morning report vk 2-3 mei 2016.pptx
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8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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Morning
Report2 Mei-3 Mei 2016
1
Oleh :
1. Rosiana Lolita Windasari2010.04.0.0160
2. Vega FS 2010.04.0.01!1
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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Jumlah Persalinan dan KasusGinekologi di VK
• Fisiologis : 13• Patologis : 10
– Pervaginam : 2•
SUM : 2• For!e"s : #• Va!um : #
– Pera$dominam : %
2
• $& 'mminen : 3• $& 'nkom"lit :
(•
Kista ovarium : #• U) : 1• M*oma uteri : 2• denom*osis : #
• +rosi "orsio : #
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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1. "#. M$ni%& 3' th & !!.11.!3
M() tgl. 2-0'-2016 p%l. 12.30
S$*#e%ti+ :
Pasien kiriman Poli ,amil dengan diagnosis G1P000 (0 minggu -,'U . /etak ke"ala . U 3th . ligohidramnion
P :- Poli ,amil 4S ,a5i 16 K4- ok
ligohidramnion
7 :1(6 ke Puskesmas oleh )idan : dikatakan3
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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,P,- : 2#09#201
-P : 02#0#201
Ri,a#at ersalinan :
1& ,amil ini
Menikah : 16 3 tahun
4i;a*at K) : <#=
3&40gg
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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O*#e%ti+ (aar )ersalin /tgl. 2-0'-2016p%l. 12.30 :
Stat$s $
G7S ( <#= '<#= 7<#= 8<#= -8 : 130>%0 : %% 44 : 20 -a6illa : 3?o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#+dema : #>#)) saat ini : 0 kg -) : 1(? !m)M' : 2%?3
Stat$s O*stetri -FU : 31 !m /etak : Ke"ala8JJ : 130 ,is : <#=
V- : @ 1!m> 2 A> ket <.=> ke"ala> SS mell> , '
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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asil La*oratori$ /tgl. 2'-04-2016 :
arah Leng%ap* 13?3
W) B20
L5 22000
t 3B?(
*s7g <#=
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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USG FM <1(#(#201=
J> -> ,
)P8 B3?( C 3> 39 mgg7 2B1?B
F/ %?%
Plasenta 7or" anterior> '''>F' !uku"
+FD 2( g
9
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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%
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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iagnosis :
81 1000 3&40 gg 59 Leta% %epala 5a% inpart$ ost date Oligohidranion /7F9 ';2 rii 5$a
5)< 3100 g
5atala%sana :
B
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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iagnosis :
81 1000 3&40 gg 59 Leta% %epala 5a% inpart$ ost date Oligohidranion /7F9 ';2 rii 5$a
5)< 3100 g
5atala%sana :• Pro elektiE S7
5gl. 26-04-2016; p%l. 0=.'3 :
/ahir $a*i S7 ♀> 3000> (B> 9#%
-elah di"asang 'U8 trans!esarean10
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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2. "#. 7ri 5ri& 2 th & !!.02.0
M() tgl. 2'-04-2016 p%l. 04.00
S$*#e%ti+ :
Pasien datang sendiri o&k keluhan ken!eng#ken!eng se5ak 5am SM4S? lendir darah <.=?air "ervaginam <#=
P :- )PS 6 dikatakan normal
11
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,P,- : 1#09#201
-P : 22#0#201
Ri,a#at ersalinan :
1& % $ln>S"t& 'UF8>>4S'>1%00>th 2010
2& 9 $ln> S7 a&i PP- u6us aktiE>H> 4S )akti
