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7/17/2019 Developmental Delay
http://slidepdf.com/reader/full/developmental-delay-568d840b599e4 1/52
L/O/G/O
Pembimbing :
dr. Budi Nurcahyani Sp.A
Disusun oleh :
Desia Laila Dian S
(0121011!"
#$PAN%&$'AAN #L%N%# %L) P$N*A#%& ANA#
+A#)L&AS #$D,#&$'AN )N%SS)LA S$A'AN-'S)D S)NAN #AL%A-A D$A#
201/
'$+L$#S% #AS)S
SEORANG BAYIPEREMPUAN DENGAN
FEBRIS UNKNOWN
ORIGIN DAN
DEVELOPMENTAL
DELAY DAN GIZI
BURUK
7/17/2019 Developmental Delay
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PAS%$N
ENTITa s PASIE N
7/17/2019 Developmental Delay
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ANAMNESIS
Dilakukan secaa all!"ana#nesis $en%an i&u 'asien
'a$a (an%%al ) Mei *+,- Be$ N!.) $i &an%sal Da/lia
RSUD Sunan Kali0a%a De#ak1
KELU2AN UTAMA 1 BADAN PANAS
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3 - /ai se&elu# #asuk RS4 anak #en%ala#i 'anas.
Panas naik (uun (an'a '!la 5an% 0elas. Panas (i$ak
$ise(ai #en%%i%il $an ke0an%. Selain i(u BAB cai
se&an5ak - kali6/ai &e7ana kunin% kelua a#'as$an len$i $an (i$ak (e$a'a( $aa/. Mual $an #un(a/
8"9.
Kelu/an lain 5ai(u &a(uk &e$a/ak (eus #eneus
na#un $a/ak (i$ak $a'a( $ikeluakan. Ba(uk 0u%a
$ise(ai 'ilekPeke#&an%an anak 0u%a (ela#&a(. Anak &elu# &isa
$u$uk4 /an5a &isa (en%kua'. Dala# &a/asa /an5a
&isa #en%uca'kan ka(a"ka(a :a5a5a5a;
RIWAYAT PENYAKITSEKARANG
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Anak sein% 'anas /ilan% (i#&ul se0ak anak
&eusia ) &ulan.
Ri7a5a( #!n$!k $ua kali kaena 'anas &a(uk $an
$iae saa( i(u usia - &ulanRi7a5a( ke0an% $isan%kal
Ri7a5a( sesak $isan%kal
Ri7a5a( 'en5aki( $e#a# &e$aa/ $isan%kal
Ri7a5a( 'en5aki( (5'us $isan%kalRi7a5a( k!nsus#si an(i&i!(ik $isan%kal
Ri7a5a( ale%i !&a( $isan%kal
Ri7a5a( (au#a $isan%kal
RIWAYAT PENYAKITDAHULU
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RIWAYATPENYAKIT
KELUARGA
Kelua%a (i$ak a$a 5an%
#en%ala#i kelu/an 5an% sa#a
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RIWAYAT SOSIALEKONOMI
A5a/ &eke0a se&a%ai s7as(a4
Kesan s!sial ek!n!#i cuku'.
