Lapsus Paraparesis

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    LAPORAN KASUS

    PARAPARESIS INFERIORFLACCID

    Optie Ardha Berliana (H2A010039)

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    CATATAN MEDIK

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    DAFTA MA!A"AH

    Tan##al A$ti% Tan##al &a'i%

    3110201

    1* &arapare'i' in%eri+r

    ,a--id

    2* Hiperten'i #rade 1

    3110201

    .

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    ANAMNE!I!

    &!

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    PEMERIKSAAN FISIKKEADAAN UMUM

    K tapa$ 'a$it erat

    Ke'adaran C+p+' enti'

    4C! E5M6 7 8 1

    TANDA VITAL

    TD 15090 H#

    Nadi 0 $alienit (re#:ler;i'i dan te#an#an -:$:p)

    20 $alienit

    !:h: 3

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    !TAT! NEO"O4I!FN4!I "H

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    !TAT! NEO"O4I!

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    NEN! CANIA"I!

    Ne!(u' K!aniali' Kanan Ki!i

    N) I *Ol+a,t"!iu'-

    Da.a Pengidu

    N+r+'ia

    N+r+'ia

    N)II *Opti,u'-

    a)Da.a pengliatan

    $)Lapang pandang

    ,)Fundu' "&uli

    ai$

    ai$

    t*d*l

    ai$

    ai$

    t*d*l

    N)III *O,ul"%"t"!iu'-a)Pt"'i'

    $)Ge!a& %ata &eata'

    ,)Ge!a& %ata &e$a/a

    d)Ge!a& %ata %edia

    e)U&u!an pupil

    +)0entu& pupilg)Re1e& ,aa.a lang'ung

    )Re1e& ,aa.a &"n'e'uil

    i)Re1e& a&%"da'i

    2)St!a$i'%u' di(e!gen

    &)Dipl"pia

    (.)

    ()

    ()

    ()

    2;

    B:lat; re#:ler()

    ()

    ()

    (.)

    (.)

    (.)

    ()

    ()

    ()

    2;

    B:lat; re#:ler()

    ()

    ()

    (.)

    (.)

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    N*I7 (Tr+-hleari')

    a*4era$ ata lateral

    a?ah*!trai':' $+n>er#en

    -*Dipl+pia

    ()

    (.)(.)

    ()

    (.)(.)

    N*7 (Tri#ein:')

    a*Men##i#it

    *Me:$a :l:t

    -*!en'iilita'

    d*e,e$ $+rnea

    e*e,e$ er'in

    %* e,e$ a''eter

    #*e,e$ i#+ati$:'

    h*Tri':'

    ()

    ()

    ()

    ()

    t*d*l

    t*d*l

    t*d*l

    (.)

    ()

    ()

    ()

    ()

    t*d*l

    t*d*l

    t*d*l

    (.)

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    ANGGOTA GERAK

    ATAS Kanan Ki!iRe1e& 3'i"l"gi& 4

    0i'ep

    T!i'ep

    Radiu'

    Re1e& Pat"l"gi 4

    H"5%an

    T!"%e!

    n+ral

    n+ral

    n+ral

    (.)

    (.)

    n+ral

    n+ral

    n+ral

    (.)

    (.)

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    Kete!angan Kana

    n

    Ki!i

    Re1e&

    Pat"l"gi'0a$in'&i

    Cadd",&

    Oppenei%

    G"!d"nS,ae5e!

    Mendel

    0e,te!e/

    R"''"li%"G"nda

    Kl"nu'

    patella

    Kl"nu' &a&i

    .

    .

    .

    .

    .

    .

    .

    .

    .

    .

    -

    .

    .

    .

    .

    .

    .

    .

    .

    .

    .

    -

    Kete!angan Kana

    n

    Ki!i

    Rang'ang

    MeningealKa&u Kudu&

    Ke!nig 'ign

    0!ud6in'&i I

    0!ud6in'&i II

    Rang'ang

    Radi&ule!

