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8/17/2019 PPT Case Obgyn DKP POST DATE
1/28
LAPORAN KASUSMULTIGRAVIDA HAMIL POST DATE DENGAN
DKP, RIWAYAT SC DAN RIWAYAT CHF
KHARIMA SARI DELIA
J510155086
Pem!m!"#$ %&' S()!*+"+ S'OG, OS+-
KEPANITERAAN KLINIK RSUD KARANGANYAR
FAKULTAS KEDOKTERANUNIVERSITAS MUHAMMADIYAH SURAKARTA
.016
8/17/2019 PPT Case Obgyn DKP POST DATE
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8/17/2019 PPT Case Obgyn DKP POST DATE
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RPD
8/17/2019 PPT Case Obgyn DKP POST DATE
6/28
Riwayat Penyakit Keluarga R!/*) -e&( $ %!-"#2
R!/*) H!e&)e"-! $ %!-"#2
R!/*) D!e)e- Me2!)(- $ %!-"#2
R!/*) Pe"*!) J")("# $ %!-"#2
R!/*) A2e! $ %!-"#2
8/17/2019 PPT Case Obgyn DKP POST DATE
7/28
Riwayat Menstruasi HPMT $ 15363.015
Me"&4e $ 1. )("
S!2(- !% $ .8 &! Lm !% $ 63 &!
Riwayat Perkawinan
J(m2 Pe&/!"" $ 1 2! De"#" -(m! -e&"# $ 1. )("
8/17/2019 PPT Case Obgyn DKP POST DATE
8/28
Riwayat Obstetrik
G7 P. A0 1. )(", 2!32!, L 7.00#& -+")"
5,5 )(", 2!32!, L .900#&, SC )-!"%!-! &e-+
Se&"#
Operasi yang pernah dialami $ SC
8/17/2019 PPT Case Obgyn DKP POST DATE
9/28
Kehamilan sekarang $ HPMT $ 15363.015
H&! Pe&!&" L!& $ ..373.016
U-! Kem!2" $ :0 m!"##( ; 1 &! Pe"#/-" Kem!2"$ %! !%" %" 2!"!
-e-!2!-
Riwayat Keluarga BerencanaSebelum Kehamilan ini : K -(")!
8/17/2019 PPT Case Obgyn DKP POST DATE
10/28
Anamnesis Sistem
S!-)em Ce&e&+-!"2 $ "*e&! e2 "#
8/17/2019 PPT Case Obgyn DKP POST DATE
11/28
RESME A!AM!ES"S
Se+&"# /"!), (-! 75 )(", G7 P. A0 ,%)"# e PONEK RSUD K&"#"*&!&!m" %&! +2!2!"! %e"#" DKP %"
&!/*) SC " e%( )- !"%!-! &e-+'Ke2(" e2(& 2e"%!& %& -(% 7 &!,)" %!-e&)! &- e"4e"#3e"4e"#'
Te&%) &!/*) 2em >")("#
8/17/2019 PPT Case Obgyn DKP POST DATE
12/28
Pemeriksaan #isik
Status $eneralis Ke%" Um(m $ !
Ke-%&"$ C+m+- Me")!-
T 1604mN$ 81 Bm") TD 110B0
8/17/2019 PPT Case Obgyn DKP POST DATE
13/28
Ke2 $ N+&m+4e2, -!me)&!-
K(2!) $ D2m )- N+&m2
M) $ D2m )- N+&m2
H!%("# $ D2m )- N+&m2
Te2!"# $ D2m )- N+&m2
M(2() $ D2m )- N+&m2
Lee& $ D2m )- N+&m2
8/17/2019 PPT Case Obgyn DKP POST DATE
14/28
P&(3&($ I"-e-!$ e"#em"#" &( -!me)&!
