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7/25/2019 Dengue Hemorragic Fever Grade II Adel Fixxxxxxx
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DENGUE HEMORRAGIC
FEVER grade II
DEVI NOVITA
C 111 10 313
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IDENTITAS PASIEN
Nama : Ny. D
Umur : ! "a#u$ N% RM : !&''0'
Rua$g Ra(a" : )%$"ara 1 *a(a#
De+a$ A,ama" : Ma-aar
/e$ e,am$: Perem+ua$
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ANAMNESIS e,u#a$ u"ama : Demam
R(aya" +e$ya-" e-ara$gDa,am e-"ar 3 #ar ya$g ,a,u e2e,um
mau- ruma# a-". Demam draa-a$ "2a"2a da$ "eru me$eru e"a+ #ar. Demam
der"a de$ga$ -e,u#a$ $yer -e+a,a 2aga$de+a$. Se2e,um mau- ruma# a-" +ae$uda# m$um %2a" +e$uru$ +a$a4+ara5e"am%,67 demam em+a" "uru$ e"e,a#
m$um %2a" "e"a+ $a- ,ag.Mma$ 467 gu2erdara# 46 da$ 2era- dara# 46. Pae$ da,am-eadaa$ #ad eua 8ad(a, de$ga$ 9%,ume#ad ya$g e+er" 2aa. R(aya" dar daera#
e$dem- "da- ada. %$"a- de$ga$ +ae$
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ANAMNESIS
*a"u- 467 ea- 467 $yerme$e,a$ 467 mua,467 mu$"a# 46 da$ Nyer u,u #a"46.
*A* 2e,um +er$a# e,ama & #ar.
*A ,a$5er7 9%,ume 5u-u+ da$ (ar$a -u$$g.
R(aya" me$der"a +e$ya-" -u$$g "da-ada.
R(aya" demam ";%d da$ demam 2erdara#+ada "a#u$ 01'.
R(aya" HT 467 DM46.
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PEMERISAAN FISI
eadaa$ umum: Sa-" eda$g7 g.>0C
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PEMERISAAN FISI
Kepala : $%rm%5#e+a,7 ram2u"#"am
Mata :
A$em : Tda- ada
I-"eru : Tda- ada
Pu+, : I%-%r dame"er 7' mm= 7' mm
Udem +a,+e2ra : Tda- ada
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PEMERISAAN FISI
Leher :
T%$, : T1 @ T1 "da- #+erem
)da# : )da# -%"%r "da- ada
*2r : er$g "da- ada
e,e$8ar ,m;e : Tda- ada +em2eara$
a-u -udu- : Tda- ada
Tra-ea: de9a "da- ada
Thoraks :
*e$"u- : N%rm%"#%ra?
Payudara : Tda- ada -e,a$a$
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PEMERISAAN FISI
THORA
I$+e-: me"r -r da$ -a$a$7 +der $e9"da- ada
Pa,+a : Nyer "e-a$ "da- ada7 maa "um%r"da- ada
Per-u : S%$%r -r B -a$a$
*a"a +aru #e+ar : ICS VI de?"ra a$"er%r
*a"a +aru 2e,a-a$g -a$a$ : Ver"e2raT#%ra5a,
*a"a +aru 2e,a-a$g -r : Ver"e2aT#%ra5a, I
Au-u,"a: *u$y +er$a+aa$ : Ve-u,er
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PEMERISAAN FISI
JANTUNGInspeksi : ictus cordis tidak tampak
Palpasi : ictus cordis tidak teraba
Perkusi : bunyi pekak
batas atas jantung : ICS II parasternalis sinistra
batas bawah jantung : ICS V linea parasternalis
sinistra
batas kanan jantung : linea parasternalis dextrabatas kiri jantung : linea midclavicularis sinistra
Auskultasi : bunyi jantung I/II murni
regular, bising !"
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PEMERISAAN FISI
Abdomen: I$+e- : A2d%me$ da"ar7 -u" gera-
$a+a
Pa,+a : He+ar da$ ,e$ "da- "era2a7maa "um%r "da- ada
Per-u : Tm+a$7 a"e "da- ada
Au-u,"a : Per"a,"- ada -ea$ $%rma,
A,a" -e,am$ : Tda- d,a-u-a$+emer-aa$
A$gg%"a gera- : Edema "da- ada
)a$,a$ : Rum+,e )eede 46
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PEMERISAAN PENUN/ANGPARAMETER HASIL NILAI RUJUKAN
W!
R!
H
H!T
M!"
M!H
M!H!
PLT
NEUT
L#MPH
M$N$
E$
AS$
.'0 10=u)
&.!& 10=u)
1.> g=d)
3.1
>.' ;)
!.0 +g
3.! g=d)
1> 103=u)
1. 10=u)
0.&3 10=u)
0.11 10=u)
0.00 10=u)
0.00 10=u)
&.0010.0
&.00.00
1.01.0
3!.0&>.0
>0.0!.0
.'33.'
31.'3'.0
1'0&00
'.0!'.0
0.0&0.0
.00>.00
1.003.00
0.000.10
PARAMETER HASIL NILAI RUJUKANW!
R!
H
H!T
M!"
M!H
M!H!
PLT
NEUT
L#MPH
M$N$
E$
%&'( )*(+,-L.
/&0/ )*(1,-L.
*%&2 )3,dL.
45&* )6.
2%&' )7L.
%0&( )p3.
4%&0 )3,dL.
*%2 )*(4,-L.
*&51 )*(+,-L.
(&/4 )*(+,-L.
(&** )*(+,-L.
(&(( )*(+,-L.
/&((9*(&(
/&((91&((
*%&(9*1&(
40&(9/2&(
2(&(950&(
%1&'944&'
4*&'94'&(
*'(9/((
'%&(90'&(
%(&(9/(&(
%&((92&((
*&((94&((
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PARAMETER HASIL NILAI RUJUKAN
Im-noserolo3: la:n
Den3-e NS*
P%";
Nega"9e
PARAMETER HASIL NILAI RUJUKAN
Warna
pH
;
lood
Sed:men er:tros:t
u$$g -eru#
7'
17010
=00
Pe$u#
u$$g muda
&7'>70
1700'1703'
Nega";
J'
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DIAGNOSIS De$gue Hem%rrag5 Fe9er Grade I
D"ega--a$ 2erdaar-a$ a$am$e dema$da,am e-"ar 3 #ar ya$g ,a,u e2e,um mau-ruma# a-". Demam draa-a$ "2a"2a da$
"eru me$eru e"a+ #ar. Demam der"ade$ga$ -e,u#a$ $yer -e+a,a 2aga$ de+a$.Se2e,um mau- ruma# a-" +ae$ uda# m$um%2a" +e$uru$ +a$a 4+ara5e"am%,67 demamem+a" "uru$ e"e,a# m$um %2a" "e"a+ $a-.
Tda- ada ma$;e"a +erdara#a$. Pae$ da,am-eadaa$ #ad eua 8ad(a, de$ga$ 9%,ume #adya$g e+er" 2aa. R(aya" dar daera# e$dem-"da- ada. %$"a- de$ga$ +ae$ demam "da-
ada e2e,um$ya. Pemer-aa$ K d"emu-a$
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PENATA)ASANAAN
D:a3nost:k