case conference diare+gibur 6-3-2016.pptx

8/19/2019 case conference diare+gibur 6-3-2016.pptx

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Laporan Jaga

Minggu Pagi 6 Maret 2016

dr. Lubna / dr. Ahimsa/ dr. Patra

dr. Prabu / dr. Mire / dr. Miza

dr. Lucky / dr. David

dr. Mitha / dr. Caca


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BANGSAL1. An. A/!hari/"#$ k% den%an diare akut dehidrasi berat &

%izi kuran% '(tensia) %izi buruk". An. LC/ 1! thn/ "*k%/ den%an1. +ebris hari ke " ec dd, -A# S0 ". abd(mina) disc(m+(rt ec Gastritis dd S0

. An. SS/ 2thn/ "! k%/ den%an (bs. 0e3an% ec. 4'i)e'si umumsim't(matik dd %an%uan e)ektr(nik

PC5678

NC5

678

9C5 Me)ati "678

9C57Ne(natus678


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dentitasNama , An A

:enis ke)amin , 'erem'uan

5mur , ! hari

A)amat , M(3()aban# Suk(har3(# :a;a -en%a%h

N(


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0e)uhan 5tama

BAB cair


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P(h(n 0e)uar%a

An A# ! hari "#k%

"" thn

"thn


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Status Gizi BB/5 , "#$/# ? 1!! $#* 6 Sc(re E 7 SD8

severe underweight

-B/5 , $!/$$ ? 1!! 21 67 SD E Sc(re E 7"SD 8 stunted

BB/-B , "#$/# ? 1!! *2#1 6 Sc(re 7 SD8%izi kuran%

0esim'u)an , %izi kuran%# severe underweight,stunted


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P4M4


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C(r, , ktus k(rdis tidak tam'ak

P , ktus k(rdis teraba di se)a i%a F Linea mid k)aviku)arissinistra# tidak kuat an%kat

P , batas 3antun% kesan tidak me)ebar

A , Bunyi 3antun% dan tun%%a)# intensitas n(rma)#irama re%u)er#

bisin% 678

Pu)m( , , 'en%emban%an dindin% dada kanan kiri

P , +remitus raba kanan kiri

P , s(n(r /s(n(r A , Suara Dasar Fesiku)er 6&/&8 # Suara Na'as -ambahan

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Abd(men, , Dindin% 'erut se3a3ar den%an dindin% dada

A , Bisin% usus 6&8

P , tim'ani

P , Su'e)# nyeri tekan 678# su'e)# tur%(r ku)it kemba)i san%at)ambat# 9e'ar teraba " cm diba;ah arcus c(staede?tra# 1 cm di ba;ah

'r(cessus ?y'h(ideus, u3un% tum'u)# 'ermukaanrata#Lien tidak

teraba membesar

4?tremitas , 4dema , 7/7 Akra) Din%in , 7/7

7/7 7/7

ADP teraba kuat C


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LAB>


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Da+tar Masa)ahBayi 'erem'uan# ! hari# "#$ k%# $!cmBAB cair se3ak hari SM


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Dia%n(sis 0er3a

Diare Akut Dehidrasi Berat ec nt()eransi Lakt(sadd 4-4C dd 44C

Gizi kuran% '(tensia) %izi buruk


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-era'i1. Pera;atan di ban%sa) %astr(enter()(%i anak

". Diet ASB * ? "!7! m)

.


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P)annin%

5rin

+eces rutin AGD

4)ektr()it

0(nsu) SSD %izi


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M(nit(rin%05/FS/-D/ S9/3am se)ama rehidrasi

BCD/* 3am


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"1. !!

05 , tam'ak sakit berat# k(m'(s mentis# %izi kesan kuran%'(tensia) %izi buruk

FS , La3u 3antun% , 1$ ?/menit Suhu , @#1 C 6'er aksi)ar8

La3u na'as , "?/menit

0e'a)a , mes(ce'ha)# )in%kar ke'a)a, 2 cm 6L07"SD8# 55B

cekun% 6&8# ()d man +ace 6&8

Mata , C(n3unctiva Anemis 7/7# Sk)era kterik 7/7 # 'u'i) is(k(r"mm/"mm#


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P , ktus k(rdis teraba di se)a i%a F Linea mid k)aviku)arissinistra# tidak kuat an%kat



bisin% 678




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A , Bisin% usus 6&8

P , tim'ani

P , Su'e)# nyeri tekan 678# su'e)# tur%(r ku)it kemba)isan%at )ambat# 9e'ar teraba " cm diba;ah arcusc(stae de?tra# 1 cm di ba;ah


teraba membesar

4?tremitas , 4dema , 7/7 Akra) Din%in , 7/7 7/7 7/7

ADP teraba kuat C


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Dia%n(sis 0er3a

Diare Akut Dehidrasi Berat ec nt()eransi Lakt(sadd 4-4C dd 44C terehidrasi



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-era'i1. Pera;atan di ban%sa) %astr(enter()(%i anak

