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DENGUE HEMORRAGIC

FEVER grade II

DEVI NOVITA

C 111 10 313

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IDENTITAS PASIEN

Nama : Ny. D

Umur : ! "a#u$ N% RM : !&''0'

Rua$g Ra(a" : )%$"ara 1 *a(a#

De+a$ A,ama" : Ma-aar

/e$ e,am$: Perem+ua$

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ANAMNESIS e,u#a$ u"ama : Demam

R(aya" +e$ya-" e-ara$gDa,am e-"ar 3 #ar ya$g ,a,u e2e,um

mau- ruma# a-". Demam draa-a$ "2a"2a da$ "eru me$eru e"a+ #ar. Demam

der"a de$ga$ -e,u#a$ $yer -e+a,a 2aga$de+a$. Se2e,um mau- ruma# a-" +ae$uda# m$um %2a" +e$uru$ +a$a4+ara5e"am%,67 demam em+a" "uru$ e"e,a#

m$um %2a" "e"a+ $a- ,ag.Mma$ 467 gu2erdara# 46 da$ 2era- dara# 46. Pae$ da,am-eadaa$ #ad eua 8ad(a, de$ga$ 9%,ume#ad ya$g e+er" 2aa. R(aya" dar daera#

e$dem- "da- ada. %$"a- de$ga$ +ae$

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ANAMNESIS

*a"u- 467 ea- 467 $yerme$e,a$ 467 mua,467 mu$"a# 46 da$ Nyer u,u #a"46.

*A* 2e,um +er$a# e,ama & #ar.

*A ,a$5er7 9%,ume 5u-u+ da$ (ar$a -u$$g.

R(aya" me$der"a +e$ya-" -u$$g "da-ada.

R(aya" demam ";%d da$ demam 2erdara#+ada "a#u$ 01'.

R(aya" HT 467 DM46.

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PEMERISAAN FISI

eadaa$ umum: Sa-" eda$g7 g.>0C

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PEMERISAAN FISI

Kepala : $%rm%5#e+a,7 ram2u"#"am

Mata :

A$em : Tda- ada

I-"eru : Tda- ada

Pu+, : I%-%r dame"er 7' mm= 7' mm

Udem +a,+e2ra : Tda- ada

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PEMERISAAN FISI

Leher :

T%$, : T1 @ T1 "da- #+erem

)da# : )da# -%"%r "da- ada

*2r : er$g "da- ada

e,e$8ar ,m;e : Tda- ada +em2eara$

a-u -udu- : Tda- ada

Tra-ea: de9a "da- ada

Thoraks :

*e$"u- : N%rm%"#%ra?

Payudara : Tda- ada -e,a$a$

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PEMERISAAN FISI

THORA

I$+e-: me"r -r da$ -a$a$7 +der $e9"da- ada

Pa,+a : Nyer "e-a$ "da- ada7 maa "um%r"da- ada

Per-u : S%$%r -r B -a$a$

*a"a +aru #e+ar : ICS VI de?"ra a$"er%r

*a"a +aru 2e,a-a$g -a$a$ : Ver"e2raT#%ra5a,

*a"a +aru 2e,a-a$g -r : Ver"e2aT#%ra5a, I

Au-u,"a: *u$y +er$a+aa$ : Ve-u,er

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PEMERISAAN FISI

JANTUNGInspeksi : ictus cordis tidak tampak

Palpasi : ictus cordis tidak teraba

Perkusi : bunyi pekak

batas atas jantung : ICS II parasternalis sinistra

batas bawah jantung : ICS V linea parasternalis

sinistra

batas kanan jantung : linea parasternalis dextrabatas kiri jantung : linea midclavicularis sinistra

Auskultasi : bunyi jantung I/II murni

regular, bising !"

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PEMERISAAN FISI

Abdomen: I$+e- : A2d%me$ da"ar7 -u" gera-

$a+a

Pa,+a : He+ar da$ ,e$ "da- "era2a7maa "um%r "da- ada

Per-u : Tm+a$7 a"e "da- ada

Au-u,"a : Per"a,"- ada -ea$ $%rma,

A,a" -e,am$ : Tda- d,a-u-a$+emer-aa$

A$gg%"a gera- : Edema "da- ada

)a$,a$ : Rum+,e )eede 46

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PEMERISAAN PENUN/ANGPARAMETER HASIL NILAI RUJUKAN

W!

R!

H

H!T

M!"

M!H

M!H!

PLT

NEUT

L#MPH

M$N$

E$

AS$

.'0 10=u)

&.!& 10=u)

1.> g=d)

3.1

>.' ;)

!.0 +g

3.! g=d)

1> 103=u)

1. 10=u)

0.&3 10=u)

0.11 10=u)

0.00 10=u)

0.00 10=u)

&.0010.0

&.00.00

1.01.0

3!.0&>.0

>0.0!.0

.'33.'

31.'3'.0

1'0&00

'.0!'.0

0.0&0.0

.00>.00

1.003.00

0.000.10

PARAMETER HASIL NILAI RUJUKANW!

R!

H

H!T

M!"

M!H

M!H!

PLT

NEUT

L#MPH

M$N$

E$

%&'( )*(+,-L.

/&0/ )*(1,-L.

*%&2 )3,dL.

45&* )6.

2%&' )7L.

%0&( )p3.

4%&0 )3,dL.

*%2 )*(4,-L.

*&51 )*(+,-L.

(&/4 )*(+,-L.

(&** )*(+,-L.

(&(( )*(+,-L.

/&((9*(&(

/&((91&((

*%&(9*1&(

40&(9/2&(

2(&(950&(

%1&'944&'

4*&'94'&(

*'(9/((

'%&(90'&(

%(&(9/(&(

%&((92&((

*&((94&((

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PARAMETER HASIL NILAI RUJUKAN

Im-noserolo3: la:n

Den3-e NS*

P%";

Nega"9e

PARAMETER HASIL NILAI RUJUKAN

Warna

pH

;

lood

Sed:men er:tros:t

u$$g -eru#

7'

17010

=00

Pe$u#

u$$g muda

&7'>70

1700'1703'

Nega";

J'

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DIAGNOSIS De$gue Hem%rrag5 Fe9er Grade I

D"ega--a$ 2erdaar-a$ a$am$e dema$da,am e-"ar 3 #ar ya$g ,a,u e2e,um mau-ruma# a-". Demam draa-a$ "2a"2a da$

"eru me$eru e"a+ #ar. Demam der"ade$ga$ -e,u#a$ $yer -e+a,a 2aga$ de+a$.Se2e,um mau- ruma# a-" +ae$ uda# m$um%2a" +e$uru$ +a$a 4+ara5e"am%,67 demamem+a" "uru$ e"e,a# m$um %2a" "e"a+ $a-.

Tda- ada ma$;e"a +erdara#a$. Pae$ da,am-eadaa$ #ad eua 8ad(a, de$ga$ 9%,ume #adya$g e+er" 2aa. R(aya" dar daera# e$dem-"da- ada. %$"a- de$ga$ +ae$ demam "da-

ada e2e,um$ya. Pemer-aa$ K d"emu-a$

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PENATA)ASANAAN

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