KATA PENGANTAR

Pertama sekali penulis ingin mengucapkan syukur kepada Tuhan Yang Maha Esa, karena
berkat dan rahmat-Nya yang berlimpah kepada penulis sehingga penulis dapat menyelesaikan
Case Report tentang Congestive Heart Failure ec Kardiomiopati Peripartum, Acute Lung
Oedem + Efusi Pleura ec Congestive Heart Failure, Anemia

Dengan selesainya penulisan Case Report ini, perkenankanlah penulis untuk

mengucapkan terima kasih kepada dr. Elvi Fitraneti, Sp.PD selaku pembimbing yang telah
memberikan petunjuk dan serta bimbingan dalam penulisan Case Report sehingga penulis dapat
menyelesaikan penulisan Case Report ini.

Penulis juga mengucapkan terima kasih kepada seluruh pihak yang telah membantu
dalam pembuatan Case Report ini dan berbagai sumber yang telah digunakan sebagai data pada
Case Report ini.

Penulis menyadari tidak ada hal yang dapat diselesaikan dengan sangat sempurna, begitu
pula dengan Case Report ini.

Demikian ucapan terima kasih ini disampaikan. Semoga Case Reportini bermanfaat bagi
pembaca dan penulis mengharapkan saran dan kritik dari pembaca.

Solok, Agustus 2016

Penulis

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 DAFTAR ISI

KATA PENGANTAR................................................................................... i

DAFTAR ISI................................................................................................. ii

DAFTAR GAMBAR dan TABEL............................................................... v

BAB I PENDAHULUAN............................................................................. 1

1.1...................................................................................................................Latar Belakang
.................................................................................................................. 1
1.2...................................................................................................................Tujuan 2
1.3...................................................................................................................Manfaat
..................................................................................................................2
BAB II TINJAUAN PUSTAKA.................................................................. 3

2.1 Congestive Heart Failure.......................................................................... 3

2.1.1 Definisi.................................................................................................. 3

2.1.2 Epidemiologi ........................................................................................ 5

2.1.3 Etiologi.................................................................................................. 5

2.1.4 Klasifikasi.............................................................................................. 5

2.1.5 Patofisiologi .......................................................................................... 6

2.1.6 Kriteria Diagnostik................................................................................ 9

2.1.7 Pemeriksaan Penunjang......................................................................... 10

2.1.8 Penatalaksanaan..................................................................................... 12

2.1.9 Prognosis............................................................................................... 18

2.2 Kardiomiopati Peripartum........................................................................ 18

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2.2.1 Definisi ................................................................................................. 18

2.2.3 Epidemiologi......................................................................................... 19

2.2.4 Faktor Resiko........................................................................................ 19

2.2.5 Etiologi.................................................................................................. 20

2.2.6 Gejala Klinik......................................................................................... 22

2.2.7 Pemeriksaan Penunjang......................................................................... 23

2.2.8 Diagnosa................................................................................................ 25

2.2.9 Komplikasi............................................................................................ 26

2.2.10 Penatalaksanaan................................................................................... 26

2.2.11 Prognosis............................................................................................. 30

2.3 Acute Lung Oedem................................................................................... 31

2.3.1 Definisi.................................................................................................. 31

2.3.2 Etiologi.................................................................................................. 31

2.3.3 Patofisiologi........................................................................................... 33

2.3.4 Gejala Klinik......................................................................................... 34

2.3.5 Diagnosis............................................................................................... 35

2.3.6 Penatalaksanaan..................................................................................... 37

2.4 Efusi Pleura.............................................................................................. 37

2.4.1 Definisi.................................................................................................. 37

2.4.2 Etiologi.................................................................................................. 38

2.4.3 Gejala Klinik......................................................................................... 40

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2.4.4 Patofisiologi........................................................................................... 41

2.4.5 Diagnosis............................................................................................... 41

2.4.6 Penatalaksanaan..................................................................................... 44

2.4.6 Prognosis............................................................................................... 46

2.5 Anemia...................................................................................................... 46

2.5.1 Definisi.................................................................................................. 46

2.5.2 Etiologi.................................................................................................. 46

2.5.3 Kriteria Anemia..................................................................................... 46

2.5.4 Klasifikasi Anemia................................................................................ 47

2.5.5 Anemia Penyakit Kronik....................................................................... 53

2.5.5.1 Definisi............................................................................................... 53

2.5.5.2 Etio dan Patofisiologi ........................................................................ 54

2.5.5.3 Gejala Klinik...................................................................................... 55

2.5.5.4 Pemeriksaan Laboratorium................................................................. 55

2.5.5.5 Diagnosa............................................................................................. 56

2.5.5.6 Diagnosa Banding.............................................................................. 57

2.5.5.7 Penatalaksanaan ................................................................................. 57

BAB III LAPORAN KASUS....................................................................... 59

BAB IV ANALISA KASUS.......................................................................... 71

DAFTAR PUSTAKA.................................................................................... 73

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 DAFTRA GAMBAR

Gambar 1. Patofisiologi Congestive Heart Failure........................................ 9

Gambar 2. Alur penatalaksanaan ACC........................................................... 16

Gambar 3. Anatomi Rongga Pleura................................................................38

Gambar 4. Radiologi Efusi Pleura Hemitoraks Kanan...................................42

Gambar 5. Algoritma Diagnosa Anemia........................................................50

Gambar 6. Anemia Hipokrom Mikrositik......................................................51

Gambar 7. Anemia Normositik Normokrom..................................................52

Gambar 8. Anemia Makrositik.......................................................................53

DAFTAR TABEL

Tabel 1. Penyebab Umum Efusi Pleura..........................................................40

Tabel 2. Perbedaan Transudate dan Eksudate.................................................43

Tabel 3. Antibiotik Sesuai Kuman Penyebab.................................................44

Tabel 1. Perbedaan Parameter Fe orang normal.............................................56