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Poli Mata RSUD Jombang, 11 April 2016 11.00 WIB

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DATA BASE

CLUE AND

CUE

PROBLEM

LIST

INITIAL DX PLANNING

DIAGNOSIS THERAPY MONITORING EDUCATION

Identitas Pasien :

 Nama : n. MUm!r :6 " ta#!n

J$ : p%r%mp!an

Alamat : &liti# Plan'aan(Jombang

P%&%r)aan : B!r!# *aba#

P%n'i'i&an t%rair : SD

 No RM : +0 " 66

Anamnesis

Kel!an tama: mata &iri t%ra-a n%ri

RPS "

( Pa-i%n m%ng%l!# mata &iri t%ra-a n%ri

%&ot(%&ot -%)a& (/ 10 #ari ll, pan'angan &ab!r, -%t%la# &%ma-!&an

gaba# pa'i -aat b%&%r)a. Dan 'i &!%&

t%r!-.

( Mata m%ra# (/# nroo# (/, mata

n%ri (/

( Ra-a m%nggan)al (, ng%r%- /, gatal/, 3loat%r- (,

− RPD: DM 'i-ang&al, 45 'i-ang&al,

riaat pa&ai &aamata -%b%l!mna (,

-a&it pa'a mata (

RPK : &%l!arga ti'a& a'a ang

m%n'%rita -a&it -%p%rti ini

RPS$s : -%#ari(#ari b%&%r)a -%bagai

 b!r!# gaba# pa'i 'i -aa#.

Peme%i&saan 'isi&

$U : Bai& 

*7S : "86

Peme%i&saan (ene%al:

Dbn

P%mb%-aran &%l%n)ar lim3% pr%a!ri&!l%r

(

Stats l$&alis

9i-!- :

( D : 610

S : ;P

(P%r%mp!an,

6" t#.(S

 p%ngli#atan(

m%n'a'a& 

(Ri tra!ma

ringan (/

(mata m%ra#

(%pi3ora(n%ri

ol%

2?100mg

( A-am

M%3%namat

+?800mg

S!b%&ti3 :

( p%ngli#atan pa-i%n

( mata m%ra#

( -%r%t

( -ila!

( nroo#

(

b%&ti3 :

(

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