Print Labu 1

8/20/2019 Print Labu 1

1/17

LAPORAN JAGA MINGGUANSenin, 3 November 2014 s/d Mingg, ! November 2014

"AGIAN O"S#$#RI %AN GIN$&OLOGI

RS' P$R#AMINA "IN#ANG AMIN

Konsulen jaga (dr' ")mb)ng &rni)*)n, S+'OG

dr' ond) O-.)ri)ningsi S, S+'OG

o )ss. J)g) (

J))ng ")dr)m)n S, S'&ed

Nr L)i) ri), S'&ed

R)r) Ade &)n)n.i, S'&ed


2/17

JUMLA5 PASI$N POLI&LINI& O"S#$#RI %AN GIN$&OLOGI

RS' P$R#AMINA "IN#ANG AMIN

Senin, 3 November 2014 s/d Jm6)., 7 November 2014&onsen J)g)( dr' ")mb)ng &rni)*)n, S+'OG

dr' ond) O-.)ri)ningsi S, S+'OG

No' %i)gnosis Jm)

1. GINEKOLOGI(1) Perdarahan pada kehamilan muda

- Abortus Imminens- Abortus Incipiens8 Abor.s In9om+e.e

8 Abor.s om+e.e

- Mola Hdatidosa

- K!"

(#) Pregnanc loss- Missed abortion8 "ig.ed ovm

- $eath conceptus

(%) In&eksi- 'aginitis- andidiasis8 :vov)gini.is

- ondloma8 PI%

- Adneitis- er*icitis

1

2

1

;

2


3/17

(+) "umor • "umor jinak

- 'ul*a- 'agina8 U.ers

- "uba &allopi dan jaringan sekitar 8 Ov)rim

• "umor ganas- 'ul*a- 'agina- ,er*iks uteri- Korpus uteri- Adneksa- *arium

- "ro&oblast

() /angguan Haid- Amenorea

8 %isminore)

- Metroragi- Menometroragi

(0) /angguan Hormonal- Menopause

() "rauma- 2aserasi post coital- 2aserasi post partus- !rosi

2

2

3


4/17

(3) Kelainan letak rahim- Prolapsus 4teri- 5etro&leio 4teri- In*ersio 4teri

(6) In&ertil- In&ertil primer - In&ertil sekunder

(17) H!/(11) P4$(1#) P!8

#. 8,"!"5I8 AN 11

%. K9"528 Pos. P)r.s S+on.)n

8 Pos. S

- Post K!"- Post ,,8 Pos. 5#

8 Pos. 5# < SO"

8 Pos. &re.

- Post M:8 Pos -emo

- Post marsupialisasi- Post I4$

4

!

1

2

1

3

+. "I9$AKA9- ,;ab *agina- Pap smear - Pasang pesareum


5/17

- ek too < rubella- "es Kehamilan

. K8- ,untik - Pil

- I4$- Implant- Kondom

0. K9,42- Hasil 8iops- Hasil 89- Hasil Pap smear

Jm) P)sien 4!

Jm) #ind)-)n 0

Jm) #o.) 4!


6/17

LAPORAN PASI$N POS# OP$RASI $L$I

"AGIAN O"S#$#RI %AN GIN$&OLOGI

RS'P$R#AMINA "IN#ANG AMIN 5USA%A

3November = 7November 2014

5)ri /

#)ngg)Iden.i.)s

%i)gnos)

Pre8O+er)siR/ #ind)-)n

%i)gnos)

In.r)

O+er)si

#ind)-)n%i)gnos)