4aha*u> meninggal> th& 201(
Menikah : 1 6 thn
4i;a*at K) : <#=
40&41gg
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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O*#e%ti+ (aar )ersalin /tgl. 2'-04-2016p%l. 04.00 :
Stat$s $
G7S ( <#= '<#= 7<#= 8<#= -8 : 120>90 : %% 44 : 20 -re! : 3?9o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#+dema : #>#)) saat ini : kg-) : 10!m)M' : 2(?(
Stat$s O*stetri -FU : 2B !m /etak : Ke"ala8JJ : 13#12#12 ,is : <#=
V- : @2 !m> 0 A> ket <.=> ke"ala> SS mell> , '13
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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asil La*oratori$ 9R /tgl. 2'-04-2016 :
1(
arah Leng%ap (iia (lini%
* ; 87 !=
W) 11000 *s7g /-
L5 222.000 5 ;=/10;
t 2;1 755 31; /26;3
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1
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S8 (aar )ersalin /2'-04-2016
K> -> ,
)P8 %?% C 3>39 mgg
7 32?1 C 3> 39 mgg
,7 31?B C 3>3 mgg
F/ 9?01 C 3>3 mgg
Plasenta !or"& lateral>gr '''> F' !uku"
+FD 29 gr
1
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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iagnosis :
8999 0200 40&41 gg 59 Leta% (epala )S > 2th ost ate RO< SV) 5)<
2!00 g
7tas perti*angan:- Post date-
)S7 I 2th- 4J- ,SV)Usul S7 . 'U8? /a"or 8PJP dr& Su"ratikn*o S"&G
77
5gl. 2'-04-2016; p%l. 13.00:/ahir $a*i S7 ♀> 200> (B> S 9#%
-elah dilakukan 'U8 trans!aesarean 19
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3. "#. ?$#$n& 3 th & !!.02.'2
M() tgl. 24-04-2016 p%l 14.30
S$*#e%ti+ :
Pasien datang sendiri oleh karena keluhan
keluar air "ervaginam se5ak 3 5am SM4S?ken!eng#ken!eng <#=? lendir darah <#=
P :- )PS 6 dikatakan normal
1%
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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,P,- : 01#0B#201
-P : 0%#0#201
Ri,a#at ersalinan :
1& 3 )ln> $ortus> Kuretase> 4S 8K-> th 200
2& 2 )ln> $ortus> kuret <#=>th 2009
3& ,amil ini
Menikah : 16 % th
4i;a*at K) : <#=
33&34gg
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O*#e%ti+ (aar )ersalin /tgl. 24-04-2016p%l 14.30 :
Stat$s $
G7S ( <#= '<#= 7<#= 8<#= -8 : 120>%0 : %0 44 : 20 -re! : 3?9o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#+dema : #>#)) saat ini : Bkg-) : 10 !m)M' : 2?23
Stat$s O*stetri -FU : 29 !m /etak : ke"ala8JJ : 13#12#12 ,is : <#=
V- : @ 1!m>ke">ssmell>ketu$an <#=
lakmus test<.= >,1>UP8 20
il L * t i 9R /t l 24 04 2016
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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asil La*oratori$ 9R /tgl. 24-04-2016 :
21
arahLeng%ap
(iia (lini%
* 11?2 87 B
W)100B
0
L5300
00t 3(?
5;!/10
;
755
24;/26;3
*s7g
<#=
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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22
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iagnosis :8999 0020 33&34 gg 59 Leta%(epala ( preter RO< @ 3' th
SV) 5)< 2200 g
5atala%sana :• )ed rest• 'n5& 7eEota6im 361 gr• 'nE& 4/ 2 lt> hr• 'n5& 8e6amethasone 26 mg 'M s>d 2 6 2( 5am• $servasi 26 2( 5am $ila t re! 39? 7 atau
ketu$an teta" mengalir "ro terminasi C PS• )ila in"artu "ro s"t )• M6 : Vs>kel>,is>8JJ>t re!t• /a"or dr& 8' S"&G 77
23
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USG FM <-gl& 2#0(#201=
J> -> ,
)P8 %3?
