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Case Appendicitis akutMichael.D
FK UNTAR/406127056
Pembimbing:!."#han $%ca&.'(.)
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Identitas pasien
Nama: Nn.*nah P%!na+an,iUm%!: 17,hnPenii-an ,e!a-hi!: 'MPAgama: &lamPe-e!aan: 'ale& -#&me,i-
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Anamnesis
Kel%han U,ama : Ne!i (e!%, -anan ba+ah &ea- 1 mgg 'MR'
Ri+aa, Pena-i, 'e-a!ang : Ne!i (e!%, -anan ba+ah &ea- 1 mgg 'MR',e!%& mene!%& l#-a&i ne!i (e!,ama -alii!a&a-an i (e!%, -anan ba+ah (e!%, -i!i
ba+ah (e!%, -anan ba+ah ,e!a&a lebih ne!ibila be!ge!a-.Demam 3 i!a&a-an 12 ha!i&e,elah ne!i (e!%, -anan ba+ah . M%al 3 M%n,ah 3
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ai ,e!a-hi! 8 &e,engah b%lan lal% i&e!,aiKe(%,ihan &e,ia( ma% men&,!%a&i-en,al ,ia-be!ba% ,ia- ga,al men&,!%a&i ,e!a,%! &elama 7ha!i8 9&#,e; &ei-i, ne!i (e!%, &aa, men&,!%a&i.Ri+aa, ma-an 9; 1ha!i
Ri+aa, ma-an : 9; &eha!i
Ri+aa, min%m : #& menga-% a!ang min%m
Ri+aa, )A) : !e-%en&i 1;/12 ha!i -#n&i&,en&i(aa, ,ia- aa leni! a,a% a!ah
Ri+aa, )AK : 1mgg lal% &em(a, ananganangannam%n hana 1; &aa #& %ga menga-% &e!ingmenahan -encing
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Riwayat Penyakit dahulu
Ri+aa, a&ma 3 Ri+aa, #(e!a&i 3 Ri+aa, &a-i, lamb%ng 3
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Status Generalis
Keaaan %m%m: Tam(a- &a-i, &eangKe&aa!an: <#m(#& men,i&Te-anan Da!ah: 100/70 mmgNai :=4;/ meni,RR: 20 ;/meni,
'%h%: 966#
<
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Status Lokalis a/r Abdomen
Inspeksi : datar, lembut
Auskultasi : BU (+)
Palpasi : NT (+) di titik McBurney, DeenceMuscular (!), "#$sin% si%n (+), Blumber% si%n(+), Ps#as si%n (+), Massa (!)
Perkusi : Timpani
"T : Tidak dilakukan
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Alvarado Score
The modiiedAlvarado score
Skor
>eala Pe!(inahan ne!i a!i
%l% ha,i -e -anan ba+ah
0
M%al ? m%n,ah 1
An#!e;ia 1
Tana Ne!i (e!%, -anan ba+ah 2
Ne!i le(a& 1
Demam ia,a& 975@< 1
Peme!i-&aan $ab $e%-#&i,#&i& 0
i,%ng eni& le%-# &hi,
,# ,he le,
0
T#,al 6
n,e!(!e,a&i ha&il 'anga, m%ng-in a(( a-%,
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Alvarado Score
n,e!(!e,a&i M#iie Ala!a# 'c#!e
1 ? 4 'anga, m%ng-in b%-ana((enici,i& a-%,
5 7
'anga, m%ng-in a((enici,i& a-%,
=10 Pa&,i a((enici,i& a-%,
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!ia"nosa #andin"
A((enici,i& A-%,Kehamilan *-,#(i- Te!gangg%Pelic nlamma,#! Di&ea&e
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Pemeriksaan penun$an"
Hb, Ht, trombo, LeukoGDS, Elektrolit, UrinalisaTes KehamilanRontgen ThoraxUSG Abdomen
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Pemeriksaan Penun$an"Pemeriksaan %asil &ilai normal Satuan
b 115B 12 16 g/l
, 96 96 46 C
$e%-# 00 4000 ? 10000 /%$
T!#mb# 9==000 150000 ?
450000
/%$
)leeing ,ime 2E90@ 16 Meni,
<l#,,ing ,ime 12E00@ 611 Meni,
'>T 2 097
'>PT 41B 040
U!e%m 76B 1050 Mg/$
<!ea,inin 001 0619 Mg/$
>D' =6 =0120 Mg/$
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Pemeriksaan Penun$an"Pemeriksaan %asil &ilai normal Satuan
U!ine leng-a(
$e%-#&i, /(#&2 Nega,i
*!i,!#&i, /P' Nega,i
'eimen
*!i,!#&i, 12 01
'iline! Nega,i Nega,i
K!i&,al 3<a #-&ala, Nega,i
*(i,el ge(eng 95 02)a-,e!i Nega,i Nega,i
"am%! Nega,i Nega,i
Te& -ehamilan Nega,i Nega,i
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Pemeriksaan Penun$an"
R# Th#!a; : )NU'> Ab#men :
U,e!%& %-%!an 7;4cm
Ane;a )N
<ai!an beba& in,!aab#men 3
Tia- aa -elainan gnec#l#gi& &eca!a
%l,!a&#n#g!ai&
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!ia"nosa 'er$a
Appendicitis Akut
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Penatalaksanaan
Pre !"erati# $%&'D RL
'olle( kateterPuasaR) A""endiktomi%nstruksi "ost o" $Puasa sam"ai *U +-%&'D RL ./ tts)menit0e#triaxone 1 x 1 gr +i2-Ranitidin . x 1 am" +i2-Ketorola3 . x 1 am" +i2-
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Rencana (onitorin"
b&e!a&i T/N/R/' (#&, #(e!a&ib&e!a&i balance cai!an GFD H %!ine
#%,(%,
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Pro"nosis
Ad 2itam $ bonam
Ad #un3tionam $ bonam
Ad sanationam $ bonam
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