Scribd Logo
Unggah

Selamat datang di Scribd!

  • Interesting Case: Masruri, Esha, Alex, Milza, Wicak, Gita, Zaki, Arin, Eni, Fia

    Diunggah oleh

    AuliaRahman
    10 tayangan10 halaman
    1. A 12-year-old female patient presented with a chief complaint of loss of consciousness after experiencing it 7 times within a few hours. She was diagnosed with dizziness and treated with diazepam. 2. Her history, exam, and labs were otherwise normal except for leukocytosis. Working diagnoses included pneumonia, bronchiolitis, and first attack of asthma. 3. Her treatment plan included IV antibiotics for pneumonia, nebulized salbutamol for asthma, dietary counseling for possible overweight risk, and discharge education on trigger factors and prevention.

    Deskripsi Asli:

    a

    Judul Asli

    20 agust 2013

    Hak Cipta

    © © All Rights Reserved

    Format Tersedia

    PPTX, PDF, TXT atau baca online dari Scribd

    Apakah menurut Anda dokumen ini bermanfaat?

    Apakah konten ini tidak pantas?

    Laporkan Dokumen Ini
    1. A 12-year-old female patient presented with a chief complaint of loss of consciousness after experiencing it 7 times within a few hours. She was diagnosed with dizziness and treated with diazepam. 2. Her history, exam, and labs were otherwise normal except for leukocytosis. Working diagnoses included pneumonia, bronchiolitis, and first attack of asthma. 3. Her treatment plan included IV antibiotics for pneumonia, nebulized salbutamol for asthma, dietary counseling for possible overweight risk, and discharge education on trigger factors and prevention.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    10 tayangan10 halaman

    Interesting Case: Masruri, Esha, Alex, Milza, Wicak, Gita, Zaki, Arin, Eni, Fia

    Diunggah oleh

    AuliaRahman
    1. A 12-year-old female patient presented with a chief complaint of loss of consciousness after experiencing it 7 times within a few hours. She was diagnosed with dizziness and treated with diazepam. 2. Her history, exam, and labs were otherwise normal except for leukocytosis. Working diagnoses included pneumonia, bronchiolitis, and first attack of asthma. 3. Her treatment plan included IV antibiotics for pneumonia, nebulized salbutamol for asthma, dietary counseling for possible overweight risk, and discharge education on trigger factors and prevention.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 10

    Interesting Case

    Tuesday, September 3rd, 2013

    Masruri, Esha, Alex, Milza, Wicak, Gita,


    Zaki, Arin, Eni, Fia,

    Patient Identity
    AN, female, 12yo
    Ngaglik, Sleman
    Chief complaint: loss of conciusness

    History
    Day of Admission

    days
    admission
    2 DBA
    Day of
    Admission

    Loss of consciousness 7 times


    First she suddenly feels lemas, light headache, then got loss of
    consciousness Private Clinic getting concious after 2 hours
    dx ? tx diazepam 2mg home
    Can activity like usually
    Few hours later, suddenly feels weak and got loss of
    consciousness again until 6 times RS Prof Dr. Sardjito

    Data list

    Female, 12 yo
    Loss of consciousness
    No history of loss of conciousness before
    No history of hypotension
    HR 75 x/m, RR 24 x/m, TD 120/80mmHg, t 36,7 C
    Neurologic status in normal range
    GAR : 95
    ECG : normal (sinus rhytm, HR 84-90 x/m, no sign
    of hypertrophy or ischemic)

    Syncope

    Laboratory Finding
    Parame
    ter

    15/8/20
    13

    Normal
    Value

    Paramet 15/8/20
    er
    13

    WBC

    12090

    4,5-14 x
    10/uL

    Segmen

    46,5

    Hb

    13,7

    12-16 g/dL

    Lymp

    6,6

    Hmt

    39,6

    42-52 %

    Mono

    1,8

    PLT

    401000

    150.000450.000

    Eos

    0,1

    MCV

    88,2

    79-99 fL

    Baso

    0,1

    MCH

    30,5

    27-31 pg

    MCHC

    34,6

    33-37 g/dL

    RDW

    12,2

    11,5-14,5

    Leucocytosis

    Kesan :
    Bronchopneumonia
    Konfigurasi cor normal

    Working diagnosis
    Pneumonia DD bronchiolitis
    First attack of asthma bronchiale
    Possible risk of overweight

    Integrated planning
    No Problems
    .

    Patients
    need

    Planning & goals

    1.

    Pneumonia

    management
    of pneumonia

    Antibiotic : Ampicillin
    inj. 100 mg/kg/d = 4 x
    400 mg iv

    2.

    First attack of
    asthma
    bronchiale

    management
    of asthma

    Salbutamol
    nebulization 1 respule
    Educate :
    Recognize of possible
    trigger and enhacer
    factor
    Prevention

    3.

    Possible risk
    normal
    of overweight nutritional
    status

    Consult to nutritional
    department
    Diet based on RDA

    sign
    DPJ
    P

    Thank You

    Condition this morning


    S : dyspneu, subfebrile fever, cough
    O : look dyspneu, compos mentis
    HR 130 x/m, RR 38 x/m, t 37,6C, SO2 97% (O2
    nasal canule 1 lpm)
    suprasternal and subcostal retraction
    Vesicular +/+, Wheezing +/+, Rhonci +/+,
    Crepitation +/+
    A : Pneumonia dd bronchiolitis
    First attack of asthma bronchiale
    Possible risk of overweight
    P : continue plan and therapy

    Anda mungkin juga menyukai