y INDEKS, N Purei AYUVDIA 0310522 000 24 TRISAKTI 1:P- SARAF 23 th - 04 April 203 Dipindai dengan CamScannerDae — —_ TYG AS LEPANITRAAN ILMU PEWYARIT SARAF RSUD KRMT WONESONE GORO —— Dipindai dengan CamScannerate “@ Pea Aefinisi avi epitepsi olan ctaws epilepheos 2 @ MEDAN = svah (epaan moditn stnk abnoymal dan berldshan Secara stern dai neurn- nevmn digatomn 8sP pase substansiagneea , Kemengtinan garg di gupeortes TT) ERILERST + OIdeFinicikan mbagai Ferangan Kgar Paroksimal bowiang tanpo provoati dengan interval (ebm dei 24 jam ana penyobab yay Joar- DRandai dengan ggdia _bonkyt t. Minimal terdapat 2 bargkitan tana provera atau 2 dangetran replees dengan Jarat watt antar parghitar poama 4 vedva (bh davi ay jam grav 2. fade bangtitan tanpa provoyaii diay 4 bargtitan Pe lees. dengan yomungvinah +erTadinye _bangeitan ben lan dalam 0 fahen ke depan sama dengan bia sedaptt a bangkitah tans provoyail / pargvitan reins. ( Bahgtitan reloks ; baylcitan Yong mene! atibae “indoysi dan faktor Pencenr terkenb — Bperk ee Mmwivs Vulva , auditonk somakin ) Abae 3. swDa dregdvean AMEN — sindrvn _-epirep ee 2 STATS « Banguiedn yong benicang 7 30 ment atan adanya EPILEPTICUS 2 banglitin ata ithh dimang diantarg bahgui ton ada pemolitan k@adaran- to wonwisif : Gangitan deman dura 7 & mont aku banglitan berierg 7 24 tampa pulinnye —kQadtaran . 3. Won- KonvulSif : Banguitan epiephk bewpa powhskan redaran Maven pridhv, tango Aiver tai __maniz aires morons ydry. j2as namun ci faparkan akkviss bange‘tan Qlekty Grae paoa Pamerivcaan late cenograg’ Cece) seiatigvasi @lepsi berdajarvan Kpe burgh (ILAE iat) Koay ye nie vom > Klonikc ts toni WON + Api kal absans wet bebgype ask (vatlpan ats mata) be Absans. Zs ARRLAL absans (dim wath menit, +ejavh) } Miokionik = vontraes| ofot . rnggat / mulple secaya Kha ~ sha, 4 spi + ditandal dergan hilangnyo rus __ obv- Dipindai dengan CamScannereqang paral; veya parcial sadertara Cranee or 2a Zoran) a. KGarg partial Komplecs) ye 49" gare “aadaran Pp watt ering an te dGiawasi parcial / soderharn gang: ee dara, a> FapaM parsia menjadi vmem aang yang bewm apd ai ewiRta Kan ane ® Bdaway dwy fAbdarsana stars epitepneos 7 Se. venus 7 Bung dengan dvrayt 7% @ monié Atay bangeiron bewlang 7 ax ranpa —pulinnyd eejadaran dtantara bargtity, (earn wien > 5 Mehit 3° menit rehaspra aargpon 160 Fenn 7p Teta 0-309, det y lorazepam Ww en ma/¥e (dibeiean «8 my At viangr seeaks Yo bole diolve cafelah 19-30 mt) a4 eeceyaen | Jeldah t5 mat atau 7 midazolam imlong y 7 Yor * pemberran midorolam biked) (0% mm v7 13-4o Kg) wo mg 7mm | > vazepam 1 9a-08 mara (RE : OR: Oka puMbena@ drargan| 2m9 (mat maxieo mg) Teta) (ebaom ve & harp [+ Cerkan oat yy basa digunakan (x bol Alborkan oreyyar =<] bila asian sh pornah mondeipct iri agidi es _ | seree cect amputees ZO Meni ico __ [oan 7 ataw fous 1 Promo Ina m7 kg bdluc atanfuean (0-zomg (7 Fenmbabital TY! w-sm/esea| | 4 yam atitrayi ale fumeri SE perkonhot aban gn kactpAber pembanan} [+ Mdo20am on - oa mg /eg bows, aAtlanjHean oO OO 2°05 + 05 mg/ta/ Tim itera! paix sameai | £6 TerkOntr Ff AMeHok aan sang dros wi | 12-14 yam Jeeta _bangvitan —_|* Thidpenfal sodlum 3-5 mg/e9 bows arian utean Femwdian dois dik ean 3-5 Morea oR amavelras nae sampal oe sorkonal [Monitnng €&6 7 obSeria: zdian Mapas. Hekantn