Presentasi Dr Irman
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Transcript of Presentasi Dr Irman
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8/17/2019 Presentasi Dr Irman
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By :Budiana
Npm. 110170011
Preceptor :dr. H. Irman Permana. Sp.A., M.Kes
Epilepsy
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PATINT I!NTIT"
Name : An. !S A#e : $t%
&ender : &ir' Addres : (i'edu# Ten#a% )e'i#ion : Is'am
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ANAMNSIS
Main (omp'aint
Sei*ure History o+ present
Patients come to t%e %ospita' it% comp'aints o+ sei*ures
since -a'ed / %ours e+ore admission. Patients sei*ures times, eac% spasm 'en#t% o+ 2 Manit. Spasms a'' o3ert%e ody, eyes u'#in# upard it% ot% arms and 'e#ssti4. 5ore3er sei*ures unconscious patient. Be+ore and
a+ter sei*ures t%e patient is aa6e. (omp'aints sei*uresare not preceded y ody %eat. (omp'aints are notaccompanied dne#an diarr%ea, 3omitin# and 'oss o+consciousness. Boe' and 'adder no comp'aints.
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Post medica' %istory
A#e years %ad sei*ures
5ami'y %istoris o+ medica'
His unc'e %a3e epi'epsy
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Hystory Treatment
Patients een drin6in# I6a'ep 11 ct%+or 8 years
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PH"SI(A9 AMINATI;N
Ima#re : Bai6 &(S: 8/$ -ei#%t : 12 6# Hei#%t: 11/ cm B'ood pressure : 110
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Nec6 : not present T%ora : not present
Adomen : not present 6stremitas : not present
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Psyc%o'o#ica' Status A+e6 and emotion : #ood
Proses erpi6ir : ai6 T%ou#%t process &(S : 8 M/ ?$
Spea6 : not present
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Menin#ea' si#n : 6a6u 6udu6 @ Brud*in6iI
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Pemeri6saan sensoris
!a'am atas norma'
)eDe6s!a'am atas norma'
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PM)IKSAAN PNENFAN&
!ara% )utin : Hemo#'oin : 11,0
Hemato6rit : G Tromosit : 207.000 9eu6osit :10.00
&!S : 11$
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)SEM
A #ir' a#ed $ years o+ comin# to %ospita'sit% comp'aints -a'ed sei*ures. Sei*uresoccur / %ours e+ore admission. Sei*ures times t%e 'en#t% o+ 2. At t%e time o+
sei*ure eyes #'ared upard arms and 'e#ssti4. At t%e time o+ sei*ure t%e patient isunconscious, e+ore and a+ter t%e sei*ure t%e
patient is aa6e. Sei*ures are not precededy ody %eat. At t%e a#e o+ years t%epatient %ad sei*ures t%at are not preceded yody %eat and dia#nosed epi'epsy. ;n
p%ysica' eamination +ound -ei#%t. 12 6#
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!IA&N;SIS
pi'epsy
Supporting investigation 'ectroence+a'o#rap%y @& 'ectro'it
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T)API
Terapi umum $ B @breath, brain, bowel,bladder, bone and skin
Asam 3a'proat 11ct% !ia*epam in 10 m# i3 @dieri6an /
menit i'a 6ean#
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P);&N;SIS
Aa 3itam : duia ad onam Ad +un#tionan : duia ad ma'am
Ad sanationam : duia ad ma'am
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TERIMAKASIH…