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  Plenary discussion

20 C

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Members of 20 C

Rizki Meizikri (1010311010)Dhania Pratiwi (1010312066)

Nelvita Sari Ramadhan (1010312077)M. Nadir!ah (1010313007) "van Ma#lana $akh (101031301%)Nid!a &haireza (1010313037)Ra#dhat#l '#nia # (1010313061)M#l*a Satria nel (101031310%)

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SC+NR", - a /latedMr. #!#n 0 !ear ld man 4me t the health 4enter delivered /! a 4r4dile 5#/#k

*amilie with 4mlaint * a/dminal ain in4e three da! a n at# and nde*e4atin in4e tw da! a. Na#ea and vmitin in4e ne mnth a. * anamneiNte that Mr. #!#n alread! #8erin *rm lim! and /ld! tl in4e ne !eara. *ter intallin dri D4tr Cmm#nit! 'ealth Center re*er t the "ntallatin Pak#!#n+meren4! hital with a diani Dr.M.D9amil while hemat4hezia andin * ile#

namnei * *#rther nte that 6 mnth a health 4enteraid that Mr. #!#n re4tal t#mr /#t then he de nt wantre*erred t the 'ital. ,n e:aminatin /! the d#t! emeren4! rm h!i4ian/tained a tate

;enerall! 4n4i# tenin 100

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terminology

1. Hematochezia: bloody stools.

2. Ileus: passase on GIT disorders due to blockage or impaired

peristalsis.

3. Darm contour: an intestine in the abdominal all.

!. Darm stei"ung: #n intestinal peristalsis in the abdominal all.$. #ir "luid le%el: typical radiological picture o" obstructi%e ileus.

&. 'latus: gas is e(pelled through the anus GIT.

). #nocutanline: the boundary line beteen the anus and rectum.

*. +olostomy: a hole in the all o" the abdomen to eliminate "aeces.,. -aparotomy: surgical incision in the abdominal all.

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problem

1. h! mr /#!#n 4mlained * a/dminal ain at#len4e andde*e4atin are nt a44manied /! na#ea and vmitinB2. hat i the relatinhi mr /#!#n illne with ae and e:B3. h! mr /#!#n /ld! tl and m#4# *rm a !ear aB-. h! d4tr in the healt 4enter d diane hemat4hezia andin * ile#B. h! d4tr at the health 4enter ave mr /#!#n in*#inB6. 'w the relatinhi /etween re4tal t#mr with mr /#!#antate nwB7. h! mr /#!#n in re*eren4e t the hitalB=. 'w the interretatin * e:aminatin d4tr in +R(emeren4!

rm)B% .'w the interretatin * the ne:t e:aminatinB10. 'w the interretatin * re4tal t#4herB11. hat i the meanin * lain a/dminal air #id levelB12. h! mr /#!#n 4n#lted the #ren and will /e 4nd#4tedlaartm! and 4ltm!B

13. hat i the relatinhi with the tate * tra#ma mr /#!#n?rtB

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.abdominal pain, atulence and defecation

are not accompanied by nausea and

 vomiting?. N at# and de*e4atin  lwer;"> /tr#4tin r intetinal atnia  

Stma4h Pain Na#ea and vmitin

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2. What is the relationship mrbuyung illness with age and sex?

 e   ran *#n4tin

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3. Why mr buyung bloody stoolsand mucus from a year ago?

ld! tl m#4#  in9#r!(tra#ma) r t#mr.

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 centers do diagnosehematoche!ia and signs of

ileus? Cn4l#in *rm hitr!

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".Why doctor at the healthcenters ga#e mr buyung infusion?

 Clini4 d4tr diane /tr#4tin that the d4tr #e4t the

net1. 4id/ae dit#r/an4e2. $l#id and ele4trl!te dirder3. n#tritinal dirder

h l i hi

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$. %ow the relationshipbetween rectal tumor with mrbuyuang state now?

 Re4tal t#mr lare en#h t 4a#e/tr#4tin.

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&. Why mr buyuang inreference to the hospital?

 &ee in re4n4iliatin /e4a#e *r*#rther e:aminatin and treatment.

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'. %ow the interpretation ofexamination doctor in()*emergency room?

 $ever (temerat#re) ive 8 heatt the eriheral (kin) . #le *

the heart;eneral tate . /ld re#re

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+. %ow the interpretation ofthe next examination?

 Darm tei*#n  hiereritaltik

Darm 4nt#r

  a44#m#latin *#id and a  tiht intetinall#men

5iver enlarement   i/ilit! *metatati4 t#mr * the re4t#m.

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,0. %ow the interpretation ofrectal toucher?

 >he re#lt i the i/ilit! * amalinant t#mr * the re4t#m wh

have an advan4ed tae.

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,,. What is the meaning ofplain abdominal air -uid le#el?

Chara4teriti4 * /tr#4tin ile#.

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,2. Why mr buyung consulted thesurgeon and will be conductedlaparotomy and colostomy?

 $r *#rther manaement * the4ltm! and laartm!.

 

 4ltm! t remve /e4a#e *the re4t#m *e4e and a 4an nt /e#ed d#e t a t#mr.5aartm! /tr#4tin reair.

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,3. What is the relationship with thestate of trauma mr buyung rst?

 >ra#ma  t the nerve damae  aral!i eritali.

 hemrrhae

 Stim#latin *eritneal   a4#te a/dminal  ile#."nhi/itin eritalti4 ree:

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,. %ow prognosis of mrbuyung?

 re rni *r t#mr re4t#m.Prni i d i* the /tr#4tin

 i/ilit! in treatment * E#i4kl!.

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/earning b1ecti#e

4#te /dmeneidemil! athenei

athh!il! 4lini4al mani*etaie:aminatin diani DDtreatment 4mli4atin rniand re*erral