ddl, temperar, aveod IY, PAMeRKcaan KUNE dah, daran ierqap elektroia , Glv“osa (pia ada _vetorigidin pany alahgon aan Aone! / duarsi aver, OWWENG 910% dan ata thiowine go np l¥ dpt dibenc@r oxy Dipindai dengan CamScannerDato 5E non convviog Bargeitan epilepsi bewpa pewbdhan teladaran mavpun priaw +ahP% AUSertal_mani_UtAW moronkk YAN 72s _namun didapatkan achuita bangiatdn eekhegrays pada POMentIaan EEG. ita TEPARL ert HAW Tene Law st te09 Benrodiarepam w/ ora (aargws | valpmate e903 epam/ (or aepam ) ye paral ome; | dobasam oral Lorazepam peyton / pharwbarbral ye (enc ab piv Valproat om Beneo, lamokgine rpriind , stendotl se Tone Lamotngine oral SE_non= Konwvishy Pheny rein wv / Pherabarbtal | methy eredn’dares creed. anende 40% Pade peryandary rama ‘thm pentare , phenabarbiiat, prpefel @ Pdaswan pebedaan verigo sentra dan peryer 2 Verngo = Baia dimana pendeita mMeraia See2KiMGnya ber pular/_Aidaya bapyban Ferhedar LleaiIIMGrya gar MeNpakan wah halucinayi (x fy ata) + Pewsbah vertigo Porter = velainan pada folings ( Padang, mainrits, , wareiog! fering arany tarde feel otak | (+) gh by: ofenon, © (e4) meal, Munda, LReryebab lkemix bakers, tah, magn | PREY, eetY- Merman, labrinttss herons waaer, verlepmbarbr, — | vakbuier, rem akodsh, ¢ravmna UMA pecpiaynet- oxey Dipindai dengan CamScannerDate @ Pea _saa_ tarda THaRG peningeatan +eearan Intracranial (THe) 2 Te yeh Lepala, montah proyecHl, Pewwnan keladdran (aomneleh - cma), Penbakah visa (pandangan ganda, aber ), Pe iees cahaye _prpil (er), antecor, papil edema, defer nevroiogs gelitah, wrabiilta eqany, teemdhan aiggels gerade, ewthing Had Chiersones mite + regon Komeeiai pet MAP + pet cpp» bradvad) =? 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Det sefiorene, © paiasia, Amplam cepakaxime / (af eranone I Es manoateg enog bethany Ec sam wth Be oxEY Dipindai dengan CamScannerDate Meningoensedliis adalah feradangan pa2* menidons Ban Fak. MEN INCITS | MENINGOEN SeraLi ns Manipestan |. savt+ .kepaia 4 damarn | + Demam 4 sovit Fepala cin = Perbdlnan pada pagedt |. vomit (moniah) eta Saran tapi math |. pentahah tesadardn oo rQaky baie + konvesi ~ Kae [eher + Tandat rGvregenite tokat + Fernig (+H + Tendo? pennge dan ne + Brodin: + Gay Pacaitte Taraidisora —MawngoCNeehs 2 2. Perawahan _vmom Pendeica dimwat a As 2 © Bila geviah diber sedakve ceperh fencbarbital G Wer Kepala digas dengan draigeseg: 4. Panas ditvrnkan dengan) Pardcetamal © weary deka dengan + Darepam . Fenobarbray , Dip oni hickantoin fF: Veraikan Wiratranis dias dengan « + Manitol + Korte utQord 4. Bila oda Wediorgalus obitIvEry dildluxar pomaldrgun —prrov (fhemg) Ww EM Wedvra pada anak AtKen@an 35-20 « Seka EAL fama 9-3 mingge , bila gyal laboKan (pera 4. 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Perabiirma: feeara vomererenng Yara at@levtan Palam buian fora Orser ferbyick — memperbaici _uduran Menghindoys Papuan arginsy ac Cecora laytry he *_Modteamentosa = a. vorvuostenrd ; prednton 60 -Ro mo/hr Mitra s i 2 a! teprenhg ay 5 an _s@anpirye be ANRViNE + valadyclourr 1000 MG/hr dibaiean anlara §-7 hr 9 ccydour Yoong Gx far (0 bcm) « Analgelk =o merottan nyen 2 methyiedliolosenye dip ur mencegtn keveringar pade kornea. B -SRavear pevedaan jared 0. pada ret aprok Ban peor B Rabeoaen Fare NN entrot Bin perrter peda pomonesaar- Pariieg wv sentra —ditemugan kA igi UMN, yal dikortees Gorcbral | claw Jareu orRrobuibah, Mama Arai pom mann fons. Ler UMW disebabean mor, Hoe, aAib- Paral w.vii exter AAOMua, Tea lai dl con, yale nveters pada pons atav setaah WWOr patand ofae . 