PPT Tiroid Dr. CKT

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    LAPORAN KASUS CLAUDIA MARISCA

    Pembimbing : dr. Christofel, S. PD

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    ID!N"I"AS PASI!N  N#m# : "n. $

     $enis Kel#min : L#%i&l#%i

     Um'r : () t#h'n

     Pe%er*##n : Ped#g#ng %#in

     Al#m#t : $l. +'n'ng Kombeng, Angg#n#, K't#i K#rt#neg#r#

     St#t's Perni%#h#n : el'm meni%#h

     "#ngg#l M#s'% : - $#n'#ri /01

     No RM : RS0/0/

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    K!LU2AN U"AMA  A C#ir Se*#% ( 2#ri SMRS

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    P!R$ALANAN P!N3AKI"

    • Pern#h meng#l#mi h#l 4#ng s#m#

    • Men*#l#ni engob#t#n tiroid

    //-

    • A C#ir •

    M'#l• N4eri %e#l# • #t'%

    ( 2#ri SMRS   • Dem#m

    • Sering berde • Pen'r'n#n b

    b#d#n

     2# SMR

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    RPD

    • Pern#h ter#i engob#t#n tiroid t#h'n //-

    • 2iertensi 5&6, DM 5&6, Asm#

    5&6

    RPK 

    • "id#% #d# %el'#rg# 4# meng#l#mi 4#ng s#m#

    • 2iertensi 5 DM 5&6, Asm

    5&6

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    P!M!RIKSAAN 7ISIK 

    Ke#d##n Um'm

    • "#m#% s#%it sed#ng, Comos

    Mentis+CS

    • !89-M1

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     "#nd #

    9it#l

     "D:0//) /

    2R:0-; m

     ":(1,)C

    RR:8;m

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    P!M!RIKSAAN 7ISIK 

    Ke#l#Lehe r CP&&, SI&&

    Re>, P'il iso

    !;oht#lm's >>

    Str'm# dif's 5>6, r'it 5>6

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    LAN$U"AN

     "hor#;

    • $#nt'ng: S0& S norm#l, reg'ler

    • P#r': SN 9esi%'ler, Rhon%i &&, ?hee@ing &&

    Abdomen

    • S'el • ising Us's

    mening%#t

    !%strem

    •A%r#l h •Oedem •

    Dermo&& •R'ml Leede 5

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    LAORA"ORIUM Pemeriksaan Hasil Normal

    Hemoglobin 12,2 P 13-16, W 12-14

    Leukosit 4.400 5000-10000

    Hitung Jenis

    Basofil

    Eosinofil

    Batang

    Segmen

    Limfosit

    Monosit

     

    70,8

     

    21,8

    7,4

     

    0-1

    1-3

    2-6

    50-70

    20-40

    2-8

    Hematokrit 34 P 40-48 W 37-43

    Trombosit 65.000 150000-450000

    reum 26 10-50

    !reatinin 0,6 0,5-1,5

    Na 136 135-155

    "  #$% 3,4-5,3

    !l 103 98-106

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     "AN++AL 1 $ANUARI /01

    Pemeriksaan Hasil Normal

    Hemoglobin 10,6 P 13-16

    Leukosit 2.300 5000-10000

    Hematokrit 38 40-48

    Trombosit 28.000 150000-450000

    Pemeriksaan Hasil Nilai &u'ukan

    T# 7,66 Eutiroid:0,9-2,5 mmol/L

    Hipertiroid: 3mmol/L

    TSH !0,05 Eutiroid: 0,25-5 u "#/ml

    Hipotiroid: 7 u "#/ml

    Hipertiroid: !0,005 u "#/ml

    fT4 100 Eutiroid: 9-20 p mol/L

    Hipotiroid: !8 p mol/L

    Hipertiroid: 24 p mol/L

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     "AN++AL ) $ANUARI /01 Pemeriksaan Hasil Normal

    Hemoglobin 10,9 P 13-16

    Leukosit 3.300 5000-10000

    Hematokrit 31 40-48

    Trombosit 35.000 150000-450000

    Pemeriksaan Hasil Normal

    Hemoglobin 10,3 P 13-16

    Leukosit 3.600 5000-10

    Hematokrit 28 40-48

    Trombosit 20.000 150000-

     "#ngg#l  $#n'#ri

    /01

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     "AN++AL 0/ $ANUARI /01 Pemeriksaan Hasil Normal

    Hemoglobin 10,9 P 13-16

    Leukosit 5.100 5000-10000

    Hematokrit 32 40-48

    Trombosit 43.000 150000-450000

    S(utum BT) $%& " '-(

    $%& "" '-(

     

