Case Gastritis Erosif
Transcript of Case Gastritis Erosif
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Hematemesis e.c
Gastritis Erosif
Case Report : dr. Arief Gunawan, Sp.PD
Nikita Rizk A.!"!.!#.$#!
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%DEN&%&'
• N . (Name
• $ ) e a r s o * dA+e
• , a d a s R & ! $ - ! k e c . & e * u k / a m 0 e
& i m u r
Address • H o u s e w i f e
/o0 • E * e m e n t a r S c 1 o o *(ast
Education • 2 a r r i e d
2arita*Status • 2 o e s * e m
Re*i+ion • S u n d a n e s e
Et1nic
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Anamnesetaken on &1ursda 2a t1 !$
• 3omittin+ moret1an $!4 since $das a+o
2ainComp*ai
nt
•
Nausea• 'e**ow at 0ot1
ees• Pain at upper
ri+1t a0domen
Additiona*
Comp*ai
nt
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Picture of t1e patient
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Histor of Present Disease
• Patient came to %nterna*5s C*inic of 6arawan+ Cit1ospita* wit1 comp*aint of 0*ood 7omittin+ since $das 0efore 1ospita*ized. S1e 1ad 0een 7omittin+ for"4 containin+ foods and co*ored *ike co8e.
• S1e a*so fe*t nausea, disp1+ia, and a0domina* pain atupper ri+1t a0domen.
• Headac1e 9;, cou+1 9
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Histor of Past Disease
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Histor of =ami* Disease
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Ha0its Histor
+
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• Moderately ill
Genera* appearance
• Compos mentis
Consciousness
Genera* ConditionGenera* Condition
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3%&A( S%GNS
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P1sica* E4amination
• N o r m o c e p h a l i
Head
• A n e m i c c o n j u n c t i v a - / - , • I c t e r i c s c l e r a + / +
Ees
• L i p : c y a n o s i s ( - • ! h a r y n " : h y p e r e m i c ( - ,
s y m m e t r i c a l , u v u l a a t m i d l i n e
2out1 • L y m p h # l a n d $ % h y r o i d # l a n d i s n o t p a l p a & l e
Neck
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&1ora4 E4amination
- (un+ e4amination
• %nspection : Smmetrica*• Pa*pation : E>ua* 7oca* fremitus
• Percussion : Sonor
• Auscu*tation : 3esicu*ar 0reat1sound in 0ot1 *un+, no ronc1i
and w1eezin+
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&1ora4 E4amination 9;
- Heart e4amination
• %nspection : %ctus cordis is a7ai*a0*e• Pa*pation : %ctus cordis is pa*pa0*e at ?t1
%CS (2CS
•Percussion : No en*ar+ement of t1e1eart
• Auscu*tation : Re+u*ar % < %% 1eart sound ,no murmur and +a**op
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A@D2%NA( EBA2%NA&%N
• Inspection : @rown skin, =*at, skin a0norma*it 9
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'"tremity
'"amination• arm acra*s
• edema
+ +
- -
< <
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(A@RA&R' =%ND%NG2a, t1 !$
(lood )esults Normal
H0 #,) $
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Di8erentia* Dia+nosis
Hematemesis
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orkin+ Dia+nosis
Hematemesis e.c ErosiveGastritis
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Su++ested E4amination
• Endoscop FG%&
• FSG Hepar
• Stoo* test• @reat1 test
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Pro+nosis
• Ad 3itam : ad 0onam
• Ad =un+tionam : ad 0onam
• Ad Sanationam : du0ia ad0onam
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%erima>asih