HIV-AIDS

33
 GIWK VKPHVR WKWWEHN LEPE W[WINRE

description

CASE REPORT SESSIONFIPI SUSANTINama Jenis kelamin Umur Alamat Pekerjaan Agama Status No. RM Tgl MRS Tgl. Periksa: Tn. A.R : Laki- laki : 36 tahun : Jalan Cikawao Dalam III No 15 : Kitchen Service : Islam : Belum Menikah : XXX : 01 Desember 2011 : 07 Desember 2011IDENTITAS PASIENKeluhan Utama : BAB mencret Anamnesis Khusus : Sejak ± 2 bulan SMRS, pasien mengeluhBAB mencret yang dirasakan terus-menerus, frekuensi 4-5 kali sehari, sebanyak ± 2 gelas belimbing, berlendir, dan tidak

Transcript of HIV-AIDS

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GIWK VKPHVR

WKWWEHNLEPE W[WINRE

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Nioi : Rn. I.V

Jknew mkaioen : Aime/ aime

[o{v : 7< rid{n

  Iaioir : Jiain Gemisih Biaio EEE Nh 9;

Pkmkvjiin : Mergdkn Wkv|egk

  Icioi : Ewaio

Wrir{w : Fka{o Oknemid

Nh. VO : ttt

Rca OVW : 09 Bkwkofkv 6099Rca. Pkvemwi : 03 Bkwkofkv 6099

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 Inionkwew

Mka{din [rioi : FIF okngvkr

 Inionkwew Md{w{w : Wkjim ¹ 6 f{ain WOVW! piwekn okncka{d

FIF okngvkr uinc beviwimin rkv{w/oknkv{w! lvkm{knwe 2/; miae

wkdive! wkfinuim ¹ 6 ckaiw fkaeofenc! fkvaknbev! bin rebim

fkvbivid. Mka{din bewkvrie o{ia! nio{n rebim bewkvrie o{nrid.

Rkvbipir mka{din o{akw bin pkv{r rkviwi mkof{nc. Mka{din rebim

bewkvrie bkncin piniw fibin bin nukve pibi ficein pkv{r. Mivkni

mka{dinnui! piwekn okviwi akokw.

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Rebim ibi mka{din fir{m/fir{m aioi! mkvencir oiaio! bin wkwim

niliw. Rebim ibi vesiuir mhnrim bkncin pknbkveri bkncin fir{m/

fir{m aioi. Ibi vesiuir pkn{v{nin fkvir fibin ¹ 60 meahcvio

biaio 6 f{ain rkvimdev $3; meahcvio oknjibe ;; meahcvio%. Rebim ibi

pkn{v{nin mkwibivin wkfka{onui. Mivkni mka{dinnui! piwekn rkaid

< miae fkvhfir mk bhmrkv {o{o bin befkve 7 oigio hfir beoini

piwekn dinui rid{ okrvhnebizhak. Wkaioi oen{o hfir! piwekn

okviwi okofiem! nio{n wkrkaid hfirnui difew! mka{din FIF

okngvkr o{ng{a mkofiae.

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Wkmeriv 90 rid{n uinc aia{! piwekn okncim{ pkvnid okncc{nimin

nivmhfi w{nrem uinc bepimie wkgivi fkvcinrein bkncin rkoin/

rkoinnui. Nio{n! wkjim 4 rid{n uinc aia{! piwekn okncim{ rkaid

fkvdknre okncc{nimin nivmhfi w{nrem. Piwekn okoeaeme rirhh pibi

mkb{i akncin iriw! wkjim 90 rid{n uinc aia{. Piwekn okoeaeme

vesiuir fkmkvji pibi oiaio dive! bin okncim{e ibinui vesiuir

fkvd{f{ncin wkmw{ia bkncin sineri PWM. Piwekn j{ci okncim{e

ibinui vesiuir wimer wiir f{inc iev mkgea! bin ibinui mkngenc

ninid.

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VESIUIR PKNUIMER

RKVBID[A[

Rebim pkvnid bevisir be v{oid wimer wkfka{onui. Rebim ibi beivk

mvhnew wkfka{onui. Rebim ibi vesiuir bivid rencce wkfka{onui.

Rebim ibi vesiuir mkngenc oinew wkfka{onui.

.

