7/25/2019 Case Appendicitis Kronis

1/19

Debby Mariane

11.2014.237

Appendicitis Kronis

7/25/2019 Case Appendicitis Kronis

2/19

IdentitasNama : Sdr. VM!m"r : 22 ta#"n

$enis Ke%amin : a&i'%a&i

(e&er)aan : Ma#asis*aA%amat : $%. Adya&sa +, 0- 03

,an//a% (emeri&saan : 10 $an"ari201-

7/25/2019 Case Appendicitis Kronis

3/19

AnamnesisKeluhan utama

Nyeri per"t &anan ba*a#

Keluhan tambahan

(er"t terasa &emb"n/ dan in/in senda*a

Riwayat Penyakit Sekarang

' Sat" #ari sebe%"m datan/ &e r"ma# sa&it pasienmen/e%"# nyeri per"t &anan ba*a#. Sebenarnyanyeri terseb"t s"da# dirasa&an se)a& 4 b"%an yan/

%a%". (asien s"da# memeri&sa&an diri &ep"s&esmas terde&at dan diberi&an b"scopantab%et dan %ansoprao%e "nt"& &e%"#an&emb"n/nya.

7/25/2019 Case Appendicitis Kronis

4/19

' Nam"n pasien merasa nyeri yan/ #i%an/timb"% yan/ ia rasa&an tida& &"n)"n/membai&.

Riwayat penyakit dahulu: tida& ada

Riwayat penyakit keluarga : tida& ada

Riwayat alergi : tida& ada

7/25/2019 Case Appendicitis Kronis

5/19

(emeri&saan isi&Keadaan !m"m : ,ampa& sa&it sedan/Kesadaran : ompos Mentis

,anda Vita%

1.,e&anan Dara# : 11070 mm/2. Nadi : 0 5menit

3.Na6as : 1 5menit

4.S"#" : 3-40

7/25/2019 Case Appendicitis Kronis

6/19

STATUS LOKALIS

Nyeri tekanperut kananbawah + peri!taltik +di!ten!i

abd"men #r"$!ing !ign #blumberg !ign #

7/25/2019 Case Appendicitis Kronis

7/19

(emeri&saan isi&Mata : iso&or A '' I&teri& ''$ant"n/ : b"nyi )ant"n/ norma% m"rm"r 8'9

a%%op 8'9

(ar" : s"ara na6as ;esi&"%er +# '' &stremitas : a&ra% #an/at psoas sio/n 8'9

obt"rator si/n 8'9

7/25/2019 Case Appendicitis Kronis

8/19

(emeri&saan ain!S!rine r"tinappendico/ra?(emeri&saan dara# :

' b : 1@.- /d% 811.7'1@.@9' e"&osit: -.rib"mm& 84.@'11.@9' Baso?% : 0.- C 80'19' >osino?% : 2.1 C 82'49' Ne"tro?% @2. C 8@0'709' im6osit: 37.2 C 8 1'429' Monosit : 7.3C 82'9

7/25/2019 Case Appendicitis Kronis

9/19

' t: 4-.@ C 83@.0'4.09' >ritrosit: -.3)"tamm& 8 4.20'@.409' ,rombosit : 300 rib"mm& 8 1@0'4@09' Masa perdara#an : 2.00 menit.deti& 81.00'-.009

' Masa pembe&"an : .00 menit. Deti& 8 @.00'12.00!rina%isis r"tin :'

7/25/2019 Case Appendicitis Kronis

10/19

' e&osit p"cat :ne/ati6

' Se% /%iter : ne/ati6

'

e&osit /e%ap : =1849

' >ritrosit : ne/ati6

' a o5a%at : ne/ati6

' Asam !rat : Ne/ati6' ,rip%e 6os6at :

ne/ati6

' Bacteria : ne/ati6' $am"r : ne/ati6

' ya%in : ne/ati6

' ran"%a : ne/ati6' >ptite% : ne/ati6

' >ritrosti : ne/ati6

' e"&osit : ne/ati6

7/25/2019 Case Appendicitis Kronis

11/19

7/25/2019 Case Appendicitis Kronis

12/19

7/25/2019 Case Appendicitis Kronis

13/19

7/25/2019 Case Appendicitis Kronis

14/19

7/25/2019 Case Appendicitis Kronis

15/19

7/25/2019 Case Appendicitis Kronis

16/19

7/25/2019 Case Appendicitis Kronis

17/19

Dia/nosis &er)aAppendicitis kronis

7/25/2019 Case Appendicitis Kronis

18/19

(enata%a&sanaan

%edikament"!ae6adro5y% 2 dd 1

N"n &%edikament"!a

Apendi&tomi

7/25/2019 Case Appendicitis Kronis

19/19