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'%A*A& %)N%SAS%'%A*A& %)N%SAS%
• B<G 1 , kali 8u#u + &ulan9
• P!li! 1 = kali 8u#u +4 *4 =4 $an > &ulan9
• 2e'a(i(is B 1 ) kali 8u#u +4 ,4 $an > &ulan9
• DPT 1 ) kali 8u#u *4 =4 $an > &ulan9• <a#'ak 1 , kali 8u#u ? &ulan
Kesan1 I#unisasi $asa len%ka' &e$asakan
in@!#asi $ai i&u 'asien
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'%A*A& P$'&)B)AN'%A*A& P$'&)B)ANPerumbuhan
a9 Bea( &a$an la/i )=++ %a#. Pan0an% &a$an lu'a
&9 Bea( &a$an sekaan% > k%. Pan0an% &a$an , c#
LK 1 =)c# 8#es!ce'/al9") SD 1 >4- k%
"* SD 1 4+ k%
", SD 1 4 k%
Kesan 1 S(a(us Gii Buuk kaena C") SD
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'%A*A& P$'#$BAN-AN'%A*A& P$'#$BAN-AN
a9 M!(!ik kasa 1
• Be$ii sen$ii 8"94 &e$ii * $e(ik 8"94 &an%ki( (eus $u$uk
8"94 &an%ki( un(uk &e$ii 8"94 &e$ii $an 'e%an%an 8"94
Du$uk (an'a 'e%an%an 8"94 &an%ki( ke'ala (e%ak 8"94
#e#&alik 8"94 $a$a (ean%ka( #enu#'u , len%an 8"94
#enu#'u &e&an 'a$a kaki 8"94 $u$uk ke'ala (e%ak 8"94
ke'ala (ean%ka( ?+ $ea0a( 8"94 ke'ala (ean%ka( =-
$ea0a( 894 #en%an%ka( ke'ala 89
• Kesan 1 #!(!ik kasa se'e(i anak usia * &ulan
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&9 Ba/asa 1Men%e(i , ka(a 8"94 #en%uca'kan
#a#a6'a'a 8"94 #eniu &un5i ka(a"ka(a 8"94
#en!le/ ke aa/ suaa 8"94 #en!le/ ke
&un5i icik"icik 894 &e(eiak 89Kesan 1 &a/asa se'e(i anak usia = &ulan
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c9M!(!ik /alus 1
#enau/ ku&us $i can%ki 8"94#e#&en(ukan * ku&us 8"94 #e#%an%
$en%an i&u 0ai $an 0ai 8"94 #en%a#&il ,
ku&us 8"94 #e#in$a/kan ku&us 8"94
#en%%auk #anik" #anik 8"94 #en%a#a(i#anik"#anik 894 (an%an &esen(u/an 894
#e#e%an% icik"icik 89.
Kesan 1 #!(!ik /alus se'e(i usia = &ulan
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$9 Pes!nal S!sial 1Minu# $en%an can%ki 8"94 #eniukan ke%ia(an 8"94
#ain &!la8"94 $a% $a% $en%an (an%an 8"94 (e'uk
(an%an 8"94 #akan sen$ii 8"94 &eusa/a #en%%a'ai
#ainan 894 #en%a#a(i (an%ann5a 894 (esen5u#s'!n(an 89
Kesan 1 'es!nal s!sial se'e(i usia - &ulan
•) Kesan keseluu/an 1 Peke#&an%an (i$ak sesuai
u#u
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&%DA#
&%DA#
&%DA#
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&%DA#
*A
&%DA#
&%DA#
*A
*A
UMAL2 SKOR YA )
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#uesioner Pra S3rining
Per3embangan (#PSP"
#uesioner Pra S3rining
Per3embangan (#PSP"
%nerpreasi asil #PSP
• 2i(un% 0a7a&an Ya 8&ila $i0a7a& bisa a(au sering a(au
3adang43adang9
• 2i(un% 0a7a&a& Ti$ak 8&ila 0a7a&an belum pernaha(au ida3 pernah9
• Bila 0a7a&an YA ?",+4 per3embangan ana3 sesuai
dengan ahapan per3embangan (S"
• Bila 0a7a&an YA a(au 4 per3embangan ana3meragu3an ("
• Bila 0a7a&an YA > a(au kuan%4 3emung3inan ada
penyimpangan (P".
