PORTOFOLIO
BENIGN PAROXYSMAL POSITIONAL VERTIGO
Presentan
Dr. FITRI ZAHARA
Dokter Pendampin
Dr. TRI ENDANGWATI Dr. Dr. FRANS FRA NS OTTO HASIBUAN HASIB UAN
Dokter DP!P
Dr. DEDI SUTIA, SP.S
PROGRAM DO"TER INTERNS#IP R$M"IT T" III DR% RE"SODI&IRYO PADANG '()*
BORANG PORTOFOLIO Nama Peserta +
Dr. FITRI ZAHARA
Nama &a,ana +
RUMKIT TK III DR. REKSODIWIRYO
Topik +
Saraf – Benign ar!"#$%a& !$i'!na& (er'g!
Tana- .kas/s0 +
)) Mare* +)-
Nama Pasien +
N#.
No RM +
)/.0/.//
Tana- Presentasi +
Mare* +)-
Nama Pendampin +
1r. Tri En1ang2a'
Tempat Presentasi +
1r. Fran$ O3! Ha$i45an AU6A RUMKIT TK III DR. REKSODIWIRYO
O12ek34 Presentasi +
Kei&%5an
Ke*era%i&an
Pen#egaran
Tin7a5an P5$*a8a
Diagn!$'8
Mana7e%en
Ma$a&a9
I$'%e2a
Ne!na*5$
De$8ri$i :
Ba#i
Ana8
Re%a7a
De2a$a
6an$ia
B5%i&
Pa$ien ere%5an 5$ia ;0 *a95n 1a*ang 4er$a%a !rang *5an#a 8e IGD R5%8i* TK III DR. Re8$!1i2ir#! 1engan : Ke&59an U*a%a :
-
Kea&a *era$a 5$ing 4er5*ar $e7a8 0 7a% $e4e&5% %a$58 r5%a9
$a8i* Ri2a#a* Pen#a8i* Se8arang :
- Kea&a *era$a 5$ing 4er5*ar $e7a8 0 7a% $e4e&5% %a$58 r5%a9 $a8i*. Pa$ien %era$a8an 1irin#a 4er5*ar 1an 8a1ang %era$a8an &ing85ngan 1i$e8e&i&ingn#a #ang 4er5*ar. P5$ing *er7a1i '4a<'4a, 4er&ang$5ng = + %eni*, 1iara$a8an 9i&ang '%45&. P5$ing 1iengar59i !&e9 !$i$i 8ea&a *er5*a%a $aa* 8ea&a %iring 8e 8anan 1an 8e 8iri.
- M5a& %5n*a9 $e4an#a8 &e4i9 1ari ) 8a&i, %5n*a9 4eri$i aa #ang 1i%a8an, %5n*a9 '1a8 %en#e%r!*.
- Te&inga 4er1enging 1an 8e&59an *e&inga &ainn#a '1a8 a1a. - Pan1angan gan1a '1a8 a1a, 1e%a% $e4e&5%n#a '1a8 a1a.
Pa$ien '1a8 erna9 %enga&a%i 8e&59an $eer' ini $e4e&5%n#a
T575an :
Mengi1en'>8a$i en#e4a4, er7a&anan en#a8i*, ge7a&a 8&ini$, e%eri8$aan >$i8, 1iagn!$i$ 1an ena*a&a8$anaan 1ari Benign ar!"#$%a& !$i'!na& (er'g! . Tin7a5an
Ba,an Ba,asan + 5ara Mem1a,as + Data Pasien
P5$*a8a Di$85$i
Na%a :
Ri$e* Pre$en*a$i
1an Di$85$i N#.
Na%a K&ini8 : R5%8i* TK III Re8$!1i2ir#!
Te& :
Ka$5$
A51i*
E%ai&
P!$
N!%!r
)/.0/.//
Regi$*ra$i : Ter1a?ar $e7a8 :
Data /tama /nt/k 1a,an disk/si + ). Diagn!$i$ @ Ga%4aran K&ini$ :
Diagn!$i$
: Benign ar!"#$%a& !$i'!na& (er'g!
