Case Letak kepala
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SECTIO CAESAREA IN INDICATCHIN POSTERIOR FACE
PRESENTATION AND GESTATIOHYPERTENSIONHUSNA
1102011120
PRECEPTOR:
Dr. H. Dada S!"ad#$ S%OG
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IDENTITYW#&'
• Na(' : Mr". A#• A)' : 33 *'ar" O+d• Addr'"" : C#,#!-• Ed!a/# : !#r H#)
S+• O!%a/# : H!"'#&'• M'd#a+ R'rd: 3241• Da/' & H"%#/a+#5'd : 24/ a 2016
• T#(' & H"%#/a+#5'd: 10.77a(
H!",ad
• Na(' : Mr. E• A)' : 33 *'a• Addr'"" : C#,#!• Ed!a/# : E+'(
S+• O!%a/# : Sa
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REFERENCE
T#"
%a/#'/a" r'&'r''
"
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MAIN COMPLAINT
F+!#d !/ & /'8a)#a
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ANAMNESIS
G9P3A3 # (/" %r')a/$ ('" #/ /a/ ;!#d !/ & /' 8a)#a "#' 6 !r" a)/ra"+!'/ +#" a )r''#" +#
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ANAMNESIS
T'r'>" a+" a ,r#" ,+d* (!!"$ ,!/ +#//+'. Pa/#'/ a" ,'' &''+#) /' &'/a+ (8'('(/" a)$ !/#+ . Pa/#'/ d'#'d /' (a* 'ar/,!r$ "'8'r' 'ada'$ ad ,+!rr'Pa/#'/ a" #"/r* & #) ,+d %r'""!r' d!r#) /' %r')a*.
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O@STETRIC HISTORYPREGNAN
CY PLACE DELIVER
AGE OF
PREGNANC
Y
HOW TO
DELIVER
BABY’S
WEIGHTSEX A
I A,r/# # 2 (/ %r')a/
II H(' M#d#&' Pr'(a/!r'S%/a'
!"100)r
d
IIIH"%#/a
+D/r Ma/!r'
S%/a'
!"3300)r
*'
IV A,r/# # 3 (/ %r')a/
V H(' Para?# Ma/!r'S%/a'
!"4000)r ♀
*'
VI A,r/# # 3 (/ %r')a/
VII CURRENT PREGNANCY
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INFORMATION
Mar#/a+ S/a/!"
• F#r"/ Marr#a)'• B 20 *'ar" +d$ HS$
H!"'#&'• 27 *'ar" +d$
E+'('/ar* "+$"a+'"(a
M'"/r!a/#• T' r"/ da* & /' +a"/
('"/r!a+ %'r#d: 23rd A%r#+ 2017
• E"/#(a/'d D'+#8'r*: 30/ a!ar* 2016
• R')!+ar C*+'• A(!/ & ,+d: r(a+• N %a#• L')/: 9 da*"• M'ar': 14 *'ar" +d
C/ra'
• La"/ /I?'/#$'8'r* #?'
• Fr( 200
• S' "/%#?'/# #++#) a
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ADDITIONAL INFORMATIO
Pr'a/a+ Car'• M#d#&'•
/#('"'=a(#a/#• La"/ '=a( a,!/ 1
''- a)
C(%+a#D!r#)
Pr')a*• T'r'>"
(%+a# d!r#)/' %r')a*
Pa"/ M'H#"/
•N #"/r*
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PRESENT STATUS
• 36$9 0C• 20 =(#!/'
• =(#!/'• 190110 ((H)
@+dPr'""!r
'
P!+"'Ra/'
T'(%'ra/!r'
R'"%#ra/# Ra/'
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PRESENT STATUS
H
' a d a d N ' . -
C?!/#8aad S+'ra #r(a+"#/!a/#
T*r#d ad
L*(% Nd'"ar' r(a+
C 0 r a d P ! + (
0
Cr 1
"/
ad2d "!dr')!+ar$ Ga++%" adM!r(!r
V'"#!+ar@r'a/#)S!dS*(('/r#a+
T'Ra#%a#A"
N'#
'=/'d'VarV'#
Pa/
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O@STETRIC STATETERNAL EAMINATION
H#)&
F!d!" U/'r#
34(
A,d(#a+#r!(&'r''
7
(
F'/a+Pr'"'/a/#
H'adR#)/@a-47
La,r
12 =10(#!/'"
1020"'d"
F'/a+ H'ar/Ra/'
136
=(#!/'$R')!+ar
E"/#(a/'dF'/a+W'#)/
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O@STETRIC STATUS
I"%'/#
• N#/ra5#' T'"/ J
Fr#'"
Pa+%a/#•
Pa+%a,+' ard
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O@STETRIC STATUS
INTERNAL EAMINATIO
Na,r(a+#/#
'"
V!+8a
Na,r(a+#/#
'"Va)#a
Id
Pr/#