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Hai ini mannjvean Pastis yary wonbralat oy yang reruns Revered FR Feuti gengiwrar, WM tien manimal UY M4 nYen dan purge ke Anpeai ¢ kerty _ign AGMA yiAoniean 90° LalY Okwensean pads poterdian Wht: Va Lampat OR"= &) Me CFR AYRN 7 Jahanan oar Dipindai dengan CamScannerDota © Canarian dan SAKANYerstonat pemblds darab Inracranral b POPUP ‘A.communicans Ei anterior ~ A cerebri media rp ‘A. communicans = posterior a A coretri |= ‘posterior "A. superer cerebelli EI A interior z anterior cerebetl E A. Spinalis z. anterior Acintorior posterior cerebell = 3g nn Dipindai dengan CamScanner‘yrepian dOrah eta terdApdi Arkwiay anioner dan poitanor ete (ds) OMOKE Gy AHEM CAIDA! Vomny dorwOn abang ANA yain nex Carts inerna, aren Ceobs media, San a. CorabR antenor qewiay peitenor VY ar verf@erbanior yang bores Sau aren vorreoraus (aren Oar WX [cemudton eran mania A banler £4 fauwh pecabarsanys yemank (abang aching yalh ay cOr2bA poulenot cana DAn Kn Tartan CAs antror memperdarou: davrak mada heme or cerabe , (deo! frente) bS2AN cupener den lob panehal bacien panor. Actos Cordes medio mamperdarah: d@erah trontar Ingenoe , P&AQHAY Wher|aeD Bin (obs tempo rth agian (dteat Arte cOrebs —POstenor MeMPerdarahi lebus ola pita dln febvs temporay pagtan medial. Qatang hak dypadarah, Lea ekuveg Sdn Birt Pateror - Mexia oblon“yda meena Sarah dou arten var trax, maa’ arten perferapry Medial dan lartrar, polangtae pons dan midbrans (maensgain) manonmo darah Bax asFey baians (awe cabannge yan aston perforin jarerai Dan Mede-aw- _ fer@edivm merdapt? 2 Janek carebelar yan + 1. A. cerQbollar postaror ingenor (Pics) -» Akhr O25 ¢abang % rerbébrye 2. A CODD Bie —cnrenee -Inpenor (AEA) Oabang portamg a- basltaniy 3. CORDUCT pence cals Cabare, akhy ~ alten paraiarer Leangira bayaus dp edarai o a 1onkwler HAN chang % MOAn MEAG Lratames diperDerahi 07 artes porforapry —+hala_magenialara + Cabag % covert Poy [Genvjaprta? antema dipecaag ORF 1eKevialista — antommedral- onay Dipindai dengan CamScannernt (menuyt boston) din car pavers onniy aif ( @ bier pacm maim afta SPONTA NCO COMPREHENSION REPENNON NAMING THe oF Attiang SPEECH pokey POE OAL Ar aasia x (000 yO a FRANSCORNCAL MIRE Ape ow - FLVtNT Nv goon—» POOR — + POO ae Brocas aphasia T POP RRE GC) RoR Goede POR Toco fervor) phan XQ deat bn > poor (poraphing) + wemictle’s praia wrapaye eueer Ay oes a Se ee ae (ood _—* poor 4 Apomia awe anwiorora [rudnn | rditay Rab] peedira | wating | Gage aun pee | conaianerwon | ReHHOM [nova [cot Fane = Amon Fiventy Omer [Gov wid | 009 ered] goaly | yood | rea Ab | apn abe | abnocmat, _ Boca’s non -Floent | e008 Abooral | Abn | 2°4/ | bn Hon abn Fwemene’s [roe era. [teen ae fae Gan | ‘[earpane = (@ndechron Fluent, ood ‘abana Tapn 7a | ry a paraghauic ee Qa = Tanscor tah non Flvent oped ‘Qo dbh ape AHA Abn on nk = — go Tpasahol | wonw, 7a Oe ee mn La foxcory paraghase Abnormal echo anie — areed [on fue) | eenbiy Pana abn aby feel Fone wah abno tira a