Ga%4aran K&ini$ : Ke&59an U*a%a :
- Kea&a *era$a 5$ing 4er5*ar $e7a8 0 7a% $e4e&5% %a$58 r5%a9 $a8i* Ri2a#a* Pen#a8i* Se8arang :
- Kea&a *era$a 5$ing 4er5*ar $e7a8 0 7a% $e4e&5% %a$58 r5%a9 $a8i*. Pa$ien %era$a8an 1irin#a 4er5*ar 1an 8a1ang %era$a8an &ing85ngan 1i$e8e&i&ingn#a #ang 4er5*ar. P5$ing *er7a1i '4a<'4a, 4er&ang$5ng = + %eni*, 1ira$a8an 9i&ang '%45&. P5$ing 1iengar59i !&e9 !$i$i 8ea&a *er5*a%a $aa* 8ea&a %iring 8e 8anan 1an 8e 8iri.
- M5a& %5n*a9 $e4an#a8 &e4i9 1ari ) 8a&i, %5n*a9 4eri$i aa #ang 1i%a8an, %5n*a9 '1a8 %en#e%r!*.
- Te&inga 4er1enging 1an 8e&59an *e&inga &ainn#a '1a8 a1a. - Pan1angan gan1a '1a8 a1a, 1e%a% $e4e&5%n#a '1a8 a1a. +. Ri2a#a* Peng!4a*an : Pa$ien $e4e&5%n#a 4er!4a* 8e 5$8e$%a$, 8e%51ian 1ir5758 8e R5%8i* TK III Re8$!1i2ir#!. . Ri2a#a* Ke$e9a*an @ Pen#a8i* : Pa$ien '1a8 erna9 %enga&a%i 8e&59an $eer' ini $e4e&5%n#a. ;. Ri2a#a* 8e&5arga : Ti1a8 a1a angg!*a 8e&5arga a$ien #ang %enga&a%i 8e&59an 1an en#a8i* $eer' ini $e4e&5%n#a.
/. Ri2a#a* Pe8er7aan : Pa$ien a1a&a9 $e!rang i45 r5%a9 *angga. -. Ri2a#a* 6ing85ngan S!$ia& 1an Fi$i8 : Pa$ien 'ngga& 1i &ing85ngan a1a* en15158 . Ri2a#a* I%5ni$a$i C1i$e$5ai8an 1engan a$ien 1an 8a$5$ : Pa$ien '1a8 %enge*a95i aa8a9 erna9 1i i%5ni$a$i 6ain<&ain: Stat/s enera-is +
Kea1aan 5%5% : $a8i* $e1ang Ke$a1aran
: !%!$ %en'$
TD
: )+@0 %%Hg
Na1i
: 0; "@ %eni*
Nafa$
: ++ "@ %eni*
S595
: ,+
Ma*a
: 8!n75ng'(a ane%i$ C< $8&era i8*eri8 C<
T9!ra"
: !r 1an 5&%! 1a&a% 4a*a$ n!r%a&
A41!%en
: Bi$ing U$5$ C N!r%a&
Stat/s Loka-is /nt/k d/aan dianosis dan men6inkirkan dianosis 1andin +
Pe%eri8$aan Fi$i8 K95$5$ : Ma*a : Ni$*ag%5$ C< K!!r1ina$i
: < Te$ *e&5n758 9i15ng *e&5n758 : 4ai8 < Pa$* !in'ng >nger *e$* : '1a8 1aa* 1i&a858an
Ke$ei%4angan : < Te$ r!%4erg '1a8 1aa* 1i&a858an < S*eing gai* '1a8 1aa* 1i&a858an Pemeriksaan Pen/n2an .La1oratori/m0 + < Da7ar P/staka +
). Mar7!n! M, S19ar*a P. Da&a% : Ne5r!&!gi K&ini8 Da$ar. Dian Ra8#a*. a8ar*a, ) +. Har$!n!. Kai*a Se&e8*a Ne5r!&!gi. Ga17a9 Ma1a Pre$$. Y!g#a8ar*a, +.
