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7/25/2019 Vertigo Kampus
http://slidepdf.com/reader/full/vertigo-kampus 1/21
CEDERA KEPALA
7/25/2019 Vertigo Kampus
http://slidepdf.com/reader/full/vertigo-kampus 2/21
IDENTITAS
• Nama : Tn.
• Tanggal lahir : 09 November 1955
• !ia : "0 #ah$n
• Alama# : Pan%oran
• Pe&er'aan : Pen!i$n
• S$&$ : (a)a
• Tanggal ma!$& : 1* +ei *01" ,$&$l **.-9
7/25/2019 Vertigo Kampus
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ANA+NESIS
• Keluhan Utama
P$!ing ber,$#ar !e'a& &$rang lebih 1* 'am S+RS
7/25/2019 Vertigo Kampus
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RIA/AT PEN/AKIT SEKARAN
Pa!ien a#ang engan &el$han ,$!ing ber,$#ar!e'a& &$rang lebih 1* 'am S+RS. P$!ing a)aln2aira!a&an !e'a& ,agi !aa# mela&!ana&an !hala#!$b$h 3ari !$'$ &e beriri4. Pa!ien !$ahmen%oba $n#$& beri!#iraha# an meme'am&anma#a nam$n !aa# memb$&a ma#a ,$!ingira!a&an !ema&in ber#ambah. P$!ing ira!a&anber#ambah bera# !e'a& 6 'am S+RS. +$al anm$n#ah ira!a&an hari ini ,a!ien !$ah 97
m$n#ah engan i!i ma&anan. angg$an,enengaran an &el$han #elinga berengingi!ang&al. Pa!ien ma!ih bi!a ber'alan an beriri.Ri)a2a# &el$han !e,er#i ini !$ah ,ernah
ira!a&an !ebel$mn2a nam$n &ali ini ira!a&anlebih bera#. Kelemahan anggo#a gera& 384bibir
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1* (am S+RS
• Saa# !hala#!$b$h ,a!ienmera!a,$!ing 2angber,$#ar3!aa# !$'$ &eberiri4
• Pa!ienmen%obaberi!#iraha#nam$n !e#ia,memb$&a
ma#a ,$!ingira!a&anma&in bera#.
6 'am S+RS
• P$!ingira!a&an!ema&inmembera#
•
+$al anm$n#ah 3497 hari ini
• Ri)a2a#&el$han!e,er#i ini 34
• angg$an
,enengaranan #elingaberenging 384
• Pa!ien ma!iha,a#ber'alan anberiri
7/25/2019 Vertigo Kampus
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Ri)a2a# Pen2a&i# Dah$l$:
Kel$han !er$,a 34 - b$lan 2ang lal$
Ri)a2a# i,er#en!i 34
Kelemahan anggo#a gera& 384
;i%ara ,elo 384
;ibir mero# 384
Ri)a2a# Pen2a&i# Kel$arga 384
7/25/2019 Vertigo Kampus
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PE+ERIKSAAN <ISIK
• Tanda vital
o Te&anan arah : 1=0>?0 mmg
o Nai : 1007>meni#o Na,a! : *67>meni#
o S$h$ : -= C
7/25/2019 Vertigo Kampus
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• Status generalis
•Ke,ala :
Normo%e,hal ben#$& b$la#.
• +a#a :
,$,il i!o&or iame#er-mm Con'$ng#ivaanemi!
