LAPORAN KASUS

UPAYA PENDEKATAN KEDOKTERAN KELUARGA

PADA PASIEN DENGAN OSTEOARTRHITIS GENU
BILATERAL

Disusun untuk Memenuhi Tugas Kepaniteraan Klinik Madya

Disusun Oleh :
Ainun Nadziroh, S.Ked
21704101038

Pembimbing:
dr. Titis Ari R
dr. Dewi Martha Indria M.Kes. BLCL

LABORATORIUM ILMU KESEHATAN MASYARAKAT

FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM
MALANG

PUSKESMAS GONDANGLEGI

2019

KATA PENGANTAR
Assalamualaikum, wr.wb.

Puji dan syukur senantiasa kita panjatkan kehadirat Allah SWT atas
segala nikmat dan karunia-Nya sehingga penulis dapat menyelesaikan laporan
kasus dengan judul “Osteoarthritis Genu Bilateral” tepat pada waktunya.
Laporan kasus ini dibuat untuk memenuhi tugas kepaniteraan klinik
Public Health dan untuk menambah wawasan penulis tentang penatalaksanaan
Gastroenteritis Akut. Penulis menyadari bahwa dalam laporan kasus ini masih
jauh dari sempurna. Kritik dan saran untuk penyempurnaan semoga telaah ini
dapat berguna dan memberikan manfaat bagi kita semua. Amin.

Wassalamualaikum wr.wb

Gondanglegi, 09 September
2019

Penul
is
 DAFTAR ISI

HALAMAN JUDUL .......................................................................

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i
KATA PENGANTAR
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ii
DAFTAR ISI
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iii
DAFTAR GAMBAR ....................................................................................
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iv
DAFTAR TABEL .......................................................................................
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iv

BAB I PENDAHULUAN
1.1 Latar Belakang
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1
1.2 Rumusan Masalah
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2
1.3 Tujuan
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2
1.4 Manfaat
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2

BAB II STATUS PENDERITA

2.1 Identifikasi Pasien
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3
2.1.1 Identitas
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3
2.1.2 Anamnesis
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3
2.1.3 Pemeriksaan Fisik
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4
 2.1.4 Status Lokalis
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5
2.1.5 Pemeriksaan Penunjang
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5
2.1.6 Resume
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6
2.1.7 Diagnosis Holistik
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6
2.1.8 Rencana Terapi
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7
2.1.9 Prognosis
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9
2.2 Identifikasi Keluarga
9
2.2.1 Karakteristik Demografi Keluarga
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9
2.2.2 Genogram
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10
2.2.3 Pola Interaksi Keluarga
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11
2.2.4 Identifikasi Fungsi Keluarga
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11
2.2.5 Diagnosis Keluarga
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20
BAB III TINJAUAN PUSTAKA
3.1 Definisi
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21
3.2 Etiologi dan Faktor Resiko
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21
3.5 Patofisiologi
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22
3.6 Manifestasi Klinis
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24
 3.6 Klasifikasi
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24
3.6 Diagnosa
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25
3.6 Diagnosa Banding
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28
3.7 Penatalaksanaan
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29
3.8 Komplikasi
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33

BAB IV PEMBAHASAN
4.1 Masalah Medis
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34
4.2 Masalah Non Medis
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34
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4.3 Diagram Permasalah Pasien
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34
4.4 Prioritas Masalah
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34

4.4 Analisis Home Visit

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35
4.5 Upaya Kesehatan
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36

BAB V PENUTUP
5.1 Kesimpulan
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37
5.2 Saran
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37

DAFTAR PUSTAKA
LAMPIRAN
 DAFTAR GAMBAR
Gambar 2.1 Genogram Keluarga Pasien
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10
Gambar 2.2 Pola Interaksi Keluarga
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11
Gambar 2.3 Faktor Perilaku dan Non Perilaku
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13
Gambar 2.4 Denah Rumah
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19
Gambar 3.1 Klasifikasi OA
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27
Gambar 3.2 Perbedaan OA dan RA n
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28
Gambar 3.3 Farmakologi OA
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29
Gambar 3.4 Streching Otot Hamstring (a) dan Quadriceps (b)
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30
Gambar 3.5 Latihan ROM (Lutut)
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31
Gambar 3.6 Latihan Kekuatan Otot
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31
Gambar 4.1 Diagram Permasalahan Pasien)
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34
 DAFTAR TABEL

Tabel 2.1 Pemeriksaan Status Lokalis

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5
Tabel 2.2 Daftar anggota keluarga Ny. B yang Tinggal dalam 1 Rumah
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9
Tabel 2.3 Skor APGAR Ny.B
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14
Tabel 2.4 Skor APGAR Tn.S
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15
Tabel 2.5 Skor APGAR Ny.T
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15
Tabel 2.6 Skor APGAR Sdr. A
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Tabel 2.7 Skor APGAR Sdr.Y
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Tabel 2.8 Skor APGAR An.F
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Tabel 2.9 Skor APGAR Ny.F
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17
Tabel 2.10 Skor APGAR Tn.R
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18
Tabel 2.11 Fungsi Patologis
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18