file parade koass 23l
DESCRIPTION
THTTRANSCRIPT
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Parade Pasien THT
Parade
BAGIAN/SMF THT
FK UNLAM/RSUD ULIN
BANJARMASIN
Juli, 20!
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No Identitas Diagnosis Rencana
1 An. Kausar /9th
Granulasi MAE dextra Pro Ekstraksi granulasi dextra
. N!. "u#iati /$%th
"inusitis Maxillaris Pro Irigasi sinus #axillaris
$ An. Kara#a&asanur/' th
Massa ginggi(a sus).Kista dentigenous sinistradd/ dental granulo#a dd/a*ses ginggi(a
Pro ekstir)asi kista
+ ,n. &eru/- th M"K Pro ,i#)ano#astoidekto#i
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Identitas Pasien
• Nama : an. Kausar
• Umur : 9 th
• Jenis Kelamin : laki-laki
•
Pekerjaan : pelajar • Agama : Islam
• Alamat : Bumi Mas Raa Banjarmasin
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• RP: &atuk pilek lama )-*( alergi )-*(
kemasukan &enda asing di telinga )-*
• RPK : keluhan serupa )-*( alergi )-*
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,anda /ital
• Nadi : 001menit
• Respirasi : 23 1menit
• "uhu : 45(% derajat 'el'ius
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• "tatus 6#kalis ,7,
• ,elinga
• Aurikula
• Inspeksi :
Bentuk : N#rmalN#rmal(7iperemis : --
+dema : --
,um#r : --
8urunkel :-
• Palpasi Neri tekan mast#id : --
Neri tekan tragus : --
Neri tekan tarik aurikulum : --
• Meatus akustikus e1ternus )MA*
6umen n#rmaln#rmal( "erumen )* !arna kuning ke'#kelatan &anak(
8urunkel )--*( 7iperemis )--*( "ekret )-*( Massa granulasi )-* !arna
kehitaman ( dema )--*.• Mem&ran timpani
;arna : putih seperti mutiara )sde*( re<lek 'ahaa )sde*( retraksi )sde*(
&#m&ans )sde*( per<#rasi )sde*( sekret )*( pulsasi )sde*( k#lesteat#m )--*( sikatrik
)--*.
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• Rinne 0/23
• 4e*er lateralisasi 023 kanan
• "ch5a*ach 0#e#an6ang/sa#a3
&idung 7 RA 7 *entuk nor#al hi)ertro8i 0/3
de(iasi se)tu# 03
#assa 0/3
hi)ere#is 0/3
cor)al 0/3ede# 0/3
sekret 0/3 0sedikit3
RP7 Massa 03 e)istaksis 03 hi)ere#is 03
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,enggorokan 7
Rongga #ulut 7#ukosa *i*ir *asah de(iasi lidah
03 gusi hi)ere#is 03
:aring 7 hi)ere#is 03 )sedo#e#*ran 03
,onsil 7 4arna #erah #uda
Per#ukaan tidak rata
;kuran 0,1/,13 Kri)ta 0/3
Detritus 0/3
Pe#*esaran KG< 0/3
=aring7 ,D=
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8#t# Klinis
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8#t# Klinik
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8#t# Klinis
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P= Penunjang
Pe#eriksaan &asil Pe#eriksaan &asil7em#gl#&in %2(9 gdl 6im<#sit > %(2 ri&uul
6ek#sit 5(3 ri&uul Bas#<il > ?(?%
ritr#sit 3(@@ jutaul 7asil P, %%(0 detik
7emat#krit 40(? #l INR %(?2
,r#m&#sit 443 ri&uul C#ntr#l N#rmal P, %%(3
R;C/ %4(5 7asil AP,, 24(? detik
MC/ 03(% <l C#ntr#l N#rmal
AP,,
25(%
MC7 20(2 pg Dula darah puasa %2? mgdl
MC7C 44(% "D+,"DP, 42%4 Ul
Dran 55(9 Al&umin 3(0 grdl
6im<#sit 25(4 Ureum'reatinin %0?(5 mgdl
Pemeriksaan 6a& tanggal ?0 Juli 2?%3
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8#t# Mast#id )E@2?%3*
• Kanan Kiri: air 'ell mast#id terselu&ung
