Download - Long Case Tb Rona Cover Fix
LAPORAN KEPANITERAAN KEDOKTERAN KELUARGA
LONG CASE
“TB PARU BTA (-) LESI LUAS KASUS BARU ”
Disusun Oleh :
Rona Lintang Harini
G4A014040
Pembimbing Fakultas : dr. Agung Saprasetya Dwi Laksana, M.Sc.PH
Pembimbing Lapangan : dr. Anggoro Supriyo
KEPANITERAAN ILMU KEDOKTERAN KOMUNITAS
ILMU KESEHATAN MASYARAKAT
FAKULTAS KEDOKTERAN
UNIVERSITAS JENDERAL SOEDIRMAN
2015
LAPORAN KEPANITERAAN KEDOKTERAN KELUARGA
LONG CASE
“TB PARU BTA (-) LESI LUAS KASUS BARU ”
Disusun Oleh :
Rona Lintang Harini
G4A014040
Disusun untuk memenuhi laporan kepaniteraan kedokteran keluarga
Fakultas Kedokteran
Universitas Jenderal Soedirman
Purwokerto
Disetujui dan disahkan,
Pada tanggal, Mei 2015
Preseptor Lapangan Preseptor Fakultas
` dr. Anggoro Supriyo dr. Agung Saprasetya D L,M.Sc.PHNIP. 19710112.200212.1.002 NIP.19710112.200212.1.002
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DAFTAR ISI
COVER..........................................................................................................................i
LEMBAR PENGESAHAN ….....................................................................................ii
DAFTAR ISI...............................................................................................................iii
DAFTAR TABEL........................................................................................................iv
DAFTAR GAMBAR....................................................................................................v
BAB I KARAKTERISTIK DEMOGRAFI KELUARGA...........................................1
BAB II STATUS PENDERITA...................................................................................2
A. Pendahuluan........................................................................................................2
B. Identitas Penderita...............................................................................................2
C. Anamnesis...........................................................................................................2
D. Pemeriksaan Fisik...............................................................................................7
E. Pemeriksaan Penunjang.......................................................................................8
F. Resume.................................................................................................................9
G. Diagnosis Holistik.............................................................................................10
H. Penatalaksanaan................................................................................................11
I. Follow Up...........................................................................................................13
J. Flow Sheet..........................................................................................................14
K. Master of Problem List......................................................................................14
BAB III IDENTIFIKASI FUNGSI-FUNGSI KELUARGA......................................15
A. Fungsi Holistik..................................................................................................15
B. Fungsi Fisiologis (A.P.G.A.R Score)................................................................16
C. Fungsi Patologis (S.C.R.E.E.M)........................................................................19
D. Family Genogram..............................................................................................20
E. Informasi Pola Interaksi Keluarga.....................................................................21
BAB IV IDENTIFIKASI FAKTOR-FAKTOR YANG MEMPENGARUHI
KESEHATAN.............................................................................................................22
A. Identifikasi Faktor Perilaku dan Non Perilaku Keluarga..................................22
B. Identifikasi Lingkungan Rumah........................................................................23
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BAB V DAFTAR MASALAH...................................................................................25
A. Masalah medis...................................................................................................25
B. Masalah nonmedis.............................................................................................25
C. Diagram Permasalahan Pasien..........................................................................25
D. Matrikulasi Masalah..........................................................................................26
E. Prioritas Masalah...............................................................................................27
F. Alternatif pemecahan masalah...........................................................................27
G. Penentuan alternatif terpilih..............................................................................27
BAB VI RENCANA PEMBINAAN KELUARGA...................................................29
A. Rencana Pembinaan Keluarga...........................................................................29
B. Hasil Pembinaan Keluarga................................................................................31
BAB VII TINJAUAN PUSTAKA..............................................................................33
A. Definsi ..............................................................................................................33
B. Epidemiologi.....................................................................................................33
C. Etiologi..............................................................................................................34
D. Faktor resiko......................................................................................................35
D. Patomekanisme..................................................................................................37
E. Penagakkan diagnosis........................................................................................39
F. Penatalaksanaan.................................................................................................43
G. Komplikasi........................................................................................................45
H. Prognosis...........................................................................................................45
BAB VIII PENUTUP.................................................................................................46
A. Kesimpulan........................................................................................................46
B. Saran..................................................................................................................47
DAFTAR PUSTAKA ................................................................................................49
LAMPIRAN................................................................................................................50
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DAFTAR TABEL
Tabel 1.1.Daftar anggota keluarga...............................................................................1
Tabel 2.1.Skala Fungsional........................................................................................11
Tabel 2.2 Flow Sheet..................................................................................................14
Tabel 2.3. Master Problem List..................................................................................14
Tabel 3.1. Nilai APGAR dari Tn. TN (Paenderita).........................................................17
Tabel 3.2. Nilai APGAR dari Ny. S (Istri Penderita).......................................................18
Tabel 3.3 Nilai SCREEM dari keluarga pasien..........................................................19
Tabel 5.1. Matrikulasi Masalah..................................................................................26
Tabel 5.2 Kriteria dan Skoring Efektivitas dan Efisiensi Jalan Keluar......................28
Tabel 5.3 Alternatif Terpilih......................................................................................28
Tabel 6.1. Daftar Pertanyaan Evaluasi.......................................................................30
Tabel 6.2 Hasil Pembinaan Keluarga.........................................................................31
Tabel 7.1. Jenis dan Dosis OAT.................................................................................43
Tabel 7.2. Dosis OAT Kombinasi Dosis Tetap..........................................................44
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DAFTAR GAMBAR
Gambar 3.1 Genogran Keluarga Tn. TN …...............................................................20
Gambar 3.2 Pola Interaksi Keluarga Tn. TN..............................................................21
Gambar 4.1. Diagram Faktor Perilaku dan Nonperilaku Keluarga............................23
Gambar 4.2. Denah Rumah n. TN..............................................................................24
Gambar 5.1. Diagram Hubungan Penyakit dengan Faktor Risiko..............................27
Gambar 7.1. Alur Penegakan Diagnosis.....................................................................40
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