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PROGRAM PENDIDIKAN PROFESI DOKTER BAGIAN ILMU OBSTERI DAN GINEKOLOGI FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM BANDUNG RS MUHAMMADIYAH BANDUNG 2016  Bed Site Teaching SRI ANDRIANI 12100114074 ASEP SUMANTRI 12100114021 Preseptor: dr. Keika Marriska.,SpOG
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Bst Mioma Ovarium

Feb 22, 2018

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Page 1: Bst Mioma Ovarium

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PROGRAM PENDIDIKAN PROFESI DOKTERBAGIAN ILMU OBSTERI DAN GINEKOLOGIFAKULTAS KEDOKTERAN UNIVERSITAS ISLAM BANDUNG

RS MUHAMMADIYAH BANDUNG2016

 

Bed Site Teaching

SRI ANDRIANI 12100114074ASEP SUMANTRI 12100114021

Preseptor:dr. Keika Marriska.,SpOG

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Inden!"# P"#!enN"$" % N&' E

U#!" % 4(

A)"$" % I#*"$

Pend!d!+"n % T!d"+ #e+,*"-

Pe+e./""n % !."#"-"

A*"$" % *' K"."3!n"n)n

N,'2(( RTR 0504

B."n)."n)N,' Med.e % 6161

T)*

Pe$e.!+#""n

% 06 "n".! 2016

N"$" % Tn' A S

U#!" % 47 "-n

A)"$" % I#*"$

Pend!d!+"n % SD

Pe+e./""n % !."#"-"

Pen)-"#!*"n % 8 2 /"

A*"$" % *' K"."3!n"n)n

N,'2(( RTR

0504 B."n)."n)

Iden!"# S"$!

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Ke*-"n U"$"

• Ben/,*"n d! 9e. :"3"-

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An"$ne#"

P"#!en P1A1 d""n) +e 9,*!+*!n!+ +e:!d"n"n RS M-"$$"d!&"-B"ndn) den)"n +e*-"n :en/,*"n d! 9e. :")!"n :"3"- #e/"+ 5"-n &"n) *"*'  Ben/,*"n #e:e#". +e9"*"n "n)"n ,."n) de3"#"'P"#!en !d"+ !n)" "3"*n&" :en/,*"n #e:e#". "9"; 9"#!en -"n&"$e."#" 9e.n&" #e$"+!n *"$" #e$"+!n $e$:e#".'  Ke*-"n:en/,*"n d!#e."! den)"n *e$"# d"n 9#!n) d!#e."! 9"'

Ke*-"n !d"+ d!#e."! den)"n n&e.! d! :en/,*"n d"n !d"+e.d"9" n&e.! &"n) $en/"*". +e :")!"n ":d,$en #e+!". $"9n+e :")!"n :e*"+"n)' 

P"#!en $en)"+! $en#."#! "+-!.<"+-!. !n! /"d! *e:!- #ed!+!#e!"9 :*"nn&"; n"$n e"9 #" +"*! d"*"$ #e:*"n' T!d"+ "d".!3"&" n&e.! :e.*e:!- 9"d" #"" $en#."#! d"n n&e.! 9"n))*'

Ke*-"n !d"+ d!#e."! den)"n $"*; $n"-; )"n))"n BAK"" BAB; 9en.n"n :e." :"d"n &"n) #!)n!=!+"n d"n 9"n"#:"d"n' Pe.d"."-"n d! *". #!+*# $en#."#! d!#"n)+"* 9"#!en'

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• P"#!en /"."n) $en)+,n#$#! $"+"n"n:e.*e$"+ d"n !d"+ #ed"n) $en))n"+"ne."9! -,.$,n"* "9"9n'

• T!d"+ e.d"9" +e*".)" &"n) $e$!*!+!+e*-"n &"n) #"$" den)"n 9"#!en

• R!3"&" +e:!"#""n $e.,+,+ d!#"n)+"*'

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Riwayat Penyakit Dahuu 

• R!3"&" d"."- !n))! #e:e*$ > #e*"$"+e-"$!*"n d!#"n)+"*'

• R!3"&" +e/"n) 9"d" +e-"$!*"n d!#"n)+"*'• R!3"&" :"+ *e:!- d".! 5 $!n))

d!#"n)+"*'• R!3"&" Ken!n) $"n!# d!#"n)+"*• R!3"&" 9en&"+! /"nn) d!#"n)+"*'• R!3"&" 9en&"+! )!n/"* d!#"n)+"*

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R!3"&" O:#e.!+

!na

k

Ke

"sia

Keha#i

an

$ara

persaina

n

%K penoo

ng

te#p

at

BB &'M "sia

I ? :*"n 9e.@"!n"$

L"+!<*"+!