• Kesimpulan: mast#iditis kr#nis &ilateral
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8#t# ,h#rak 0@2?%3
• Kesimpulan: tak tampak kelainan
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• Asessment : Dranulasi MA de1tra
• Planning : Pr# kstraksi granulasi
dengan DA
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N!. "u#iati/ $% tahun/ "inusitis Maxillaris
KU : Sakit Hidung
RPS :
Pasien mengeluhkan sakit hidung sejak 7 hari yang lalu. Keluhan ini
munculnya mendadak. Awalnya perlahan-lahan terasa sakit (skala sakit 4) tpi
makin lama makin terasa bertambah sakit (Skala sakit 7). Sakitnya ini
menjalar ke daerah pipi sebelah kiri. Sakit bertambah berat jika dalam psisi
menunduk. Pasien juga mengeluhkan telinga sebelah kiri teras penuh! seperti
ada air tapi tidak bisa keluar. Keluhan ini muncul sejak " bulan yang lalu.
#unculnya mendadak dan hilang timbul. $idak ada keluhan lain pada telinga!
penurunan pendengaran (-)! cairan pada telinga (-)! nyeri telinga (-)! pusing (-)!
berdengung (-). Pada hidung tidak ada perdarahan! bau tidak enak (-). $idak
ada keluhan pada mulut! bau mulut (-)! gusi berdarah (-)! nyeri wajah (-).
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RPD 7 )en!akit seru)a 03 rhinitis 023 alergi 03 As#a 03
RPK 7 )en!akit seru)a 03 alergi 03 As#a 03
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• Pe#eriksaan 8isik
N 7 x/# RR 7 1x/#
, 7 $%>? ,D 7 11@/'@ ##&g
,elinga 7 MAE 7 hi)ere#is 03 #assa 03 seru#en 02/23 #ini#al
ede# 03
M, 7 5arna )utih redu) )er8orasi 0/3 R? 02/23
,es )endengaran 7
F Rinne 02/23F 4e*er lateralisasi 03
F "ch5a*ach 0sa#a/sa#a3
&idung 7 RA 7 *entuk nor#al hi)ertro8i 0/3
de(iasi se)tu# 03 #assa 0/3
hi)ere#is 02/23 cor)al 0/3
ede# 0/3 sekret 0/23 0sedikit3
RP 7 Masa 03 e)istaksis 03 hi)ere#is 03
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,enggorokan 7
Rongga #ulut 7#ukosa *i*ir *asah de(iasi lidah 03 gusihi)ere#is 03
:aring 7 hi)ere#is 023 )sedo#e#*ran 03
,onsil 7 4arna #erah #uda
Per#ukaan tidak rata
;kuran 0,/,3
Kri)ta 0/3
Detritus 0/3
Pe#*esaran KG< 0/3
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P= Penunjang
Pe#eriksaan &asil Pe#eriksaan &asil7em#gl#&in %4(% gdl 6im<#sit > %(2 ri&uul
6ek#sit 5(? ri&uul Bas#<il > ?(?%
ritr#sit 3(50 jutaul 7asil P, %4(0 detik
7emat#krit 4@(0 #l INR ?(9@
,r#m&#sit %95 ri&uul 7asil AP,, 25(0 detik
R;C/ %4(5 C#ntr#l N#rmal AP,,
4E(5
MC/ 0?(@ <l Dula darah puasa 90 mgdlMC7 20(? pg "D+, %E UI
MC7C 43(@ "DP, %2 Ul
Dran 55(9 Ureum 25(2 mgdl
6im<#sit 25(4 Creatinin ?(0 mgdl
Pemeriksaan 6a& tanggal 2E Maret 2?%3
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Diagnosis7 "inusitis Maxillaris
,era)i7 Irigasi sinusitis #axillaris
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IN,I,A" PA"IN
• Nama : An. Karama 7asanur • Umur : @ tahun
• N#. RMK : %.%%.?9.@4
• Bangsa : Ind#nesia
• "uku : Banjar
• Agama : Islam
• Pekerjaan : Pelajar
• Alamat : Kinta&( Kal-"el
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ANAMN"I"
• KU : &enj#lan pada gusi kiri
• Keluhan mun'ul sejak 2 &ulan "MR"( perlahan( makin
mem&esar. Benj#lan tera&a keras dan tidak neri.