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MKIBIIN [O[O

Mkibiin [o{o : Ghophw Oknrew! Riopim Wimer Wkbinc

Rinbi \eria :

RB : 900(<0 ooDc

N : 40 t(o

V : 60 t(o

W : 7<!6 G

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Fkvir Fibin : ;; Meahcvio

Rencce Fibin : rebim bemkrid{e

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PKOKVEMWIIN LEWEM 

Mkpiai : Mhnj{ncre|i inkoei $/%($/%! Wmakvi rebim emrkvem! PGD $/%!

ginbebeiwew hvia $/%

Akdkv : Mim{ m{b{m $/%! J\P ;-6 go D6H! MCF rebim okofkwiv 

Rdhvimw :

P{aoh(Enwpkmwe : Fknr{m , Ckvim Weokrvew! Vkrvimwe $/%

Piapiwe : EGW rebim okakfiv! \L mi?me

Pkvm{we : Whnhv! FPD EGW \! pkvinjimin 6 go

 I{wm{ariwe : \V mi?me! \FW mi?me! Vhnmde $/%($/%! Sd $/%($/%

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Ghv(Enwpkmwe : EG rebim riopim

Piapiwe = EG rkvifi be EGW \ AOGW

Pkvm{we : Firiw iriw : EGW EEE! Firiw Minin : AWB! Firiw Meve : EGW

\ AOGW

  I{wm{ariwe : F{nue Jinr{nc W9! W6 nhvoia vkc{akv! Ciaahp W7 $/%!

O{vo{v $/%.

  Ifbhokn : Biriv! Akof{r!Nukve rkmin $-% be bikvid pkve{ofeaemia!

Nukve Akpiw $/%! D(A rebim okofkwiv! V{inc Rvi{fk mhwhnc! F[ $-% Nhvoia

Kmwrvkoeriw : M{aer mkvenc! Kbkoi $/%! Gippeaaivu Vkleaaenc Reok 16²!

rkvbipir rirhh be mkb{i akncin iriw.

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BELKVKNWEIA BEICNHWEW

/ W{wpkm F 60 Wribe{o E\ bkncin Siwrenc Wunbvhok

/ Beivk Mvhnew kr gi{wi KPKG $Knrkvhpirdhckneg Kwgdkvegdei

ghae%

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/ Lkgkw V{ren

/ Pkokvemwiin FRI Lkgkw bin Rkw Vkwewrknwe

/ Mhahnhwmhpe bin Fehpwe DE\

/ PERG $Pvh|ebkv Enereirkb Rkwrenc , Gh{nwkaenc%

/ Pkokvemwiin AKB

/ Pkokvemwiin PPB ; R[

/ Pkokvemwiin FRI Wp{r{o! M{ar{v Wp{r{o bin Rkw Vkwewrknwe/ Vhnrckn Rdhvimw

/ GB 2 feai \GR vkimrel 

/ Pkokvemwiin Feaev{fen Rhria! Feaev{fen Bevkm! WCHR(WCPR! Kakmrvhaer bivid $Ni!

M! Ga%

/ Pkokvemwiin Wkvhahcew EcO DG\! DF\

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OINIJKOKN

Nhn Livoimhahcew

/ Revid Fivenc

/ Oiminin A{nim Vknbid Wkvir 9;00 mmia(62 jio! MD : A? <0 : 20!

Pvhrken 9 cv(mc FF

Livoimhahcew

/ Enl{w VA 6;00 gg(62 jio

/ Mahrveohmwizha 9t5<0 oc pkvhvia

/ IV\ befkvemin feai PERG VKIMREL

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OKNCIPI PIWEKN ENE

BEBEICNHWEW «8

Mverkvei beicnhwew piwekn DE\ feai diwea aifhvirhve{o okn{nj{mmin

ibinui inrefhbe bin ibinui |ev{w biaio r{f{d. Wkbincmin {nr{m

onkbeicnhwew IEBW ${nr{m mkpknrencin w{v|ieainw% feai rkvbipir :