7 29?0 C 33>3( mggF/ ?2
Plasenta Fundus>gr ''#'''> F' minimal
+FD 2000 gr
2(
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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tgl. 26-04-2016 :Stat$s $G7S ( <#= '<#= 7<#= 8<#=
-8 : 110>%0 : %0 44 : 20 -re! : 3?9o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#+dema : #>#
Stat$s O*stetri8JJ : 13#12#12 ,is : <#=V- : ketu$an masih merem$es
7 : 8999 0020 33&34 gg 59 Leta%(epala ( preter RO< @ 3' th SV) asa peatangan par$ 5)< 2200
g 2
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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7tas perti*angan :
# U 3 th
- 4J advis 8PJP dr& SukamtoS"G
- ,SV) Pro S7
-
KPP "reterm- Pas!a "ematangan Paru
5gl. 26-04-2016; %l. 1'.4' :/ahir $a*i ♀/ 2200/ 47/ AS 8-9
2
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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4. "#. 9in& 33th & !!.0'.'
M() tgl. 2!-04-2016 p%l. 01.4'
S$*#e%ti+ :
Pasien ru5ukan dari 4S )akti 4aha*u dengan
G'' P1001 39>3% mgg . P+) . KPP
P :
- )PS 36 -8 tanggal 2#0(#201 -8190>110 ru5uk ke 4S
- 4S )akti 4aha*u 16 K4- o&k P+)
29
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,P,- : 09#0%#201
-P : 1(#0#201
Ri,a#at ersalinan :
1& B $ln> S"t )> )PS> ♂> 3000> % th
2& ,amil ini
Menikah : 16 % th
4i;a*at K) : <#=
3!&3=gg
* % i+ li / l
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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O*#e%ti+ (aar )ersalin /tgl. 2!-04-2016p%l. 01.4' :
Stat$s $
G7S ( <#= '<#= 7<#= 8<#= -8 : 1%0>100 : %% 44 : 1% -re! : 3?(o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#+dema : #>#)) saat ini : 10( kg -) : 1 !m)M' : 3%?%
Stat$s O*stetri -FU : 39 !m /etak : ke"ala8JJ : 12#12#12 ,is : <#=V- : @ 3 !m> 0A> ket <#=> ke"ala> SS mell> , '
2B
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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asil La*oratori$ 9R /tgl. 2!-04-2016 :
30
arahLeng%ap
(iia (lini% L
* 12; 87 66 rot 1
W) =60)"&S(
6&0;= Ari 0-1
L5243.0
00O5&5 22&1= Le$ '-10
t 3';4 7l* 3;2 Apitel 1-2
*s7g
/-"a& (&l
13'&4;'&102
5 =;=/10;
7552';6
/26;3
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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31
i i
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iagnosis :899 1001 3!&3= gg 59 Leta% (epala 9npart$ %ala 9 +ase Laten A) O*esitas
gr 99 /)M9 3=;= 5)< 3!00 g
5atala%sana :• 2 nasal 3 l"m•
'nE 48 00 !!> 2( 5am• 'n5& SM 20A (gr iv dri" dalam P 100!!
dilan5utkan SM (0A 10g>5am <2% t"m= dlm 4800 !!
• iEedi"in 36 10 mg• Meth*ldo"a 36 00 mg• $s 7,P)• +valuasi 5am "ro "er!e"at kala ''• Minum ma6 1000 !!>2( 5am• )alans !airan 7M 7K . 00 !!