A!alna &enj#lan terasa neri( namun setelah gigi
di'a&ut neri menghilang. Ri!aat penurunan &erat&adan )-*
• ari &enj#lan tidak ada ri!aat keluar 'airan dan tidak
&er&au.
• C#ugh )*( demam )-*( sesak na<as )-*
• is<agia )-*( #din#<agia )-*( dis'harge )-*
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ANAMN"I"
• RP: keluhan serupa )-*( alergi)-*
• RPK: keluhan serupa )-*
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PMRIK"AAN 8I"IK
,/
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,elinga 7 MAE 7 hi)ere#is 03 #assa 03 seru#en 02/23 ede# 03
M, 7 5arna s)t #utiara )er8orasi 0/3 R? 02/23 kerucut
,es )endengaran 7
F Rinne 02/23
F 4e*er lateralisasi 03
F "ch5a*ach 0sa#a/sa#a3
&idung 7 RA 7 *entuk nor#al hi)ertro8i 0/3
de(iasi se)tu# 03 #assa 0/3
hi)ere#is 0/3 cor)al 0/3
ede# 0/3 sekret 0/3
RP 7 tdl
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,enggorokan 7
Rongga #ulut 7#ukosa *i*ir *asah de(iasi lidah 03 gusihi)ere#is 03
:aring 7 hi)ere#is 03 )sedo#e#*ran 03
,onsil 7 4arna #erah #udaPer#ukaan rata
;kuran 0,/,3
Kri)ta 0/3
Detritus 0/3
Pe#*esaran KG< 0/3
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"tatus 6#kalis
• ar +ris :
• Muk#sa lem&a&
• ,ampak &enj#lan pada
gingia kiri atas dengan
k#nsistensi keras(
permukaan tidak
&erdugul-dugul( ter<iksir(
imm#&ile( neri tekan )-*
• ,#nsil tampak hiperemis),2,2*
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6a&#rat#rium ) ?0?@2?%3*
• DP: %?3 mgdl
• "D+, : 4@ UI
• "DP, : 23 UI
•
Al&umin : 3.0 gdl
• Ureum: 2E mgdl
• Creatinin ?.E mgdl
• Natrium :%3? mm#ll
• Kalium : 3.4 mm#ll
• Chl#rida : %%? mm#ll
• 7& : %3.? gdl
• 6euk#sit : 9.? ri&uul
• ritr#sit : E.%9 jutaul
• 7emat#krit : 3?.5 #l
•
,r#m&#sit : 40E ri&uul
• P, : %%.4
• INR: ?.9@
• C#ntr#l P, : %%.3
• AP,, : 2E.9
• K#ntr#l AP,, : 25.%
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=-ra
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=-ra
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C, "'an
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C, "'an
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C, "'an
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1pertise
C,-"'an
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• iagn#sis : Massa ginggia susp. Kista dentigen#us
sinistra dd dental granul#ma dd a&ses ginggia
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PNA,A6AK"ANAAN
Pr"/ #$s%ir&asi Kis%a
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,n. &eru "et!a5an/ - tahun
K; 7telinga kiri rasa tersu#*at
RP" 7
F Keluhan dirasa kurang le*ih ' *ulan !ang lalu telinga kiri terasa tersu#*at.Dirasa se#akin la#a se#akin *erat rasa tersu#*at disertai )endengaran