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'i5aya a3an dan inum'i5aya a3an dan inum
a9+ H > &ulan 1 ASI4 #ene(ek kua( $en%an
@ekuensi sein%
&9 &ulan H ,, &ulan 1 ASI se#au anak4 susu @!#ula4
&u&u &iskui(4 nasi sa5u s!' lauk ikan ,6/aise$iki("se$iki(4 $a%in% (i$ak #au
• Kesan ASI sesuai u#u4 kuali(as #akan $an
kuan(i(as kuan%
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'%A*A& P$'%NA&AL'%A*A& P$'%NA&AL
• Peiksa kan$un%an 1 , se(ia' &ulan sela#a /a#il $i &i$an
• Pen5aki( ke/a#ilan1 8"94 'e$aa/an sela#a ke/a#ilan 8"9
• Ri7a5a( 'en5aki( sela#a ke/a#ilan 1 Disan%kal
• Ri7a5a( 'e$aa/an sela#a ke/a#ilan 1 Disan%kal
• Ri7a5a( (au#a sela#a ke/a#ilan 1 Disan%kal
• Ri7a5a( k!nsu#si !&a( $an 0a#u 1O&a(H!&a(an 5an%
$i#inu# sela#a #asa ke/a#ilan a$ala/ Ji(a#in $an !&a(
'ena#&a/ $aa/. a#u"0a#uan 8"9
Kesan1 Ri7a5a( ke/a#ilan $an 'e#eli/aaan 'ena(al &aik.
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'i5aya #elahiran
• La/i $i 1 Ru#a/ saki(
• Di(!l!n% !le/ 1 D!k(e S'OG
• La#a $ala# kan$un%an 1 )? #in%%u
• enis 'a(us 1 S< a6i i7a5a( S< )4- (a/un
• BB 7ak(u la/i 1 )=++ %a#
• PB 7ak(u la/i 1 I&u lu'a
• Anak ke"* $ai * &esau$aa.
'i5aya #B orang ua
• I&u #en%%unakan 'il KB
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P$$'%#SAAN +%S%#P$$'%#SAAN +%S%#
• Pe#eiksaan @isik $ilakukan (an%%al > Mei
*+,-4 $i &an%sal $a/lia RSUD Sunan
Kali0a%a De#ak1
• Kea$aan U#u# 1 c!#'!s #en(is4 e7el4(a#'ak kuus $an le#a/
• Tan$a Vi(al
• Na$i 1 ,+ 6#eni(4 e%ule4 isi (e%an%an cuku'• Pena'asan 1 * 6#eni(4 e%ule4 a$ekua(
• Su/u 1 )4- +<
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S(a(us Gii• BB 1 >4+ k%
• TB 1 , c#• LK 1 =) c# 8#es!ce'/al9
Pe#eiksaan s(a(us %ii 8Z"sc!e9 1
• WAZ BB H #e$ian >4+ H ?4* " )4* 8Bea(&a$an san%a( en$a/ 6
• SD l!7 ,4+ Gii &uuk9
• 2AZ TB H #e$ian , H )4, "+4-
8'ea7akan (u&u/ n!#al9
• SD l!7 *4
• W2Z BB H #e$ian >4+ H 4> " )4*- 8kuus9
• SD +4
• Kesan 1 &ea( &a$an san%a( en$a/6 %ii &uuk4
'ea7akan (u&u/ n!#al4 $an kuus
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Pemeriksaan Fisik Pemeriksaan Fisik
Kesan
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T/!a 1 Si#e(is4 e(aksi 8"94 (ulan% usuk #en!n0!l 8"6"9
an(un%
• Ins'eksi 1 ic(us c!$is (ak (a#'ak
• Pal'asi 1 ic(us c!$is kua( an%ka(4 (/il 8"9• Pekusi 1 e$u'
• Auskul(asi 1 Bun5i 0an(un% I"II e%ula
• Kesan1 an(un% $ala# &a(as n!#al
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Pau
• Ins'eksi 1 Si#e(is4 e(aksi 8"9
• Pal'asi1 S(e# @e#i(us si#e(is
• Pekusi1 S!n!
