Professional Documents
Culture Documents
Chieft Complaint
On Hospital
• Her parents bring the patient to the pediatriciant PKU for routine post-
maternity control.
• However, when examined her skin appears yellow.
• Patients brestmilk strong, cry, and active.
• 5-6 x defecated (yellow, mucus (-), blood (-)) and urine is normal.
• The patient is advised to do further therapy
HISTORY OF PAST ILLNESS
Conclusion:
Conclusion: there areno
there are history
historyofofpast
pastillness
illness that relatedtoto
that related
current illness
current illness
HISTORY OF ILLNESS IN FAMILY
: Icterus neonatus
The mother gave birth to her baby assisted by a doctor with a sectio
caesarea delivery. 40+2 weeks pregnancy age, baby born with body weight
3440 grams with body length 50 cm and head circumference 35 cm. At the
time of birth the baby cries instantly, there is no congenital defect at birth.
The baby girl was born crying, active motion, red skin color, not
blue and not yellow skin color, got milk on first day, urination
and defecated less than 24 hours
The patient lives at home with her parents and her old sister
and her old brother. Cheramic-floored patient houses, walled walls,
tile roofs, ventilation, bathrooms in the house, water source from
PDAM.
Age 0 - 5 days
• Exclusive breastmilk
General appearance
General appearance : Crying strong, active moving
Vital Sign
Heart rate : 124x/ menit
Respiratory Rate : 28x/ menit
Temperature : 36,8º C
Nutrisional status
13
Kesan : Berat badan lahir sesuai masa kehamilan
Gafik Lubchenko
•Anus (+)
choose header)
Cap refill < 3 detik < 3 detik
Head : Normochephal
Eyes : CA (-/-), ScIera icteryc (+/+), edema palpebra (-/-), reflek cahaya (+/+)
isokor (+/+), decreased tears (-),
Nose : Sekret (-), epistaksis (-), nafas cuping hidung (-/-)
Ears : Sekret (-), hiperemis (-)
Mouth : Stomatitis (-), perdarahan gusi (-), sianosis (-), pharynx hiperemis (-),
dry lips (=)
Skin : Warna sawo matang, Pucat (-), Ikterik (+), Sianosis (-), turgor kulit (< 2
detik)
Lymph nodes : Tidak didapatkan pembesaran limfonodi
Muscle : Tidak didapatkan kelemahan, atrofi, maupun nyeri otot
Bone : Tidak didapatkan deformitas tulang
Joints : Gerakan bebas
BILIRUBIN
Bilirubin total 19,4 mg/dL ( <11,7)
Bilirubin direk 0,3 mg/dL ( <1,2 )
Bilirubin Indirek 19,1 mg/dL (0-0,75)
Gol. Darah : A
Rhesus :+
20
Infant at medium risk
22
Planning
• Routine blood examination
• Check bilirubin reset after phototherapy
26
THANK YOU
TINJAUAN PUSTAKA
IKTERUS
• Ikterus (jaundice) terjadi apabila terdapat
akumulasi bilirubin dalam darah, sehingga kulit
dan atau sklera bayi tampak kekuningan
Patofisiologi
IKTERUS IKTERUS
FISIOLOGIS PATOLOGIS
ikterus yang timbul
pada hari kedua dan
- terjadi sebelum umur
ketiga yang tidak 24 Jam
mempunyai dasar
patologis
kadarnya tidak
melewati kadar yang
-Setiap peningkatan kadar
membahayakan atau bilirubin serum yang
yang mempunyai memerlukan fototerapi
potensi sebagai
“kern ikterus
ETIOLOGI
Produksi yang berlebihan
Gangguan dalam proses uptake dan konjugasi
hepar
Gangguan transportasi
Gangguan dalam ekskresi
Gangguan sirkulasi enterohepatik
Faktor Resiko
Ikterus patologis dapat disebabkan oleh keadaan