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PORTOFOLIO
Kasus III
Topik : FRAKTUR TERTUTUP 1/3 FEMUR DEXTRA TIPE KOMPLIT DISPLACED
Tanggal (kasus) : 27 Nov 2015 Presenter : dr. Ri!"di Adi#$! A%ri&!"
Tanggal presentasi : - Pendamping : dr. R!#' F!(!ri!
Tempat presentasi : RSUD D!di T(o)rodi*o
Obyektif presentasi :
Keilmuan Keterampilan Penyegaran Tinauan Pustaka
!iagnostik "anaemen "asala# Istime$a
%eonatus &ay
i
'nak Remaa !e$asa Lansia &umil
!eskripsi :
Tuuan :&a#an ba#asan :
Tinauan
Pusaka
Riset Kasus 'udit
ara memba#as : !iskusi Presentasi
dan diskusi
mail Pos
!ata pasien : %ama : N. N.A / 17 #+ %o* registrasi :
%ama klinik : Telp : - Terdaftar seak : -
!ata utama untuk ba#an diskusi :
+* !iagnosis,ambaran Klinis : Fr!)#'r / P!#!+ #'"!, *!+! )!r-! KLL " SMRS
.* Ri$ayat Pengobatan : -
/* Ri$ayat Kese#atan, Penyakit :
0* Ri$ayat Keluarga, "asyarakat :
1* Ri$ayat Pekeraan :
2* Lain-lain :
!aftar Pustaka :
1. Tucker Susan Martin, 2007, Standar Perawatan Pasien: Perencanaan kolaboratif
dan intervensi keperawatan, Jakarta: !".
2. Price S#lvia $nderson, 200%, Patofisiolo&i: 'onsep 'linis Proses(proses Pen#akit,
Jakarta: !".
). *ikipedia ba+asa indonesia, 1 Juni 2010
. S-elter,suanne "., 2001, 'eperawatan Medikal /eda+, Jakarta: !".
5. P'r!di!#o A,'% d)). 42000. K-d!r'r!#! M-di). 6!)!r#! !r!#. i!r'*!
A)%!r!.
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. T+o8!% M!r) A.42011. T-r!*i d! r-+!i"i#!%i Fr!)#'r. 6!)!r#!. E9C. M'##!:i
Ari;. 4200
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Obyektif
P!d! *-8-ri)%!! ;i%i) did!*!#
Pemeriksaan Fisik
• K-!d!! '8'8 ? #!8*!) %!)i# %-d!,
• K-%!d!r! ? CM
• T-)!! D!r!+ ? 100/
8/19/2019 Portofolio Aldi Fraktur
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A'%)'"#!%i ? M'r8'r 4 9!""o* 4
Ado8-
I%*-)%i ? D!#!r
P!"*!%i ? D!#!r @-*!r d! "i- #id!) #-r!! N$-ri #-)! di #i#i)
-*i,!%#ri'8 4 d-;!% 8'%)'"-r 4 Tid!) #-r!! 8!%%!
P-r)'%i ? Ti8*!i
A'%)'"#!%i ? i%i, '%'% 4 or8!"
E)%#r-8i#!% ? CRT or8!". O-d-8 -#r-8i#!% %'*-rior /
O-d-8 -#r-8i#!% i;-rior /
4tatus Lokalis (Regio Pedis , Femur !e5tra) :
Inspeksi:
Tr!)%i #-r*!%!, d-,! -! 7 K,
D-;or8i#!% 4
O-d-8 4 P-rd!r!+! 4 L')! 4
P-8-d-) )! 4
Palpasi:
Ar#-ri r!di!"i% #-r!! 4
N$-ri #-)! 4
S'+' d! !r! %!8! d-,! )'"i# %-)i#!r 4
S-%ii"i#!% 4
9-r!) 4 )!r-! #-r*!%!, Tr!)%i
Pemeriksaan Penunang:
Laboratorium
@ ? 12 ,r/d"
L-')o%i# ? .300/883
Tro8o%i# ? 1.000/883
@-8!#o)ri# ? 1
9DS ?
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Radiologi
S--"'8 *-8!%!,! Tr!)%i S-#-"!+ *-8!%!,! Tr!)%i
'ssessment (Penalaran klinis)
P!%i- 17 #!+' d!#!, d-,! )-"'+! *!#!+ #'"!, *!+! %-(!) '"! $!, "!"'