• Auskul(asi 1 Suaa $asa Jesikule 8694
Ronkhi 8"9, W/eein%8"9
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A&$!#en
• Ins'eksi 1 Da(a4 %eakan 'eis(al(ik 89
• Auskul(asi 1 Peis(al(ik 894 &isin% usus 89
n!#al
• Pekusi 1 T5#'/ani $i seluu/ kua$an
• Pal'asi 1 Su'el 894 n5ei (ekan 8"94 /e'a6lien
(i$ak (ea&a &esa4 (u%! ke#&ali ce'a(
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$#S&'$%&AS$#S&'$%&AS
SuperiorInerior
• Akra! "in#in - / - - / -
•Sianosis - / - - / -• Ik$erik - / - - / -
• Oe"em - / - - / -
• %appi!ar& re'!! $ime <2”
<2”
• Tonus N N
• Re(ek 'sio!o#is +N / + N +N /
+N
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P$$'%#SAAN P$N)NAN-P$$'%#SAAN P$N)NAN-
Darah rutin Nilai normal 23 /4/2015 27 / 4/ 2015
Hb(g/dL) 11 11,4 10,5
Ht (%) 33-42 34 32
Leukosit(x103
/mm3)
6.000-17.50010.000
6500
Tombosit(x103/m
m3)150 -400 Ribu
371.000
306.000
!id"#-
Tidak
diperiksa
KESAN DARA2 RUTIN DALAM BATAS NORMAL
+$S$S ')&%N
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+$S$S ')&%N+$S$S ')&%NFeses Ru$in )* Apri! )+,-
$"koonsistensi #embek
#endi (+)
$iko &itosit (+)
Leukosit (+)
Amub" (-)
'"ktei (+)
Te#u "ing (-)
""* n"n"* (-)
e"t tumbu*"n (-)
Lem"k (-)
Ami#um (-)
Feses u(in kesan in@eksi &ak(eial
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Pemeri3saan 'apid &es %6 (anggal 27
April 201/"
2asil 8"9 n!n eak(i@
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)'%N ')&%N)'%N ')&%N,eni#"i"n Hasil Normal
!"n" Kunin mudaeeni*"n !erni" #erni"
.H 6,5 4,7 $ 7,%
,otein - - &nea'i()
e# e.ite# 2-5 *lpk 0-5*lpk
Leukosit 1-3*lpb 0-5 *lpb
&itosit 1-2*lpb 0-1*lpb
ist"# - -
i#inde - -
Kesan uin u(in $ala# &a(as n!#al
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DA+&A' ASALADA+&A' ASALANo asalah a3i8 &anggal No asalah Pasi8 &anggal
, Panas *) A'il *+,- ,
Kuali(as $an kuan(i(as
#akanan $an #inu#an
kuan%
*) A'il *+,-
*
BAB cai kunin%
kelua a#'as $an
len$i
*) A'il *+,- *
Pe(u#&u/an $an
'eke#&an%an (i$ak
sesuai u#u
*) A'il *+,-
) Ba(uk &e$a/ak *) A'il *+,-
= Pilek *) A'il *+,-
-
Anak sein% 'anas
se0ak anak &eusia) &ulan.
*) A'il *+,-
>
Ri7a5a( #!n$!k $ua kali
kaena 'anas &a(uk $an
$iae saa( i(u usia - &ulan
*) A'il *+,-
Feses u(in kesan in@eksi
&ak(eial*> A'il *+,-
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D%A-N,S%S BAND%N-D%A-N,S%S BAND%N-
–Fe&is unkn!7n !i%in
–DADRS
–T!nsil!@ain%i(is aku(
–Gii Buuk
–DeJel!'#en(al $ela5
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D%A-N,S%S #$'AD%A-N,S%S #$'A• Dia%n!sis u(a#a 1 Fe&is unkn!7n !i%in
• Dia%n!sis k!#!&i$ 1 DADRS4 T!nsil!@ain%i(is
aku(
• Dia%n!sis k!#'likasi 1 "
• Dia%n!sis %ii 1 %ii &uuk• Dia%n!sis s!sial ek!n!#i 1 <uku'
