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    Riduan Adiansyah.

    012106261/FK UNISSULA

    REFLEKSI KASUS

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    IDENTITAS PASIENNama : An. MA!nis "!#amin : La"i $ #a"i

    Umu% : 11 &h

    A#ama& : '%()(*anNama +%an* &ua : Tn.,

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    ANAMNESAK!#uhan u&ama : )!n*"a" di "!#(-a"

    ma&a&an*an dan "a"i

    Riaya& P!nya"i& S!"a%an*

    S!a" ha%i yan* #a#u ana" i)u m!n*a&a"an

    )!n*"a" -ada ana" dimu#ai da%i "!#(-a" ma&a "!!s("an ha%i nya )!n*"a" )!%&am)ah -ada)a*ian &an*an dan "a"i.i)u m!m)ia%"an "a%!nadi%asa )iasa. -ada ha%i "! ana" m!%asa s!sa".

    I)u -asi!n u*a m!n*!#uh"an AK -asi!n)!%a%na "!m!%ahan s!a" 3 ha%i yan* #a#u.A"hi%nya i)u m!m)aa ana" "! %umah sa"i&.

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    Riaya& P!nya"i& Dahu#uRiaya& s!m)a) s!)!#umnya disan*"a#.Riaya& sa"i& )a&u" -i#!" 45

    Riaya& in7!"si "u#i& disan*"a#

    Riaya& "!an* 45 : $ -ada usia 2 &ahun( $ -ada usia &ahun

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    Riaya& P!nya"i& K!#ua%*aTida" ada an**(&a "!#ua%*a yan* m!mi#i"i

    "!#uhan yan* sama d!n*an -asi!n.

    Tida" ada an**(&a "!#ua%*a yan*m!nd!%i&a "!#ainan *ina#

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    Riwayat Sosial EkonomiAyah )!"!%a s!)a*ai "a%yaan sas&a i)u

    -asi!n &ida" )!"!%a 4i)u %umah &an**a.)iaya -!n*()a&an di&an**un* PS

    K!san s(sia# !"(n(mi : 8u"u-

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    Riwayat persalinanAna" -!%&ama #a"i #a"i L 9300 *%am

    8u"u- )u#an di&(#(n* )idan s-(n&an umu%11 &ahun s!ha&. 4-asi!n

    Ana" "!dua #a"i #a"i L 9900 *%am8u"u- )u#an di&(#(n* )idan n(%ma# umu% &ahun s!ha&.

    Ana" "!&i*a -!%!m-uan L 9300 *%am

    8u"u- )u#an di&(#(n* )idan n(%ma# umu%3 &ahun s!ha&.

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    Riaya& imunisasiRiaya& Imunisasi Dasa%0$; ha%i : ,) +

    1 )u#an :

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    K!adan umum : &am-a" #!mah"!#(-a"ma&a &!%#iha& )!n*"a"-asi!n &!%#iha& s!sa"

    K!sada%an : Compos mentis

    Tanda ?i&a# :

    T!"anan da%ah : 10 / 100 mm,*

    Nadi : 110 @/m!ni& reguler,isi dan&!*an*an 8u"u-

    P!%na-asan : 92 @/m!ni&Suhu : 969< 4a"si#a

    : 2"* T: 1998m

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    K!-a#a : m!s(8!-ha# %am)u& hi&am &ida" mudahdi8a)u&.

    Ma&a : K(nun*&i?a -a#-!)%a &ida" an!miss"#!%a &ida" i"&!%i" !d!ma -a#-!)%a 5 / 5

    ,idun* : Na7as 8u-in* hidun* &ida" ada&ida" adas!"%!&.

    T!#in*a : Tida" ada s!"%!& ny!%i &!"an &%a*us $ / $

    ny!%i &!"an mas&(id $ / $

    Mu#u& : i)i% &ida" sian(sis s!#a-u& #!ndi%&ida" "!%in* #idah &ida" "(&(% *usi )!%da%ah 4$

    L!h!% : Tida" ada -!m)!sa%an K' "!#!na%&i%(id &ida" &!%a)a m!m)!sa%

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    Th(%a@Pu#m(:

