ppt preskas hepatoma
TRANSCRIPT
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TD: 100/80 mmHg
N: 80x/menit
R: 20x/menit
S: 36.8C
S:
Nyeri pada perut, Kembung
(+), Mual (-), Muntah (-),
sulit BAB (+)
O:
o KU: TSS
o KS: CM
o Kepala: Normocephale
o Mata: CA (+/+) SI (+/+)
o THT: dbn
o Cor: BJI-BJII regular, G(-
), M(-)
o Pulmo: SNV, rh (-/-), wh
(-/-)
o Abd:Bising usus (+), NT
(+), Hepar membesar,
shifting dullness (+),
Ballotement (+)
o Eks: Edema (+) pada
ekstremitas bawah,akral
hangat.
A:
Hepatoma
P:
IVFD RL 20 TPM
Inj. Ranitidin 2x1 amp
Inj. Ketorolac 3x1 amp
Curcuma 3x1
Asam Folat 3x1
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TD: 110/80 mmHg
N: 88x/menit
R: 20x/menit
S: 38C
S:
Nyeri pada perut, Kembung (+),
Mual (-), Muntah (-), sulit BAB
(+)
O:
o KU: TSS
o KS: CM
o Kepala: Normocephale
o Mata: CA (+/+) SI (+/+)
o THT: dbn
o Cor: BJI-BJII regular, G(-),
M(-)
o Pulmo: SNV, rh (-/-), wh (-
/-)
o Abd:Bising usus (+), NT
(+), Hepar teraba 4 cm
b.a.c, konsistensi kenyal,
permukaan berbenjol di
lobus dekstra, shifting
dullness (+), Ballotement
(+)
o Eks: Edema (+) pada
ekstremitas bawah, akral
A:
Hepatoma
P:
IVFD RL 20 TPM
Aminoleban/hari
Inj. Ranitidin 2x1 amp
Inj. Ketorolac 3x1 amp
Curcuma 3x1
Asam Folat 3x1
Spironolacton 1x100 mg
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TD: 120/70 mmHg
N: 87x/menit
R: 20x/menit
S: 37,8C
S:
Nyeri pada perut, Kembung (+),
Mual (-), Muntah (-), sulit BAB
(+)
O:
o KU: TSS
o KS: CM
o Kepala: Normocephale
o Mata: CA (-/-) SI (+/+)
o THT: dbn
o Cor: BJI-BJII regular, G(-),
M(-)
o Pulmo: SNV, rh (-/-), wh (-
/-)
o Abd:Bising usus (+), NT
(+), Hepar teraba 4 cm
b.a.c, konsistensi kenyal,
permukaan berbenjol di
lobus dekstra, shifting
dullness (+), Ballotement
(+)
o Eks: Edema (+) pada
ekstremitas bawah,akral
A:
Hepatoma
P:
IVFD RL 20 TPM
Aminoleban/hari
Inj. Ranitidin 2x1 amp
Inj. Ketorolac 3x1 amp
Curcuma 3x1
Asam Folat 3x1
Spironolacton 1x100 mg
Levofloxacin 1x500 mg
NGT (+) terbuka
Puasa (+)
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TD: 100/70 mmHg
N: 80x/menit
R: 18x/menit
S: 36C
S:
Nyeri pada perut, Kembung (+),
Mual (-), Muntah (-), sulit BAB
(+)
O:o KU: TSS
o KS: CM
o Kepala: Normocephale
o Mata: CA (+/+) SI (+/+)
o THT: dbn
o Cor: BJI-BJII regular, G(-),
M(-)
o Pulmo: SNV, rh (-/-), wh (-
/-)
o Abd:Bising usus (+), NT
(+), Hepar teraba 4 cm
b.a.c, konsistensi kenyal,
permukaan berbenjol di
lobus dekstra, shifting
dullness (+), Ballotement
(+)
o Eks: Edema (+) pada
ekstremitas bawahakral
han at.
A:
HepatomaP:
IVFD RL 20 TPM
Aminoleban/hari
Inj. Ranitidin 2x1 amp
Inj. Ketorolac 3x1 amp
Curcuma 3x1
Asam Folat 3x1
Spironolacton 3x100 mg
Levofloxacin 1x500 mg
NGT (+) terbuka
Puasa (+)
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ANALISA KASUS
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Ket:
1. Ligamentum coronarium
2. Lobus hepatis dextra
3. Vesica biliaris
4. Diafragma
5. Lobus hepatis sinistra
6. Ligamentum falciforme
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Ket:
1. Appendix fibrosa hepatis
2. Lobus caudatus
3. Lobus hepatis sinistra4. Arteri hepatika propria
5. Ligamentum teres hepatis
6. Lobus quadrates
7. Vesica biliaris8. Lobus hepatis dextra
9. Vena porta hepatis
10. Vena cava inferior
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http://www.ajronline.org/cgi/reprint/159/4/735.pdf
http://www.ajronline.org/cgi/reprint/159/4/735.pdfhttp://www.ajronline.org/cgi/reprint/159/4/735.pdf -
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Abdul. 2006. Temuan Ultrasonografi Kanker Hati Hepato Selular(Hepatoma). Diakses dari http:/ repository.usu.ac.id/bitstream.pdf Rasyid, Abdul. 2006.Pentingnya Peranan Radiologi Dalam Deteksi Dini
Pengobatan Kanker Hati Primer. Diakses dari: AAxelrod David, LeeuwenDirk J van. Hepatocellular Carsinoma.Updated:Sep18, 2008www.emedicine.com
Singgih B., Datau E.A., 2006, Hepatoma dan Sindrom Hepatorenal.
Jacobson R.D., 2009. Hepatocelluler Carcinoma. Diakses darihttp://emedicine.medscape.com/article/369226-overview
Suhaerni, erni. 2010. PemeriksaanUltrasonographi Pada Pasien DenganSuspect Hematoma.Diakses dari www.fkumyecase.net
http://www.emedicine.com/http://www.emedicine.com/http://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://emedicine.medscape.com/article/369226-overviewhttp://www.emedicine.com/