jaga dr. Devi G, Sp.A M.Biomed

    Tanggal pemeriksaan 15/03/2016

  • 7/25/2019 LAPJA HIPOTIROID

    2/25

    IDENTITAS

    I. Identitas Pasien

    No. MR : 152649

    Tanggal mas! : 14"0#"2016 Nama : An. A

    $m% : & 'lan

    J(n)s !(lam)n : la!)*la!)

    Ana! +( : 2Agama : Islam

    Alama, : -nga Raa

  • 7/25/2019 LAPJA HIPOTIROID

    3/25

    +EL$/AN $TAMA

    Alloanamn(s)s )'

    +$ : D(mam ,)ngg) s(a! &3a%) ang lal

  • 7/25/2019 LAPJA HIPOTIROID

    4/25

    RIWAYAT PENYAKITSEKARANG

    Pas)(n a,ang (ngan !(l3an (mam,)ngg) s(a! & 3a%) ang lal (mamm(n)ng!a, saa, malam 3a%) an m(n%n

    saa, s)ang 3a%). (mam )s(%,a) 'a,!'(%a3a! an )l(!. Pas)(n sa3 )'a7a'(%o'a, ol(3 o%ang ,ana s('ana! 2!al) !(s!(smasan )'(%)!an o'a,

    a%a8(,amol s(%,a o'a, n,! 'a,! an)l(! ,(,a) s(,(la3 m)nm o'a, ,(%s(',!(l3anna ,)a! ga '(%!%ang.

  • 7/25/2019 LAPJA HIPOTIROID

    5/25

    -a,! ,)a! )s(%,a) a%a3!(ang )sang!al m(ns as)(n ga m(ng(l3!an s(sa!

    naas s(a! ,)m'l 'a,!.Mn,a3 mal ,)a! aa 'a! ,)a! aa !(l3an. N(%) saa,

    'a! * )' as)(n m(nga!'(%a, 'aan ana!na gas(ma!)n lama s(ma!)n

    m(n%n .

  • 7/25/2019 LAPJA HIPOTIROID

    6/25

    RI;A

  • 7/25/2019 LAPJA HIPOTIROID

    7/25

    RIWAYAT PENYAKITKELUARGA

    I' as)(n m(n(%),a Asma'%on!)al

  • 7/25/2019 LAPJA HIPOTIROID

    8/25

    RIWAYAT LINGKUNGAN

    Pas)(n ,)nggal ) l)ng!nganaa, (n!

    Sm'(% a)% m)nm : galon )s)

    lang P(!a%angan : !%ang '(%s)3 Sama3 : ) 'a!a%

  • 7/25/2019 LAPJA HIPOTIROID

    9/25

    RI;A*#9 m)nggDitolon ole! "idan Pan#an "adan $%pa&ara la!ir normal $in'ar 'epala $%pa

    Berat la!ir 2100 ram $in'ar dada $%pa

    $an(%n menani(

    (aat la!ir

    tida' )ndi'a(i *

  • 7/25/2019 LAPJA HIPOTIROID

    10/25

    Kelainan bawaan : *

    Riwayat imunisasi :

    M(n%, )' as)(n as)(n sa3m(naa, )mn)sas) -=G DPTPol)o an 3(a,),)s )mn)sas) ang

    '(lm )(%ol(3na aala38ama!

  • 7/25/2019 LAPJA HIPOTIROID

    11/25

    Riwayat tumbuh emban! :

    Riwayat "embe#ian ASI :

    ASI (!s!ls) sama) m% & 'lan

    +iayat t%m"%! 'em"an -m%r +iayat t%m"%! 'em"an -m%r

    ertaa l%pa $ari *

    Mirin l%pa Gii pertama t%m"%! *

    en'%rap "%lan Bi&ara *

    D%d%' * Mem"a&a *

    Meran'a' * Se'ola! *

    Berdiri *

  • 7/25/2019 LAPJA HIPOTIROID

    12/25

    P(m(%)!saan mm

    +(aaan mm : ,ama! sa!), s(ang

    +(saa%an : 8omos m(n,)s

    T(!anan a%a3 : 110"&0 mm/g

    ?%(!7(ns) Na) : [email protected]"m(n),

    ?%(!7(ns) P(%naasan : [email protected]"m(n), S3 ,'3 : #&6O=

    Da,a An,%oo(m(,%)

    -(%a, -aan : 56 !g

    T)ngg) -aan: 5> 8m

    --"$ : 56">[email protected] C 666B T-"$ : 5>"6&@100B C >6B

    --"T- : 56"[email protected] C 101B

    S,a,s g)) : g)) 'a)!

  • 7/25/2019 LAPJA HIPOTIROID

    13/25

    P(m(%)!saan ?)s)!

