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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