Ha$i& Pe%4e&a7aran : ). I1en'>8a$i e'!&!gi 1ari Benign ar!"#$%a& !$i'!na& (er'g! +. I1en'>8a$i Ge7a&a K&ini$, Pe%eri8$aan Fi$i8 1an 6a4!ra*!ri5% 1ari Benign ar!"#$%a& !$i'!na& (er'g! . Diagn!$i$ Benign ar!"#$%a& !$i'!na& (er'g! ;. Pena*a&a8$aan Benign ar!"#$%a& !$i'!na& (er'g! 5atatan + Rang85%an 9a$i& e%4e&a7aran !r*!f!&i! :
)% S/12ek34 +
- Kea&a *era$a 5$ing 4er5*ar $e7a8 0 7a% $e4e&5% %a$58 r5%a9 $a8i*. Pa$ien %era$a8an 1irin#a 4er5*ar 1an 8a1ang %era$a8an &ing85ngan 1i$e8e&i&ingn#a #ang 4er5*ar. P5$ing *er7a1i '4a<'4a, 4er&ang$5ng = + %eni*, 1ira$a8an 9i&ang '%45&. P5$ing 1iengar59i !&e9 !$i$i 8ea&a *er5*a%a $aa* 8ea&a %iring 8e 8anan 1an 8e 8iri.
- M5a& %5n*a9 $e4an#a8 &e4i9 1ari ) 8a&i, %5n*a9 4eri$i aa #ang 1i%a8an, %5n*a9 '1a8 %en#e%r!*.
- Te&inga 4er1enging 1an 8e&59an *e&inga &ainn#a '1a8 a1a. - Pan1angan gan1a '1a8 a1a, 1e%a% $e4e&5%n#a '1a8 a1a.#eri er5* 8anan 4a2a9 $e7a8 / 7a% $e4e&5% %a$58 r5%a9 $a8i* - Pa$ien $e4e&5%n#a 4er!4a* 8e 5$8e$%a$, 8e%51ian 1ir5758 8e R5%8i* TK III Re8$!1i2ir#!. - Pa$ien '1a8 erna9 %enga&a%i 8e&59an $eer' ini $e4e&5%n#a. - Ti1a8 a1a angg!*a 8e&5arga a$ien #ang %enga&a%i 8e&59an 1an en#a8i* $eer' ini $e4e&5%n#a. '% O12ek34 + Stat/s enera-is +
Kea1aan 5%5% : $a8i* $e1ang Ke$a1aran
: !%!$ %en'$
TD
: )+@0 %%Hg
Na1i
: 0; "@ %eni*
Nafa$
: ++ "@ %eni*
S595
: ,+
Ma*a
: 8!n75ng'(a ane%i$ C< $8&era i8*eri8 C<
T9!ra"
: !r 1an 5&%! 1a&a% 4a*a$ n!r%a&
A41!%en
: Bi$ing U$5$ C N!r%a&
Stat/s Loka-is /nt/k d/aan dianosis dan men6inkirkan dianosis 1andin +
Pe%eri8$aan Fi$i8 K95$5$ : < Ma*a : Ni$*ag%5$ C< < Te$ *e&5n758 9i15ng *e&5n758 : 4ai8 Pemeriksaan Pen/n2an .La1oratori/m0 + 8