32
t l 2! 04 2016 %l 0= 00
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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tgl. 2!-04-2016 p%l. 0=.00 :S : %eneng-%eneng / Barang
Stat$s $G7S ( <#= '<#= 7<#= 8<#=
-8 : 10>B0 : %% 44 : 1% -re! : 3?(o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#+dema : #>#
Stat$s O*stetri8JJ : 12#12#12 ,is : <.=V- : @ !m> 0A> ket <#=> ke"ala> UUK ki de"> , '
7 : 899 1001 3!&3= gg 59 Leta% (epala 9npart$ %ala 9 +ase a%ti+ A) O*esitas gr 99/)M9 3=;= :
# $s 7,P)#33
%l 10 00
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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%l. 10.00 :Stat$s $G7S ( <#= '<#= 7<#= 8<#=
-8 : 1(0>B0 : %( 44 : 1% -re! : 3?(o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#+dema : #>#
Stat$s O*stetri8JJ : 12#12#12 ,is : <.=V- : @ !m> 0A> ket <#=> ke"ala> UUK ki de"> , '
7 : 899 1001 3!&3= gg 59 Leta% (epala 9npart$ %ala 9 +ase a%ti+ Seondar# 7rrest epo,er A) O*esitas gr 99 /)M9 3=;= 5)<3'00 g
3(
Vi it d Add S O8 d i
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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Visite dr. Add# Sp.O8; adCis:-+valuasi 1 5am $ila tidak ada "enam$ahan"em$ukaan dan "enurunan !uriga $a*i
$esar"ro !ito S7
Pkl& 11&00:V- : Ø 5cm/50 %/Ket (-)/Kep/Caput/UUK ki dep/ !
: 899 1001 3!&3= gg 59 Leta%(epala 9npart$ %ala 9 +ase a%ti+ Seondar# 7rrest e $riga *a#i *esar A) O*esitas gr 99 /)M9 3=;=
: K'+ Pro !ito S7 . 'U8
3
5gl 26 04 2016 p%l 13 '0
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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5gl. 26-04-2016; p%l. 13.'0/ahir $a*i S7 ♀> ((B> 1> 1#2##9
3
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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'. "#. ?$liani& 1= th & !6.!4.!1
M() tgl. 2=-04-2016 p%l. 0=.4'
S$*#e%ti+ :
Pasien datang sendiri o&k keluhan ken!eng#
ken!eng se5ak 1 hari SM4S? lendir darah <.=?air "ervaginam <#=& Pasien marah#marah *ang$erle$ihan dan ti$a#ti$a diam&
P :
- )PS 96
39
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,P,- : 03#0%#201
-P : 0B#0#201
Ri,a#at ersalinan :
1& ,amil ini
Menikah : 16 selama 1 th
4i;a*at K) : <#=
3=&3gg
O*#e%ti+ (aar )ersalin /tgl 2= 04 2016
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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O*#e%ti+ (aar )ersalin /tgl. 2=-04-2016p%l. 0=.4' :
Stat$s $
G7S ( <#= '<#= 7<#= 8<#= -8 : 120>%0 : %2 44 : 20 -re! : 3?2o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#
+dema : #>#)) saat ini : 3kg-) : 1 !m)M' : 23?
Stat$s O*stetri -FU : 2% !m /etak : ke"ala8JJ : 13#12#12 ,is : <#=V- : @ 3!m> 0 A> Ket <.=>ke"> SS mell> ,'
3B
il * i / l
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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asil La*oratori$ 9R /tgl. 2=-04-2016 :
(1
arah Leng%ap (iia (lini%
* 12;' 87 1W) =.20
L5 310.000
t 3!;0
*s7g
/-
5;4
/11;0
755 2!;1/2=;1
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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(2
il ( l i%i i
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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asil (ons$l si%iatri :- idapat%an pasien dengan rea%si
isteri%a
Saran : /-- )ila ingin elahir%an disaran%an
era*doina
(3
i i
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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iagnosis :89 0000 3=&3 gg 59 Leta% (epala 9npart$ (ala 9 Fase Laten Rea%si
isteri%a 5)< 200 g
: K'+ "ro S7 . 'U8 /a"or 8PJP dr 8' S"G 77
5gl. 2=-04-2016 p%l. 14.10:
/ahir $a*i S7 ♂> 290> 0> S 9#% -elah di"asang 'U8 -rans!aesarean
((
6 " A i S& 2' th & !3 !! 40
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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6. "#. Ani S& 2' th & !3.!!.40
M() tgl. 2=-04-2016 p%l. 10.2'
S$*#e%ti+ :
Pasien kiriman "oli hamil dengan G'' P1001
39>3% mgg -,'U . /etak ke"ala . 4> -) Paru. sthma )ron!hiale
P :
# )PS 36
- Poli ,amil 4SU ,a5i 16 sesak 442(6>m asthma
$ron!hiale M4S(
0B 0% 20 3!&3=
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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,P,- : 0B#0%#201
-P : 1#0#201
Ri,a#at ersalinan :
1& B $ln> >S"t& )>)PS>3000> (? th
2& ,amil ini
Menikah : 26
4i;a*at K) : Pil K) sto" 1 tahun *ang lalu
3!&3=gg
O*#e%ti+ (aar )ersalin /tgl 2=-04-2016
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
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O*#e%ti+ (aar )ersalin /tgl. 2=-04-2016p%l. 10.2' :
Stat$s $
G7S ( <#= '<#= 7<#= 8<#= -8 : 110>90 : %2 44 : 22#2( -re! : 3?2o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h .>.
