Andrew Hernia case trisakti

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LAPORAN KASUS

HERNIA INGUINALIS

LATERALIS

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STATUS PASIEN

• Nama : Tn.H

• Umur : 63 tahun

•  Jenis Kelamin : lai!lai

•

Alamat: K" KRA#AT!Tan$eran$• A$ama: Islam

• Suu %an$sa : Ja&a

•  Tan$$al #RS : '' #aret '()6•  Tan$$al "emerisaan: '3 #aret '()6

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H1 MRS (23 Maret 2016)Su%*eti+ • KU : ,en*-lan "aa li"atan "aha anan

• RPS : Pasien men$ataan uran$ le%ih 3tahun /an$ lalu mun0ul %en*-lan ari li"atan"aha anann/a1 a&aln/a %en*-lan terse%ut e0il.

 Jia "asien %eriri an men$e*an %en*-lanterse%ut eluar1 namun saat %er%arin$ a"atmasu la$i.. ,en*-lan tia "ernah n/eri antia "ernah merah. Na+su maan "asien %ai1%erat %aan tia "ernah menurun. Pasien serin$men$e*an saat ,A,1 arena -nsistensi /an$

eras. ,A, %iasan/a ' hari seali. Se*a ) hari/an$ lalu %en*-lan tia a"at imasuan la$i.Pasien tia merasa mual1 tia muntah1 tiamen$alami $an$$uan ,A, 2,A, se"erti %iasan/aan masih %isa entut

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• RP4 : 2!• RPO : 2!• RPK : Tia aa eluar$a "asien /an$

"ernah men$alami hal seru"a.O%*eti+ • KU : sean$ Kesaaran: 5-m"-smentis• S : T4 : )'(78( 97menit RR : '(

97menit•   N : 88 97menit t : 361;5• K7L : a7i707 !7!7!7!•  Th- : 5-r : S)S' tun$$al•

 Pulm-: <es =7=1 &h !7!1 rh !7!• A% : >at1 ,U 2= N1 t/m"ani1 s-e"el• E9t :Aral han$at i eem"at estrimitas1

tia aa -eem i eem"at estrimitas

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AssesmentHernia in$uinalis lateralis e9tra i

 PLANNING!In+us RL )((( 007'; *am!in*esi 5e+tia9-n )9' $r!"r- herni-t-mi

#assa 2=iameter @80m9;01en/al1m-%ile1 n/eri2!hi"eremi2!

1transluminasi 2!

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• PEMERIKSAAN PENUNJANG

•

Hasil Labratri!"• He"atl#i

• H% : )1' $r7l 2)3!)6 $r7L

• Le-sit : )81( 9 )(B 7L 2;1!)( 9 )(B7L

• Hemat-rit : 3;C 2;(!;8C

•

 Tr-m%-sit : 3D) 9 )(B

 7L 2)(!;( 9)(B7L

• #asa "em%euan : B

• #asa "enarahan : )F3(FF

• Glu-sa se&atu : )('

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AssesmentHernia in$uinalis lateralis e9tra inarserata"-st herni-ra"h/ H)Plannin$

!in+ RL '(t"m  !in*esi 0e+rtia9-n '9) $r  !Ket-r-la0  !in*esi ranitiin 39) am"ul

  !m-%ilisasi mia mii nanti malam uu lalu *alan

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(2$ "aret 2016)

Su%*eti+ : mual2!1 "usin$ 2! 1 n/eri i lua

-"erasi 2=1"erut em%un$O%*eti+ • Keaaan umum: %ai Kesaaran: 5-m"-s

mentis• S : T4 : ))(78( 97menit RR : '(

97menit•  N : 8( 97menit t : 361;5K7L :

a7i707 !7!7!7!•  Th- : 5-r : S)S' tun$$al

•  Pulm- : <es =7=1 &h !7!1 rh !7!• A% : >at1 ,U 2= N1 t/m"ani1 s-e"el• E9t: aral han$at i eem"at etrimitas 1 tia

aa -eem i eem"at estrimitas

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Assesment

Hernia in$uinalis lateralis e9tra inarserata "-st herniP: ! in+ RL '(t"m

  !in*esi 0e+rtia9-n '9) $r  !Ket-r-la0  !in*esi ranitiin 39) am"ul  !m-%ilisasi uu lalu *alan 

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%E&INISI 

"r-trusi atau"en-n*-lanisi suatu r-n$$a

melalui e+e atau%a$ian lemah ariinin$ r-n$$a%ersan$utan

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 INGUINALIS

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• Hernia in$uinalis lateralis aalaht-n*-lan ari "erut i lateral"em%uluh e"i$astri0a in+eri-r1/an$ eluar melalui ua "intu ansaluran /aitu annulus an 0analis

in$uinalis 2S/amsuhia/at anim e J-n$1'((;

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Hernia in$. Lat.

Hernia in$. #e.

Anulus internus

Se$i ti$aH a s s e l % a 0 h

Gam%ar:) Gam%ar:3

Gam%ar:' Gam%ar:;

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Etil#i a* Pat+sil#i

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Ga"bara* Kli*is

• ANA#NESIS

 %en*-lan i li"at "aha /an$ mun0ul"aa &atu %eriri1 %atu1 %ersin1atau men$ean1 an men$hilan$

setelah %er%arin$

N/eri /an$ isertai mual an muntah

%aru tim%ul alau ter*ai inaserasi

arena ileus atau stran$ulasi arenaner-sis atau $an$ren.

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Penatalaksanaan

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TERIMA KASIH