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10.

FOLLOW UP

a. Follow up Tanggal 28 September – 31 November 2017

Tanggal 28-10-17 29-10-17 30-10-17 1-11-17 2-11-17 3-11-17 4-11-17


SUBJECTIVE
Demam + + - - - - -
Serak - - - - - - -
Nyeri Perut - - - - - - -
Batuk - - - - - - -
Pilek - - - - - - -
Muntah - - - - - - -
Makan + + + + + + +
Minum + + + + + + +
Objective
Nadi 101 110 120 88 112 90 115
Temp 38,2 37,9 37,2 36,6 37,2 36,9 36,4
RR 32 36 26 32 32 25 36
Kulit Normal Normal Normal Normal Normal Normal Normal
Kepala Normal Normal Normal Normal Normal Normal Normal
Mata OD cairan OD cairan OD cairan OD cairan OD cairan OD cairan OD cairan
putih putih putih putih putih putih putih
Hidung Normal Normal Normal Normal Normal Normal Normal
Mulut Normal Normal Normal Normal Normal Normal Normal

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Thorax Normal Normal Normal Normal Normal Normal Normal
Abdomen Cembung Cembung Cembung Cembung Cembung Cembung Cembung
Ekstrimitas Normal Normal Normal Normal Normal Normal Normal
Neurologi Normal Normal Normal Normal Normal Normal Normal
Genitalia Normal Normal Normal Normal Normal Normal Normal
Susp. Susp. Susp. Retinoblast Retinoblast Retinoblast Retinoblast
Assessment Retinoblast Retinoblast Retinoblast oma oma oma oma
oma oma oma
Planning
IVFD D5 ½ NS
1005/24 jam tpm + + + + + + +
makro
Paracetamol Syr 3x1
+ + - - - - -
cth

Tanggal 5-11-17 6-11-17 7-11-17 8-11-17 9-11-17 10-11-17 11-11-17


SUBJECTIVE
Demam - - - - - - -
Serak - - - - - - -
Nyeri Perut - - - - - - -
Batuk - - - - - - -
Pilek - - - - - - -
Muntah - - - - - - -
Makan + + + + + + +
Minum + + + + + + +

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Objective

Nadi 102 108 110 112 110 115 113


Temp 36,8 37 37,4 36,7 36,7 37,5 36,8
RR 30 36 26 32 29 26 25
Kulit Normal Normal Normal Normal Normal Normal Normal
Kepala Normal Normal Normal Normal Normal Normal Normal
Mata OD cairan OD cairan OD cairan OD cairan OD cairan OD cairan OD cairan
putih putih putih putih putih putih putih
Hidung Normal Normal Normal Normal Normal Normal Normal
Mulut Normal Normal Normal Normal Normal Normal Normal
Thorax Normal Normal Normal Normal Normal Normal Normal
Abdomen Cembung Cembung Cembung Cembung Massa (+) Massa (+) Massa (+)
Ekstrimitas Normal Normal Normal Normal Normal Normal Normal
Neurologi Normal Normal Normal Normal Normal Normal Normal
Genitalia Normal Normal Normal Normal Normal Normal Normal
Retinoblast Retinoblast Retinoblast Retinoblast Retinoblast Retinoblast Retinoblast
Assessment
oma oma oma oma oma oma oma
Planning
IVFD D5 ½ NS 1005/24
+ + + + + + +
jam tpm makro
Protokol Retinoblastoma - - -
Metotrexat 10 mg - - + -

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Tanggal 20-11-17 21-11-17 22-11-17 23-11-17 24-11-17 25-11-17 26-11-17
SUBJECTIVE
Demam - - - - - - -
Serak - - - - - - -
Nyeri Perut - - - - - - -
Batuk - - - - - - -
Pilek - - - - - - -
Muntah - - - - - - -
Makan + + + + + + +
Minum + + + + + + +
Objective

Nadi 104 102 112 102 100 112 103


Temp 36,8 37 37,5 36,6 36,5 37,4 36,9
RR 30 36 26 32 29 26 25
Kulit Normal Normal Normal Normal Normal Normal Normal
Kepala Normal Normal Normal Normal Normal Normal Normal
Mata OD cairan OD cairan OD cairan OD cairan OD cairan OD cairan OD cairan
putih putih putih putih putih putih putih
Hidung Normal Normal Normal Normal Normal Normal Normal
Mulut Normal Normal Normal Normal Normal Normal Normal
Thorax Normal Normal Normal Normal Normal Normal Normal
Abdomen Cembung Cembung Cembung Cembung Massa (+) Massa (+) Massa (+)
Ekstrimitas Normal Normal Normal Normal Normal Normal Normal
Neurologi Normal Normal Normal Normal Normal Normal Normal
Genitalia Normal Normal Normal Normal Normal Normal Normal
Retinoblast Retinoblast Retinoblast Retinoblast Retinoblast Retinoblast Retinoblast
Assessment
oma oma oma oma oma oma oma
Planning
IVFD D5 ½ NS 1005/24
+ + + + + + +
jam tpm makro

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Protokol Retinoblastoma
Metotrexat 10 mg + - - - - - -

Tanggal 28-11-17 29-11-17 30-11-17 31-11-17


SUBJECTIVE
Demam - - - -
Serak - - - -
Nyeri Perut - - - -
Batuk - - - -
Pilek - - - -
Muntah - - - -
Makan + + + +
Minum + + + +

Objective

Nadi 102 108 110 112


Temp 36,8 37 37,4 36,7
RR 30 36 26 32
Kulit Normal Normal Normal Normal
Kepala Normal Normal Normal Normal
Mata OD cairan OD cairan OD cairan OD cairan
putih putih putih putih
Hidung Normal Normal Normal Normal
Mulut Normal Normal Normal Normal
Thorax Normal Normal Normal Normal
Abdomen Cembung Cembung Cembung Cembung
Ekstrimitas Normal Normal Normal Normal

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Neurologi Normal Normal Normal Normal
Genitalia Normal Normal Normal Normal
Retinoblast Retinoblast Retinoblast Retinoblast
Assessment
oma oma oma oma
Planning
IVFD D5 ½ NS 1005/24
+ + + +
jam tpm makro
Protokol Retinoblastoma
1. CYCLOPHOSPHAMI
DE 200 MG
2. DOXORUBICINE 6,7
MG
3. VINCRISTINE 0,5
- - + -
MG
4. CYTOSIN
ARABINOSID 50 MG
5. MTX 10 MG

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