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SEKOLAH TINGGI ILMU KESEHATAN

(STIKES)
BHAKTI HUSADA MULIA MADIUN
SK.MENDIKNAS RI No.146/E/O/2011
Program Studi : S-1 KEPERAWATAN, S-1 KESEHATAN MASYARAKAT dan D-III KEBIDANAN
Kampus : JI. Taman Praja Kec. Taman Kota Madiun Telp /Fax. (0351) 491947
w e b s i t e : w w w . b h a k t i h u s a d a m u l i a . a c . i d

RESUME

Nama Pasien : .......................................... No Register : ..............................


Dx Medis : .......................................... Tanggal Pemeriksaan : ..............................

Keluhan Utama :
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Riwayat Penyakit Dahulu :


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Riwayat Penyakit Sekarang :


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PENGKAJIAN
Kepala dan Leher:
Inspeksi : .............................................................................................................
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Palpasi : .............................................................................................................
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Dada:
Inspeksi : .............................................................................................................
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Palpasi : .............................................................................................................
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Perkusi : .............................................................................................................
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Auskultasi : .............................................................................................................
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Abdomen:
Inspeksi : .............................................................................................................
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Auskultasi : .............................................................................................................
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Palpasi : .............................................................................................................
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Perkusi : .............................................................................................................
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Pelvis:
Inspeksi : .............................................................................................................
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Palpasi : .............................................................................................................
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Ektremitas Atas/Bawah:
Inspeksi : .............................................................................................................
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Palpasi : .............................................................................................................
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Punggung :
Inspeksi : .............................................................................................................
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Palpasi : .............................................................................................................
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Neurologis :
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HASIL PEMERIKSAAN DIAGNOSTIK

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ANALISA DATA

No Data Etiologi Masalah


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RESUME KEPERAWATAN

Nama Pasien : No Register :


Dx Medis : Tanggal Pemeriksaan :
S O A P I E
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