". Diet ASB * ? "!7! m)

. ra)it 61! m)/k%BB8 "! m) tia' diare K 6$m)/k%BB81! m) tia' muntah '.(

. inc 1 ? 1! m% se)ama 1! hari@. Pr(bi(tic 1?1/" sachet '.(


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M(nit(rin%05/FS/-D/ S9/ 3am

BCD/* 3am


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:am 12 "! "1 "" " " 1 " $


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())(; u' Senin# @ Maret

"!1S , demam 678

muntah 678

Diare 6&8 $?# )embek# cairam'as# ;arnakekunin%an

Minum susu b(t() 6&8 *? "!cc

BA0 6&8 ;arna kunin%# 3um)ah a%ak banyak


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())(; 5'

05 , tam'ak sakit sedan%# k(m'(s mentis# %izi kesan burukFS , La3u 3antun% , 1" ?/menit Suhu , #@ C 6'er aksi)ar8

La3u na'as , !?/menit

0e'a)a , mes(ce'ha)# )in%kar ke'a)a, 2 cm 6L07"SD8# 55Bdatar 6&8# ()d man +ace 6&8

Mata , C(n3unctiva Anemis 7/7# Sk)era kterik 7/7 # 'u'i) is(k(r"mm/"mm#


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P , ktus k(rdis teraba di se)a i%a F LMCS# tidak kuatan%kat



bisin% 678




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A , Bisin% usus 6&8 P , tim'ani

P , Su'e)# nyeri tekan 678# su'e)# tur%(r ku)it kemba)i san%at)ambat# 9e'ar teraba " cm diba;ah arcus c(staede?tra# 1 cm di ba;ah


teraba membesar

4?tremitas , 4dema , 7/7 Akra) Din%in , 7/7

7/7 7/7

ADP teraba kuat C


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Dia%n(sis 0er3a

Diare Akut Dehidrasi Berat ec nt()eransi Lakt(sadd 4-4C dd 44C terehidrasi



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-era'i1. Diet ASB * ? "!7! m)

".


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P)annin%

5rin

+eces rutin 0(nsu) SSD %izi


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M(nit(rin%05/FS/S9/ 3am

BCD/* 3am


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Pertanyaan k)inisFirus 'enyebab diare akut terbanyak 'ada anakP, anak usia !7 bu)an

,7C,7

>, virus 'enyebab diare

< h A ti )


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Abtra.t

4nteric viruses have been sh(;n t( be res'(nsib)e +(r diarrheaam(n% chi)dren durin% their ear)y chi)dh((d. -his study ;ascarried (ut t( determine the 'reva)ence (+ r(tavirus# aden(virus#

and n(r(virus in+ecti(n in y(un% chi)dren ;ith diarrhea in t;('rimary hea)th centers in 4d( State# Ni%eria. A t(ta) (+ "" st(()s'ecimens ;ere c())ected +r(m chi)dren a%ed ! m(nths ;ithc)inica) si%ns (+ diarrhea and $2 a''arent)y hea)thy a%e7matchedchi)dren as c(ntr(). -hese s'ecimens ;ere investi%ated +(r threevira) a%ents usin% immun(chr(mat(%ra'hic techniOue 6C-8. -he

(vera)) resu)ts sh(;ed that at )east (ne vira) a%ent ;as detectedin 2$/"" 6".8 (+ the chi)dren ;ith diarrhea ;hi)e the c(ntr()had n(ne. -he 'reva)ence (+ r(tavirus ;as "*.# aden(virus12.# and n(r(virus .. -here ;as a si%nicant ass(ciati(nbet;een a%e %r(u' and in+ecti(n 68. Seas(na) 'attern (+ entericviruses ;as n(t statistica))y si%nicant 68. -he (vera)) c(in+ecti(nrate ;as @. and r(tavirus7aden(virus c(in+ecti(n had thehi%hest ;ith $..

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case conference diare+gibur 6-3-2016.pptx