    Ins-!"si:sim!&%is %!&%a"si 8(s&a $/$

    Pa#-asi :s&!%m 7%!mi&us "anan "i%i "%!-i&asi 4$

    P!%"usi :s(n(% s!#u%uh #a-an* -a%u

    Aus"u#&asi :sua%a dasa% ?!si"u#!% 45/5 %(n"hi $/$ h!!Bin*

    $/$

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    A)d(m!n :Ins-!"si : da&a% &ida" &am-a" *!%a"an -!%is&a#&i"

    Aus"u#&asi : U 45 n(%ma#

    P!%"usi : &im-ani s!#u%uh #a-an* a)d(m!n

    Pa#-asi : su-!# &u%*(% "!m)a#i 8!-a&&ida" ada ny!%i&!"an h!-a&(m!*a#i 4$

    An**(&a *!%a" Su-!%i(% In7!%i(%

    Sian(sis 4$/4$ 4$/4$

    +!d!ma 45/45 45/45

    A"%a# din*in 4$/4$ 4$/4$

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    La)(%a&(%ium P!m!%i"saan da%ah &*# 29/10/13 ,!m(*#()in : 2 *%am /d#

    L!u"(si& : ;100 s!#/mm94000 G 10.000 s!# / mm9

    E%i&%(si& : 9.0=0.000/mm943$33 u&a

    T%(m)(si& : 260.000/mm94130.000 G 30.000

    K(#!s&!%(# : 19= m*/dL P%(&!in &(&a# : 3; *%/dL 463 G 9 *%/dL

    A#)umin : 21 *%/dL 49 G 3 *%/dL

    '#()u#in : 266 *%/dL

    U%!um : 02 m*/d# 410/30

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    P!m!%i"saan U%inP!m!%i"saan u%in : 4&an**a# 2 n(?!m)!% 2013 P%(&!in : 51

    R!du"si : $

    E-i&!# : *!-!n* 2$

    L!u"(si& : 3$10 E%i&%(si& : 2$

    K%is&a# : n!*a&i7

    Si#ind!% : n!*a&i7

    Lain G #ain : )a"&!%i 45

    Kesan :-%(&!inu%ia #!u"(si&u%ia h!ma&u%ia)a"&!%iu%ia

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    P!m!%i"saan u%in : 4&an**a# 26 n(?!m)!% 2013 P%(&!in : 51

    R!du"si : $

    E-i&!# : *!-!n* 9$6

    L!u"(si& : $= E%i&%(si& : H 3

    K%is&a# : $

    Si#ind!% : $

    Lain G #ain : )a"&!%i 455

    Kesan :-%(&!inu%i#!u"(si&u%ia h!ma&u%ia)a"&!%iu%ia

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    P!m!%i"saan u%in &*# 2 n(?!m)!% 2013 P%(&!in : 51

    R!du"si : $

    E-i&!# : *!-!n* 3$;

    L!u"(si& : 3$;

    E%i&%(si& : H30

    K%is&a# : $

    Si#ind!% : $

    Lain G #ain : )a"&!%i 455

    Kesan :-%(&!inu%i#!u"(si&u%ia h!ma&u%ia)a"&!%iu%ia

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    P!m!%i"saan u%in : 4&an**a# 2= n(?!m)!% 2013 P%(&!in : 51

    R!du"si : $

    E-i&!# : *!-!n* 0$1

    L!u"(si& : 93$0 E%i&%(si& : 2$9

    K%is&a# : $

    Si#ind!% : $

    Lain G #ain : )a"&!%i 45

    Kesan :-%(&!inu%i#!u"(si&u%ia h!ma&u%ia)a"&!%iu%ia

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    ANTR+P+METRI

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    Da7&a% Masa#ah

    ,i-!%&!nsi *%ad! 2

    An!mia

    !d!ma -a#-!)%a 5 / 5

    Ed!m !"&%!mi&as in7!%i(% dan su-!%i(% dys-n!u

    ,i-(a#)umin!mia

    Asam u%a& nai"

    U%!um nai"

    P%(&!inu%ia #!u"(si&u%ia h!ma&u%ia )a"&!%iu%ia

    As&( 45

    'iBi )u%u"

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    DIAGNOSIS BANDING*#(m!%u#(n!7%i&is a"u& -as8a s&%!-&(8(88usSind%(ma N!7%(&i".