I" /d'
D#+a/#C'r8#=
I" /d'
A(#F+!#d
Id
T'L'"/
Par/
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EARLY DIAGNOSIS
G9P3A3 G'"/a/# 340
W''-" #/ Pr'(a/!r'R!%/!r' & /' M'(,ra'"
ad S!"%'/ S'8'r'Pr''+a(%"#a
GO,"'r8a/# G''ra+ S/a/'$
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GMANAGE
MENTP+a#) (aa)'('/
O,"'r8a/# G''ra+ S/a/'$V#/a+ S#)"$ La,r$ F'/a+
H'ar/ Ra/'$ D'+#8'r*Pr)r'""
I&r('d C"'/
I&!"# R#)'r>" La/a/'700 20 )//(#!/'
C'- H'(a/+)* adUr#' R!/#'
D%a('/ 3 = 700 () PO
N#&'d#%#' 3 = 10 () PO
G
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GMANAGE
MENTP+a#) (aa)'('/
I? C'&/a=#(' 2 = 1VI
M)SO4 +ad#) d"'4 )ra(" # 100
R#)'r La/a/' !/ #(#!/'"
M)SO4 (a#/'a
d"' & 10 )ra(" # R#)'rK" +a/a/'$ )//(#
C/ra'%/#: Pa/#'
a)r''d a,!/ IUD
24/
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LA@ORATORY EAMINATION24/ a
2012
H'(a/+)*
• H'()+,#: 11$ )dL• H'(a/r#/ : 37• L'!-*/' : 240((3
• P+a/'+'/" : 191.000((3
• Er*/r*/' : 4$12(#++#((3
Ur#'• D'"#/* Ur#' : 1.017
• @+d Ur#' : POS • L'-"#/ E"/ra"' : N')a/#8'• %H Ur#' : $0• N#/r#/ Ur#' : N')a/#8'• Protein Urine : Ne!ti"e• G+!-"a Ur#' : N')a/#8'• '/ Ur#' : N')a/#8'• Ur,#+#)' Ur#' : Nr(• @#+#r!,# Ur#' : N')a/#8'
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D%a('/ J$N#&'d#%# J$ I?
C'&/a=#(' 1 )r IV.
F'/a+ H'ar/ Ra/':136=(#!/'
12.00
M)SO4 +ad#) d"'& 4 )ra(" # 100 R#)'r La/a/' !/ #
17 (#!/'"
12.17:
Pr/# /'d'r /#-$ 'r8#=d#+a/# 23 ($%r'"'/a"# J
M)SO4 (a#/'a'
d"' & 10 )ra(" # 700 R#)'r La/a/' 20
12.47:
F'/a+ 'ar/ ra/' 14=(#!/'
13.47:
F'/a+ 'ar/ ra/' 133=(#!/'
14.47:
F'/a+ 'ar/ ra/' 134=(#!/'
17.
F'/a+ 'ar/=(#
Pr/# /''r8#= d#+a/
A(# ;!P"/'r#
Pr'"'/a/>+
Ad8#' &Da*
S'/# C
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ADVANCED DIAGNOSIS
G9P3A3 Par/!r#'/ 340W''-" r"/ "/a)' & +a,r
a/#8' %a"' #/ C#P"/'r#r Fa' Pr'"'/a/#
Pr'(a/!r' R!%/!r' & /'M'(,ra'" ad G'"/a/#a+
H*%'r/'"#
OPERATION REPORT
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OPERATION REPORTTi#e St!rt:$%&'' WIB
Ti#e En):$%&*' WIB
D+r!tion:*' ,enit
.*
O3er!tor:)r& D!nn1 Pri#!4 S3&OG
A""#"/a/ 1:A?a/
I"/r!('/:D'"#
A'"/'"#+)#"/:dr. Dad#$ S%.A
A'"/'"#a A""#"/a/:
Fa!5#
T*S%#
Pre S+rer1 Di!no5i5:G%P6A6 P!rt+rient 678*' Wee95 r5t 5t!e o; it Se-tio C!e5!re! in in)i-!tion Cin
Po5terior F!-e Pre5ent!tion !n) Ge5t!tion!< H13erten5ion
T*SCT
OPERATION REPORT
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OPERATION REPORTA ,a,* a" ,r #/ SC a/ 19.10 >
G'd'r: Ma+'
W'#)/: 3100 )ra("
L')/: 4 (
APGAR Sr' 1>: 7 7>: 9
Aa+ J
D#"rd'r": J
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FINAL DIAGNOSIS
P4A3 Ma/!r' D'+#8'r* #/
S'/# Ca'"ar'a ##d#a/# C# P"/'r#r
Fa' Pr'"'/a/# adG'"/a/#a+ H*%'r/'"#
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FOLLOW UP
ARE ATTACHE
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DISCUSSION FACE
PRESENTATIO
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FACE PRESENTATION
F'/a+ %r'"'/a/# !r" ' /' &'/a+ 'a*%'r'=/'d'd "! /a/ /' &'/a+ &a'$ ,'/''# ad r,#/"$ #" /' %r'"'/#) %ar/. T' ##d'
a,!/ 1 # 700 d'+#8'r#'".