Pos.8O+er)siO+er).or

,enin= %-11-

#71+

9. 2inda;ati=

#+ thn

M5. 7%#61

/#P7A1 hamil

aterm inpartu

kala 1 &ase laten

>"H presbo

,,"P /#P7A1 hamil

aterm inpartu

kala 1 &ase laten

>"H presbo

,,"P P1A1 post ,,"P a?i

presbo

dr. 8ambang

Kurnia;an= ,p./

9. >umlatun=

#+ thnM5. 7%#66+

/#P7A1 hamilaterm inpartu

kala 1memanjang >"H

preskep

,,"P /#P7A1 hamilaterm inpartu

kala 1memanjang >"H

preskep

,,"P P1A1 post ,,"P a?ikala 1 memanjang

dr. 8ambang

Kurnia;an= ,p./

,elasa= +-11-

#71+

9. 9urhaati=

# thn

M5. 7#%771

Mioma 4teri Histerektom Mioma 4teri <Kista o*arium

dekstra

Histerektom Post Histerektoma?i Mioma 4teri <

Kista o*ariumdekstra

dr. 8ambang

Kurnia;an= ,p./

9. Mastriani=

+7 thn

M5. 7%%7%0

/+P%A7 hamilaterm inpartu

kala 1memnajang >"H

presbo

,,"P"H

presbo

,,"P


7/17

5abu= -11-

#71+

9. 9urmah=

+7 thn

M5. 7%%11+

/1P7A7 hamilaterm inpartu

kala 1memnajang >"H

presbo

,,"P /1P7A7 hamilaterm inpartu

kala 1memnajang >"H

presbo

,,"P P1A7 post ,,"P a?i presbo

dr. 8ambang

Kurnia;an= ,p./

Kamis= 0-11-

#71+

9. Mel= #

thn

M5. 7%%11+

/%P#A7 hamil

aterm KP$ %hari inpartu kala

1 memanjang>"H preskep

,,"P"H preskep

,,"P"H < letli

dr. 8ambang

Kurnia;an= ,p./

9. Ampriani=

%0 thn

M5. 7%%1%%

Mioma 4teri Histerektom Mioma 4teri Histerektom Post Histerektoma?i Mioma 4teri

dr. 8ambang

Kurnia;an= ,p./

>umat= -11-

#71+

9. 2ia A=

#% thn

M5. 7%%%#7

/1P7A7 hamilaterm KP$ 1#

jam beluminpartu >"H preskep

,,"P /1P7A7 hamilaterm KP$ 1#

jam beluminpartu >"H

preskep

,,"P P1A7 post ,,"P a?iKP$ 1# jam

dr. onda

ktarianingsih ,=

,p./

,abtu= 3-11-

#71+

9. 5eno =

#6 thn

M5. 7%%%7

/1P7A7 hamilaterm beluminpartu >"H

preskep denganPP"

,,"P /1P7A7 hamilaterm beluminpartu >"H

preskep denganPP"

,,"P P1A7 post ,,"P a?iPP"

dr. 8ambang

Kurnia;an= ,p./

9. ,usiah=

%6 thnM5. 7%%%#7

Kista *ariumdekstra

"ubektomi $ekstra Kista *arium$ekstra

"ubektomi $ekstra Post tubektomi e.c.kista *arium

dekstra

dr. 8ambang

Kurnia;an= ,p./

9= "utiHandaani=

#+ th

/1P7A7 hamilaterm P$

belum inpartu>"H preskep

,,"P /1P7A7 hamilaterm P$

belum inpartu>"H preskep

,,"P P1A7 post ,,"P a?iP$ < pengapuran

plasenta

dr. 8ambang

Kurnia;an= ,p./


8/17

M5. 7%%%0+ dengan pengapuran

plasenta

dengan pengapuran

plasenta

PASI$N &AMAR "$RSALIN

RS P$R#AMINA "IN#ANG AMIN


9/17

3November 2014 s'd !November 2014

&onsen J)g)( dr' ")mb)ng &rni)*)n,'S+'OG

dr' ond) O9.)ri)ningsi,'S+'OG

Senin , 3November 2014

isioogis ( 0 P).oogis ( 3 Gine-oogi ( 1Jenis

&ondisi

N

o

MR Iden.i.)s %i)gnos)

M)s-

Pen).))-s)n))n %i)gnos) Pr)

#ind)-)n

#ind)-)n %i)gnos)

P)s9)

#ind)-)n

&e.er)ng)n

Obs.e.ri

P).oogis

1 7%%770 Mastriani+7 th

M5, 1#.%7:I8

/+P%A7 hamilaterm inpartukala 1memnajang >"H presbo

• 5c. "erminasi perabdominal

• bs. K4= "'I= $>>

• ek $2= "= 8"