)!r-! KLL. S!!# !!" )-(!di! *!%i- 8-o"!) '#') di*!%!, *-.
S!!# dir'8!+ *!%i- %-ri, 8-,'r'# )!)i $!.R/ K-"'!r =!ir! d!ri d!ri +id', d! #-"i,! 4
R/ M'#!+ *ro$-)#i" 4
R/ Pi,%! "!8! 4
R/ D-8!8 4
4tatus Lokalis (Regio Pedis , Femur !e5tra) :
Inspeksi:
Tr!)%i #-r*!%!, d-,! -! 7 K,
D-;or8i#!% 4
O-d-8 4 P-rd!r!+! 4 L')! 4
P-8-d-) )! 4
Palpasi:
Ar#-ri r!di!"i% #-r!! 4
N$-ri #-)! 4
S'+' d! !r! %!8! d-,! )'"i# %-)i#!r 4
S-%ii"i#!% 4
9-r!) 4 )!r-! #-r*!%!, Tr!)%i
L!or!#ori'8 4T-r"!8*ir
R!dio"o,i 4T-r"!8*ir
Di!,o%! di#-,!))! -rd!%!r)! A!8-%! K"ii% *!%i- d! PP
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!efinisi
Fr!)#'r !#!' *!#!+ #'"!, !d!"!+ #-r*'#'%$! )o#i'i#!% (!ri,! #'"!, #'"!, r!!
%-di #'"!, r!! -*i;i%i% !i) $!, -r%i;!# #o#!" 8!'*' $!, *!r%i!". Tr!'8! $!,
8-$-!)! #'"!, *!#!+ d!*!# -r'*! #r!'8! "!,%', #-)!! "!,%', *!d! #'"!, d!
#-r(!di ;r!)#'r *!d! d!-r!+ #-)!! d! #r!'8! #id!) "!,%', #r!'8! di+!#!r)! )- d!-r!+
$!, "-i+ (!'+ d!ri d!-r!+ ;r!)#'r. A)i!# #r!'8! -r,!#', *!d! (-i% #r!'8! )-)'!#!
!r!+$! d! '8'r *-d-ri#!.
KLASIFIKASI FRAKTUR
K"!%i;i)!%i ;r!)#'r di!,i 8-(!di?
1. M-'r'# !d! #id!)$! +'',! !#!r! *!#!+! #'"!, d-,! d'i! "'!r
Fr!)#'r #-r#'#'*
Fr!)#'r $!, 8-8*'$!i +'',! d-,! d'i! "'!r
Fr!)#'r #-r#'#'* di!,i 8-(!di?
9r!d- 0? Fr!)#'r i!%! d-,! %-di)i# !#!' #!*! =-d-r! (!ri,! "'!) %-)i#!r$!.
9r!d- I? Fr!)#'r d-,! !r!%i d!,)!" !#!' 8-8!r )'"i# d! (!ri,! %')'#!.
9r!d- II? Fr!)#'r $!, "-i+ -r!# d-,! )o#'%io (!ri,! "'!) !,i! d!"!8 d! *-8-,)!)!.
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9r!d- II? C-d-r! -r!# d-,! )-r'%!)! (!ri,! "'!) $!, $!#! d! !=!8!
%idro8)o8*!r#-8-
Fr!)#'r #-r')!
Fr!)#'r $!, 8-8*'$!i +'',! d-,! d'i! "'!r 8-"!"'i "')! *!d! )'"i#
d! (!ri,! "'!).Fr!)#'r #-rr')! di!,i 8-(!di?
9r!d- I? "')! -r%i+ d-,! *!(!, )'r!, d!ri 1 =8
9r!d- II? "')! "-i+ "'!% #!*!)-r'%!))! (!ri,! "'!) $!, -)%#-%i;.
9r!d- III? %!,!# #-r)o#!8i!%i d! 8-,!"!8i )-r'%!))! (!ri,! "'!) -)%#-%i;.
2. M-'r'# -#io"o,i%
Fr!)#'r #r!'8!#i=
T-r(!di )!r-! #r!'8! $!, #i!#i!
