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BAGIAN ILMU KESEHATAN ANAK

LAPORAN KASUS

FAKULT FAKULTAS AS KEDOKTERAN

NOVEMBER 2014

UNIVERSITAS MUHAMMADIYAH MAKASSAR 

GIZI BURUK GEA + DEHIDRASI SEDANG

Disusun Ole ! ARHAMI ARHA MI A"AL A"AL # 10$4201%410 & Pe'(i'(in) ! *+, MARLENNY ",T MARTOYOMARTOYO- S.,A S .,A

DIBA"AKAN DALAM RANGKA TUGAS KEPANITRAAN KLINIK  BAGIAN ILMU KESEHATAN KESEHATAN ANAK FAKULTAS FAKULTAS KEDOKTERAN KEDOK TERAN UNIVERSITAS MUHAMMADIYAH MAKASSAR 2014

HALAMAN PENGESAHAN

Y/n) Y/n) (e+/n*/ /n)/n *i (// ini- 'en//3/n (// !  N/'/

! A+/'i A/lA/l- S,Ke* S,Ke*

 NIM

! 10$4201%410

u*ul L/.5+/n L/.5+/n K/sus ! Gi6i Bu+u3Bu+u3- Ge/ */n */n Dei*+/si Dei*+/si Se*/n) Se*/n) Tel/ Tel/  'en 'enele eles/i s/i3/ 3/n n u)/ u)/ss */l/' */l/' +/n)3 +/n)3// 3e./ 3e./ni nie e+// +//n n 3lin 3lini3 i3 ./*/ ./*/ B/)i B/)i/n /n Kese//n An/3 F/3ul/s Ke*53e+/n Uni7e+si/s Mu/''/*i/ M/3/ss/+,

M/3/ss/+- N57e'(e+ 2014

Pe'(i'(in)

*+, M/+lenn ",T M/+55- S.,A

LAPORAN KASUS A, IDENTITAS PASIEN  N/'/ ! Mu A6/+   N5, Re)ise+ RS ! 84904$ T/n))/l L/i+ ! 1: n57e'(e+ 2012 U'u+ ! 2 /un enis Kel/'in ! l/3i;l/3i Al/'/ ! ASPA Ru./ T/n))/l MRS ! 10 n57e'(e+ 2014 "/3u ! 22!28 i/ Ru/n)/n ! D/li/ B, ANAMNESIS Ti.e An/'nesis ! All5/n/'nesis Kelu/n U/'/ ! Bu/n) /i+ (es/+ en Ri// Pen/3i Se3/+/n) ! An/3 l/3i;l/3i '/su3 +u'/ s/3i *i/n/+ 5le 5+/n) u/ '/l/' /+i *en)/n 3elu/n (e+/3;(e+/3 en se@/3 s5+e /+i, An/3 @u)/ 'en)/l/'i 'u/l#?&- 'un/#?& +e3uensi 8> se@/3 s5+e /+i, De'/' #;&- 3e@/n) #;&'en))i)il #;&, N/su '/3/n ! (/i3 #'/3/n/n e+enu&- n/su 'inu' ! 3u/, BAB ! en
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S/us Gi6i

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Be+/ B/*/n

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Tin))i B/*/n

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T/n*/ Vi/l  N/*i

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Pe+n//s/n

! 2 >'eni #/3i.nu&

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De+/@/ Dei*+/si ! Ke/*//n u'u'

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Pe+n/./s/n

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LEHER

 

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T/n*/ +/u'/  (en@5l/n #;&

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Pe'(es/+/n KGB #;&

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U(un J u(un (es/+ 'enuu. #?&

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Pe'(es/+/n 3elen@/+ +5i*

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R/'(u ! Hi/'- lu+us-3e+in) 'u*/ *i

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#;& lu3/ '/u.un .e+*/+//n #;& Hi*un) ! +in5+e #;& e.is/3sis #;&

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#;&

Gi)i */n 'ulu ! (i(i+ 3e+in) #;& si/n5sis #;&- s5'/iis #;&- li*/ 355+ */n 5nsil T1T1 i.e+e'is #;&

THORA

ANTUNG

Ins.e3si ! o Si'e+is 3/n/n */n 3i+i o

De5+'i/s 5+/3s #;&

o

Re+/3si #;&- .e+n/./s/n
#;& P/l./si ! M/ss/ #;& o o

o

Sel/ i)/ 3/n/n */n 3i+i

Pe+3usi ! o S5n5+ e'i5+/3s 3/n/n */n 3i+i Aus3ul/si ! Buni .e+n/./s/n ! 7esi3ule+ o o

