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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