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‘TEMPLATE KOMPETENSI LAYANAN PRIMER TOPIK Sinusitis BAGIAN —: THT-KL HARI/TGL : Senin, 78 VeSessher 2820 | Data Pasien |-Nama :Ny-S |= Umur 5 35 Tahun, = Alamat + fudiang ~Pekerjoan : (e+ = Suku: Mondor Status Medis Pasien + Keadaan Umum + S0ict vingon /cempos mentic + Anamnesis ~ Mulan Ubi 3 Myer! feo wosek Set > haa Yong late FeBerdoton dargon Inohos niger 240 Wash fate Bite Mien fee datkt) S96 Mtrtntan hing dat Sah (hn pay. Klan fod eee lee 9 Waar mato hig, Hsin (slic Nga a Rie mgeidion ead hive bel, tere pam Aa Sedo. read WES ECT Ne fla. aden dian Bie Sedacg Wee takaeg ion Suga erat dence 44h fe Feagtas fae on: remit asta 8 mr os tne € ia Wa dan he eas ny ~ Pemeriksaan Fisis &fo 3: elthan 99 St in buter tut fa Amtstonthe aioe ‘SRin sey mina eu tf Rls hing Rope | OE TTY 270 U0 Li0 mig, P: 20x [more «Nee lores Sv Aged le aing Reeser antease “USGA s Hldaw feta Vnsbenptan OME MAILE Y nae ms = RH 5 Meri han Pada Len Teroroet ines = Seint rustaniens He Fentat roan: reat He Uitecrmis Le Gay gr tidag ado \p Ub shave Wieeeron © em fon Seton HERES dog Shin rn Pemeriksaan Perunjang RaGae ~ foheradioteg PORE hero, AE dan tateny emer iatn © Tontilvntna & = Diagnosis + Usp. suwuras gnTeeer cee - Differential Diagnosis Siterenise) ~ Phone wes ina VY Nemeritfagn ddertot Progen tt vray) OD) up a8 Sontdienene:Qyaam Wut = Pengobatan D wens ma wmeness Wetmore, =, = Aahotie : Amelen in 480 Mg ~ Fonbudshon = Gah Kays natant Bbrgtton = Follow Up Smabeem (Bene) Ratgine + Soong (hs my) Diskusi Hasil feedback dori pembimbing) | Debniss > Peed gon dart watade Kus Poranete, Ine meng wars Hes (Pmuttinafar) , ra brtegeen; Sora Rous (Paro Kemah) be akted Views @ Later toad Ehereg aur Iidong ok 95 )Ktsinon andtewni + devon Sept, hiPertro€t Bonko Monta: DAE + bereaghong hirggy 4 mingge RRR etary oera @ muggy [boat wn = iy aged? 3 Pag “Tat ne lb hat 9 ayy EEG en ~ Nod Aidatetban ject “Ata” leg a ie Sa FE: - nga dnvoh rho aad, datat nyu an | = Nye Neon regio MotB nis Begtae Wreemit OF ~ Ketuoe Seprep hd. = Todo Hino ROPE Maftor Aeclitos Seve} Rado Meshes hog Medionus ae Aatatat ant etal Ypeg Mealad Geant Weriabe den munbeaon digg tnt Shame) Ys Need Fame Brajumbrean din inf Sage Verba errs erent Grokinet: + Ameriatin @ detengaton + Brot /24pbay Q Steroid teat toprer @ ta hiding dengan act 89% ‘Mengetahui, Dosen/Dokter Pembimbing ‘Mahasiswa

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