Ins.e3si ! I<us <5+*is /'./3 P/l./si ! I<us <5+*is i*/3 e+/(/ Pe+3usi ! B//s @/nun) 3i+i- line/ o

Buni /'(//n

 ./+/se+n/lis *e3s+/ Aus3ul/si ! o Buni @/nun) I */n II o

'u+ni +e)ule+ Bisin) #;&

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EKSTREMITAS Te+*/./ Bini3 Ke'e+//n

o

#;& De5+'i/s #;&

! R ;;- " ;;

ABDOMEN Ins.e3si ! D//+- 'en)i3ui )e+/3/n n/./s o o

A
P/l./si !

'i*
o

He./+ */n lien i*/3 e+/(/

o

M/ss/ Tu'5+ #;&

o

 Ne+i e3/n #;&

Pe+3usi ! T'./ni #?& Aus3ul/si ! Pe+is/li3 #?&- 3es/n 'enin)3/

o

DIAGNOSIS KERA Gi6i Bu+u3

o

G/s+5ine+iis /3u

o

Dei*+/si Se*/n)

DIAGNOSIS BANDING o

PENATALAKSANAAN o

IVFD K/En B 40 .' 'i<+5 *+i.s

o

 C5+i'5>/65le s+ 2>1 <

o

Me51 < s5.

o

On*/nse+5n 0-$ 'l IV

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in<3i* 1>2 <

o

M/3/n/n TKTP

o

K5nsul Gi6i

PEMERIKSAAN PENUNANG Pe'e+i3s//n L/(,! o

K5nsul Gi6i P/*/ /n))/l 11 n57e'(e+ 2014 ./sien *i 35nsul ./*/ *53e+ )i6i 3/+en/ *i*/./3/n s/us )i6i Bu+u3 # *i(// ;  SD&  ;S<5+e  H/sil .e'e+i3s//n 5le *53e+ )i6i 3lini3 Ri// /n/3 n/su '/3/n (/i3- i*/3 su3/ 'inu' susu- 'e'ili '/3/n/n e+enu, ;BB ! 8-% K) ;PB ! %2 <' E*e'/ #;&- sel/ i)/ /'./3 #?&- <5s/ #;&- /sin) #;&

S/us )i6i BB;TB # s<5+e- "HO De.3es& ! Gi6i Bu+u3 #  ; SD& S// ini /n/ /n/ 35nsu'si '/3/n/n 3e+in)- n/su '/3/n 3u+/n) 3/+en/ 3elu/n 'un/ # +e3 = $00 33/l&- ./sien s/(il, 

M/su3 /se s/(ilis/si /+)e B 10-% 3) #'e*i/n& o H/+i 1;2  100 33/l  800 K3/l- .+5ein 12)+'+i o H/+i ;4 #+/nsisi& ! 100 K3/l- .+5ein 2$ )+'+i H/+i sel/n@un/ +e/li/si ! 1:00 K3/l- .+5ein $ )+'+i o Mul/i 800 K3/l  Die n/si i' sesu/i +51 < 

  

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A. HASIL FOLLOW UP

T/n))/l D/n TTV

Pe+@/l/n/n Pen/3i

Ins+3usi D53e+  

10 ; N57 J 2014 HR! 120>'eni P! 2>'eni S ! 85C

P/sien '/su3 +u'/ s/3i *i/n/+ 5le 5+/n) u/ '/l/' /+i *en)/n 3elu/n  (e+/3;(e+/3 en se@/3  s5+e /+i, An/3 @u)/ 'en)/l/'i 'u/l#?&- 'un/#?& +e3uensi 8> se@/3  s5+e /+i, De'/' #;&- 3e@/n) #;&'en))i)il #;&,  N/su '/3/n ! (/i3- #'/3/n/n e+enu& n/su 'inu' ! 3u/, BAB ! en
o