Fr!)#'r *!#o"o,i%
T-r(!di )!r-! )-"-8!+! #'"!, %--"'8$! !)i!# )-"!i! *!#o"o,i% *!d!
#'"!, 8!'*' di "'!r #'"!, 8i%!"$! #'8or i;-)%i !#!' o%#-o*oro%i%.
Fr!)#'r %#r-%%T-r(!di )!r-! -! "!8! !#!' #r!'8! ri,! $!, #-r'%8--r'% *!d! %'!#'
#-8*!# #-r#-#' 8i%!"$! ;r!)#'r *!d! #'"!, #ii! !#!' 8-#!#!r%!" *!d! #-#!r!
!#!' o"!+r!,!! $!, %-ri, -r"!ri !#!' !ri%-r!ri%.
3. M-'r'# )o8*"i# #id!)$! ,!ri% ;r!)#'r
Fr!)#' )o8*"i#
A*!i"! ,!ri% *!#!+ $!, 8-"!"'i %-"'r'+ *-!8*!, #'"!, !#!' 8-"!"'i
)-d'! )or#-)% #'"!,.
Fr!)#'r #id!) )o8*"i#
A*!i"! ,!ri% *!#!+ #id!) 8-"!"'i %-"'r'+ *-!8*!, #'"!,.. M-'r'# ,!ri% ;r!)#'r
Tr!%v-r%!"
O"i:
S*ir!"
Ko8i'#i;
K'*')'*'
S-,8-#!"
D-*r-%i
5. M-'r'# -r,-%-r !#!' #id!) -r,-%-r$! ;r!,8-;r!,8- ;r!)#'r
Fr!)#'r 'di%*"!=-d
9!ri% *!#!+ )o8*"i# #-#!*i )-d'! ;r!,8- #id!) -r,-%-r
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Fr!)#'r di%*"!=-d
T-r(!di *-r,-%-r! ;r!,8-;r!,8- ;r!)#'r
Patogenesis
T'"!, -r%i;!# r!*'+ !8' =')'* 8-8*'$!i )-)'!#! d! ,!$! *-,!% '#') 8-!+!.
T!*i !*!i"! #-)!! -)%#-r!" $!, d!#!, "-i+ -%!r d!ri $!, d!*!# di%-r!* #'"!, 8!)!
#-r(!di"!+ #r!'8! *!d! #'"!, $!, 8-,!)i!#)! r'%!)$! !#!' #-r*'#'%$! )o#i'i#!%
#'"!,. S-#-"!+ #-r(!di ;r!)#'r *-rio%#-'8 d! *-8'"'+ d!r!+ %-r#! %!r!; d!"!8 )or#-)%
8!rro d! (!ri,! "'!) $!, 8-8',)'% #'"!, r'%!). P-rd!r!+! #-r(!di )!r-!
)-r'%!)! #-r%-'# d! #-r-#')"!+ +-8!#o8! di ro,,! 8-d'"! #'"!,. 6!ri,! #'"!,
%-,-r! -rd-)!#! )- !,i! #'"!, $!, *!#!+. 6!ri,! $!, 8-,!"!8i -)ro%i% ii
8-%#i8'"!%i #-r(!di$! r-%*o i;"!8!%i $!, di#!d!i d-,! v!%odi"!#!%i -)%'d!%i *"!%8!
d! "-')o%i# d! i;i"#r!%i %-" d!r!+ *'#i+. K-(!di! ii"!+ $!, 8-r'*!)! d!%!r d!ri *ro%-%
*-$-8'+! #'"!, !#i$! F!)#or;!)#or $!, 8-8*-,!r'+i ;r!)#'r?
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#-r+!d!* -%!r !)#' d! !r!+ #-)!! $!, d!*!# 8-$-!)! ;r!)#'r.
2 F!)#or I#ri%i) --r!*! %i;!# $!, #-r*-#i, d!ri #'"!, $!, 8--#')! d!$! #!+!
'#') #i8'"$! ;r!)#'r %-*-r#i )!*!%i#!% !%or%i d!ri #-)!! -"!%#i%i#!% )-"-"!+! d!
)-*!d!#! !#!' )-)-r!%! #'"!,.
