CASE General surgery Residency Presentation Hepatoblastoma.pptx

CASE General surgery Residency Presentation Hepatoblastoma.pptx

1. CASE CONFERENCE Hepatoblastoma RSUD Abdul Wahab Sjahranie Samarinda

2. Case Tuesday, February 2, 20XX Sample Footer Text 2

3. Identitas Tuesday, February 2, 20XX Sample Footer Text 3 Nama : By. Ny. Mifrotun Gender : Female Umur : 13 days old Berat Badan : 2.645gr Alamat : Jl. Antasari Pondok Wira III no. 62 MRS : 16 December 2022

4. Keluhan Tuesday, February 2, 20XX Sample Footer Text 4 Perut membesar

5. Riwayat Penyakit Saat Ini 5 Patient dibawa ke RSUD AWS dengan keluhan perut membesar sejak lahir disertai mata berwarna kuning . Muntah (+) BAB (+) Sesak (-) Demam (-) Riwayat Obstetri Pasien lahir normal spontan 40-41 minggu di RS SMC Samarinda . BBL 2.645gr, Apgar 7/9, ketuban meconium, lahir dari ibu berusia 27 tahun , anak pertama

6. Pemeriksaan Fisis Tuesday, February 2, 20XX Sample Footer Text 6 General status Keadaan umum : Cukup Nadi : 153x/minutes Nafas : 48x/minutes Spo2 : 97% room air Berat Badan : 2.645gr

7. Pemeriksaan Fisis Tuesday, February 2, 20XX Sample Footer Text 7 Kepala : Normocephal , ubun ubun tidak cekung , mata tidak cowong . Leher : Tidak deviasi , KGB dalam batas normal Thorax: Paru : Dinding dada simetris , gerak dada simetris , perkusi sonor / sonor , vesikuler simetris kanan dan kiri , rhonchi -/- wheezing -/- Bunyi jantung 1 & II regular, murmur (-) gallop (-) Abdomen: Dinding abdomen tidak distensi , bising usus (+), perkusi redup , palpasi teraba massa +- 20x20cm Genital: Perempuan, dalam batas normal, Anus (+) Ekstirimitas : Hangat di seluruh ekstrimitas , oedem (-) CRT < 2 detik

8. Kondisi Klinis Tuesday, February 2, 20XX Sample Footer Text 8

9. Hematologi Kimia Klinik Hasil Nilai Rujukan Hasil Nilai Rujukan Leukosit 14.610 6.00-18.00 10^3/µL GDS 89 <200 mg/dL Eritrosit 2.88 3.10-4.30 10^6/µL Albumin 4.3 3.5-5.5 g/dl Hemoglobin 11.3 13.4-19.8 g/dl Ureum 22.2 19.3-49.2 mg/dl PLT 225.000 150-450 10^3/µL Creatinin 0.5 0.7-1.3mg/dl Hematokrit 33.5 28.0-42.0 % SGOT <40 u/L SGPT <41 u/L Bilirubin Total 8.6 <1.0 mg/dl Bilirubin Direct 1.6 0.3-1.0 mg/dl BT 1-6 Menit Bilirubin Indirect 7 0.0-0.8 mg/dd CT 1-15 menit Alkali Phospatase 40-129 U/L Hemostasis Electrolyte APTT 41.4 24-36 detik Natrium 139 135-155 mmol/L PT 19.1 10.8-14.4 detik Kalium 2.4 3.6-5.5 mmol/L INR 1.37 Cloride 107 98-108 mmol/L Imuno-Serologi Imuno-Serologi Rapid Antigen SARS-CoV-2 Negatif Negatif Ab HIV Non Reaktif Non Reaktif Dengue Ig G Negatif HBs Ag Non Reaktif <0.09 COI Dengue Ig M Negatif Gamma GT 187 <200 IU/ml Procalcitonin Elecsys 0.27 <=0.020 ng/ml CRP Kuantitatif <2.5 <=5 mg/L

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11. X-Ray Name Title Name Title Sample Footer Text 11

12. CT SCAN Tuesday, February 2, 20XX Sample Footer Text 12

13. CT SCAN Tuesday, February 2, 20XX Sample Footer Text 13

14. Massa intra abdomen susp hepatoblastoma Tuesday, February 2, 20XX Sample Footer Text 14

15. Planning Tuesday, February 2, 20XX Sample Footer Text 15 Biopsi per laparotomi MRI Angiography hepar

16. Thank You Tuesday, February 2, 20XX Sample Footer Text 16