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GO\ $Dire! aeopi! MCF%

GO\! Vkrenerew

Knwkliahpire

Dkvpkw Weopakmw! [am{w Mvhnem! Fvhnmderew! Pnk{ohnerew

Dewrhpaiwohwew $bewkoeniri iri{ kmwrvi piv{%

Beivk Mvhnew > 9 f{ain

Minbebeiwew fvhnm{w bin kwhlic{w

MveprhmhmhwewMveprhwphvebehwew

Aeolhoi F{vmerr bin jknew aeolhoi aiennui

Oemhfimrkve{o i|ew mhopakmw enlkgrehn

Oemhfimrkve{o r{fkvm{ahwew

Pnk{ohgurew givenee

Pnk{ohnei vkm{vknw

Wivmhoi miphwe

Siwrenc Wunbvhok $pkn{v{nin fkvir fibin > 90 + bin beivk mvhnem oeneoia 6

t wkaioi > 70 dive iri{ bkoio aioi > 70 dive rinpi fewi bejkaiwmin

pknukfifnui%.

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/ 6. Aeolhwer GB 2 1 600 wka(oo7

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SDH okncmaiwelemiwemin DE\/IEBW pibi pknbkveri bksiwi oknjibe kopir wribe{o uier{ :

Wribe{o maenew E ? wribe{o iweoprhoirem aeolibknhpire cknkviaewiri.

Wribe{o Maenew EE pkn{v{nin fkvir fibin 1 90+! akwe m{aer bin o{mhwi vencin $bkvoirerew

wkfhvhem! {am{w hvia vkm{vkn! mdkeaerew inc{aivew%! dkvpkw zhhwrkv biaio ; rid{n rkvimdev! EWPI

fimrkveia.

Wribe{o maenew EEE pkn{v{nin FF > 90+! beivk mvhnew > 9 f{ain! bkoio aioi > 9 f{ain!

minbebeiwew hvhlivenckia! hvia dievu ak{mhpaimei! r{fkvm{ahwew piv{ biaio rid{n/rid{n rkvimdev! bin

enlkmwe fimrkveia fkvir wkpkvre pnk{ohnei

Wribe{o maenew E\! berinbie o{ng{anui DE\ Siwrenc Wunbvhok! Pnk{ohwerew Givenee Pnk{ohnei

$PGP%! rhthpaiwohwew hrim! beivk mveprhwphvvebehwew > 9 f{ain! venerew GO\! dkvpkw weopakmwo{mhm{rin > 9 f{ain! ak{ghkngdkpdiahpirdu o{arelhmia pvhcvkwel! oemhwew bewkoeniri minbebeiwew!

minbebeiwew be kwhlic{w! rvimdki! fvhnm{w! bin piv{! r{fkvm{ahwew kmwrvi piv{! aeolhoi! wivmhoi

miphwe bin kngkpdiahpirdu DE\.

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Pibi piwekn ene bive inionkwew berko{min ibinui FIF okngvkr

wkaioi 6 f{ain bin ibinui pkn{v{nin fkvir fibin wkmeriv 60 meahcvio

wkaioi 6 f{ain rkvimdev. Wkmeriv 90 rid{n uinc aia{! piwekn okncim{

pkvnid okncc{nimin nivmhfi w{nrem uinc bepimie wkgivi fkvcinrein

bkncin rkoin/rkoinnui. Nio{n! wkjim 4 rid{n uinc aia{! piwekn

okncim{ rkaid fkvdknre okncc{nimin nivmhfi w{nrem. Piwekn okoeaeme

rirhh pibi mkb{i akncin iriw! wkjim 90 rid{n uinc aia{. Piwekn

okoeaeme vesiuir fkmkvji pibi oiaio dive! bin okncim{e ibinui

vesiuir fkvd{f{ncin wkmw{ia bkncin sineri PWM. Piwekn j{ci

okncim{e ibinui vesiuir wimer wiir f{inc iev mkgea! bin ibinui

mkngenc ninid.

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Bive pkokvemwiin lewem bebipirmin ibinui nukve rkmin pibi bikvid

pkve{ofeaem{w! ibinui rirhh pibi mkb{i aknin iriw. Fkvbiwivmin

inionkwew bin pkokvemwiin lewem beiriw ibinui rinbi siwrenc

wunbvhok bin limrhv vewemh DE\(IEBW.

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PKOKVEMWIIN PKN[NJINC

Fkvbiwivmin aerkvir{v pkokvemwiin {nr{m rkw DE\ rkvbeve bive :

9. Pkokvemwiin wkvhahcew {nr{m oknbkrkmwe inrefhbe

6. Pkokvemwiin {nr{m oknbkrkmwe mkfkvibiin |ev{w bkncin

ewhaiwe(m{ar{v! bkrkmwe inreckn! bkrkmwe oirkve cknkrem biaio bivid.