M!i;-%#!%i K"ii)
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=. E=+i8o%i% 4M-8!r
d. S*!%8- o#o#
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;. K'r!,/+i"!, %-%!%i
,. Kr-*i#!%i
+. P-r,-r!)! !or8!"
i. Ro#,- !or8!"
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Pemeriksaan Penunang
A. P-8-ri)%!! R!dio"o,i ? M--#')! "o)!%i/(-i%/"'!% ;r!)#'r %=! #'"!, #-8o,r!8
%=!i, d!*!# di,'!)! '#') 8-,id-#i;i)!%i )-r'%!)! (!ri,! "'!).
. @i#', d!r!+ "-,)!*? L-')o%i# @
D. Kr-!#ii ? #r!'8! o#o# 8-i,)!#)! -! )r-!#ii '#') ,i(!".
E. Pro;i" )o!,'"!%i ? *-r'!+! d!*!# #-r(!di *!d! )-+i"!,! d!r!+ #r!%;'%i 8'"#i*"- !#!'
=-d-r!+ +!#i.
F. L!or!#ori'8 "!i $!, -r+'',! d-,! %#!d!r *-r%i!*! *ro%-d'r o*-r!%i
Proses Penyembu#an Tulang
T'"!, i%! -r-,--r!%i %!8! %-*-r#i (!ri,! #''+ $!, "!i. Fr!)#'r 8-r!,%!,
#''+ '#') 8-$-8'+)! #'"!, $!, *!#!+ d-,! (!"! 8-8-#') #'"!, !r' di!#!r!
'(', *!#!+! #'"!,. T'"!, !r' di-#') o"-+ !)#ivi#!% %-"%-" #'"!,. Ad! "i8! %#!di'8
*-$-8'+! #'"!, $!i#'?
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di%-)i#!r d!-r!+ ;r!)#'r. S-"%-" d!r!+ 8-8-#') ;iri ,'! 8-"id',i #'"!, $!, r'%!)
d! %-!,!i #-8*!# #'8'+$! )!*i"-r !r' d! ;iro"!%#. S#!di'8 ii -r"!,%', 2 <
(!8 d! *-rd!r!+! -r+-#i %!8! %-)!"i.
2 S#!di'8 D'!Pro"i;-r!%i S-"'"-r P!d! %#!di'8 ii #-r(!di *ro"i;-r!%i d! di;;-r-%i!%i %-"
8-(!di ;iro )!r#i"!,o $!, -r!%!" d!ri *-rio%#-'8G-do%#-'8 d! o- 8!rro $!,
#-"!+ 8-,!"!8i #r!'8!. S-"%-" $!, 8-,!"!8i *ro"i;-r!%i ii #-r'% 8!%') )- d!"!8 "!*i%!
$!, "-i+ d!"!8 d! di%!!"!+ o%#-o"!%# -r-,--r!%i d! #-r(!di *ro%-% o%#-o,--%i%.
D!"!8 --r!*! +!ri #-r-#')"!+ #'"!, !r' $!, 8-,,!',)! )-d'! ;r!,8- #'"!,
$!, *!#!+. F!%- ii -r"!,%', %-"!8! < (!8 %-#-"!+ ;r!)#'r %!8*!i %-"-%!i #-r,!#',
;r!)#'r$!.
3 S#!di'8 Ti,!P-8-#')! K!""'% S-"%-" $!, -r)-8!, 8-8i"i)i *o#-%i $!,
)odro,-i) d! o%#-o,-i) i"! di-ri)! )-!d!! $!, #-*!# %-" i#' !)! 8'"!i
8-8-#') #'"!, d! (',! )!r#i"!,o. Po*'"!%i %-" ii di*-,!r'+i o"-+ )-,i!#! o%#-o"!%#
d! o%#-o)"!%# 8'"!i -r;',%i d-,! 8-,!%or%i %-"%-" #'"!, $!, 8!#i. M!%%! %-" $!,
#-!" d-,! #'"!, $!, i8!#'r d! )!r#i"!,o 8-8-#') )!""'% !#!' -!# *!d! *-r8')!!
-do%#-!" d! *-rio%#-!". S-8-#!r! #'"!, $!, i8!#'r 4!$!8! #'"!, 8-(!di "-i+
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*!d!# %-+i,,! ,-r!)! *!d! #-8*!# ;r!)#'r -r)'r!, *!d! 8i,,' %-#-"!+ ;r!)#'r
8-$!#'.