    Ke"ala

    Ma,a : !onng,)a an(m)s *"* s!l(%a )!3,(%)! *"* ((maal('%a *"* ma,a 8(!ng *"*

    /)ng : ()as) s(,m *s(!%(, *"*

  • 7/25/2019 LAPJA HIPOTIROID

    14/25

    P(m(%)!saan ?)s)!

    Ml, : m!osa ml, 'asa3l)a3 !o,o% * gs) '(%a%a3*

    L(3(% : ,ons)l T1*T1 3)(%(m)s * (m'(sa%an

    +G- *

  • 7/25/2019 LAPJA HIPOTIROID

    15/25

    P(m(%)!saan ?)s)!T%#as &"ulm%'

    Ins(!s) : s)m(,%)s %(,%a!s) )n)ng aa

    Palas) : o!al %(m),s s)m(,%)s !a"!)

    P(%!s) : sono% ) s(l%3 laangan a%

    As!l,as) : '%on!o(s)!la% %3 " 73 *"*

    T%#as &"ulm%'

    Ins(!s) : )8,s 8o%)s ,)a! ,(%l)3a,

    Palas) : )8,s 8o%)s ,(%a'a ) SI= 5 m)8la)8las)n)s,%a

    P(%!s) : 'a,as an,ng alam 'a,as no%mal

    As!l,as) : -J 1 an 2 %(gl(% m%m% * gallo *

  • 7/25/2019 LAPJA HIPOTIROID

    16/25

    Abd%men

    Ins(!s) : )s,(ns) * (%, 8(m'ng

    Palas) : s(l n(%) ,(!an ()gas,%)m * 3(a,om(gal) *sl(nom(gal)*

    P(%!s): T)man) ) s(l%3 laang a'om(n

    As!l,as): -$ No%mal

    Kulit

    +(%)ng * ,%go% !l), 'a)!

    Est#emitas S(%)o% : a!%al 3anga, =RT F2 ((ma * s)anos)s *

    In(%)o% : a!%al 3anga, =RT F2 ((ma * s)anos)s *

  • 7/25/2019 LAPJA HIPOTIROID

    17/25

    P(m(%)!saan La'o%a,o%)m

    11"0#"2016

    /(moglo')n : 109

    L(!os), : 124E%),%os), : 400

    /(ma,o!%), : ##9

    T%om'os), : 120

  • 7/25/2019 LAPJA HIPOTIROID

    18/25

    (IAGN)SIS KER*A

    -%on!on(mon)a

    P' non s)ano,)! (.8 ss HSD

    /)o,)%o) !ong(n),al

    (IAGN)SIS +AN(ING

    S)n%om( o7n

  • 7/25/2019 LAPJA HIPOTIROID

    19/25

    RES$ME

    An. & 'lan a,ang !( IGD RS$D,(ng! %aan (ngan !(l3an :

    P? : ,ama! sa!), s(ang %(,%a!s)%3on!)

    (ma

    m

    & 3a%)SMRS

    Pol) ana!

    -a,!'(%a3

    a!

    L(mas

    SMRS& 3a%)

    SMRS& 3a%)SMRS

    P)l(!

  • 7/25/2019 LAPJA HIPOTIROID

    20/25

    REN,ANA TIN(AKAN

    T)%a3 'a%)ng

    O's(%as) TTH

    T(%a) 8a)%an T(%a) s)m,oma,)!

  • 7/25/2019 LAPJA HIPOTIROID

    21/25

    TATALA+SANA TERAPI =AIRAN

    IH?D +AEN 1- : -- 56 !g

    24 ,m"ma!%o

    O2 1 l"m(n),

    =(,%)[email protected]( [email protected]#00 mg")

    Pa%a8(,amol %o [email protected]> ml

    -%om3(!s)n #@15 mg

    Og, As) >@10*20 ml

  • 7/25/2019 LAPJA HIPOTIROID

    22/25

    PROGNOSIS

    A ),am : 'onam

    A ngs)onam : 'onam

    A sana,)onam : 'onam

  • 7/25/2019 LAPJA HIPOTIROID

    23/25

    ?ollo7

    15"0#"2016

    s" (mam l(mas 'a,!'(%a3a! )l(! s(sa!naas

    /(a%, %a,( : 110 @")

    RR : 46 @")

    S3 : #&6

  • 7/25/2019 LAPJA HIPOTIROID

    24/25

    15"0#"2016

    IH?D +AEN 1-: -- 56 !g

    24 ,(,(s") ma!%o

    O2 1 l"m(n),

    =(,%)[email protected]( [email protected]#00 mg")

    Pa%a8(,amol %o [email protected]> ml

    -%om3(!s)n #@15 mg

    Og, As) >@10*20 ml

  • 7/25/2019 LAPJA HIPOTIROID

    25/25

    Terima kasih