#enurun n!eri )ada telinga kiri dan )asien 6uga #engeluhkan ada de#a#)ada saat a5al #uncul keluhan tinnitus disangkal otorhea 023 *ening. ske#udian *ero*at untuk #engeluarkan su#*atan di telinga. " *ero*at ke"ura*a!a dan di*erikan o*at tetes telinga dan ke#udian keluar cairan*er5arna hi6au dan ke#udian keluhan dirasa *erkurang. "ela#a *e*era)a*ulan os #enggunakan )engo*atan dari "ura*a!a na#un + *ulan !ang lalu
os *erhenti #enggunakan o*at terse*ut. dan sekarang os #erasakankeluhan telinga se)erti ada !ang #en!u#*at #uncul lagi se6ak *ulan !anglalu otalgia 023 otorhea 03 os 6uga #engeluhkan n!eri ke)ala se*elah kirisakit ke)ala terasa se)erti n!utn!utan. s #engaku 6arang *atuk )ilek ta)ios #engaku sering #en!ela# karena )eker6aan. "elain itu os 6uga#engeluhkan sering #enciu# *au *usuk rhinorea 03 hidung tersu#*at 023
keluhan dirasakan a)a*ila os #engala#i kelelahan.
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Parade Pasien +P lekti< ,7,
Peri#de 2% G 25 Juli 2?%3
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RPD 7 Alergi 023 gatal gatal as#a 03 DM 023
RPK 7 )en!akit seru)a 03 alergi 03
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• Pe#eriksaan 8isik
N 7 + x/# RR 7 x/#
, 7 $%' ? ,D 7 1@/@##&g
,elinga 7
MAE 7 hi)ere#is 03 #assa 03 seru#en 0B/23 ede# 03
M, 7 5arna )utih redu) )er8orasi 0/23 R? 0sde/23
,es )endengaran 7
F Rinne 0sde3
F 4e*er lateralisasi ke kanan
F "ch5a*ach 0sde3
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&idung 7
RA 7
*entuk nor#alhi)ertro8i 0/3
de(iasi se)tu# 03
#assa 0/3
hi)ere#is 0/3
cor)al 0/3
ede# 0/3
sekret 0/3Massa 0/3
RP 7 tidak dilakukan
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,enggorokan 7
Rongga #ulut 7#ukosa *i*ir *asah de(iasi lidah 023
gusi hi)ere#is 03
:aring 7 hi)ere#is 03 )sedo#e#*ran 03
,onsil 7 4arna #erah #uda
Per#ukaan rata ;kuran 0,1/,13
Kri)ta 0/3
Detritus 0/3
Pe#*esaran KG< 0/3
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P= Penunjang
Pemeriksaan 6a& tanggal 20 Juni 2?%3
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7asil :
• C#r dan dia<ragma N#rmal.
Pulm# tidak tampak in<iltrat
Kesimpulan :
• 8#t# th#ra1 n#rmal
8#t# ,h#ra1 %3 Juli 2?%3
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7asil C, s'an 2E Juni
2?%3
kspertise:
• Mast#id air 'ell kanan dan kiri
tampak skler#tik
• Canalis a'usti'us kanan dankiri eksterna dan medial masih
ter&uka( tidak menempit
• ,ampak lesi is#dens mengisi
'aum interna telinga kiri di
daerah tegmen timpani. Belum
tampak er#si tulang sekitarna.
• Kesimpulan:
#titis media kr#nis dengan
k#lesteat#ma 'aum interna
kiri
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Diagnosis7
M"K ti)e #aligna 2 )arese N.CII
,era)i7
Pro ti#)ano#astoidekto#i
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,ERIMA KA"I&