+dema : #>#
Stat$s O*stetri -FU : 2B !m /etak : ke"ala
8JJ : 12#12#12 ,is : <#=V- : @ 1!m> 2 A> Ket <.=> Ke"> SS Mell> ,'
(9
il L * t i 9R /t l 2= 04 2016
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asil La*oratori$ 9R /tgl. 2=-04-2016 :
(%
arah Leng%ap (iia (lini%
* 11;3 87 !'W) 10200
L5 336000
t 34;4
*s7g
/-
5;3
/ 10;
7552!;4/26;
3
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 48/73
(B
asil (ons$l 5S ar$:
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 49/73
asil (ons$l 5S ar$:- e$ul Pulmi!ort 261- Ventolin S"ra* 261 $ila serangan
0
asil S8 FM /tgl 2=-04-2016 :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 50/73
asil S8 FM /tgl. 2=-04-2016 :Ke"ala>->,)P8 B2?(C 39 mgg
7 330 C 3 mgg,7 32% C 39 mggPla!enta Fundus> gr '''> F' ?%9
+FD 3133 g
8V & Um$ili!alis:
4' 0?(9P' 0?S>8 0?B
1
iagnosis :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 51/73
iagnosis :899 1001 3!&3= gg 59 Leta% (epala 5a% inpart$ Oligohidranion /7F9 ';=
R& 5) ar$ 7stha )ronhiale 5)<200 g
:-2 nasal ( /"m-Pro "er$aikan KU-)ila sesak $erkurang? "ro K4S kontol Poli ,amil
C 5ad;al-M6 : Vs>Kel>,is>855 /a"or dr& 8' S"&G <K=? advis :Pro S7 . 'U8 setelah "er$aikan KU
2
5gl 2 04 2016 p%l 14 10:
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 52/73
5gl. 2-04-2016 p%l. 14.10:/ahir $a*i S7 ♂> 290> 0> S 9#% -elah di"asang 'U8 -rans!aesarean
3
! "# 7nBarsari& 2= th & 64 66 ==
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 53/73
!. "#. 7nBarsari& 2= th & 64.66.==
M() tgl. 2-04-2016 p%l. 10.00
S$*#e%ti+ :
Pasien kiriman dari Poli hamil dengan G'''
P2002 3B>(0 mgg G,>,'U . /etsu>letke" .)S7 26
P :- Poli 4S ,a5i 6 K4- o&k )S7 26
(
,P,- 2 09 201 3&40
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 54/73
,P,- : 2#09#201
-P : 02#0#201
Ri,a#at ersalinan :
1& B )ln>S7 a&i Fetal distress>4SKara;ang>H>3(00>( th
2& B )ln> S7 a&i -K I 2th>4S Siti minah> ♂/2900/2"5 t#
3& ,amil ini
Menikah : 16 selama th
4i;a*at K) : <#=
3&40gg
O*#e%ti+ (aar )ersalin /tgl. 2-04-2016
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 55/73
O*#e%ti+ (aar )ersalin /tgl. 2 04 2016p%l. 10.00 :
Stat$s $
G7S ( <#= '<#= 7<#= 8<#= -8 : 120>%0 : %2 44 : 20 -re! : 3?2o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#
+dema : #>#)) saat ini : B1 kg -) : 13 !m)M' : 3%?%
Stat$s O*stetri -FU : 3 !m /etak : sungsang>ke"ala8JJ : '&12#12#12 ,is : <#=
''& 13#12#12
V- : @ 1!m> 2 A> Ket <.=> $okong> Sa! Mell> ,'
asil La*oratori$ 9R /tgl 2 04 2016 :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 56/73
asil La*oratori$ 9R /tgl. 2-04-2016 :
9
arah Leng%ap (iia (lini%
* 11;! 87 'W) 10330
L5 2'1000
t 34;!