Foner echelon Lee Ee onary Dipindai dengan CamScanner= Dare mengendi sconrg Sreve (cieear dan Gaydh mada) + Gaydhinake — Save Es Perdenta stroce —atuk if o Pennnan — eoradoran yen _kepeue PetieKs Babrrret ¥ Kagan 72 dan 3 tere podaahan intrjowbrat ¥ near A pon Keavaran (4) Wye eqpalacy 2 cree eadearan inbraserebroy Replies Rabinvei CY TPA Rehwpwran ’eadardn C) mute Repata) DBe Me ikem att aes RGe babsks 4 DDAR ae peneman kyavarar (-) ns 8 wes \egpaia ) XA, Groxe uk@mie det 7 RYtels _babiecki C-) freee infer. Le ftsrey Score D- esery oli) adesalgleard)s Gaabow [ee b> valadarah = compostmenks + 0 =D = Aekdnan diaiiowke ( mmlg) I Tomrolen = | = N+ NYk kepae / i se davets Soper} =A: AFRRIMA : aPg04, PM, inpormmten, ~M + month > bdak ada 0 F dan 0 @) abajo. ed dat aq 20 vial + >t = Memoragike (SHY = ark (NEY mer aguean forpraa = ean) 3 Dipindai dengan CamScannerDats @ d2aKar margera’ pededaan Iai ynN dan cn @ Pabebam pray wed RIAA dan porter pad pemantiaar. Pamlcs vad wend Wemuain ska wi umm, yO cb porte corgral / Jr FOrkto bulbar, Sama Tory bel man ponr. Lar YMR dif@babean mor, SKE dub. Paralins Wl. ponyer AROMian Ake We di umm, your NVELns pees. pone dtr stteigh FON bait olan. petal yond OO monyloohlen une aedleh Baus pally, ofr malin. Pha Il todyptit od) vMn, rolomethan pada \ontraivan began found wngdy Cearena bay. Atay mah Arporcurar ey saio4 TPs iaial), vhingga peer Japat_mengenton dab, manpangear div. Nenu voip mata cecara Mens, nolmun Atimerns Saod 42xQryum- pada le LMN, pasidn KEQE Akan bha MEHZYAAEICan — SOAK ofet waza @ Srcan aniferoy vine 4@n pamonciaan mak baking ore 2 manifeyHiai — |eling MBO 4. TEM 24 atlerc Cahays 2. NOK Ada reflec eormea 8 TdaK ada reflos Wetbulo - ekoler uw TAK apa repos moor Idlam oliibucy Maroy ECan Herhaday retary deur packs area Lomark Tidak O94 FefRKs muniah (929 rERks) arau ToeloRS bodk KRIreRIA HARUDED KRITERIA MINNESOTA «pda beat Hhaday [+ Hidrgry® Hapras uponian setetah maa Gemuas Mekoos yo infernp | 4 Tm pemetturcin (oncen porcive —_cotra) s Avangry® neler cake Yang Aikandai dargan + Helangnys E@nam poor Poe lake: , whangnya reflOe bak , rerlals benapay fpontan korrea, 24% uPmay hilangyq dwt eye + Hilargnya rapleer balang Mrvement , hilangrya Fagon terhaPap CO Mota ofak 2an (pra Kalen 2 huang ays Neer tonvs lr. e Htangrys — AeRLAD + Shans pendent fot borbah Cpyrang? potheal fepeni Mterteays| ret dalam iy gam 0 EEG dakar + Proper parlogs yoy boperan dan Aanggrr Keak Dap diperbui Dipindai dengan CamScanner“Pemeicscan MBO = "5 L Penerkiaan SCS (denean Mangiang nyor) p. Pamenraan re leks balay ofa (FT. G,%Y va, vl, xt,#) Ta. Ta prev ® Str can macdm . macan oTAwna belly obak oan gelaianya 9 a. frdrem ober > unliateal, o'payanh bébtrap hunter OME Higas b- Aindrom Benedick + Fadempian Nv Ipillatea dgn Mrdrau 4 HOKETA + $arg. fensay: cuba pons = 997 _dutcienires’ dua = Hi perhINA —ontraterd (tomer, Eharea, abefetir ), Atinens Kontralatersul = M9 conteudteed (substance nigra) Cc find Faville- miharc! uber ~» bal Pa orcas pont a tometer break» Gang sence = Leminws tferaice + li = NoHeNs NvW = lmpuh Nl penton = Fracht (pinotalamias lateal , andrgara = tracks phyramida + Hemipleqa Sporadic TN: abdosere = moh wv payer (pri(ateral raba, peti Kontralateral A. Ghdtom — T9menbey Thimgoh noeigus abdvctne