• I'$ 52 makro BBgtt?menit

• e&operaCon 1 g?3 jam

•

Pasang kateter • Persiapan (iCin= alat= obat)

/+P%A7 hamilaterm inpartukala 1memnajang >"H presbo

,,"P < M: P+A7 post,,"P< M: a?i presbo

2ahir neonatushidup"gl + 9o*D1+Pk 1+.# :I8>K E88 #+77 gramP8 +% cmA?, 0?3

(",/A)

Obs.e.ri

P).oogis

# 7%666+ >umlatun#+ th

M5, 11.%7:I8

/#P7A1 hamil %0minggu inpartukala 1 &ase akti&memanjang >"H presbo


• bs. K4= "'I= $>>

• ek $2= "= 8"


• e&aColin 1 g?3 jam

• Pasang kateter

• Persiapan (iCin= alat= obat)

/#P7A1 hamil %0minggu inpartukala 1 &ase akti&memanjang >"H presbo

,,"P P1A1 post,,"Pa?i kala 1 &aseakti&memanjang < presbo

2ahir neonatushidup"gl 9o*D1+Pk 1%.77 :I8>K F88 %77 gramP8 + cmA?, 3?6("A/A)

Gine-oog

i

% 7%#660 4s;atun

#+ thM5, 1+.77

:I8

Death

conception

• 5c. $ilatasi dan kuretase

• bs. K4= ""'= pendarahan

• ek $2= "?8"


• e&uroksim7 mg

Death

conception

Kuretase Post kuretase a?i

deathconception

• 2ahir neonatus

meninggal"gl + no*D1+Pk 17.77 :I8>K F88 %77 gramP8 #7 cm

• $idapatkan


10/17

prekuretase

• Misoprostol # tab per*aginam

jaringan <darah G177 ml

Obs.e.ri

P).oogis

+ 7%%7%6 :arati%3 th

M5, #7.+

:I8

,usp. abortusinsipiens

• 5c. 4,/ abdomen


• $rip $u*adilan 17 mg dlm$ makro BBgtt?menit


• As. "raneksamat i* amp77 mg? ml %1 amp

,usp. abortusinsipiens

4,/ Abdomen Blighted ovum

+ 9o*D1+ Blighted ovum • 5c. Kuretase


• ek $2= "?8"

• I'$ $makro BBgtt?menit


• As. "raneksamat i* amp77 mg? ml %1 amp

Blighted ovum Kuretase Blighted ovum $idapatkan jaringan < darahG17 ml

Se)s), 4 November 2014

isioogis ( 0 P).oogis ( 2 Gine-oogi ( 0

Jenis

&ondisi

N

o


M)s-


#ind)-)n

#ind)-)n %i)gnos)

P)s9)

#ind)-)n

&e.er)ng)n

Obs.e.ri

P).oogis

1 7%%7+ @uliasmi%+ th

M5, 7.77:I8

/+P#A1 hamilaterm dg KP$G% jsmrs < P!8inpartu kala I&ase akti& >"H preskep

• 5c. partus normal

• bs. K4= "'I= His= = $>>


• 9i&edipin %17 mg

• Mg,++7 + g?3 jam boka-boki dilanjutkan + g

/+P#A1 hamilaterm dg KP$G% jsmrs < P!8inpartu kala I&ase akti& >"H preskep


11/17

boka?boki dalam #+ jam

• !*aluasi partogra& standar:H

7.%7 :I8 /+P#A1 hamilaterm dg KP$G% jsmrs < P!8

inpartu kala II>"H preskep

Pimpin persalinan /+P#A1 hamilaterm dg KP$G% jsmrs < P!8

inpartu kala II>"H preskep

Partus normal P%A1 postpartusnormal dengan

P!8

2ahir neonatushidup"gl 9o*D1+

Pk 70.77 :I8>K E88 %77 gramP8 # cmA?, 3?6("A/A)

Obs.e.ri

P).oogis

# 7%%76 @uliana ,ari## th

M5, 1#.7:I8

/1P7A7 hamil %0-% minggu dgKP$ G1# jsmrsinpartu kala I&ase laten >"H preskep dg ga;at janin