    #u-us n!7%i&is

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    DIA'N+SIS KERA'#um!%u#(n!7%i&is a"u& -as8a s&%!-&(8(88us

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    . INISIAL PLAN Ini&ia# M(ni&(%in*

    M(ni&(%in* "!adaan umum &anda$&anda ?i&a#

    P!n*aasan u%in! in-u& dan (u&-u& -!%ha%i

    P!n*aasan

    P!m!%i"saan u%in! %u&inM(ni&(%in* &!%a-i

    M(ni&(%in* "!s!m)uhan

    M(ni&(%in* "(m-#i"asi

    M(ni&(%in* !7!" sam-in* -!n*()a&an

    Ini&ia# Dia*n(sis

    "ada% "(m-#!m!n

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    Ini&ia# T!%a-iTi%ah a%in*

    +2 nasa# 2L/mn&

    In7us RL 3&-m ma"%(

    In.

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    Ini&ia#-#an !du"asiM!m)!%i&ahu"an "!-ada (%an* &ua -asi!n

    )aha ana"nya m!nd!%i&a -!nya"i& *ina#.

    M!m)!%i&ahu"an "!-ada (%an* &ua -asi!n

    a*a% ana"nya m!n*u%an*i "(nsumsima"anan y* m!n*andun* *a%am.

    M!m)!%i&ahu"an "!-ada (%an* &ua -asi!n)aha "!n8in* y* )!a%na "!m!%ahan a"an

    )!%#an*sun* da#am a"&u y* 8u"u- #ama6)#n$1&h.

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    PEMA,ASANDefnisi

    '#(m!%u#(n!7%i&is A"u& Pas8aS&%!-&("("us 4'NAPS ada#ah sua&u -%(s!s%adan* n(n$su-u%a&i7 yan* m!n*!nai

    *#(m!%u#i s!)a*ai a"i)a& in7!"si "umans&%!-&("("us )!&a h!m(#i&i"us *%u- A &i-!n!7%i&(*!ni" di &!m-a& #ain.

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    EtiologiS&%!-&("("us h!m(#i&i"us *%u- A

    S&%!-&("("us *%u- < 4 S&%!-&("("usB((!-idimi8us

    Pn!um(8(88us 4Pn!um(niaS&%!-&("("us ?i%idans

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    PAT+'ENESIS'NAPS ada#ah sua&u *#(m!%u#(n!7%i&is yan* )!%m!dia"an

    imun(#(*is. Adanya n!u%aminidas! y* dihasi#"an s&%!-&("("us y*m!n*u)ah I* ' !nd(*!n m!nadi au&(*!ni8. Au&(an&i)(di&!%hada- I*' y* &!#ah )!%u)ah &!%s!)u& &!%)!n&u" "(m-#!"san&i*!n$an&i)(di dida#am da%ah dan )!%si%"u#asi "!da#am*#(m!%u#us &!m-a& "(m-#!"s &!%s!)u& s!8a%a m!"anis

    &!%-!%an*"a- da#am m!m)%an )asa#is. s!#anu&nya "(m-#!m!na"an &!%"sasi m!n*a"i)a&"an #!si dan -!%adan*an yan* m!na%i"#!u"(si& -(#im(%7(nu"#!a% 4PMN dan &%(m)(si& m!nuu &!m-a& #!si.Fa*(si&(sis dan -!#!-asan !nBim #is(s(m u*a m!%usa" !nd(&h!#dan m!m)%an )asa#is *#(m!%u#us 4I'M. S!)a*ai %!s-(n &!%hada-#!si yan* &!%adi &im)u# -%(#i7!%asi s!#$s!# !nd(&!# yan* dii"u&i s!#$

    s!# m!san*ium dan s!#anu&nya s!#$s!# !-i&!#. S!ma"inm!nin*"a&nya "!)(8(%an "a-i#!% *%(m!#u%us m!ny!)a)"an-%(&!in dan s!# da%ah m!%ah da-a& "!#ua% "! da#am u%in! yan*s!dan* di)!n&u" (#!h *ina# m!n*a"i)a&"an -%(&!inu%ia danh!ma&u%ia

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    K(m-#!"s$"(m-#!"s ini m!n*a"i)a&"an"(m-#!m!n yan* dian**a- m!%u-a"anm!dia&(% u&ama -ada 8!d!%a. Saa& si%"u#asim!#a#ui *#(m!%u#us "(m-#!"s$"(m-#!"s ini

    da-a& &!%s!)a% da#am m!san*iumdi#("a#isi% -ada su)!nd(&!# m!m)%an)asa#is *#(m!%u#u