Laki-laki, 20 tahun Datang di UGD : Tensi 140 / 100mmHg, Nadi 58x/menit Jejas temporal kanan 8 cm GCS

113 Pupil anisokor kanan > kiri Hemiparese kiri

1. Diagnosa kerja? 2. Management

Tensi 140/100 mmHg Hipertensi Management ? .

GCS 113 Penekanan pusat kesadaran PERDARAHAN INTRAKRANIAL : •HEMATOM EPIDURAL •HEMATOM SUBDURAL •HEMATOM INTRASEREBRAL KONTUSIO SEREBRI EDEM SEREBRI .

PUPIL ANISOKOR KANAN > KIRI Penekanan nervus III KANAN PERDARAHAN INTRAKRANIAL : •HEMATOM EPIDURAL •HEMATOM SUBDURAL •HEMATOM INTRASEREBRAL KONTUSIO SEREBRI EDEM SEREBRI .

HEMIPARESE KIRI Penekanan tractus pyramidalis / tractus corticospinalis PERDARAHAN INTRAKRANIAL : •HEMATOM EPIDURAL •HEMATOM SUBDURAL •HEMATOM INTRASEREBRAL KONTUSIO SEREBRI EDEM SEREBRI .

GCS 113 Tensi 140 / 100 Nadi 58x / menit Pupil anisokor Hemiparese PERDARAHAN INTRAKRANIAL : •HEMATOM EPIDURAL •HEMATOM SUBDURAL •HEMATOM INTRASEREBRAL KONTUSIO SEREBRI EDEM SEREBRI .

Diagnosa • CEDERA KEPALA BERAT • Suspect : •Perdarahan intrakranial : –Perdarahan Epidural –Perdarahan Subdural –Perdarahan intraserebral •Kontusio serebri Edema serebri .

Management Proteksi diri Primary Survey Secondary Survey .