/' #%!/ a//a'd#/ /' ,a- & /'&'/!" " /' +'"/%ar/ & /' &'/!" #"# r ('/!(
S*(%*"#" P!,#
ETIOLOGY RIS FACTO
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ETIOLOGY RIS FACTO
T' '/#+)* & &a'
%r'"'/a/# #""('a/'#)(a/#. D!r#)
r(a+ 8'r/'=d'+#8'r*$ /' &'/a+
'ad #" (ar-'d+*;'='d$ #/ /' &'/a+#%!/ a" /'+'ad#) %ar/.
Pr'(a/!r#/*
Narr
P'+8#
@@
C
)/A('
A''%a+#
a
C#+/'
!(,#+#a+rd
# /''-
M!+/#
%ar#/#'"
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DIAGNOSIS
T' d#a)"#" & &a' %r'!"!a++* (ad' a/ /' /#(''=a(#a/# d!r#) +a,
"&/ /#""!'" & /' &'/a+ ("' ar' /'d ad?a'/ /
,'" ad r,#/a+ r#
Fa' %r'"'/a/# #" /'
")ra%* r ,* rad#@'a!"' a''%a+#a!#&r(+* %r'"'/ &a
a''%a+* "!+d ,' r!/' &a' %r'"'/a/# #"
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HOW TO DIAGNOSE
Va)#a+
E=a(
A,d(#a+Pa+%a/#
W'd'+#8'r /'
,a,*
W(
r,(a* ,'%a+%a,+',!+)' &
&'/a+ 'ad'ar /'
,a- & /'
&'/!" /' 'dd#a)
(
%
PR
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DIAGNOSISPR
Fa'Pr'"'/a/#
C# a/'r#r
S%/a'!"d'+#8'r*
Fr'%"E=/ra/#
C# P"/'r#r
C# r/a/' //' a/'r#r
S%/a'!"d'+#8'r*
Fr'%"'=/ra/#
C# r/a/' //' %"/'r#r
SC
La,r "/a)' II
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MECHANISM OF LA@OR17
('
/!(/ra"8'r"'
27('/!(%"/'r#r
60 ('/!(a/'r#r
T' ('a#"( & +a,r &a' %r'"'/a/# #" "#(#+a
/' 8'r/'= %r'"'/a/# #/' +)'"/ d#a('/'r ('/ ,rJ '/'r" /' %'+8
/ra"8'r"'+*.
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MECHANISM OF LA@OR
E=/'ra+R/a/#
Add#/#a+(8'('
/'=/'"#
J
F+'=#I/'ra+r/a/#
E)a)'('/
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MECHANISM OF LA@ORFa'
d'"'d"/ /'
(#d%+a'
#/'ra+r/a/#
!r" #/
/' 8'r/#a+a=#"
/' ('/!( r/a/'"a/'r#r+* !d'r /'
"*(%*"#" %!,#"
8a)#a+d'+#8'r*
"!+d ,'
'=%'/'d
Fr'%"$ ,!/ 8a!!
(
#& /'('/!(r/a/'"
%"/'r#r+*
/
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DISCUSSION II:
PREMATURERUPTURE OF TH
MEM@RANES
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PREMATURE RUPTURE O THE MEM@RANES
Pr'(a/!r' r!%/!r' & /' ('(,ra'" PROMJ #" d''a(#rr'=#" "%/a'!" r!%/!r' & ('(,ra'" a" %%a(#/(*J ,'&r' /' "'/ & +a,r a/ a* "/a)' & )'
PPROM "!+d ,' !"'d /% d'' /"' %a/#'/" ar' %rr!%/!r'" ('(,ra'"$ '/'r r / /'* a8' /ra
ETIOLOG
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ETIOLOGY AND
RISFACTOR
Va)#a+
I&'/#"
N!/r#/#a+
d'#'#'"
C'r8#a+
I&'/#"
I(%'/'/'r8#
A,r(a+
('(,ra'%*"#+)*
DIAGNOSIS
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DIAGNOSISH#"/r* & 8a)#a+ +""& ;!#d
Cr(a/# &a(#/# ;!#d # /'
8a)#a
S%'!+!( 8a)#a /r( d#a)"#"$ /
a""'"" 'r8#a+d#+a/# ad +')/
S%'!+!( 8a)#a &r%r'/'r( / ,/a#'r8#a+ !+/!r' ad
a(# ;!#d "a(%+'"&r %!+(ar*
(a/!ra/# /'"/".
