BED SIDE TEACHING (BST)

* Kepaniteraan Klinik Senior / G1A216050 / November 2017

** Pembimbing / dr. H. Aywar Zamri, Sp.PD, FINASIM

ULKUS PEDIS DEXTRA WAGNER GRADE IVe.c DIABETES MELITUS

TIPE 2 + ANEMIA e.c PENYAKIT KRONIS

Stella Rossa, S.Ked *

dr. H. Aywar Zamri, Sp.PD, FINASIM **

KEPANITERAAN KLINIK SENIOR

BAGIAN ILMU PENYAKIT DALAM
RSUD RADEN MATTAHER PROVINSI JAMBI
FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN
UNIVERSITAS JAMBI
2017
BED SIDE TEACHING (BST)
* Kepaniteraan Klinik Senior / G1A216050 / November 2017
** Pembimbing / dr. H. Aywar Zamri, Sp.PD, FINASIM

ULKUS PEDIS DEXTRA WAGNER GRADE IV e.c DIABETES MELITUS

TIPE 2 + ANEMIA e.c PENYAKIT KRONIS

Stella Rossa, S.Ked *

dr. H. Aywar Zamri, Sp.PD, FINASIM **

KEPANITERAAN KLINIK SENIOR

BAGIAN ILMU PENYAKIT DALAM
RSUD RADEN MATTAHER PROVINSI JAMBI
FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN
UNIVERSITAS JAMBI
2017

i
 HALAMAN PENGESAHAN

BED SIDE TEACHING (BST)

ULKUS PEDIS DEXTRA WAGNER GRADEe.c DIABETES MELITUS

TIPE 2 + ANEMIA e.c PENYAKIT KRONIS

Disusun Oleh :
Stella Rossa, S.Ked
G1A1216050

Kepaniteraan Klinik Senior

Bagian/SMF Penyakit Dalam RSUD Raden Mattaher Prov. Jambi

Fakultas Kedokteran dan Ilmu Kesehatan

Universitas Jambi

Laporan ini telah diterima dan dipresentasikan

Pada November 2017

Pembimbing

dr. H. Aywar Zamri, Sp.PD, FINASIM

ii
 KATA PENGANTAR

Puji dan syukur kepada Tuhan Yang MahaEsaatas segala limpahan

rahmat dan karunia-Nya sehingga penulis dapat Bed Side Teaching(BST) yang
berjudul “UlkusPedisDextra Wagner Grade IV + Diabetes MelitusTipe 2 +
Anemia e.cPenyakitKronis” sebagai salah satu syarat dalam mengikuti
Kepaniteraan Klinik Senior di Bagian Ilmu Penyakit Dalam di Rumah Sakit
Umum Daerah Raden Mattaher Provinsi Jambi.

Penulis mengucapkan terimakasih kepada dr. H. Aywar Zamri, Sp.PD,

FINASIM yang telah bersedia meluangkan waktu dan pikirannya untuk
membimbing penulis selama menjalani Kepaniteraan Klinik Senior di Bagian
Ilmu Penyakit Dalam di Rumah Sakit Umum Daerah Raden Mattaher Provinsi
Jambi.
Penulis menyadari bahwa masih banyak kekurangan padaLaporan Kasus
ini, sehingga penulis mengharapkan kritik dan saran untuk menyempurnakan
laporan kasus ini. Penulis mengharapkan semoga Laporan kasus ini dapat
bermanfaat bagi penulis dan pembaca.

Jambi, November 2017

Stella Rossa, S.Ked

iii
 DAFTAR ISI

Halaman Judul.................................................................................................... i
Halaman Pengesahan ......................................................................................... ii
Kata Pengantar ................................................................................................... iii
Daftar Isi............................................................................................................. iv
Daftar Tabel ...................................................................................................... vi
Daftar Gambar ................................................................................................... vii
Daftar Singkatan................................................................................................ viii
BAB I PENDAHULUAN ................................................................................. 1
BAB II LAPORAN KASUS ............................................................................ 2
2.1 Identitas Pasien .............................................................................. 2
2.2 Anamnesis ..................................................................................... 3
2.3 Pemeriksaan Fisik ......................................................................... 4
2.4 Pemeriksaan Penunjang ................................................................. 6
2.5 Diagnosa Kerja ................................................................................... 8
2.6 Diagnosa Banding............................................................................... 8
2.7 Anjuran Pemeriksaan ..................................................................... 8
2.8 Tatalaksana ...................................................................................... 8
2.9 Edukasi ........................................................................................... 9
2.10 Prognosis ......................................................................................... 10
BAB III ANALISIS KASUS............................................................................ 11
3.1 Resume ............................................................................................ 11
3.2 Analisa Kasus .................................................................................. 11
BAB IV TINJAUAN PUSTAKA ....................................................................... 13
4.1DM Tipe 2 ........................................................................................ 13
4.1.1 Defenisi...................................................................................... 13
4.1.2 Patogenesis ..................................................................................... 13
4.1.3 Diagnosis ................................................................................... 17
4.1.4 Komplikasi................................................................................. 17
4.1.4.1 Kaki Diabetes........................................................................... 19
4.1.4.1.1 Definisi ..................................................................................... 19
4.1.4.1.2 Patofisiologi .............................................................................. 19
4.1.4.1.3Klasifikasi ..................................................................................... 19
4.1.4.1.4Tatalaksana ................................................................................... 22
4.2. Anemia............................................................................................ 23
4.2.1Definisi ................................................................................................ 23
4.2.2Etiologi ............................................................................................... 23
4.2.6 GambaranKlinis .............................................................................. 24
4.2.7 Diagnosis ........................................................................................ 25

iv
 4.2.8 Tatalaksana ..................................................................................... 25
4.3. Hipertensi ........................................................................................... 26
4.3.1Definisi ............................................................................................... 26
4.3.2Klasifikasi ........................................................................................... 27
4.3.3Gambaran Klinis ................................................................................. 28
4.3.4Tata Laksana ....................................................................................... 28
BAB V KESIMPULAN ................................................................................... 36
DAFTAR PUSTAKA ....................................................................................... 37

v
 DAFTAR TABEL

Tabel 2.1 ................................................................................................................. 6

Tabel 4.1 ................................................................................................................ 15
Tabel 4.2 ............................................................................................................... 16
Tabel 4.3 ........................................................................................................... 18
Tabel 4.4 ................................................................................................................ 18
Tabel 4.5 ................................................................................................................ 25
Tabel 4.6 ................................................................................................................ 26
Tabel 4.7 ................................................................................................................ 30
Tabel 4.8 ................................................................................................................ 32

vi
 DAFTAR GAMBAR

Gambar 4.1 ....................................................................................................... 13

Gambar 4.2 ....................................................................................................... 17
Gambar 4.3 ....................................................................................................... 19

vii
 DAFTAR SINGKATAN

DM : Diabetes Melitus
PRC : Packed Red Cell
SMRS : Sebelum Masuk Rumah Sakit

viii
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