 IVFD K/En B 40 .' 'i<+5 *+i.s

o

 C5+i'5>/65le s+ 2>1 <

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Me51 <

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On*/nse+5n 0-$ 'l IV

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in<3i* 1>2 <

T/n))/l Pe+@/l/n/n Pen/3i

Ins+3usi D53e+

D/n TTV 12 J N57 J  KU! le'/s 2014  HR!144>'eni 

S ! De'/' #?&- 'en))i)i #;&- (/u3 #;&- len*i+ #;&-'u/l #;&-'un/ #;&-

o

o

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 P ! 0 >'eni

 N/su '/3/n ! (/i3 

S ! %-: 5C

 N/su Minu' ! Ku/ BAB ! En BAK ! L/n
o

IVFD K/En B 0 .'  C5+i'5>/65le s+ 2>1 < Me51 < s5. On*/nse+5n 0-$ 'l IV

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in<3i* 1>2 <

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M/3/n/n TKTP

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K5nsul Gi6i #*53e+  i*/3 /*/&

B  ! R ;;- " ;; C7 ! B@ 1 */n 2 Mu+ni +e)ule+ 

Bisin) #;& A(* ! Pe+isl/li3 #?& 3es/n 'enin)3/- 3e'(un) #?&

T/n))/l Pe+@/l/n/n Pen/3i

Ins+3usi D53e+

D/n TTV 1 J N57 ; 2014 HR! 120>'eni

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KU! 'e'(/i3 S ! De'/' #;&- 'en))i)i #;&- (/u3  #;&- len*i+ #;&-'u/l #;&- 'un/ #; &-s/3i .e+u #;&

  P ! 2 >'eni

 N/su '/3/n ! M/l/s

  S ! :-8 5C

 N/su Minu' ! Ku/, BAB ! En

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IVFD K/En B 0 .'  C5+i'5>/65le s+ 2>1 <

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in<3i* 1>2 <

o

Die TKTP

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P+5lsin 1>1 <

BAK ! L/n
T/n))/l Pe+@/l/n/n Pen/3i

Ins+3usi D53e+

D/n TTV 14 J N57 ; 2014 HR! 10>'eni P ! 4 >'eni

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KU! (/i3  S! De'/' #;&- 'en))i)i #;&- (/u3 #?&- len*i+ #?&, 'u/l #;&- 'un/ #;&

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o

! 8-45C

 C5+i'5>/65le s+ 2>1 < in<3i* 1>2 <

 N/su '/3/n ! 'enu+un o

S

IVFD K/En B 0 .'

 N/su Minu' ! Ku/, BAB ! 2>- se.e+i (u(u+ (e+/'./s BAK ! L/n
o

Die TKTP 5le )i6i P+5lsin 1>1 <

C7 ! B@ 1 */n 2 Mu+ni +e)ule+  Bisin) #;& A(* ! Pe+isl/li3 #?& 3es/n 'enin)3/

Diagnosa akhir !

;

)i6i (u+u3- )/n))u/n )/s+5ene+iis /3u */n *ei*+/si se*/n)

E!kasi

; ; ; ; ; ;

P5l/ '/3/n/n /n) *i(e+i3/n 3e /n/3 /+us sesu/i /+)e nil/i )i6i in)in *i
Disk!si

P/sien ini *i*i/)n5sis *en)/n )i6i (u+u3 *ise+/i *i/+e (e+*/s/+3/n /n/'nesis- .e'e+i3s//n isis- */n /l/u.un .e'e+i3s//n .enun@/n) i*/3  *il/3u3/n, D/+i ee+5/n/'nesis ./sien- sel/'/ *i+// *i +u'/ s/3i P/sien '/su3 +u'/ s/3i *i/n/+ 5le 5+/n) u/ '/l/' /+i *en)/n 3elu/n (e+/3;(e+/3  en se@/3 s5+e /+i, An/3 @u)/ 'en)/l/'i 'u/l#?&- 'un/#?& +e3uensi 8> se@/3 s5+e /+i, De'/' #;&- 3e@/n) #;&- 'en))i)il #;&, N/su '/3/n !  (/i3- n/su 'inu' ! 3u/, BAB ! en
P/*/ 3/sus *i */./3/n +i// /n/3 'e'ili '/3/n/n e+enu s/@/ /n) in)in *i'/3/n /n./ *i3e/ui nil/i )i6i */n 3e(e+si/nn/, Sein))/ '/su3  +u'/ s/3i *en)/n *i/)n5se *i/+e, H/l ini *i *u)/ se(/)/i s/l/ s/u .ene(/( )i6i (u+u3 ./*/ ./sien ini,