P+#) & a(#/#;!#d # &r#=
%"/'r#r.
A Va+"a8a (a'!8'rr "+#)/ &!da+
%r'""!r' '=%'+ ;!#d&r( /' 'r8#a+ "$# #" d#a)"/# &
PROM.
CONFIRM THE DIAGNOSIS
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CONFIRM THE DIAGNOSIS
T'"/#) /' ;!#d #/N#/ra5#' %a%'r #++ /!r,+!' # /' %r'"'' & /'
a+-a+#' a(#/# ;!#d
P+a#) a "a(%+' a(#r"%# "+#d'$ a#r
dr*#)$ ad '=a(##)&r &'r#).
USG: / r!+' !/ &'/a+a(a+#'" ad /
a""'"" )'"/a/#a+ a)'ad a(#/# ;!#d
8+!('
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PROM
PROM
A(#/# F+!#d Id'=Q 7 (
O+#)#dra(# PROM a/ +'"" /a 24''-"> )'"/a/#
D'8'+%('/ &%!+(ar**%%+a"#a PROM !r" a/ 3
''-"> r +a/'r ad#/# & /''r8#= #" &a8ra,+'
+a,r "!+d ,'#d!'" a&/'r 6 /
!r" #& "%/a'!"
/ra/#" !
CONSERVATIVE
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CONSERVATIVEMANAGEMENT
PPROMC/#!' /' %r')a* !/#+ /' +!)
%r+' #" (a/!r'
T r')#5' r#a(##/#" H#) (a/'ra+/'(%'ra/!r' ad a /'d'r 3$0CJ$ "('/#('"#rr#/a,+'$ !/'r!"$ &'/a+ /a*ard#a$ +'!*/"#"
I a"'" & "!,+##a+ #&'/# d#a)"#" ad /r'a/('/ (a* ,' d'+a*'d
A(%##++# r 'r*/r(*# %r+) /'#/'r8a+ / d'+#8'r* # %a/#'/" #/ PPROM
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@ECA
Gr'a/'rr#"-
Da(a)'/'
%r'/'r(,a,*>",ra#
C'r',ra+ Pa+"*
MANAGEMENT OF
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MANAGEMENT OFCHORIOAMNIONITIS
Cr#a(##/#
"
C(,#a/#a/#,#/#
A(%##++#ad
G'/a(*#
C'%a+"%r#La,r
"!+d ,'#d!'d
I& 'r8#= #"!&a8ra,+'
MANAGEMENTPa/#'/
+#)#dra(#
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MANAGEMENT
O,"'r8a/# 2 / 3da*" #/!/ a*
'8#d'' & #&'/#"
C"#d'r / !/%a/#'/(aa)'('/
T' %a/#'/ "!+d r'+#a,+'$ &!++* #&r(
r')ard#) /' r#"-#8+8'd$ ad%r'%ar'd /
%ar/##%a/' # 'r ar'
R'"/r#/'d %*"#a+a/#8#/*$ #/a+a/#8#/*$ (#/r /'
/'(%'ra/!r' a/ +'a"/ 4/#('" %'r da*.
F'/a+ #- C!/
I 1 !r 3 /#('"
I& +* 1 -#-
M#/r # 12 !r
I& 10 /#(' )
I& Q 10 G /"%#/a+ a" " a
%""#,+'
+#)#dra(#ad#da/' &r
(aa)'(
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LA@OR AND DELIVERY
PROMO+#)#dra(#
D'r'a"'
A(#/# F+!#d
@/ 8'r/'= r,r''
%r'"'/a/#"
C"#d'rC'"ar'aDE+#8'r*
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DISCUSSION III
HYPERTENSIONDISORDER IN
PREGNANCY
J
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HYPERTENSIONIN PREGNANCY
@EFOREPREGNANT
40 WEES20 WEES
PROTEIN URINE J
PROTEIN URINE J
PROTEIN URINE J
PROTEIN URINE J
RED : SUPERIMPOSED PREECDAR @LUE: GESTATIONAL HYP
YELLOW: PREECLAMPSLIGHT @LUE: CHRONIC HYPER
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ETIOLOGY AND RIS FACT
F#r"/ Pr')a*
H*%'r%+a'/"#"
A)' & (/'r
Fa(#+* #"/r*
H*%'r/'"# ad R'a+ D#"rd'r H#"/r*
THEORY OF A,r(a+#/* &P+a'/aVa"!+ar#5a/#
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HYPERTENSIONVa"!+ar#5a/#
I"'(# &P+a'/a$
S/r'""O=#da/#8'$
Ed/'+#a+D#"&!/#
I((!+)#I/+'ra'
Card#8a"!+arada%/a/#
G''/#
I;a((a/#"/#(!+!"
