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  • Morning Report DHF 17 MARET

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    Christian Lombogia
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    This document summarizes the medical case of a 5-month-old female infant, Jeinnerly Katiandagho, who was admitted to the hospital with a 2-day fever that was intermittent and accompanied by vomiting. Over the course of her treatment and monitoring, her diagnosis was changed from suspected fever to dengue hemorrhagic fever as her platelet count dropped and signs of bleeding and swelling occurred. She was given various medications and supportive treatments and her condition gradually improved until she was discharged after her fever and symptoms resolved and her platelet count recovered.

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    This document summarizes the medical case of a 5-month-old female infant, Jeinnerly Katiandagho, who was admitted to the hospital with a 2-day fever that was intermittent and accompanied by vomiting. Over the course of her treatment and monitoring, her diagnosis was changed from suspected fever to dengue hemorrhagic fever as her platelet count dropped and signs of bleeding and swelling occurred. She was given various medications and supportive treatments and her condition gradually improved until she was discharged after her fever and symptoms resolved and her platelet count recovered.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    6 views10 pages

    Morning Report DHF 17 MARET

    Uploaded by

    Christian Lombogia
    This document summarizes the medical case of a 5-month-old female infant, Jeinnerly Katiandagho, who was admitted to the hospital with a 2-day fever that was intermittent and accompanied by vomiting. Over the course of her treatment and monitoring, her diagnosis was changed from suspected fever to dengue hemorrhagic fever as her platelet count dropped and signs of bleeding and swelling occurred. She was given various medications and supportive treatments and her condition gradually improved until she was discharged after her fever and symptoms resolved and her platelet count recovered.

    Copyright:

    © All Rights Reserved
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    of 10

    Morning Report

    Kamis 10/3-2016

    Bayi 5 bulan dengan


    DENGUE HEMORAGIC FEVER

    Oleh:
    dr. Christian Lombogia
    Identitas
     Nama: By. Jeinnerly Katiandagho
     Umur: 5 bulan
     Jenis kelamin: Perempuan
     Alamat: Tuminting Sindulang I
    Anamnesis
     By. JK, 5 bulan, MRS 25/2-2016 dengan
    keluhan demam 2 hari naik turun disertai
    muntah 1x hari ini.
    Makan minum kurang (PASI)
    ASI (-)
    PF
    Berat badan: 6kg
    N: 116 x/menit, R: 22 x/menit , S: 37,1 oC
    Kep: Conj an (-), scl ikt (-)
    Tho: C bising (-)
    P Rh (-/-), Wh (-/-)
    Abd: datar, lemas, BU(+)N
    Ext: akral hangat, oedema (-)
    Pemeriksaan penunjang
     (-) saat ini
    Working diagnosis
     Obs. Febris
    Terapi
     Pamol supp 125 mg (extra)
     Amoxan drops 3x 1,5 cc
     Pamol syr 3x 1cc
    Follow up
    26/3-2016 27/3-2016 28/3-2016 29/3-2016
    S: obs.febris H3 S: obs.febris H4 S: obs.febris H5 S: obs.febris H6
    demam (-) demam 38oC demam 38,3 oC, BAB demam (-), BAB cair 1x
    O: idem O: idem cair 1x, kemarin sore O: idem
    A: Obs.febris A: Obs.febris 3x A: DHF
    P: Sanmol 3x0,7 ml p.r.n P:Tx teruskan O: idem P:Tx teruskan
    Sporetik syr 2x1/4 cth A: DHF (Terpasang RL 8 gtt)
    CBC, DDR, NS1 22.00: Lab: P: RL 24 mgtt
    NS1 reactive, Plt 34.000, Interzink syr 1x ½ cth HT 37,4
    Keluarga menolak blood HT 45,4 Tx lain teruskan Plat 2.000
    test No malaria parasite seen
    Wdx: Obs.DHF HT 41,6
    Tx: Cek HT Plat daily Plat 13.000
    1-4-2016 2/4-2016 3/4-2016
    S: obs.febris H7 S: demam (-) S: demam (-)
    demam (-), BAB cair (-), O: Rh -/-, ext oedema (+) O: Rh -/-,
    kaki tangan bengkak, A: DHF ext oedema ↓
    wajah sdikit bengkak P: AFF infus A: DHF
    O: Rh -/-, ext oedema Obat minum lanjut P: Boleh pulang. Homed:
    (+) obat sisa.
    A: DHF HT Kontrol OPD.
    P:Tx teruskan Plat <50.000
    HT 36,0
    HT 42,2 Plat 212.000
    Plat 8000
    DISKUSI
     DHF pada bayi

     Komplikasi

     Oedema
    Terima Kasih

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