• Dia%n!sis I#unisasi 1 I#unisasi $asa len%ka'
• Dia%n!sis Pe(u#&u/an 1 (i$ak sesuai u#u
• Dia%n!sis Peke#&an%an 1 (i$ak sesuai
u#u6DeJel!'#en(al $ela5
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%N%&%AL PLAN%N%&%AL PLAN
– I'. D
• Su&5ek(i@1 eana#nesis i7a5a( 'anas4
• Menan5akan 'enan%anan $ie(4 'e#&eian #akan
a(au ke&iasaan #akan4 se(a es'!n anak (e/a$a''e#&eian #akan
• Ri7a5a( 'en%!&a(an se&elu#n5a #au'un
'en%!&a(an saa( ini 5an% $i$a'a(
• In(eaksi an(aa i&u $an anak• O&5ek(i@ 1
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– I' T• In@us RL ('# 8#ik!9
• In0. Paace(a#!l = >+ #%
• In0. <e@(ia!n ,)++ #%• P! A#&!!l ) , c(/
• Vi(a#in A ,*++.+++
• Asa# @!la( ,- #%
• L"Bi! ,,• Zinc , ,
• F- ,* >+ cc
• Fisi!(ea'i an%%!(a %eak $an la(i/an $u$uk
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– I' M• Kea$aan u#u#
• Bea( &a$an
• Tan$a Ji(al• Pe#an(auan #!(!ik kasa4 /alus4 &e&a/asa $an
'eilaku s!cial $en%an $enJe II
I' E
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– I' E
• Men0elaskan ke'a$a kelua%a (en(an% 1
,. saki( anak $e#a#4 $iae4 %ii &uuk $an
ke(ela#&a(an 'eke#&an%an*. <aa #en%!#'es 5an% &ena
). Tea'i 5an% akan $ilakukan a$ala/ 1
a. (ea'i 'e#&eian !&a( 'enuun 'anas
&. 'e#&eian susu @!#ula se/in%%a 'elu
ke0asa#a !an% (ua un(uk &isa #e#&eikan susu
(ese&u( sa#'ai /a&is a%a &ea( &a$an &isa naik
c. Pe#&eian !&a( un(uk $iae a%a $a'a($i#inu#kan
$. Tea'i ke(ela#&a(an 'eke#&an%ann5a $en%an
@isi!(ea'i an%%!(a %eak $en%an $ila(i/ se(ia' 'a%i
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=. Ke0asa#a !an% (ua $ala#
a. #ens(i#ulus un(uk 'eke#&an%ann5a
&. Beke0a sa#a $en%an !an% (ua $ala#
#en%a7asi (an$a" kekuan%an caianc. Me#an(au &ea( &a$an $an keak(i@an anak
-. Men5e#an%a(i i&u a%a !&a( $an susu $i&eikan
sesuai a(uan $!k(e
>. Men0elaskan %a@ik 'enin%ka(an &ea( &a$an a%a&isa #ele7a(i %ii &uuk
. Makan"#akanan 5an% $ise$iakan $i u#a/ saki(
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P',-N,S%SP',-N,S%S
• ua a$ Ji(a# $u&ia a$ &!na#
• ua a$ sana# $u&ia a$ &!na#
• ua a$ @un%si!nal $u&ia a$ #ala#
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&%NA)AN P)S&A#A&%NA)AN P)S&A#A
ASPEK PERKEMBANGAN ANAK
,. FISIK
. Peke#&an%an 'en%en$alian %eakan
(u&u/ #elalui ke%ia(an 5an%
(ek!!$ini an(aa susunan saa@4 !(!(4
!(ak4 $an s'inal c!$
.M!(!ik kasa $an #!(!ik /alus
+ 8 ) 3 , i i+ 8 ) 3 , i i
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+e9er o8 )n3no5n ,rigin
(+),"
+e9er o8 )n3no5n ,rigin
(+),"
• Pe(es$!@ $an Bees!n 'a$a (a/un ,?>, – ,9. Su/u (u&u/ )4)< 'a$a &an5ak
kese#'a(an
– *9. Duasi $e#a# ) #in%%u $an – )9. Ke%a%alan $ala# #ene%akkan $ia%n!sis.