    Te' La'egueTe' Pat!i&

    Te' K"nt!a Pat!i&

    Tanda ne!i

    Te' na56ige!

    .

    .

    .

    .

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    RESUME

    [email protected]*A :'ia 0 tah:n datan# den#an $el:han parapare'i'in%eri+r* 1 hari !M!* !elain it: pa'ien :#a era'a$an per:tee'ar; at:$; dan 'e'a$ napa'* !eel:[email protected] pa'ienera'a adan leah; :al; ':lit BAK dan BAB*; [email protected]##an#; pare'te'i dan hip+e'te'i pada ari tan#an dan $a$i;'in$+p (.); dan 'ei:re di'an#$al* Ke:dian +leh $el:ar#apa'ien dia?a $e !D T:#:re+* &a'ien en#a$:i [email protected]

    hiperten'i tah:n dan ter$+ntr+l* &a'ien aran# er+lahra#a* Dari peeri$'aan G'i$ didapat$an $eadaan :: tapa$ 'a$it

    'edan#; $e'adaran -+p+' enti'; >ital 'i#n Te$anan darah15090 H#; Nadi 0=enit* !tat:' #ii IMT 2erei#ht); p:pil i'+$+r 2;2;* !tat:' Ne:r+l+#i'

    Ke'adaran 4C! 1 (E5M67); #era$an (NNl . ); $e$:atan .... . 5.5.5.5.; t+n:' n+r+t+n:'n+r+t+n:'; tr+Ge:tr+Ge:tr+G; n+ral pada 'en'iitita'; di'$riina'i; p+'i'i;dan >ira'i* Ner>:' -raniali' dala ata' n+ral* !tat:' p'i$i'dala ata' n+ral* !en'iilita' dala ata' n+ral dan%:n#'i >e#etati% dala ata' n+ral*

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    Diagn"'i' Klini&

    &arapare'i' In%eri+rFla--id

    I'-hial#ia ilateral

    Diagn"'i' T"pi&

    !:'pe$ di'$:'

    inter>erterali' " III.I7Diagn"'i' Eti"l"gi&

    !:'pe$ HN& (HerniaNucleus Pulposus)

    Hiperten'i #rade I

    Ren,ana Diagn"'i'

    ':lanpeeri$'aan&eeri$'aanla+rat+ri: Darahr:tin; 4D III; &r+Gl

    "ipid; a'a :rat

    EK4

    J %+t+ th+ra=

    J %+t+ l:al A&lateral

    MI

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    Ren,ana Te!api

    Fa!%a&"l"gi

    Fara$+terapi

    O2 $an:l 5 lenit In%:' " 20 tp

    Ine$'i e-+alain 1 = 00#

    Ine$'i ranitidin 2 = 0 #

    (&O) Al+dipin ta 1 = 10 #

    (&O) Na Di-l+%ena- 2 = 0 #

    (&O) Diepa 2 = 2 #

    N+n Fara$+terapi

    I'tirahat di tepat tid:rN"n +a!%a&"l"gi

    Bed re't

    K+n':l d+$ter !p*KF

    M"nit"!ing

    Keadaan ::

    Tanda >ital

    DeG'it ne:r+l+#i'Edu&a'i

    Menela'$an $epada pa'iendan $el:ar#a en#enai$+ndi'i [email protected]$it @an#

    diderita pa'ien Menela'$an $epada pa'ien

    :':lan peeri$'aanpen:nan# @an# dila$:$an:nt:$ en-ari [email protected]@a$it pa'ien

    [email protected]$an $epada$el:ar#a :nt:$ eeri$and:$:n#an $epada pa'iendan e$era'aa dalapenatala$'anaan pa'ien*

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    PROGNOSISAd >ita d:ia ad +na

    Ad %:n#'i+na d:ia ad ala

    Ad 'anati+na d:ia ad ala

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