S#!di'8 E8*!#Ko%o"id!%i i"! !)#ivi#!% o%#-o="!%# d! o%#-o"!%# -r"!('# !$!8!
#'"!, -r'!+ 8-(!di "!8-""!r. Si%#-8 ii %-)!r!, =')'* )!)' d! 8-8',)i)!
o%#-o="!%# 8--roo% 8-"!"'i r-r'#'+! *!d! ,!ri% ;r!)#'r d! #-*!# di-"!)!,$!
o%#-o="!%# 8-,i%i =-"!+=-"!+ $!, #-r%i%! di!#!r! ;r!,8- d-,! #'"!, $!, !r'. Ii
!d!"!+ *ro%-% $!, "!8!# d! 8',)i *-r"' --r!*! '"! %--"'8 #'"!, )'!# '#')
8-8!! -! $!, or8!".
5 S#!di'8 Li8!R-8od-""i, Fr!)#'r #-"!+ di(-8!#!i o"-+ %'!#' 8!%-# #'"!, $!,
*!d!#. S-"!8! --r!*! '"! !#!' #!+' *-,-"!%! )!%!r ii di-#') '"!, o"-+ *ro%-%
r-%or%i d! *-8-#')! #'"!, $!, #-r'%8--r'%. L!8-""!- $!, "-i+ #-!" di"-#id!))!
*!d! #-8*!# $!, #-)!!$! "-i+ #i,,i didi, $!, #id!) di)-+-d!)i di'!, ro,,!
%'8%'8 di-#') d! !)+ir$! di-#') %#r')#'r $!, 8iri* d-,! or8!"$!.
Komplikasi
1 Ko8*"i)!%i A!"
!. K-r'%!)! Ar#-ri P-=!+$! !r#-ri )!r-! #r!'8! i%! di#!d!i d-,! #id!) !d!$! !di
CRT 8-'r' =$!o%i% !,i! di%#!" +-8!#o8! $!, "-!r d! di,i *!d! -)%#ri8i#!%
$!, di%-!)! o"-+ #id!)! -8-r,-%i %*"i#i, *-r'!+! *o%i%i *!d! $!, %!)i#
#id!)! r-d')%i d! *-8-d!+!.
. Ko8*!r#-8-# S$dro8 Ko8*!r#-8-# S$dro8 8-r'*!)! )o8*"i)!%i %-ri'% $!,
#-r(!di )!r-! #-r(-!)$! o#o# #'"!, %!r!; d! *-8'"'+ d!r!+ d!"!8 (!ri,! *!r'#. Ii
di%-!)! o"-+ o-d-8! !#!' *-rd!r!+! $!, 8--)! o#o# %!r!; d! *-8'"'+ d!r!+.
S-"!i i#' )!r-! #-)!! d!ri "'!r %-*-r#i ,i*% d! -8-!#! $!, #-r"!"' )'!#.
=. F!# E8o"i%8 S$dro8 F!# E8o"i%8 S$dro8 4FES !d!"!+ )o8*"i)!%i %-ri'% $!,
%-ri, #-r(!di *!d! )!%'% ;r!)#'r #'"!, *!(!,. FES #-r(!di )!r-! %-"%-" "-8!) $!,
di+!%i")! o- 8!rro )'i, 8!%') )- !"ir! d!r!+ d! 8-$-!)! #i,)!# o)%i,-
d!"!8 d!r!+ r-d!+ $!, di#!d!i d-,! ,!,,'! *-r!;!%! #!=+$)!rdi +$*-r#-%i
#!=+$*-! d-8!8.
d. I;-)%i S$%#-8 *-r#!+!! #''+ r'%!) i"! !d! #r!'8! *!d! (!ri,!. P!d! #r!'8!or#+o*-di= i;-)%i di8'"!i *!d! )'"i# 4%'*-r;i=i!" d! 8!%') )- d!"!8. Ii i!%!$! #-r(!di
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*!d! )!%'% ;r!)#'r #-r')! #!*i i%! (',! )!r-! *-,,'!! !+! "!i d!"!8 *-8-d!+!
