ULKUS MARJOLIN

Embed Size (px)

Text of ULKUS MARJOLIN

  • 7/25/2019 ULKUS MARJOLIN

    1/12

    ULKUS MARJOLIN

    TUGAS KEPANITERAAN KLINIK BAGIAN ILMU BEDAH

    RUMAH SAKIT UMUM DAERAH TARUTUNG

    Dibimbing Oleh:

    Dr. B. M. A. Pardede S!. B

    Di"#"#n Oleh:

    Sri Ri$%i Mala#

    &'''''()

    *AKULTAS KEDOKTERAN

    UNI+ERSITAS HKBP NOMMENSEN MEDAN

    ('&,

  • 7/25/2019 ULKUS MARJOLIN

    2/12

    STATUS PASIEN

    &. Iden-i-a" Pa"ienNama : R#miri"

    N.RM : &' )/ ,0

    1eni" Kelamin : Perem!#an

    Um#r : 00 -ah#n

    Pe%er2aan : Pen"i#nan

    S-a-#" : 1anda

    Alama- : 1l. A. M. Tamb#nan H#-abara-.

    Tgl. Ma"#% : ()3')3('&,

    R#ang : Anggre%

    (. Anamne"i"

    Kel#ahan U-ama : Ben2lan di ib# 2ari %iri

    Telaah : Pa"ien mengel#h%an adan4a ben2lan di

    ib# 2ari %iri 4ang -elah dialami !a"ien 5 ( -ah#n

    -era%hir. Sebel#mn4a ben2lan mer#!a%an l#%a

    a%iba- !en6ab#-an %#%# nam#n -ida% %#n2#ng

    "emb#h3"emb#h.

    Pa"ien 2#ga mengel#h%an %e!ala !#"ing

    -egang !ada -eng%#% dan mera"a 4ng. Pa"ien

    memili%i ri7a4a- menderi-a -e%anan darah -inggi

    ). Pemeri%"aan *i"i%

    Tanda +i-al:

    o Sen"ri#m : 6m!" men-i"

    o Te%anan Darah : (''8&&' mmHg

    o Hear- Ra-e : &'' 98i

    o Re"!ira-r4 Ra-e : (' 98i

    o Tem!era-#r : )./ ';

    Le"i: di2#m!ai le"i e%"3? !#" >3? berba-a" -ega".

    @. Pemeri%"aan Pen#n2ang

    Labra-ri#m:

    Darah R#-in

    3Hemglbin && gr8dl M;+ )

  • 7/25/2019 ULKUS MARJOLIN

    3/12

    3Trmb"i- )() &')8mm) M;H; )& g8dL

    3Eri-r"i- @.', &'

    8mm)

    Ma"a Perdarahan )('

    3Hema-%ri- )/ C Ma"a !embe%#an @@,

    3KGAD &@@ mg8dL

    *- Rn-gen:

    *- Rn-gen Man#"Tida% ada -anda me-a"-a"i" -#lang.

    ,. Diagn"i"

    Ul%#" Mar2lin Se6ndar4 heada6he e.6 hi!er-en"i er-ig e"-ib#lar

    HT grade II

    . Pena-ala%"anaano Diit MB

    o IVFD RL 20 gtt/i

    o Inj. Cebactam 1g/8 jam/i.v

    o Inj. Metronidazo !00 mg/8 jam/i.v

    o Inj. Ranitidin 1 am"/12 jam/i.v

    o Rencana o"era#i am"$ta#i bia %D &1!0/'0 mm(g

    o Bio"#i

    TIN1AUAN PUSTAKA

    &. K#li- K#li-

    &.& Ana-mi K#li-

  • 7/25/2019 ULKUS MARJOLIN

    4/12

    &.( *i"ilgi K#li-

    K#li- mem!#n4ai

  • 7/25/2019 ULKUS MARJOLIN

    5/12

    *#ng"i ab"rb"i

    *#ng"i !emben-#%an !igmen

    *#ng"i -ermreg#la"i

    *#ng"i !emben-#%an i-amin D

    *#ng"i !er"e!"i

    Peran dalam im#nlgi %#li-

    (. Kar"inma Sel S%#am"a

    Kar"inma "el "%#am"a di"eb#- 2#ga %ar"inma !lan"el#ler bera"al

    dari "el la!i"an "!in"#m. Selain "inar #l-raile- 6aha4a ma-ahari -#%a% Mar2lin?