PEMBAHASAN ". DEFINISI Menu+u "HO /*/l/ e+*/./n/ e*e'/ ./*/ 3e*u/ 3/3i //u

/*/n/ se7e+e /sin) #BBTB  80 //u  ; SD&- //u /*/ )e@/l/ 3linis )i6i (u+u3 #3/si5+35+- '/+/s'us- //u '/+/s'i3;3/si5+35+&, 1

Gi6i Bu+u3

Klinis T/'./3 s/n)/ 3u+us */n //u e*e'/ ./*/

3e*u/ .un))un) 3/3i s/'./i selu+u u(u Gi6i Ku+/n) T/'./3 Ku+us Gi6i B/i3 T/'./3 Se/ Gi6i Le(i T/'./3 Ge'u3 #. KLASIFIKASI DAN KLINIS 1-2--4

An+5.5'e+i  ; SD & ; SD ;  ;2 SD ;2 SD ;2 SD 2 SD

P/*/ u'u'n/ .en)u3u+/n *il/3u3/n *en)/n 'en))un/3/n 'e5*e JS<5+e- /n/3 *en)/n  J S<5+e  stunning, wasting, underweight  ;2 SD,Se*/n)3/n /n/3 /n) 'e'ili3i ;S<5+e ; SD e+'/su3 '/lnu+isi (e+/, $ , PRE$ALENSI %

&. MEKANISME 'ER(ADIN)A GIZI BURUK 

Ine+/3si /n/+/ /35+;/35+ 3e(e+/*//n 6/ )i6i #/35+ .ene(/(&
*/n 5.i'/l, Bil/

3esei'(/n)/n ini i*/3 e+@/)/ '/3/ /3/n e+@/*i .e+u(//n */l/' u(u/3ni e+@/*in/ .e'/3/i/n
/n+5.5'e+i, An/3 *i*i/)n5sis )i6i (u+u3 /./(il/! ; BBTB  ; SD //u 80 */+i 'e*i/n #'/+/s'us& ; E*e'/ ./*/ 3e*u/ .un))un) 3/3i s/'./i selu+u u(u #3/si5+35+! BBTB ;SD //u '/+/s'i3;3/si5+35+! BBTB ;SD i3/ BBTB //u BBPB i*/3 */./ *iu3u+- )un/3/n /n*/ 3linis  (e+u./ /n/3 /'./3 s/n)/ 3u+us #7isi(le se7e+e /sin)& */n i*/3  'e'.un/i @/+in)/n le'/3 (// 3uli e+u/'/ ./*/ 3e*u/ (/u- len)/n-

 ./n/ */n .//Q ul/n) i)/ e+li/ @el/s- *en)/n //u /n./ /*/n/ e*e'/ #li/ )/'(/+&, An/3;/n/3 *en)/n BBU  :0 (elu' enu )i6i (u+u33/+en/ 'un)3in /n/3 e+se(u .en*e3- sein))/ i*/3 e+li/ s/n)/ 3u+us, An/3 se.e+i iu i*/3 'e'(uu3/n .e+///n *i +u'/ s/3i3e
isis, An/'nesis e+*i+i */+i /n/'nesis //l */n /n/'nesis l/n@u/n,1-2- Anan,sis a-a /!n0!k k,ar!ra0an12

; L/'/ */n +e3uensi *i/+e */n 'un/ se+/ /'.il/n */+i (//n 'un/ */n ; Di/+e #en
seel/ 3e*/+u+//n *i/n)/ni! ; Die #.5l/ '/3/n&3e(i/s//n '/3/n se(elu' s/3i ; Ri// .e'(e+i/n ASI ; Asu./n '/3/n/n */n 'inu'/n /n) *i35nsu'si (e(e+/./ /+i e+/3i+  ; Hil/n)n/ n/su '/3/n ; K5n/3 *en)/n ./sien
; T/n*/ *ei*+/si! /'./3 /us- '//
Pen)5(//n e+/*/. )i6i (u+u3 /*/l/ *iu@u3/n unu3 'en/'(/ 6/ )i6i /n) 3u+/n)- n/'un */l/' .+5sesn/ 'e'e+lu3/n /3u */n /+us se
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; P/*/ //. //l /+us *i(e+i3/n
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Be+i3/n sei/. /+i ./lin) se*i3i */l/' 2 'in))u!

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8, Pe'(e+i/n '/3/n //l #Inii/l +eee*in)& P/*/ /se //l- .e'(e+i/n '/3/n #5+'ul/& /+us *i(e+i3/n se
Be+i3/n

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T//l/3s/n/ L/3u3/n +/nsisi se
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