    Pemeriksaan Hasil

    Hemoglobin 10,5

    Leukosit 7.400

    Hematokrit 29

    Trombosit 48.000

     "#ngg#l 00 $#n

    /01 !K+

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    !K+

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    7O"O "2ORAB

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    US+ ADOM!N

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    US+

    Congestie LierC#rdi#= Li

    =#'s# C27!f'si Ple'r# Sin As=ites =#'s# C

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    DIA+NOSIS K!R$A U+D

    +!A Dehidr#si Ring#n Sed#ng

    S'se% 2iertiroid

    S'se% Dem#m Deng'e

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    P!NA"ALAKSANAAN

    Pl#nning Di#gnosi s

    D#r#h Leng%#

     "(,f"8,"S2

    7oto "hor#; PA US+ Abdomen

    !=ho=#rdiogr#

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    Pl#nnin g "er#i

    I97D RL (/ tm

    C#ndes#rt#n 0;E mg

    isorolol 0;0 t#b

    Aiter 0;0 s#=het

    L#nsor#@ole ;0 =#s

    I*. De;#meth#sone 0 #m0 *#m

    I*. Ond#n=entron 0 #m0 *#m i

    P#r#=et#mol (;-// mg

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    7OLLO? UP

      6 Januari *0%6 + Januari *0%6 S $&$ )*ir '-( $*tu+ '(

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    ' ( ' (

    , # : ompo eti/ t

    % : 140/90

    H : 120/m

    P -/-, " -/-, e +ot*lmu /

    trum* diu '(

    or : d

    Pulmo : d

    E+ : H**t '(, Edem* '-(

    # : ompo eti/ t

    % : 120/80

    H : 116/m

    P -/-, " -/-, e+ot*lmu /

    trum* diu '(

    or : d

    Pulmo : d

    E+ : H**t '(, Edem* '-(

    ) r*e ie*e

    %romoitopei*

    r*e ie*e

    %romoitopei*

    P ";*oe 1 *mp/12=*m i

    "=. ?d*)etro 1 *mp/8=*m i

    *de*rt* 18 m

    $ioprolol 1 @ t*

    *itidi 2150 m

    L*opr*Aole 230 m

    P%# 3100 m

     

    , # : ompo eti/ t # : ompo eti/ t

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    % : 100/80

    H : 114/m

    P -/-, " -/-, e+ot*lmu /

    trum* diu '(

    or : d

    Pulmo : B ;ei+uler, > -/-, W>/

    E+ : H**t '(, Edem* '-(

    % : 120/80

    H : 110/m

    P -/-, " -/-, e+ot*lmu /

    trum* diu '(

    or : d

    Pulmo : B ;ei+uler, > -/-, W> /

    E+ : H**t '(, Edem* '-(

    ) r*e ie*e

    %romoitopei*

    r*e ie*e

    %romoitopei*

    P ";*oe 1 *mp/12 =*m i

    "=. ?d*)etro 1 *mp/8 =*m i

    $ioprolol 1 @ t*

    L*opr*Aole 230 m

    P%# 3100 m

     Beul omiet 3/>*ri

    E)>o)*rdior*p>C

    # &dome

    *er dr p.P

     

    ";*oe 1 *mp/12 =*m i-top

    "=. ?d*)etro 1 *mp/8 =*m i

    $ioprolol 1 @ t*

    L*opr*Aole 230 m

    P%# 3100 m

    e+ $%&

    E)>o)*rdior*i ole> dr. urdill*> p.*d

    & r. oli p.P

     Beul omiet 3/>*ri

    etiriAie 3

    &mrool 330 m

    * u * u

    , # : ompo eti/ t # : ompo eti/ t

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    % : 120/80

    H : 100/m

    P -/-, " -/-, e+ot*lmu /

    trum* diu '(

    or : d

    Pulmo : B ;ei+uler, > -/-, W>/

    E+ : H**t '(, Edem* '-(

    % : 120/80

    H : 104/m

    P -/-, " -/-, e+ot*lmu /

    trum* diu '(

    or : d

    Pulmo : B ;ei+uler, > -/-, W>/

    E+ : H**t '(, Edem* '-(

    ) r*e ie*e

    %romoitopei*

    r*e ie*e

    %romoitopei*

     

    P ";*ri

    etiriAie 31

    &mrool 330 m

     

    ";*ri

    etiriAie 31

    &mrool 330 m

      %* Januari *0%6 %# Januari *0%6 S $*tu+ '( *D*t *l*

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    , # : ompo eti/ t

    % : 120/8