    Terda!a- d#a 2eni" %ar"inma !lan"el#ler. 1eni" 4ang lamba- -imb#l

    bia"an4a menn2l dan berben-#% miri! er#%a. 1eni" ini ber"i

  • 7/25/2019 ULKUS MARJOLIN

    6/12

    Ul%#" mar2lin "ering ber%embang men2adi %ar"inma "el "%#am"a

    me"%i!#n memerl#%an 7a%-# 4ang 6#%#! lama.

    ).( E-ilgi

    E-ilgi !en4a%i- ini -ida% 6#%#! 2ela" nam#n di4a%ini %arena

    m#l-i

  • 7/25/2019 ULKUS MARJOLIN

    7/12

    )[email protected] S-adi#m Klini"

    Kla"i

  • 7/25/2019 ULKUS MARJOLIN

    8/12

    S-adi#m II T(T) N' M'

    S-adi#m III [email protected] N' M'

    Tia! T N& M'S-adi#m I+ Tia! T Tia! N M&

    )., Diagn"i"

    Anamne"i"

    Penderi-a mengel#h adan4a le"i di %#li- 4ang -#mb#h

    menn2l m#dah berdarah bagian a-a" -erda!a- br% "e!er-i

    gambaran b#nga %l dan adan4a ri7a4a- -ra#ma.

    Pemeri%"aan

  • 7/25/2019 ULKUS MARJOLIN

    9/12

    dian2#r%an -era!i dengan menggab#ng%an !era"i %em-era!i dan

    radi-era!i 4ang dian2#r%an.

    ).0 Prgn"i"

    lini!al "ariable #etter Poorer

    La-en64 -

    malignan64

    Le"" -han , 4ear" Mre -han , 4ear"

    T#mr l6a-in Head ne6% #!!er

    e9-remi-a"

    L7er limb" -r#n%

    T#mr "#r6e P"-3b#rn 6hrni6

    "-em4eli-i"

    Pre""#re "re 6ar6inma

    T#mr diame-er Smaller -han ( 6m ( 6m r mre

    T#mr -4!e E9!h4-i6 In(''?. *aal K#li- dalam D2#anda A. Ham$ah. Ilm#

    Pen4a%i- K#li- dan Kelamin edi"i ). 1a%ar-a: *KUI

    @. ng A. 1hn" M. M. Te%n" T. N. >('')?. Mar2lin" Ul6er Ari"ing in

    A Prei#"l4 Gra?: &,3&.

  • 7/25/2019 ULKUS MARJOLIN

    10/12

  • 7/25/2019 ULKUS MARJOLIN

    11/12

    Ri7a4a- Diabe-e" meli-#" dan Hi!er-en"i

    . Pemeri%"aan *i"i%Tanda +i-al:

    o Sen"ri#m : 6m!" men-i"

    o Te%anan Darah : &0'8' mmHg

    o Hear- Ra-e : /( 98i

    o Re"!ira-r4 Ra-e : (( 98i

    o Tem!era-#r : ).& ';

    Abdmen:

    In"!e%"i : menda-ar

    Pal!a"i : n4eri -e%an >? "el#r#h regi

    Pal!a"i : di"-en"i >?

    A#"%#l-a"i : BU >3?

    &'. Pemeri%"aan Pen#n2ang

    Labra-ri#m:

    Darah R#-in

    3Hemglbin .) gr8dl M;+ 0

  • 7/25/2019 ULKUS MARJOLIN

    12/12