8/18/2019 Case Vascular Fary

1/11

Presentasi Kasus

PRIMARY BONE TUMOR AT LEFT PROXIMALHUMERUS

Fary Tri Sabdilla

Pembimbing:Pembimbing:

Prof. Dr. dr. Hendro S. Yuwono, PhD, SpB (K) VProf. Dr. dr. Hendro S. Yuwono, PhD, SpB (K) V

8/18/2019 Case Vascular Fary

2/11

IIDENI!DENI!

SS

Na!aNa!a " Tn#" Tn# Heri "om#$#hU!urU!ur "" $% t &TL" '()'*)+*((,$% t &TL" '()'*)+*((,

Ala!atAla!at " -l#" -l# Sent.sa/Sent.sa/ RT0R1 '20+'/RT0R1 '20+'/

3i4adu3i4adu// Kabu5atenKabu5aten

Bandun6 BaratBandun6 BaratPe4er7aanPe4er7aan "" Karya8an S8astaKarya8an S8asta

Pendidi4anPendidi4an "" SMUSMU

N.# Tel5N.# Tel5 "" '%(%9*2$(((%'%(%9*2$(((%

MRSMRS "" : %& '#nu#ri %*

Medre:Medre: "" +2'9;$29

8/18/2019 Case Vascular Fary

3/11

!n#mne$i$

K+ " Ti!bul Ben7.lan 5ada len6an 4iri se7a4 < taunSMRS

!K:

Se7a4 < taun SMRS/ .s !en6elu ti!bul ben7.lan5ada len6an atas 4iri/ a8alnya sebesar telur aya!/lalu se!a4in la!a se!a4in !e!besar in66asebesar b.la 4a4i# Na!un .s tida4 !en6elu nyeri/anya terasa berat# Ri8ayat de!a! &),/ Ri8ayatTrau!a disan64al/ Ri8ayat aler6i &),/ Ri8ayat

5enya4it 4e6anasan 5ada 4eluar6a disan64al

Ri8ayat 4eluan seru5a sebelu!nya tida4 ada/4arena 4eluannya 5asien ber.bat 4e RSHS#

8/18/2019 Case Vascular Fary

4/11

Di#gno$i$ Ker# "P.st =.re>uarter a!5utati.n due t. 5ri!ary b.netu!.r at le=t 5r.?i!al u!erus due t. sus5:.ndr.sar:.!a 

D- (dr. Pu/ie H, SpB(K)V) 011*

 @ite!u4an " ena Sub:laia C + :!

Arteri Sub:laia C < !!

Heri "om#$#h 2 30 /h 2 45": *&%%62 5"S: %&22%*

"u#ng Kemuning II

DP'P : dr. Pu/ie H, SpB(K)V

8/18/2019 Case Vascular Fary

5/11

S/#/u$ Pre$en/S/#/u$ 7ener#8i$ (911* )-r/hop#edi (dr. 5. N#$eh, Sp-)Kel " Nyeri &),

KU " 3M T@ " ++'0%' !!H6 N " %' ?0! R " +% ?0! S" $;/* 3

S/#/u$ 4o#8i$ :4ef/ Shou8derL " LO 4erin6 drain

8/18/2019 Case Vascular Fary

6/11

3.nt##V :

KU " 3M T@ " ++'0%' !!H6 N " %' ?0! R " +% ?0!

Pemeri$##n ;i$i Status L.4alis at Hu!eral Sinistra"L " Lu!5 SiGe ;' ?

8/18/2019 Case Vascular Fary

7/11

3.nt###DD2 "

3.ndr.sar:.!a

Fibr.sar:.!a

Progno$i$" @ubia ad !ala!

"en

8/18/2019 Case Vascular Fary

8/11

4#bor#/orium

P#r#me/er

INR0PT0APTT

Hb

Ht

Le4.sit

 Tr.!b.sit

OT0PT

Ur03r

@S

Alb0 5r.t

8/18/2019 Case Vascular Fary

9/11

4#bor#/orium

P#r#me/er

INR0PT0APTT

Hb

Ht

Le4.sit

 Tr.!b.sit

OT0PT

Ur03r

@S

Alb0 5r.t

8/18/2019 Case Vascular Fary

10/11

R.nt6en T.ra?Kesan"

Kardi.!e6ali tan5a bendun6an 5aru

 Tida4 ta!5a4 TB 5aru a4ti= S4.li.sis etebra T.ra4alis

8/18/2019 Case Vascular Fary

11/11

Pat.l.6i Anat.!iKesi!5ulan"

 Tida4 dite!u4an sel tu!.r 6anas 5ada bi.5si

u!erus 5r.4si!al sinistra