*s7g
/
5;=
/ 10;
7552;0/26;
3
S8 FM /0' 04 2016:
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 57/73
S8 FM /0'-04-2016:- Janin Gemelli /etak sungsang>/etak
Ke"ala- )P8 33>3( mgg# 3(>3 mgg- 7 32>33 mgg# 39 mgg- Plasenta 7or"us "osterior gr ''- F' !uku"- +FD 2091>223
B
iagnosis :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 58/73
iagnosis :8999 2002 3&40 gg 8&9 Leta%s$ngsang&Leta% (epala 5a% inpart$
)S 2D O*esitas gr 99 /)M9 3=;= 5)<2!00&2'00 g
: K'+ "ro elektiE S7 . MD senin <02#0#201=
0
tgl. 30-04-2016 p%l. 12.00 :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 59/73
tgl. 30 04 2016 p%l. 12.00 :S : "asien mengeluh ken!eng#ken!engO : Stat$s $
G7S ( <#= '<#= 7<#= 8<#= -8 : 120>%0 : %( 44 : 1% -re! : 3?2o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#
Stat$s O*stetri8JJ : 12#12#12 ,is : <.=V- : @ 2!m> 0 A> Ket <.=> $okong> Sa! Mell> ,'
1
iagnosis :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 60/73
iagnosis :8999 2002 3&40 gg 8&9 Leta%s$ngsang&Leta% (epala 9npart$ )S 2D
O*esitas gr 99 /)M9 3=;= 5)< 2!00&2'00g
: K'+ "ro 7ito S7 . MD
/a"or SPV Jaga dr& li Mahmud S"&G<K= 77
Pkl& 13&0:/ahir $a*i ' ekstraksi $okong ♀/2500/47/AS 8-9$k& '&5'*a#i+ ,ai !! de.a. meuki+ kepaa ♀/ 2550/48/AS 8-9
2
= "# 5itin& 3 th & 64 66 ==
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 61/73
=. "#. 5itin& 3 th & 64.66.==
M() tgl. 30-04-2016 p%l. 00.1'
S$*#e%ti+ :
Pasien kiriman dari 4S Prima ,usada dengan
GV P3013 . P)& Pasien mengeluh "erdarahan"ervaginam se5ak Pkl& 1%&00& 4i;a*at "asienM4S di 4S ha5i 1 minggu *ang lalu selama (hari P) e! PP- saat UK 33>3( mgg& Pasienmenda"atkan "ematangan "aru&
P :
# )PS 36 K4- o&k P)
- Poli 4S ,a5i 36 K4- o&k PP- 3
,P,- : 02 0B 201 34&3'
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 62/73
,P,- : 02#0B#201
-P : 0B#0#201
Ri,a#at ersalinan :
1& B )ln> S"t& )>)PS>H>2B00>20 th
2& B )ln> S"t& )>)PS> ♂/ 200/'4 t#
& 2 1./ A,+tu/Ku+etae (3)/t# 20'04& 9 1./ Spt& 1/ 1$S/♀/000/9 t#
& ,amil ini
Menikah : 16 selama 22 th
4i;a*at K) : Pil K) sto" 3 th *ang lalu
34&3'gg
O*#e%ti+ (aar )ersalin /tgl. 30-04-2016
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 63/73
# / gp%l. 00.1' :
Stat$s $
G7S ( <.= '<#= 7<#= 8<#= -8 : 120>%0 : %2 44 : 20 -re! : 3?2o77or : S1>S2 tunggal? murmur <#=
Pulmo : ves .>. ? rh #>#? ;h #>#
+dema : #>#
Stat$s O*stetri -FU : 2 !m /etak : ke"ala
8JJ : 12#12#12 ,is : <#=
V- : -idak dilakukan? tam"ak darah mengering
asil La*oratori$ 9R /tgl. 30-04-2016 :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 64/73
asil La*oratori$ 9R /tgl. 30 04 2016 :
arah Leng%ap (iia (lini%
* ';1 87 W) 20.300
L5 400.000
t 2=;=
*s7g
/-
5;2/10;1
75523;2/24;
!
