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Makalah Abortus

Makalah Abortus

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Published by Anna Andany Lestari

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Published by: Anna Andany Lestari on Feb 08, 2012
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06/29/2013

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ABORTUSTutorial A1RPSLarasjati Sartiko Harjo 1010211058Reynita Setia Dewi 1010211059Amanda Friska 1010211152Rizki Rahmiana Harahap 1010211078Mutia Rachmi 1010211179Gina Novita Sari 1010211107Dody Saputra 1010211103Chaerunissa Utami 0910211146Nita Juliana Anggraini 1010211097Levi Aulia Rachman 1010211054Novianto Adi 1010211065Anna Andany Lestari 1010211056FK UPN “VETERAN” JAKARTATAHUN AJARAN 2010/2011DAFTAR ISIDaftar Isi.............................................................................................. 2Kasus.............................................................................................. 3Learning Progress.............................................................................................. 5Tanda Pasti dan Tidak Pasti Kehamilan ............................................................. 7Abortus ............................................................................................ 11Mola Hidatidosa ............................................................................................ 21Kehamilan Ektopik ........................................................................................... 24Estrogen Saat Kehamilan ................................................................................. 28Solutio Plasenta dan Plasenta Pevia ................................................................ 30Ferro Sulfat ........................................................................................... 35Pengaruh Rokok Saat Kehamilan ..................................................................... 39
KASUSPAGE 1Mrs. Chika, 28 years old, G2P1 who is pregnant 10 weeks gestation complains of a2 days history of vaginal spotting and lower abdominal pain. Mrs. Chika confesses, she smokes 8 cigarettes/day. There’s no trauma history.Physical examinations:General condition: good, no anemicHeight: 160 cm, Weight: 55 kgVital sign are within normal limitHeart and lungs are normalAbdomen:
 
-Normal contour, palpation: slight tenderness on the supra pubic area-Abdominal mass: not found-Uterus: not palpableInspection: mild vaginal bleeding, Chadwick sign is positiveSpeculum examination: fluxus positive from external uterine ostium.Vaginal toucher:1.Portio: soft, cervical motion tenderness: not found2.Uterine ostium: closed3.Uterus size: rather enlarged and softHegar sign positivePiskacek sign is positive4.Adnexal area: no mass, no tenderness5.Douglas pouch: bulging not found, no tendernessLaboratory examination:Hb: 12.1 gr %Progesterone level: within normal limit1.Identify the patients problem!2.Explain the significance of the above physical findings.3.What further investigations, if any, of this patient would be appropriate at this point?4.What are your management plans for this patient?5.What further information may be helpful from Mrs. Chika?PAGE 2Mrs. Chika, G2P1A0 at 18 weeks gestation. She spotting and dull abdominal pain,6 hours ago, she stated she had been experiencing lower abdominal pain and vaginal bleeding, when she was void, there was mass like liver from her vagina. She has no history of trauma. Mrs. Chika confess that she’s still smoking during pregnancy.Physical examinationBlood pressure: 120/80 mmHgHeart rate: 100 bpmHeart and lungs are within normal limit.Obstetric examination reveals:Fundal height is 3 fingers above symphysis.Speculum examination:Fluxus negativePortio : closeLaboratory result:Hb 10.3 gr%PAGE 3Doctor does Vaginal bleeding observationTreatment for mild anemia: ferrous sulfat for 2 weeks.LEARNING PROGRESS REPORTHari/Tanggal: Senin, 4 April 2011Nama Tutor: dr. Maria STKasus: AbortusGrup: A-1TERMINOLOGIPROBLEMHIPOTESISMEKANISMEMORE INFO ?I DONT KNOWLEARNING ISSUES1.Mrs. Chika, 28 th, G2P1, sedang hamil 10 minggu ada bercak darivagina & sakit di bagian abdominal bawah2.Merokok 8 batang/hari3.Terdapat mild vaginal bleeding4.Ada fluxus dari ostium uterine externa5.Chadwick positive6.Pd kehamilan 18 minggu, msh ada bercak & nyeri pada abdominal
 
7.Saat buang air. Ada massa seperti liver dari vaginanya1.Abortusspontan eminen dan komplit2.KET3.Molla hidatidosaPx lanjutan:USG utk mengetahui eminens atau komplit1.Apa itu cervical motion tenderness?2.Tanda pasti & tdk pasti kehamilan3.Estrogen &progesteron4.Abortus5.KE &KET6.Molla hidatidosa7.Plasenta previa & solutio plasenta8.Tablet FE9.Ferrous sulfat10.Pengaruh rokok terhadap kehamilana.Definisib.Etiologic.Patofisiologid.Terapie.Jenis
I.TANDA -TANDA PASTI DAN TIDAK PASTI KEHAMILANTanda-tanda kehamilan : yaitu apa saja yang dialami seorang wanita saat hamil atau menjelang akan hamil.
Lamanya kehamilan mulai dari ovulasi sampai partus adalah 40 minggu dan tidak lebih dari 43 minggu
Kehamilan 40 minggu disebut kehamilan matur ( cukup bulan )
Kehamilan > 43 minggu disebut postmatur
Kehamilan antara 28 dan 36 minggu disebut kehamilan prematur

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