Uinc piaaenc wkvenc beaim{min be Enbhnkwei ibiaid pkokvemwiinwkvhahce {nr{m oknbkrkmwe inrefhbe DE\ $KAEWI%.

Pibi piwekn ene beaim{min PERG $Pvh|ebkv Enereirkb Rkwrenc ,

Ghnwkaenc%! bkncin diwea vkimrel! bin beaim{min pkokvemwiin GB 2

bkncin diwea 6; (oo7! uinc okn{nj{mmin ibinui IEBW

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RIRIAIMWINI 

Fkvbiwivmin aerkvir{v! ibi 7 jknew rkvipe pibi piwekn DE\/IEBW :

9. Pknchfirin IV\ $Inrevkrvh|evia % uier{ {nr{m okn{v{nmin vkpaemiwe |ev{w

wkdencci okn{v{nmin ohvfeberiw bin ohvriaeriw bene pibi piwekn DE\(IEBW.

6. Pknchfirin {nr{m oknciriwe fkvficie enlkmwe bin minmkv uinc oknukvrie

DE\(IEBW wkpkvre enlkmwe jio{v! RF! dkpirerew! rhthpaiwohwew! wivmhoi! bin

aeolhoi.

7. Rkvipe w{phvrel fkv{pi oiminin uinc fkvceze! mkfkvwedin aencm{ncin bin pvefibe

bin b{m{ncin whweia , mka{ivci.

Pibi piwekn ene befkvemin enl{w VA bin mahrveohmwizha {nr{m oknchfire FIF

okngvkr. Wkbincmin jemi bebipirmin PERG vkimrel! pknchfirin IV\ bipir

befkvemin.

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RKVEOI MIWED«

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DIWEA LHRH VHNRCKN

RDHVIMW 09(96(99

Rebim Riopim RF Piv{ Imrel 

Rebim Riopim Mivbehokciae

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DIWEA PKOKVEMWIIN

BIVID V[REN

Df(Dr(A(Rv : 96.7(7;(;300(62;000

Bell. Gh{nr : 0(0(9(<0(7;(2

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DIWEA PKOKVEMWIIN MEOEI 

BIVID

CBW(Ni(M :4<(97<(7.9

WCHR(WCPR([v (Mv(Mhakwrkvha rhria(DBA(ABA(RC :

20(74(622(9.03(57(9<(;4(5<

AKB : 7;(30 $0/9;%

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DIWEA PKOKVEMWIIN [VEN

V[REN

E. Oimvhwmhpew

Sivni : M{nenc

Mkjkvnedin : Jkvned

Fahhb [venk : Nkcirel 

Fkvir Jknew : 9.09;

Pd [venk : 3.0

Nerver [venk : Nkcirel  

Pvhrken [venk : 3;(-

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Ca{mhwi [venk : Nkcirel 

Mkrhn [venk : Nkcirel 

[vhfeaenhckn [venk : 19

Feaev{fen [venk : Nkcirel  

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EE. Oemvhwmhpew [venk

Kvervhwer : Nkcirel  

Akmhwer : 6

Wka kperka : 6

Fimrkve : Nkcirel  

Mvewria : Nkcirel  

Weaenbkv : Nkcirel  

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DIWEA PKOKVEMWIIN LKGKW

V[REN 06(96(99

Oimvhwmhpew Lkgkw

Sivni : Ghmair

Mhnwewrknwe : Giev 

Bivid : Nkcirel  

Aknbev : Nkcirel  

Ninid : Nkcirel  

Piviwer : Nkcirel  

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Oemvhwmhpew Lkgkw

Oemvhfehahce Likgkw

Berko{min m{oin Kwgdkvegdei ghae pirhckn

Rkw Vkwewrknwe IF: Wko{i Wknwerel 

FRI Lkgkw $/%

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PERG bin GB 2

PERG $0;(96(99% : VKIMREL

Diwea pkokvemwiin GB 2 $0<(96(99% :6; Nhvoia : 7;;/9697

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BEICNHWEW IMDEV

Bm : Beivk Mvhnem kg KPKG - F 60 Wribe{o EEE

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RKVIPE

IV\ 9wr aenk