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 65/73
9
S8 V( )ersalin /30-04-2016:
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 66/73
S8 V( )ersalin /30-04-2016:- )P8 %?0 C 3(>3 mgg- 7 2B?B C 3( mgg- F/ ?0B C 3(>3 mgg- ,7 31?2 C 3(>3 mggPlasenta !or"& "osterior meluas menutu"i
U'+FD 232( gr
%
iagnosis :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 67/73
iagnosis :8V 3013 34&3' gg 59 Leta% (epala 7) e 5 7neia /* ';1 @ 3' th
5)< 2300 g
:- )ed rest- -ransEusi P47 s>d ,$ 10 g>dl- )ila ,$ 10 g>dl "ro S7 . MD /a"or dr& +dd* S"&G 77
B
tgl. 01-0'-2016 p%l. 14.30 :
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 68/73
g pS : "asien mengeluh ken!eng#ken!eng?
"erdarahan
"ervaginam <.=O : Stat$s $G7S ( <.= '<#= 7<#= 8<#= * !;=
-8 : 110>%0 : B2 44 : 1% -re! : 3?2o7
7or : S1>S2 tunggal? murmur <#=Pulmo : ves .>. ? rh #>#? ;h #>#
Stat$s O*stetri
8JJ : 12#12#12 ,is : <L=V- : tidak dilakukan? tam"ak darah mengalir
: 8V 3013 34&3' gg 59 Leta%
(epala 7) e 5 Fl$%s$s 7neia90
: K'+ "ro 7ito S7 . MD <sedia darah
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 69/73
: K'+ "ro 7ito S7 . MD <sedia darahGS, D)=/a"or SPV Jaga dr& +dd* S"&G 77
%l. 1=.3':/ahir $a*i ♂/2400/48/AS 7-8
ea# diakuka. u,ectm $me+ 1iate+a
91
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 70/73
OAR7S989"A(OLO89
92
1& *& +ka> (3 th> P0000
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 71/73
1& *& +ka> (3 th> P0000
8P : M*oma Uteri . 'nEertil "rimer
88 : M*oma Uteri Multi"le . 'nEertil"rimer
-6 : M*ome!tom*
2& *& +stutik> % th> P00 8P : Prola"s Uteri gr ''' . 8M ti"e 2
88 : Prola"s Uteri gr ''' . 8M ti"e 2
-6 : -V,#Kol"ora "osterior
93
3& *& Sumi*ati> 39 th> P1001
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 72/73
3& *& Sumi*ati> 39 th> P1001
8P : M*oma Uteri 'ntramural
88 : M*oma Uteri intramural
-6 : M*omektomi
9(
8/17/2019 Morning Report VK 2-3 Mei 2016.pptx
http://slidepdf.com/reader/full/morning-report-vk-2-3-mei-2016pptx 73/73
5AR9M7 (7S9
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