%-*-r#i *i d! *"!#.
-. Av!%)'"-r N-)ro%i% Av!%)'"-r N-)ro%i% 4ABN #-r(!di )!r-! !"ir! d!r!+ )- #'"!, r'%!)
!#!' #-r,!,,' $!, i%! 8-$-!)! -)ro%i% #'"!, d! di!!"i d-,! !d!$!
Bo")8!H% I%=+-8i!.
;. S+o=) S+o=) #-r(!di )!r-! )-+i"!,! !$!) d!r!+ d! 8-i,)!#$! *-r8-!i"i#!%
)!*i"-r $!, i%! 8-$-!)! 8-'r'$! o)%i,-!%i. Ii i!%!$! #-r(!di *!d! ;r!)#'r.
2 Ko8*"i)!%i D!"!8 !)#' L!8!
!. D-"!$-d Uio D-"!$-d Uio 8-r'*!)! )-,!,!"! ;r!)#'r -r)o%o"id!%i %-%'!i d-,!
!)#' $!, di'#'+)! #'"!, '#') 8-$!8',. Ii di%-!)! )!r-! *-'r'! %'*!i
d!r!+ )- #'"!,.
. No'io No'io 8-r'*!)! )-,!,!"! ;r!)#'r -r))o%o"id!%i d! 8-8*rod')%i
%!8',! $!, "-,)!* )'!# d! %#!i" %-#-"!+ '"!. No'io di#!d!i d-,!
!d!$! *-r,-r!)! $!, -r"-i+ *!d! %i%i ;r!)#'r $!, 8-8-#') %-di *!"%' !#!'
*%-'do!r#+ro%i%. Ii (',! di%-!)! )!r-! !"ir! d!r!+ $!, )'r!,.
=. M!"'io M!"'io 8-r'*!)! *-$-8'+! #'"!, di#!d!i d-,! 8-i,)!#$!
#i,)!# )-)'!#! d! *-r'!+! -#') 4d-;or8i#!%. M!"'io di"!)')! d-,!
*-8-d!+! d! r-i8oi"i%!%i $!, !i).
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di*-r%i!*)! '#') 8-(!"!i *ro%-d'r +!r'% di*-ro"-+ i&i '#') 8-"!)')! *ro%-d'r d!
!!",-#i)! di-ri)! %-%'!i )-#-#'!. M',)i *-r"' di"!)')! !!%#-%i!. E)%#r-8i#!% $!,
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8/19/2019 Portofolio Aldi Fraktur
14/14
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d! 8-i,)!#)! *-r-d!r! d!r!+. P!r#i%i*!%i d!"!8 !)#ivi#!% +id'* %-+!ri+!ri di'%!+!)!
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Plan
!iagnosis :
Pr- O* ? Fr!)#'r #-r#'#'* 1/3 8-di!" ;-8'r D-#r! #i*- Ko8*"i# Di%*"!=-d
Po%# O*? Po%# O* *-8!%!,! Tr!)%i !i. Fr.F-8'r D-#r! N-,"-#-d ;r!)#'r J M!"'io
Pengobatan :
T-r!*i *o%# *-8!%!,! Tr!)%i !#!% !dvi=- dr.S*oT
IBFD RL 20 #*8 48!)ro
I(. C-;#ri!o- / 12 (!8 4%-!,!i !#iio#i)! !d-)'!# "-')o%i#o%i%
I(. R!i#idi/ 12 (!8 48-,'r!,i ,-(!"! $, -r+'',! d-,! )-"-i+! !%!8 "!8',
i(. K-#oro"o!= 30 8, / 12 (!8 4%-!,!i !#i $-ri $!, !d-)'!#
Pendidikan : Ed')!%i *!%i- #-#!, *-#i, $! 8oi"i"!%i -r#!+!* d! 8-(!,! )--r%i+! #r!)%i
Konsultasi : Di(-"!%)! %-=!r! r!%io!" #-#!, #!#!"!)%!! $!, di-ri)!
Ruukan : R'(')! )-*!d! do)#-r %*-%i!"i% or#o*-di
Kontrol : Ko#ro" '"!, 8ii8!" 1 8i,,' %-#-"!+ *-r!!#! *o%# o*-r!%i