Ha$i& ana%ne$i$ 1an e%eri8$aan >$i8 %en1585ng 8eara9 1iagn!$i$ Benign ar!"#$%a& !$i'!na& (er'g! . Pa1a 8a$5$ ini 1iagn!$i$ 1i*ega88an 4er1a$ar8an : Ge7a&a 8&ini$ C5$ing 4er5*ar $e7a8 0 7a% $e4e&5% %a$58 r5%a9 $a8i*, 4a1an *era$a
4er5*ar 1an 8a1ang %era$a8an &ing85ngan 1i$e8e&i&ingn#a #ang 4er5*ar, P5$ing *er7a1i '4a<'4a, 4er&ang$5ng = + %eni*, 1ira$a8an 9i&ang '%45&. P5$ing 1iengar59i !&e9 !$i$i 8ea&a, $er*a %5a& 1an %5n*a9
Pe%eri8$aan >$i8 CNi$*ag%5$ C<, *e$ *e&5n758 9i15ng *e&5n758, '1a8 a1a 8e&ainan - 9Assesment: .Pena-aran "-inis0 +
-
Pa*!>$i!&!gi #ang 1aa* %enerang8an $e4a4 *er7a1in#a BPPJ #ai*5 *e!ri 85!&i*9ia$i$ 1an *e!ri 8ana&i*9ia$i$. Te!ri 85!&i*9ia$i$ %en7e&a$8an 1i*e%58ann#a ar'8e&<ar'8e& 4a$!>&i8 #ang 4eri$i 8a&$i5% 8ar4!na* 1ari frag%en !*!8!nia C!*!&i*9 #ang *er&ea$ 1ari %a5&a 5*ri5&5$ #ang $51a9 4er1egenera$i, %ene%e& a1a er%58aan 855&a $e9ingga 8ana&i$ $e%i$ir85&ari$ !$*eri!r %en7a1i $en$i'f a8an gra(i*a$i a8i4a* ar'8e& #ang %e&e8a* a1a 855&a. Se1ang8an Te!ri 8ana&i'a$i$ %en7e&a$8an 4a92a *er1aa* ar'8e& #ang 4e4a$ 4ergera8 Cana&i*9 1i 1a&a% 8ana&i$ $e%i$ir85&ari$. Pa1a er54a9an !$i$i 8ea&a 1e4ri$ *er$e45* a8an 4ergera8 8e !$i$i a&ing 4a2a9, en1!&i%fe 4ergera8 %en7a59i a%5&a 1an %erang$ang ner(5$ a%5&ari$. Bi&a 8ea&a 1igera88an *er*en*5 1e4ri$ a8an 8e &5ar 1ari 8ana&i$ !$*eri!r 8e 1a&a% 8r5$ 8!%5ni$,
-
&a&5 %a$58 8e 1a&a% (e$'45&5%, 1an (er'g!@ni$*ag%5$ %eng9i&ang. Ber1a$ar8an ge7a&a 8&ini$, a$ien %era$a 5$ing 4er5*ar #ang '%45& $eara '4a< '4a. P5$ing 1ie*5$8an !&e9 er54a9an !$i$i 8ea&a. P5$ing 1iiringi 1engan %5a& $e7a8 0 7a% $e4e&5% %a$58 r5%a9 $a8i*. Pa1a e%eri8$aan >$i8 1i*e%58an e%eri8$aan *e$ *5n758 9i15ng '1a8 a1a gangg5an, *e$* 8!!r1ina$i 4er5a *e$ r!%4erg 1an $*eing gai* '1a8 1aa* 1i&a858an 8arena a$ien '1a8 %a%5 5n*58 %e&a858an *e$* *er$e45*, 9a& ini %en5n7588an 4a92a a$ien ini %en1eri*a (er'g!
