249743909-laporan-kasus-sn-1bhhgf

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CASE REPORT“Nephrotic Syndrome”

Wahyu Tri Utomo

110170071

Konsulen:

dr. Irman Permana, Sp.A



Name : An. Na!a A"e : # years old Se$ : %ale

Adress : &e"esi', Kunin"an Tri(e : Sunda )eli"ion : moeslim *is +ather : %r. *is %other : %rs.S Admission time : April # -01

Patient identity



Chieft Complaint :

A s!ellin" on the eyelids/ the (elly, (oth handssmrs the last t!o !ee's

Additional Complaint:

dry ou"h

Clinical Finding



Current Illnes History : Patient omplaints !ith s!ollen on the

eyelids, the a(domen, (oth hands and seondtoes smrs sine t!o !ee's. ri"inally s!ollenarisin" on the eyelids and to a(domenpatients, hands and le"s. %other patientssometimes dry ou"h that the patient i+ the

ni"ht. Patients as muh as ordinary urinationlear yello! -$ per day (ut the end o+ thisurine !ith the amount o+ !ater on little more,pain durin" a tu( re+uted. Patient omplaints

+e2er re+uted (y the mother .3e+ore the pu4y ,-0 '" !ei"ht patients .



History of Past Illness:

The patient e2er su4er disease s!ellin" inhis (ody in april -015 .S!ollen !hen it !as not as(ad as no! , not until patients treated inhospital , the patients only "o on !ith "i2en

mediine to drin' +or t!o !ee's and omplaintso+ s!ollen it has already redued .



History of Family Illness: No +amily mem(er !ith the same symptoms No history o+ hypertension 68, ou"h 68 No history o+ dia(etes mellitus 68, asthma 68,

and +ood aller"y 68.

edical history :

No dru" use in lon" term



&eneral 9ondition : %oderate illnes 9onsiousness : +ull a!are ital si"n

T : 100;<0 mm*" S : =#,>9 *) : << (reaths;min )) : -< (reaths;min Antropometri

3ody Wei"ht : -1, '"

3ody *i"h : 115 m3%I ? 1#,1

Physical E!amination



&eneralis status

*ead : Normoephale @ye : onun"ti2a anemi 6 ; 8, slera

iteri 6 ; 8, @dema palpe(ra 6;8 NoseB : The (reath o+ the nostrils 6 ; 8,

seretions ; ear : a normal +orm , dishar"es 6 ; 8 mouth : lips dry 6 8 , lips yanosis 6 8 tonsils : t1t1 Cuiet Ne' : symmetrial , there is no

enlar"ement o+ lymph nodes



Thora's

)etration SS 68, I9 ;, @pi 68

Slem ;, 9r ;, Wh ;*eart Sound 1- re"uller, %r 68, &allop 68

A(domen

Peristalti 68, timpaniShi4tin" dullnes 68 Asites si"n 68

Undulasi 68



@'stremitas :

Superio

r

Inferior

A#ral

hangat

; ;

A#ral

sianosis

; ;

Edema ; ; Capillary

Re$ll

D - deti' D - deti'



Pemeri#saan %ilai %ilai Ru&u#an

Hematologi

Hemoglo'in 11,7 ";dl 10,< 1,# ";dl

(eu#osit 17.5-0 ;uE 5500 F 11000 ;uE

Hemato#rit =- G == F 5 G

Trom'osit =H5.000 ; uE10.000 550.000

;uE

%etro$l

'atang0 G = F # G

%etro$l

segmen5 G - F #0 G

(imfosit =# G -#0 G

onosit 5 G 1 # G

Eosino$l # G 1 F G

)aso$l 0 G 0 F 1 G

(E* =0 mm;am 0 F 1 mm;am

Initial la(oratory results6April 5nd, -018

Ea(oratory ndin"



Pemeri#saa

n

%ilai %ilai Ru&u#an

+rine

a#ros#opi

s

,arna Kunin" Kunin"

-e#eruhan ernih ernih

)erat &enis 1,0- 1,01 1,0=

ph 7 5, <

Al'umin 68

positi+

Ne"ati+

.lu#osa Ne" Ne"ati+

-eton Ne" Ne"ati+

)iliru'in Ne" Ne"ati+

*arah

samar

Ne" Ne"ati+

%itrit Ne" Ne"ati+

+ro'ilinoge

n

Normal Normal

itial la(oratory results 6April 5nd, -018

Pemeri#sa

an %ilai %ilai Ru&u#an

-imia *arah

Protein

total=,7 ";dl # F < ";dl

Al'umin 1 ";dl =,- ,- ";dl

.lo'ulin -,7 ";dl -, F ";dl

+reum < m";dl # F 5# m";dl

Creatinin 0,# m";dl 0,# 1, m";dl



i4erential dia"nosis Nephroti syndrome relaps A)I

&lomerulonephritis

9K UTI

Wor'in" dia"nosis

Nephroti syndrome relaps A)I

*iagnosis



IL G # tpm mi'ro Ampiillin 5 $ 00 m" i2 Lurosemid -0 m" i2

Prednison 1 m" ta( 5==

Treatments



Muo ad 2itamdu(ia ad (onam

Muo ad +untionam

du(ia ad malam Muo ad sanationam

du(ia ad malam

Prognosis

249743909-laporan-kasus-sn-1bhhgf

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