")& "" %" !&!, )!% % #e&"
*"# )e&)!"##2, &e)&-! %% ;B;, SICme2e&
P2-!$ @&em!)(- "" %" !&! -m,)!% % #e&" *"# )e&)!"##2'
Pe&(-!$ -+"+&
8/17/2019 PPT Case Obgyn DKP POST DATE
15/28
J")("#$ I"-e-!$ !4)(- 4+&%!- )!% )m' P2-!$ !4)(- 4+&%!- )!% )e&, ()
"#) ")("# )!% me2e& A(-(2)-!$ ("*! >")("# I %" II m(&"!,
&e#(2e&, !-!"#
8/17/2019 PPT Case Obgyn DKP POST DATE
16/28
A%+me"$ I"-e-!$ eme-&" #&?!%&(m
8/17/2019 PPT Case Obgyn DKP POST DATE
17/28
PEMER"KSAA! OBS%E%R"K
I"-e-! $ )m eme-&" #&?!%&(m,2!"e "!#& "!" )("##2
LP 1 $ TFU 7 >&! %!/ &+4e--(- !+!%e(- "!", !&!$ )e&e-)&em!)-
LP 7 $ #!" / >"!" e2, %) %!#e&",
LP : $ +"?ee", e2 e2(m m-( "##(2
HIS
8/17/2019 PPT Case Obgyn DKP POST DATE
18/28
Peme&!-" D2m
Inspeksi
8/17/2019 PPT Case Obgyn DKP POST DATE
19/28
Pemeriksaan Hasil Nilai Rujukan Normal
Hemoglobin 11,4 (L) 12-16 gr%
Hematokrit 35,4 3-43 !ol %
"ekosit #,2$ 5-1 1&3'(l
)rombosit 162 15-3&3'(l
*ritrosit 4,12 4,-5,&6'(l
+P 1,3 6,5-12 l
./ 16,$ $,-1
+0 #5,$ #2-$2 l
+0H0 32,2 32,-3, g'l
ran% 3,2 5-%
"imosit% 22,$ 25-4%
+onosit% 2,6 3-$%
*osinoil % ,$ ,5-5%
8/17/2019 PPT Case Obgyn DKP POST DATE
20/28
olongan .ara
+asa Pembekuan0)
5 2-#
+asa Peraraan
)
2 1-3
.7 $3 -15-
78) 1 -46
7P) 1 -42
0reatinin ,$ ,5-,$
(reum 1$ 1-5
8/17/2019 PPT Case Obgyn DKP POST DATE
21/28
D@)& M-2
P-!e" -(% 2e/) HPL 1 &!
D!%)" e2 e2(m m-("##(2
R!/*) SC )- !"%!-! &e-+ R!/*) 2em >")("#
8/17/2019 PPT Case Obgyn DKP POST DATE
22/28
&"A$!OSA DKP % M(2)!#&?!% m!2 +-) %)e
%e"#" &!/*) SC %" R!/*) CHF
PE!A%A'AKSA!AA! Oe&-! SC
8/17/2019 PPT Case Obgyn DKP POST DATE
23/28
A"2!-!- K-(-
P% -!e" !"! %!%)" em!2" :0m!"##( ;1 &! %)"# e +2! %e"#"e2(& 2e"%!& %& )" %!-e&)! &-
e"4e"#3e"4e"#' A"m"e-!- %!%)" &!/*) 2em >")("#' P-!e" me"#e2( -e- "@- >!me2(" )!?!)- e&), e&>2" %&!
m& e m& m"%!, %" &(- )!%(&me"##("" . ")2' Ke2(" %!&-"% A#(-)(- .01:, %" &( %!e&!-"(2" N+?eme& .01: e 2!"! M)e-!
8/17/2019 PPT Case Obgyn DKP POST DATE
24/28
O2e %+)e& (m(m, %!%!#"+-!- 2em >")("# e&%-&" -!2 &em >")("#' P-!e" %!e&! +) ()" me"##("" K -(")!'Se)e2 -!e" me2e- K -(")!,e2(" -e- "@- )!% e&"
%!2m! 2#! !"## -) !"!' D&! eme&!-" -! )!% %!%)"
)"% )"% CHF
8/17/2019 PPT Case Obgyn DKP POST DATE
25/28
K&!)e&! CHF F&m!"#m
M*+&
8/17/2019 PPT Case Obgyn DKP POST DATE
26/28
P% -!e" !"!,
Palpasi e2 e2(m m-( "##(2,
Perasat Osb(rn$ %e"#" -)( )"#" %!)--
-!m!-!-, )"#" *"# 2!" %! )- &!m,em(%!" %+&+"# @("%(- ()e&!
Pemeriksaan sudut Munr( kerr muller)MKM*
S(%() MKM %!e")( +2e #&!- -!"##("# e&m("
%2m -!m-!- (!- %" #&!- -!"##("# e2 >"!"'
MKM 90 $ DKP e&)
MKM 90 $ DKP R!"#"
MKM 90 $ T % DKP
P% -!e" !"! e2(m %!2(" eme&!-"-(%() MKM'
8/17/2019 PPT Case Obgyn DKP POST DATE
27/28
Pel+imetri klinik
D!me)e& )&"-?e&-
8/17/2019 PPT Case Obgyn DKP POST DATE
28/28
D!#"+-!- DKP %!%-&" % e2*"# e2(m m-( "##(2, %!m"-e&(-"* % (-! em!2" 76
m!"##( e2 -(% )(&(" "##(2'
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