Kanan bawah.

#ASUS I
Keluhan:hyeripent

Pak Sito, usia 10th, Mahasiswa.

RPS
L nyeripentdari pusat menjalar te Kanan bawah

Avadran
&jam
D lanpost -> Febawah Fanan.

tiba-tiba muncul

Ceperti ditruk, 0-9110.

R dudue mending an

Aberdin meri sekali

Kemhan sisterile lain:

demame mual mutah - I havi laly

T ObatO

RPD blu pernah sample kek sin

pernah ISR tabra law
1 -> sah dirbati &symbol

Felvary &-

RKS Rumah akp begin Andang sering nahan

pipis
makan blush aja --
naps makan?
minum > Y
ulup -> -

·BAK lancar
Px Fisik

Inspeksi perbesuwan
X organ dinding perf again tings drpd dinding dad
abdomen Flat.

B
Frei r b e e
Auskultasi
Peristaltik 25x/menit

artiri renalis buits

x

Femoral
ilinca

Perfusi timpani

Palpasi nyeri Haan singal (costover

leb ra) &
mabroney Fetok
myeri

pasien saw duche

hepar & lien take teraba

Rowsing sign- lekan sblu kiri lair repat lepas Osuas sign
⑰ -
jika myeri di sebelah Kaman

Obtrrator Sinn

Turgor Kulit -
tembalirepat

Pasien such
bajr & persilakan duchle/pahai bay tembali-
tutu
& Penunjang
Hbx3
Lek Durch Hb: '
x 3
-km
Hm+:362,
levkusitosis dengan dominansi neutrofil segmen:13K

Frombo;150k

Urinalism:Reton

appendicogram &
abdomen:diameter
us5 appendix 77 cm

!Alvarado's score!
M:Migration ofpain to lower quadrant:+ 1
A:anorexia:0
N:nausea tromitting:+ 1
1:Underness in RLL: +1

R:rebrand pain layer than lepass:+1

E:elevated temperature:+ 1

2:Leukositosis:Al
S: shiftto left neutrotil (neutroFil 7753)

DX
Appendicitis
DD (Sistitis)
ISK
Uretherolitiasis
gastroenteritis.

it
appendictory antibiotik -

3
ceftriaxone
eFotaxim
certacioin.

RuickSpB
Pre Op bluud
~ puasa Uek Here Itransmitteda
~ IV line
Ints-> HIV disease
~ N5T -> ilers obstultif (RHUSUS)
V
dek Frugsipembetan Qarah PTT,APTT, IMR
↳ CT&BT duh).
gaman
empiter
edukass perforas i appendis informed musent ->
penetran pasich

peritonitis
-

S
sepsis
~
Rasitar perynbitrya.
 *ASUS I

Usia 45th Nyeri Pinggang

⑭ Pan /ito 45the nyers pinggang
Karyawan gudang

0 sejule 3 hari law

L dipinggang
progresif
i tens' an?
atimbul? ->
membert. "I am law -
sangatnyeri, the
menars
C Artwork
hyeri skal. ganyen,
1: 10:595 myeri. 6-7/10

A retap myesiG
R ⑦

↑ Xblm diobati

Helman sisterile lain demandah P) rejamtrakhir

⑭D 1 tahm
laly
&i ping gang -> sembul send in

strg jalar he pingsul Kanan

⑫R felvarga
X

RAS makan -> paling sering ->

daging flur
↳x penuman parse makan

minum -
tin-sering
b
↳ ritamin
X mimum
&
air
halsium dusis tingsi-schai sekali

pulih.jarang pol.
BAK -xnyen
↳ Kadany menahum air pipis
PxFsIK Abdomen:Pasien diperilahlan burn bag.
An tampal resultan
resudar an

ITU had 100X (mut

Suhr 37,5°
respirus:20x, menit
BP 130/85

Inspects
sikatrik ⑦ dinding pent ibh tinggior Dad
Perbah an warna
perbesaran 8

distended? Umblils Xhernia x InFlames

Austeltesi altik
usus -> normal
I ment

persensi timpani

Palpasi

nyeri CNAAnnan
Fin
PX Penunjars
Urinalisis abdomen/BNO-IP.
Fly
-

Fristal Kulium OsaLat

eritrosit salt meningat

urm
-
darah

Errysi ginjal
-

darah lengkap
-

levusitosis

diffal-hity jehisleckusit ->

 DX Uretherolithiasis dextra by distal

DD nequlithiasis
resicolithiasis

Na-diclofenal oral Insels;PP1 + a

nyenlambrng.
TX

metorolaxy passes
in t

trama, del

spamuliitit
->Hyrine, Butylbwie
B Bustpan .

edukasi