• bs. K4= "'I= $>>

• ek $2= "= 8"


•e&triaone 1 g?3 jam

• # # 2?menit

• Pasang kateter


/1P7A7 hamil %0-% minggu dgKP$ G1# jsmrsinpartu kala I&ase laten >"H preskep dg ga;at janin

,,"P P1A7 post,,"P aiKP$ G1# jsmrs < ga;at janin

2ahir neonatushidup"gl 9o*D1+Pk 1#.7 :I8>K F88 %777 gramP8 +6 cm

A?, 3?6("A/A)

R)b, ;November2014


Jenis

&ondisi

Obs.e.ri

N

o


M)s-


#ind)-)n

#ind)-)n %i)gnos)

P)s9)

#ind)-)n

&e.er)ng)n

Obs.e.riisioogis

1 7%%117 9urulhairiah

#% thM5, 7#.77

:I8

/1P7A7hamilater m inpartu kala I&ase akti&memanjang >"H preskep

• 5c. partus normal• bs. K4= "'I= His= = $>>

• $rip tocin I4 dlm52 makro BB gtt?menit


/1P7A7hamilater m inpartu kala I&ase memanjang>"H preskep


12/17

7%.7 :I8 /1P7A7 hamilaterm inpartukala II >"H preskep

Pimpin persalinan /1P7A7 hamilaterm inpartukala II >"H preskep

Partus normal P1A7 postpartusnormal

2ahir neonatushidup"gl 9o*D1+Pk 7+. :I8>K E88 %177 gram

P8 + cmA?, 0?3("A/A)

Obs.e.ri

P).oogis

# 7%%1%% Mel:ongdani

# thM5, 7.77

:I8

/%P#A7 hamilaterm dg KP$G# jsmrsinpartu kala I&ase latenmemanjang >"H preskep

• 5c. partus normal

• bs. K4= "'I= His= = $>>

• ek $2= "?8"= /$,=,/"?,/P"= 4?

• $rip tocin I4 dlm77 ml 52 makro BBgtt?menit


/%P#A7 hamilaterm dg KP$G# jsmrsinpartu kala I&ase latenmemanjang >"H preskep

Induksi /agal induksi

0 9o*D1+ /%P#A7 hamil

aterm dg KP$G# jsmrs dangagal induksiinpartu kala I&ase latenmemanjang >"H preskep

• 5c. "erminasi

perabdominal• bs. K4= "'I= $>>

• ek $2= "= 8"



• Pasang kateter


/%P#A7 hamil

aterm dg KP$G# jsmrs dangagal induksiinpartu kala I&ase latenmemanjang >"H preskep

,,"P < M: P%A7

post,,"P aigagal induksi< KP$ G# jsmrs

2ahir neonatus

hidup"gl 0 9o*D1+Pk 1.77 :I8>K E88 #77 gramP8 ++ cmA?, ?3("A/A)

Gine-oog

i

% Ampriani%+ th

M5, 1.77:I8

Mioma uteri dganemia sedang

• 5c. "rans&usi P5

• 5c. Histerektomi


• ek $2= "?8"= /$,=,/"?,/P"= 4?= !K/=5o.thora PA



Mioma uteri dganemia sedang

H",' Mioma uteridg anemiasedang

• Hb preop J 6=1 g

• "rans&usi P5 1kol&

• Hb post trans I J17=7 g

• Hb post op J 3=0g

• "rans&usi P5 1kol&


13/17

• Pasang kateter

• Persiapan (iCin= alat= obat=konsultasi IP$ Ans)

• Hb postrans II J6= g

&)mis, > November 2014isioogis ( 1 P).oogis ( 2 Gine-oogi ( 0

Jenis

&ondisi

Obs.e.ri

N

o


M)s-


#ind)-)n

#ind)-)n %i)gnos)

P)s9)