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Pende3aan Diagnosi3Pende3aan Diagnosi3
• Ti%a 'en5e&a& FUO 5an% u(a#a 'a$a
anak 1 'en5aki( in@eksi4 'en5aki( 0ain%an
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Ta"ap + • o'o 'oraks
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Ta"ap ++ • emeriksaan u#i seroloi 'er"adap salmonella, 'oksoplasma, lep'ospira, mononuleosis,
, "is'oplasma
• 89 abdomen, T-san kepala
Ta"ap +++ • :spirasi sumsum 'ulan
• ielora(i in'ra;ena
• o'o sinus paranasal
• :n'inulear an'ibod<
• arium enema
• im(anioram
• iosi "a'i
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-lobal De9elopmen Delay-lobal De9elopmen Delay
De8inisi
Ke(ela#&a(an 'eke#&an%an 5an%
si%ni@ikan $i#ana (e0a$i ke(ela#&a(an
'a$a * a(au le&i/ lin%ku' 'eke#&an%an
5ai(u #!(!ik kasa4 #!(!ik /alus4 ka(a"
ka(a &e&a/asa4 k!%nisi s!sial $an
ak(iJi(as se/ai"/ai Si%ni@ikan a(in5a (e$a'a( * a(au le&i/
s(an$a 5an% &ea$a $i&a7a/ #ean
#enuu( u#u 5an% sesuai
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on;on;
Pen5aki( ini #eu'akan #ani@es(asi klinis
5an% $ise&a&kan !le/ &e&a%ai #aca#
'en5e&a& $an &e/u&un%an $en%an
'enuunan @un%si a$a'(asi 5an% s'esi@ik#enuu( u#u (e(en(u $an 0u%a
&e/u&un%an $en%an ke#a#'uan &ela0a
Is(ila/ global development delay$i%unakan 'a$a anak"anak 5an% &eusia
$i&a7a/ - (a/un4 se$an%kan e(a$asi
#en(al $i%unakan 'a$a anak 5an% le&i/
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$iologi$iologi
1. +a3or non organi3
.Ke#iskinan
.Fak(! s!si!kul(ual
.In(eaksi an(aa anak $an 'en%asu/ 5an% (i$ak &aik
.Penelan(aan anak
2. +a3or organi3
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.<ee&al $is%enesis
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.In@eksi k!n%eni(al
.T!ksin
.Me(a&!lic
.Neu!#uskula
.E'ile'si
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Penaala3sanaanPenaala3sanaan
Disesuaikan $en%an uan% lin%ku'
ke(ela#&a(an san% anak
,. Pena(alaksanaan %an%%uan &a/asa
*. Pena(alaksaan %an%%uan #!(!ik kasa
$an /alus
). Pena(alaksaan %an%%uan 'es!nal s!sial
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-angguan bahasa-angguan bahasa
Telusui a'aka/ %an%%uan &a/asa #eu'akan
ke(ela#&a(an 'eke#&an%an a(au aki&a( e(i!l!%i
(e(en(u se'e(i %an%%uan neu!l!%is $an a$an5a lesi
ana(!#is
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Me#&an(u anak #e#a/a#i &a/asa 5an% $iuca'kan
!an% lain $an #e#&en(uk caa anak &ek!#unikasi
Oan% (ua &isa #e#&eikan s(i#ulasi $en%an
#en%a0ak anak &e&icaa4 &en5an5i4 #e#&aca4
#e#&ei 'en%/a%aan &ila anak #ulai #en%uca'kan
sesua(u
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-angguan moori3 3asar dan
halus
-angguan moori3 3asar dan
halus
Di(elusui ke(ela#&a(an anak lalu
$i&eikan @isi!(ea'i un(uk #!(!ik kasa
$an (ea'i !ku'asi un(uk #!(!ik /alus
-AN--)AN P$'S,NAL S,S%AL
Di#ulai $ai kelua%a $en%an #e#&ei
c!n(!/ 'a$a anak $an a'a&ila anak
&e/asil #elakukann5a $i&ei /a$ia/ $an
&ila sala/ $i&ei /uku#an. Selain i(u 0u%a
'elu $ilakukan ke0a sa#a $en%an
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