ULKUS MARJOLIN
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Transcript of ULKUS MARJOLIN
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ULKUS MARJOLIN
TUGAS KEPANITERAAN KLINIK BAGIAN ILMU BEDAH
RUMAH SAKIT UMUM DAERAH TARUTUNG
Dibimbing Oleh:
Dr. B. M. A. Pardede S!. B
Di"#"#n Oleh:
Sri Ri$%i Mala#
&'''''()
*AKULTAS KEDOKTERAN
UNI+ERSITAS HKBP NOMMENSEN MEDAN
('&,
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STATUS PASIEN
&. Iden-i-a" Pa"ienNama : R#miri"
N.RM : &' )/ ,0
1eni" Kelamin : Perem!#an
Um#r : 00 -ah#n
Pe%er2aan : Pen"i#nan
S-a-#" : 1anda
Alama- : 1l. A. M. Tamb#nan H#-abara-.
Tgl. Ma"#% : ()3')3('&,
R#ang : Anggre%
(. Anamne"i"
Kel#ahan U-ama : Ben2lan di ib# 2ari %iri
Telaah : Pa"ien mengel#h%an adan4a ben2lan di
ib# 2ari %iri 4ang -elah dialami !a"ien 5 ( -ah#n
-era%hir. Sebel#mn4a ben2lan mer#!a%an l#%a
a%iba- !en6ab#-an %#%# nam#n -ida% %#n2#ng
"emb#h3"emb#h.
Pa"ien 2#ga mengel#h%an %e!ala !#"ing
-egang !ada -eng%#% dan mera"a 4ng. Pa"ien
memili%i ri7a4a- menderi-a -e%anan darah -inggi
). Pemeri%"aan *i"i%
Tanda +i-al:
o Sen"ri#m : 6m!" men-i"
o Te%anan Darah : (''8&&' mmHg
o Hear- Ra-e : &'' 98i
o Re"!ira-r4 Ra-e : (' 98i
o Tem!era-#r : )./ ';
Le"i: di2#m!ai le"i e%"3? !#" >3? berba-a" -ega".
@. Pemeri%"aan Pen#n2ang
Labra-ri#m:
Darah R#-in
3Hemglbin && gr8dl M;+ )
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3Trmb"i- )() &')8mm) M;H; )& g8dL
3Eri-r"i- @.', &'
8mm)
Ma"a Perdarahan )('
3Hema-%ri- )/ C Ma"a !embe%#an @@,
3KGAD &@@ mg8dL
*- Rn-gen:
*- Rn-gen Man#"Tida% ada -anda me-a"-a"i" -#lang.
,. Diagn"i"
Ul%#" Mar2lin Se6ndar4 heada6he e.6 hi!er-en"i er-ig e"-ib#lar
HT grade II
. Pena-ala%"anaano Diit MB
o IVFD RL 20 gtt/i
o Inj. Cebactam 1g/8 jam/i.v
o Inj. Metronidazo !00 mg/8 jam/i.v
o Inj. Ranitidin 1 am"/12 jam/i.v
o Rencana o"era#i am"$ta#i bia %D &1!0/'0 mm(g
o Bio"#i
TIN1AUAN PUSTAKA
&. K#li- K#li-
&.& Ana-mi K#li-
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&.( *i"ilgi K#li-
K#li- mem!#n4ai
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*#ng"i ab"rb"i
*#ng"i !emben-#%an !igmen
*#ng"i -ermreg#la"i
*#ng"i !emben-#%an i-amin D
*#ng"i !er"e!"i
Peran dalam im#nlgi %#li-
(. Kar"inma Sel S%#am"a
Kar"inma "el "%#am"a di"eb#- 2#ga %ar"inma !lan"el#ler bera"al
dari "el la!i"an "!in"#m. Selain "inar #l-raile- 6aha4a ma-ahari -#%a% Mar2lin?
Terda!a- d#a 2eni" %ar"inma !lan"el#ler. 1eni" 4ang lamba- -imb#l
bia"an4a menn2l dan berben-#% miri! er#%a. 1eni" ini ber"i
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Ul%#" mar2lin "ering ber%embang men2adi %ar"inma "el "%#am"a
me"%i!#n memerl#%an 7a%-# 4ang 6#%#! lama.
).( E-ilgi
E-ilgi !en4a%i- ini -ida% 6#%#! 2ela" nam#n di4a%ini %arena
m#l-i
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).@ S-adi#m Klini"
Kla"i
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S-adi#m II T(T) N' M'
S-adi#m III T@ N' M'
Tia! T N& M'S-adi#m I+ Tia! T Tia! N M&
)., Diagn"i"
Anamne"i"
Penderi-a mengel#h adan4a le"i di %#li- 4ang -#mb#h
menn2l m#dah berdarah bagian a-a" -erda!a- br% "e!er-i
gambaran b#nga %l dan adan4a ri7a4a- -ra#ma.
Pemeri%"aan
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dian2#r%an -era!i dengan menggab#ng%an !era"i %em-era!i dan
radi-era!i 4ang dian2#r%an.
).0 Prgn"i"
lini!al "ariable #etter Poorer
La-en64 -
malignan64
Le"" -han , 4ear" Mre -han , 4ear"
T#mr l6a-in Head ne6% #!!er
e9-remi-a"
L7er limb" -r#n%
T#mr "#r6e P"-3b#rn 6hrni6
"-em4eli-i"
Pre""#re "re 6ar6inma
T#mr diame-er Smaller -han ( 6m ( 6m r mre
T#mr -4!e E9!h4-i6 In(''?. *aal K#li- dalam D2#anda A. Ham$ah. Ilm#
Pen4a%i- K#li- dan Kelamin edi"i ). 1a%ar-a: *KUI
@. ng A. 1hn" M. M. Te%n" T. N. >('')?. Mar2lin" Ul6er Ari"ing in
A Prei#"l4 Gra?: &,3&.
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Ri7a4a- Diabe-e" meli-#" dan Hi!er-en"i
. Pemeri%"aan *i"i%Tanda +i-al:
o Sen"ri#m : 6m!" men-i"
o Te%anan Darah : &0'8' mmHg
o Hear- Ra-e : /( 98i
o Re"!ira-r4 Ra-e : (( 98i
o Tem!era-#r : ).& ';
Abdmen:
In"!e%"i : menda-ar
Pal!a"i : n4eri -e%an >? "el#r#h regi
Pal!a"i : di"-en"i >?
A#"%#l-a"i : BU >3?
&'. Pemeri%"aan Pen#n2ang
Labra-ri#m:
Darah R#-in
3Hemglbin .) gr8dl M;+ 0
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