#ind)-)n

&e.er)ng)n

Obs.e.ri

isioogis

1 7%%130 5odiah%0 th

M5, 73.%7:I8

/+P#A1 aterminpartu kala I&ase akti& >"H presbo

• 5c. partus spontan

• bs. K4= ""'= His= dan ibu serta $>>

• $rip tocin 1 ampdalam 52 #7 gtt?menit

• e&aColin 1 g ? 3 jam


/+P#A1 aterminpartu kala I&ase akti& >"H presbo

7%%130 5odiah%0 th

M5, 73.%7:I8

/+P#A1 aterminpartu kala II&ase akti& >"H presbo

• Pimpin persalinan /+P#A1 aterminpartu kala II&ase akti& >"H presbo

• Partus spontan P%A1 post partus spontan presbo

• "gl 9o*D1+ pk 1+.%7 :I82ahir 9eonatus E88J %777 gP8J 1 cmA?, #?%"A/A

Obs.e.ri

P).oogis

# 7%%1%# 5ima

Mansur %+ thM5,17.77

:I8

/#P1A7 aterm

KP$ G jsmrsinpartu kala I&ase laten >"H presbo

• 5c. "erminasi

perabdominal• bs. K4= ""'= His= dan

ibu serta $>>

• ek $2= "?8"= 4?=/$,.

• I'$ 52 makro #7 tpm

/#P1A7 aterm

KP$ G jsmrsinpartu kala I&ase laten >"H presbo

,,"P P#A7 post, ai

KP$ G jsmrs< presbo

• "gl 9o*D1+ pk

1#.7 :I82ahir 9eonatus F88J #77 gP8J +6 cmA?, 0?3

• "A/A


14/17


• Pasang kateter

• Persiapan (iCin= alat danobat)

Gine-oog

i

% 7%%#76 Indra;ati# th

M5, 17.1:I8

/#P1A7 minggudengan

pendarahan per*aginam blminpartu ecabortus iminens

• 5c. 4,/ tgl 9o*D1+


• $rip $u*adilan dalam 52#7 gtt?menit

• e&aColin1 g?3 jam

• ,albutamol mg?3 jam

/#P1A7 minggu pendarahan

per*aginam blminpartu ecabortus iminens

4,/ Abdomen /#P1A7 minggu

pendarahan per*aginam blm inpartu ecabortusiminens

Hasil 4,/Jtidak ada kelainan

Jm)., ?November 2014


Jenis

&ondisiObs.e.ri

N

o


M)s-


#ind)-)n

#ind)-)n %i)gnos)

P)s9)#ind)-)n

&e.er)ng)n

Obs.e.ri

P).oogis

1 7%%%#7 2ia Amalia#% th

M5, 1.%7:I8

/1P7A7 postterm+1 minggu KP$G1# jsmrs beluminpartu >"H preskep



• ek $2= "?8"= 4?=/$,.


• e&triakson1 g ? 3 jam

• Pasang kateter

•

Persiapan (iCin= alat danobat)

/1P7A7 postterm+1 minggu KP$G1# jsmrs beluminpartu >"H preskep

,,"P P1A7 post,a?i KP$ G1# jsmrs

"gl 9o*D1+ pk 1+.#7 :I82ahir 9eonatus F88 +#77 gP8 +6 cmA?, 0?3 "2/A

Obs.e.ri

P).oogis

# 7%%%7 5enokta*ia

#3 thM5, 1.%7

/1P7A7 aterm plasenta pre*iatotalis preskep blm inpartu >"H



/1P7A7 aterm plasenta pre*iatotalis preskep blm inpartu >"H

,,"P P1A7 post,a?i plasenta pre*ia totalis

"gl 9o*D1+ pk 76.# :I82ahir 9eonatusF


15/17

:I8 • ek $2= "?8"= 4?=/$,.


• e&aColin1 g ? 3 jam

• Pasang kateter


88J #677 gP8J +3 cmA?, 0?"A/A

Gine-oog

i

% 7%%%%+ Masamah#3 th

M5, #1.%7:I8

/%P1A1 hamil minggu denganPendarahan per*aginam blminpartu ecabortus iminens

• 5c. 4,/ tgl 3 9o*D1+


• ek $2

• $rip $u*adilan 1 ampdalam 52 #7 gtt?menit


• Hstolan L tab?1# jam

/%P1A1 minggudenganPendarahan per*aginam blminpartu ecabortus iminens

7%%%%+ Masamah#3 thM5, #1.%7

:I8

/%P1A1 minggudenganPendarahan per*aginam blminpartu ecabortusinkomplit

•

5c. 4,/ ulang tgl 6 9o*D1+• 5c. $ilatasi dan kuretase


• ek $2= "= 8"