dan favlaili ipciiatear nistagmos -parew Fajapan Fe ara ar finde mM F2QMOKM po REE Andk Le tary encaa warah ipaiiatery dan parallsit ORE. ome porgury al, hemrabaictt & 7 A findrem +2amenkm pons Caudalie TD Hemaratam, hemanojek femva ensonk tei ldhoral 4. (indrom — wallidborg = Nucl@s veibular Typeror s NTA Moe > Wolter dea N-Vages = tatieardr, alitpren > pendent perdblans eponor 7 ahakia airagit = pucles track® Soliterangs = KOwldngo Yao OxEY pai ettetod Dipindai dengan CamScannerata worker anbrgur s pearars pala ~ = Noes Se koeleter 2 Mt = hy THQeMines §«& PRHC —_KOMeA morgh' and we Gindrmem Former be cenrakGr Sara} Risa fimpank - morose. (hilary faim «dil Ghar pup) Press parcia arse HAM (hiang drgs!, % orbitau A. Grdrer Gnvs caverndes = Lompeh =D, vu, Uni Cohere = oprald pCi > offaimeplegi _dtwserFad nyer = prphse @ bara macam’ rele pdlelags 2 cae pemerksaannya 9 = Hoffman - romner Penang peadlargen angen pafien 4am pan qannya dwairh Here Fingan . Dan ferpah big jepik dtaniara town dan pan Hhgahs Dergan Ib Tan bie “Gores wat ‘Cump) vvhg tan tegah paren. Mogg man + snap re bawak Tmner > snap be ay 7 Sabingki Mergers deryan bends ogak Nne'ng pada tolartke aks (tera, dak 1 tampa pangeak jan > thaddore Panesar deng2r menpgowsean lateray medalrc = Feheeye Mem ert (menue) m. Gartncnemtys lot obs) = OP em heine Manger dargan vot Kee dak ola, ce bavah (antal) T vlonet pabA a merepargean oft quadnctrt fanons . +@rgan BR memepang _bagan otal paraia, bangdn earan fire ningan beuah paral, oxy Dipindai dengan CamScannerDae Hangan Bn Medorns dengan NORE = soma» viGerad Webraasio10 9 Then. nottrepnf f*_nevropahk . Seino Gpimogank = ponger wo ee 4 = fen -oprord. 2 @hyvant Teguier + PET, NihIOs pe = if Mot prefenbed raguant Gee Deak opiord fot_mild fe moderaie_pon regeer + PET, com on trtmadot (rargin werakan — apet? 7 smo) ep 3 7 Crary opted of moderate - £200 Pan ReGuir = Theergane folfat or fentanyl f/e rare dei) patch (0 Gan Dipindai dengan CamScannerD - Cambarcan G « panbaenba aaipiratr G = pose pratiqneorans G1 = Ponca sO _akrome Maviry (arty G = om lateros_legan ate & = tbo jar fargan Gs Jax tengah earay @ = ai Keltngning +apan T= ti medial fesse antetcubitt Th + Pca Ouaiig + Pearg interhowe il) Ty. p. inteeara ( paphd mma) Ts BR. nt@eolte Y (antara Tye Te) Te = R- Intestowty vi ( sterner) Th: Cimercnta vw Cantera te-Te) TEP mero vol (ant ga to-r9) Ty? RB. inbeneecia IX (ankare 18-10) Tor P- inerforta £ ( YMbitieur ) Tus Ruarg nertosie J. Tra? Pafeydian Ligdmenkm Ingurnacr Lit Paterg than ante ty @ be lat Patengakan anterior pala Lys Fonditer femoranr Medtars Ys Malepie Medsalte Lys Porivm pod ford metareto falerg Sie taAberat mm Sis Fosia popitaa pd gan Hepat Sy2 Tbenoray reir SiS = daera porara ( drarggap tanel ) oxer Dipindai dengan CamScanner@_ dee Kan mergeras tindeom cavdo Cqoine San Cirdroan C006 medviont & a CONUS MEOVILA BLS SYN DRSME CAYDA eOvINA — SYNDRONg spurmre Bladder Ponta Bladder ected tone Praarved Decramed oF lok oF rece! tore Bolborovainoses agec — erekerved Bubocavetoeower FEIOr absunt Cadelte qnathdre faadle arathena Symmarc prajentakon _ | Beymmatne —_ praensten Wild proscl® — weaknat Were mescle wolaknedp Rrargrued deer ater OF decranued Yyeq Fenton nQ lex order ra (ekee omer Dipindai dengan CamScanner