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HYPERTENSIONIN PREGNANCY
DIAGNOSISE+'8a/#
E+'8a/'d
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DIAGNOSIS @+d
Pr'""!r'
"'r!(
'5*('
+'8'+ S'r!(Ur#A#d ↑
W'#)/)a#ad'd'(a
Pr/'#!r#a
V#"!
a+d#"/!r,a'"
PYLa,'/a++
D#r'/8a"d#+a/
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PY
M'd#a/#
IV H*dra+a5#'@1 ad A1
"'+'/#8,+-'r
Sd#!(#/r%r!""#d'
Pr8#d#)(#!/'/
(#!/' /& ,+d%r'""!r'
M)SO4 20 r
40
Lad#) d"'
4 )ra( # 10 R#)'r
La/a/' # 1(#!/'"
Ma#/'a'd"'
10 )ra( # 7 R#)'r
La/a/'$ 2)//(#!/'
Ora+
N#&'d#%#' Ca+#!(Ca'+ @+
M'/#+d%a
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IDENTIFICATIOCASE
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HOW TODIAGNOSE TH
PATIENT
T#" #" 'r 9/ Pr')a* a" "!'r'd (#"arr#a)' 3
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T#" #" 'r 9 Pr')a*$ a" "!'r'd (#"arr#a)' 3/#('"$ a" d'+#8'r* 3 ,a,#'" G9P3A3
Pa/#'/ &''+" /#" #" 'r # (/" %r')a/$ a&''+#) /' &'/a+ (8'('/ "#' 7 (/" a)r"/ da* & /' +a"/ ('"/r!a+ %'r#d: 23rd A%r#+
H#) F!d!" 34 ( G'"/a/# 340 ''
Aa('"#": /' +a,r a" a%%'ar'd "#' 4 !r" #r'a"#)+* "/r)'r ad (r' &r'
d#+a/# 34 ($ &'/a+ %r'"'/a/# # %"/'%r'"'/a/# r"/ "/a)' & +a,r a/#8' %a"'
P"/'r#r Fa' Pr'"'/a/#
Aa('"#": /a/ ;!#d !/ & /' 8a)#a "#' 6 !r" a).C+r'd /ra"+!'/ +#
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C+r'd /ra"+!'/ +#
Pr'(a/!r' R!%/!r' & /' M'(,ra'"
Aa('"#": Pa/#'/ d'#'d /' (%+a#/" & a* 'ar/"'8'r' 'ada'$ ad ,+!rr'd 8#"# ad a" #"/r#) ,+d %r'""!r' ,'&r' r d!r#) /' %r')a*$ ,%r'""!r' 190110 ((H)$ Pr/'# !r#' J G'"/a/#
H*%'r/'"#
G9P3A3 Par/!r#'/ 340 W''-" r"/ "/a)'
a/#8' %a"' #/ C# P"/'r#r Fa' Pr' Pr'(a/!r' R!%/!r' & /' M'(,ra
G'"/a/#a+ H*%'r/'"#
HAS THE
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HAS THE
MANAGEMENT@EEN
APPROPRIATE
C# P"/'r#r Fa'Pr'"'/a/#
S'/
-
8/18/2019 Case Letak kepala
57/60
Maa)'('/
Pr'"'/a/#
Pr'(a/!r' R!%/!r'& /' M'(,ra'"
I? C'
G'"/a/#a+H*%'r/'"#
M)SO
(a#
D%a
N#&'d#
-
8/18/2019 Case Letak kepala
58/60
HAS A@OUT THPROGNOSIS
-
8/18/2019 Case Letak kepala
59/60
! ad &!/#a(
R'%rd!/#8' &!/#: ad ,a(! ad &!/#a(
S'=!a+ &!/#: Ad ,a(! ad 8#/a(: ad ,a(
-
8/18/2019 Case Letak kepala
60/60