• 52 #7 gtt?menit


/%P1A1 minggudenganPendarahan per*aginam blminpartu ecabortusinkomplit

Kuretase P1A# postkuretase a?iabortusinkomplit

Hasil 4sg Jabortusinkomplit

Gine-oog

i

+ 7%%#3 ,usiah%6 th

M5, 1.#7

:I8

Kista o*ariumdekstra cm

• 5c. p

• bs. K4= ""'

• ek $2= "?8"= /$,=

,/"?,/P"= 4?=!K/= 5o.thora PA

• I'$ 52 makro #7 tpm.


• Pasang kateter

• Persiapan (iCin= alat dan

Kista o*ariumdekstra cm

Kistektomi <,$

PostKistektomi <,$ Kista

o*ariumdekstra

$idapatkan jaringan kistao*arium cm


16/17

obat)

Gine-oog

i

7%%%%7 5osna;ati% th

M5, 1.+:I8

Blighted Ovum • 5c. $ilatasi dan Kuretase

• ek $2= "?8"= /$,=


• ,elosid *ial 7 mg 1

prekuretase• itrosol per*aginam tab

1# tab• e&aColin 1 g?3 jam

• Pasang kateter


•

Blighted Ovum Kuretase BlightedOvum

$idapatkan jaringanmenggumpal <darah G%77 ml

S)b., 7November 2014

isioogis ( 0 P).oogis ( 2 Gine-oogi ( 0Jenis

&ondisi

Obs.e.ri

N

o


M)s-


#ind)-)n

#ind)-)n %i)gnos)

P)s9)

#ind)-)n

&e.er)ng)n

Obs.e.ri

P).oogis

1 7%%% ,inta ,ari#1 th

M5, 1%.7:I8

/1P7A7 gra*ida preterm %%-%+minggu KP$ G jsmrs blminpartu

• 5c. Konser*ati&(Pertahankan janin)

• 5c. 4,/

• bs. K4= ""'= His= dan ibu = $>>= serta Airketuban ang keluar

• ek $2= "?8"

• $rip $u*adilan1 ampdalam 52 makro #7 tpm

• e&triaone i* *ial 1 g #1*ial

• $eamethason inj amp mg?1 ml ## amp slm +3 jam

/1P7A7 gra*ida preterm %%-%+minggu KP$ G jsmrs blminpartu

Hasil 4,/Jketuban habis


17/17

7%%% ,inta ,ari#1 th

M5, 1%.7:I8

/1P7A7 gra*ida preterm %%-%+minggu KP$ G jsmrs inpartu

kala 1-II jth preskep

• 5c. bser*asi partusspontan

• bs. K4= ""'= His= dan ibu = $>>= serta Air

ketuban ang keluar • ek $2= "?8"

• $rip ksitosin1 ?# ampdalam 52 makro #7 tpm

• e&triaone i* *ial 1 g #1*ial


• Pimpin persalinan

/1P7A7 gra*ida preterm %%-%+minggu KP$ G jsmrs inpartu

kala 1- 11 jth preskep

Partus spontan P1A7 post partus spontandengan KP$G jsmrs

"gl 9o*D1+ pk 76.# :I82ahir 9eonatus F88J #+77 g

P8J + cmA?, ?3"A/A

Gine-oog

i

# 7%%%0 ,arah%% th

M5, 1.%7:I8

/#P1A7 preterm11-1# minggu

Pendarahan per*aginam blminpartu ecabortusincomplit

• 5c. $ilatasi dan Kuretase

• ek $2= "?8"= /$,=

• I'$ 52 makro #7 tpm• ,elosid *ial 7 mg 1

prekuretase• itrosol per*aginam tab

1# tab


• Pasang kateter


/#P1A7 preterm11-1# minggu

Pendarahan per*aginam blminpartu ecabortusinkomplit

Kuretase P1A1 postkuretase

abortusinkomplit

$idapatkan jaringan

menggumpal < darahG#7 ml

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