!$i$i!na& #ai*5 4enign !r"#$%a& !''!na& (er'g!. ;% 9P-an: Dianosis
: Benign Par!"#$%a& P!$i'!na& Di$ea$e
Peno1atan :
-
-
-
-
-
-
-
-
IJFD R6 + *e*e$ @ %eni* In7e8$i On1an$en*r!n " ) a%5& Be*a9i$'n " ) *a4&e* F&5nariin + " ) *a4&e* Ne5r!1e" ) " ) *a4&e* Ra2a* R5angan F!&&!2 5 ))<<+)- : S@ P5$ing 4er5*ar C %5a& C O@ KU : $a1ar, 4ai8 WD@ Benign Par!"#$%a& P!$i'!na& Di$ea$e T9@ Terai &an75* 1i*a%4a9 in7e8$i Me!4a&a%in + " ) a%5& F!&&!2 5 )+<<+)- : S@ P5$ing 4er5*ar C L %5a& C n#eri er5* C O@ KU : $a1ar, 4ai8 N#eri *e8an eiga$*ri5% C WD@ Benign Par!"#$%a& P!$i'!na& Di$ea$e D#$e$ia T9@ Terai &an75* 1i*a%4a9 in7e8$i Rani'1in + " ) a%5& 6an$!ra!&e + " ) *a4 U&$i1e" " ) *a4 F!&&!2 5 )<<+)- : S@ P5$ing 4er5*ar C L %5a& C n#eri er5* C O@ KU : $a1ar, 4ai8 N#eri *e8an eiga$*ri5% C WD@ Benign Par!"#$%a& P!$i'!na& Di$ea$e D#$e$ia T9@ Terai &an75* F!&&!2 5 );<<+)- : S@ P5$ing 4er5*ar C L %5a& C< n#eri er5* CL O@ KU : $a1ar, 4ai8 N#eri *e8an eiga$*ri5% C WD@ Benign Par!"#$%a& P!$i'!na& Di$ea$e D#$e$ia T9@ Terai &an75*
-
-
-
F!&&!2 5 )/<<+)- : S@ P5$ing 4er5*ar C< %5a& C< n#eri er5* C< O@ KU : $a1ar, 4ai8 N#eri *e8an eiga$*ri5% C< WD@ Benign Par!"#$%a& P!$i'!na& Di$ea$e D#$e$ia T9@ Terai &an75* F!&&!2 5 )-<<+)- : Pa$ien $51a9 1ier4!&e98an 5&ang Terai P5&ang : Be*a9i$'n " ) *a4&e* F&5nariin + " ) *a4&e* Rani'1in + " ) *a4&e*
Pendidikan :
-
Me%4eri8an e158a$i 8ea1a a$ien *en*ang fa8*!r ene*5$ 1an %an5(er Bran1* Dar! $e4ana8 8a&i $e9ari $e&a%a + %ingg5 $e4agai *erai n!n%e1i8a%en*!$a
-
5n*58 en#a8i* ini. Me%4eri8an e158a$i 8ea1a a$ien 1an 8e&5arga %engenai en#a8i* a$ien, 8!n1i$i a$ien $aa* ini, e%eri8$aan #ang a8an 1i&a858an, 'n1a8an ena*a&a8$anaan #ang a8an 1i&a858an.
"ons/-tasi :
-
Pa$ien 1i8!n$5&8an 8e 1!8*er $e$ia&i$ $araf 5n*58 'n1a8an ena*a&a8$anaan
-
$e&an75*n#a. Pa1a 9ari ra2a*an 8e*5759, a$ien $51a9 1ier4!&e98an 5&ang, 1i4eri !4a* 5&ang CBe*a9i$'n " ) *a4&e*, F&5nariin + " ) *a4&e*, Rani'1in + " ) *a4&e* 1an 1ian75r8an 5n*58 8!n*r!& 8e !&i $araf 15a 9ari $e&an75*n#a.
BERITA A5ARA PRESENTASI PORTOFOLIO Pa1a 9ari ini *angga& .........................................*e&a9 1ire$en*a$i8an !r*!f!&i! !&e9 : Na%a Pe$er*a
:
Dengan 7515& @ *!i8
:
Na%a Pen1a%ing
:
1r. Tri En1ang2a' 1r. Fran$ O3! Ha$i45an
Na%a Wa9ana NO.
:
RUMKIT TK III Dr. REKSODIWIRYO
Na%a Pe$er*a Pre$en*a$i
N!.
)
)
+
+
;
;
/
/
-
-
Tan1a Tangan
Beri*a aara ini 1i*5&i$ 1an 1i$a%ai8an $e$5ai 1engan #ang $e$5ngg59n#a.
Pen1a%ing
C