:!d"n RS 5;6(+)

H 26

II AB 1(C

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R!3"&" G!ne+,*,)!

• P"#!en $en&"n)+"* 9e.n"- $en)"*"$!.!3"&" 9en&"+! )!ne+,*,)! #e9e!$!,$"; +!#" d"n *"!n<*"!n ""9n.!3"&" ,9e."#! d!#"n)+"*'

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Kee."n)"n T"$:"-"n

U#!" $en!+"- % !#.! % 25 "-n

  #"$! % 2( "-n

Riwayat Sikus Menstruasi Men".-e % 15 "-n L"$"n&" -"!d % 5<( -".! H"!d % !d"+ e.".

N&e.! -"!d % !d"+ B"n&"+ % 2 < 5 9e$:"* D"."- % $e."- #e)". > "!. HPHT % 01 de#e$:e. 2016

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• R!3"&" K: % !d"+ 9e.n"- $en))n"+"nKB

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Pe$e.!+#""n F!#!+

• Status generais• Ke"d""n $$ % S"+! .!n)"n• Ke#"d"."n % ,$9,#$en!#• BB % 45 +)

• TB % 1(0 $• T"nd" V!"* %

 – Te+"n"n d"."- % 11070 $$H) – N"d! % ?? :9$ – Re#9!."#! % 25 $en! – S- % 56;( 0

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Ke9"*" M"" % K,n/n)!@" "ne$!# C; S+*e." !+e.!+ <<C M* % #!"n,#!# <C; *e$:":

Le-e.

KGB % !d"+ e.":" VP % T!d"+ $en!n)+" T!.,!d % !d"+ $e$:e#".

T-,."+# Ben+ d"n 9e.)e."+"n #!$e.!#

P".<9". % #,n,.; VBS +!.!+"n"n; .,n+! <<C; 3-ee!n) <<C "nn)% S1 > S2 $.n! .e)*e.; $.$. <C

 A:d,$en % e$:n); n&e.! e+"n <C; -e9". d"n *!en !d"+ "d"+e*"!n"n;

 E+#.!$!"# :"3"- %ede$" << ; RT 2 #

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Pe$e.!+#""n G!ne+,*,)!#

• Pe#eriksaan (uar: • In#9e+#!% e$:n)• P"*9"#! ":d,$en%

 – Te.":" $"##" d! 9e. :")!"n en)"-; d!"$ee. 15 $; den)"n+,n#!#en#! +en&"* 9"d"; #ed!+! #*! d!)e."++"n; :""# /e*"#;9e.$+""n .""; N&e.! e+"n <C; DM <C; PSPP <C'

• Pe#eriksaan inspekuo: – )u*a ' *agina : tidak ada keainan – Portio : tidak ada keainan – O"+ : uksus - erwarna putih kecokatan erau, tidak ta#pak #assa. – Sondage test : Tidak ada pe#esaran ca*u# uteri /0 1 c#2

 

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• Pe#eriksaan i#anua /daa#2: – V@% !d"+ "d" +e*"!n"n – P,.!, % e:"* *n"+; !d"+ "d" n&e.! ),&"n)' – OUE % e.9; =*+## C :e.:"; !d"+

e.":" $"##" &"n) +e*". – P"."$e.!$ +!.!<+"n"n % !d"+ "d" +e*"!n"n;

!d"+ e.":" $"##"; – "@$ D,)*"#% !d"+ "d" +e*"!n"n

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DIAGNOSA BANDING

• M!,$" e.! Ane$!"• K!#" ,@".!$ Ane$!"

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U#*"n Pe$e.!+#""n

e+ d"."- .!n % -:; e.!.,#!; *e+,#!;.,$:,#!'

" 12( $,. $".+e.C USG ":d,$en

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L":,.",."!$ 

• 212016 – H: % 6;7 ↓)

 – H % 20 ↓)

 – L % 4100 – T. % 570'000 – Gd# % ?0 ↓)

 – SGOT % 51 – SGPT %

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USG ABDOMEN

• T"$9"+ $"##" #,*!d den)"n d!"$ee. 11 $

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Diagnosis kerja

Myoma uteri + Anemia

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Pen)e*,*""n

• U$$ – Ind!+"#! ."3" !n"9; 9e.:"!+! +e"d""n $$' – O:#e.@"#! KU; TTV – e+ d"."- .!n – In=# R!n)e. L"+" (00 20 ) $en! – T."n#=#! P"6+ Red De** 4 *": #d H: J 10C

• K-## – N,n<O9e."!=

• T":*e Fe 1 1

 – O9e."!= % LE H!#e.e+,$!

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9.,)n,#!#

• , "d #"n"!,n"$ % "d :,n"$• , "d @!"$ % "d :,n"$•

, "d =n!,n"$ % "d :,n"$

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TERIMA KASIH