8>8 S%lera i&#eri& 8>8
• TT :
Devia!i 384 !e&re# 384 ,enarahan 384
• K; : Pembe!aran K; 384
7/25/2019 Vertigo Kampus
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• Par$ :
S$ara na,a! ve!i&$ler 3>4 rhon&i 38>84 )hee@ing38>84
• (an#$ng :
S$ara 'an#$ng I II reg$ler m$rm$r 38>84 gallo, 38>84
• Abomen :
%emb$ng n2eri #e&an 384 ;i!ing $!$! 34
•
E&!#remi#a!:A&ral hanga# eema 384
• ;r$i# : 384
7/25/2019 Vertigo Kampus
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• Status neurologis
Ke!aaran: SomnolenCS: E6 +" B515
• Pupil
Kanan Kiri
;en#$& I!o&or
Diame#er - mm - mm
Ree&! %aha2a
lang!$ng
34 34
Ree&! %aha2a#ia& lang!$ng
34 34
7/25/2019 Vertigo Kampus
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oTanda Rangsang Meningeal
Kanan Kiri
Ka&$ &$$& 384 384;r$@in!&i I 384 384
La!e$e F =00 F =00
Kernig F 1-50 F 1-50
;r$@in!&i II 384 384
7/25/2019 Vertigo Kampus
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Saraf Kranialis
Kanan KiriN. I
N. II N N
N. III IB BIm. Re%#$! mei$!
m. Re%#$! inGeriorm. Re%#$! !$,eriorm. Hbli$$! inGeriorm. Leva#or ,al,ebram. Hbli$$! !$,eriorm. Re%#$! la#erali!
N
NNNNN
Ni!#agm$! 34
+$n%$l !e#elah 5e#i& 34 !elama
* meni#
N
NNNNNN
N. BSen!ori&+o#ori&
N. BII
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oSaraf Kranialis
N. VIIIVestibularisCohlearis•Rinne•!ebber•S"abah
N N
N. IJ JAr&$! Garingag ree7
Penge%a,an
8
Tia& ila&$&an
8
Tia& ila&$&anN. JIm.S#erno%leioma!#oie$!m. Tra,e@i$!
NN
NN
N. JII N N
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oMotori#
Kanan Kiri
Ke&$a#anE&!#remi#a! a#a!E&!#remi#a! ba)ah
55555555
55555555
Ton$!E&!#remi#a! a#a!E&!#remi#a! ba)ah
Normo#on$!Normo#on$!
Normo#on$!Normo#on$!
Tro
E&!#remi#a! a#a!E&!#remi#a! ba)ah NN NN
Ree&! !iologi!<i!iologi!Pa#ologi!
34384
34384
7/25/2019 Vertigo Kampus
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• Sensori#
Kanan Kiri
Raba hal$!• E&!#remi#a! a#a!• E&!#remi#a! ba)ah
NN
NN
N2eri• E&!#remi#a! a#a!• E&!#remi#a! ba)ah
NN
NN
S$h$•
E&!#remi#a! a#a!• E&!#remi#a! ba)ah Tia& ila&$&an Tia& ila&$&an Tia& ila&$&an Tia& ila&$&an
Pro,rio!e,#iG<i!iologi!Pa#ologi!
NNN
NNN
7/25/2019 Vertigo Kampus
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o$tonom
Kanan Kiri
Alvi 34
ri 34
iro!i! 34 34
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o%ait dan #oordinasi
Kanan Kiri
Romberg
Tia& ila&$&anDi!iao&o&ine!i!
Te! (ari8hi$ng
Te! #$mi#8l$#$#
Rebound phenomenon
7/25/2019 Vertigo Kampus
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DIANHSIS KER(A
• &iagnosis Klinis
Ber#igo i,er#en!i
• &iagnosis Topis
Kanali! Semi!ir&$lari!• &iagnosis 'tiologis
Iio,a#i&
• &iagnosis Patologis
Iio,a#i&
7/25/2019 Vertigo Kampus
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DIANHSA ;ANDIN
+eniere! Di!ea!e
7/25/2019 Vertigo Kampus
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PE+ERIKSAAN PENN(AN
• CT !%an &e,ala
• Darah Leng&a,
• Anali!a a! Darah
7/25/2019 Vertigo Kampus
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TATALAKSANA
• Non(Medi#amentosa
Eleva!i &e,ala -0 era'a#
• Medi#amentosa