laporan modul 3.docx

7/21/2019 laporan modul 3.docx

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LAPORAN TUTORIAL MODUL 3

PENYAKIT JANTUNG BAWAAN

OLEH

KELOMPOK 1

1. MARIA CLAUDYA BAY (1308011006)

2. UMBU ANANDA EKA PUTRA (1308011009)3. INDAH SETYANINGRUM (1308012020)

4. S.L LOBEMATO (1308012038)

!. "EANE ANGGRENI CONY #OLAGOLE (1308012040)

6. MARIA YO$I R. MAAN (1308012041)

%. &UHAI'AH INAYAH M.S (1308012049)

8. $INDY D.$. MANIK(13080120!2)

9. "ORDAN G HORO (13080120!4)

10. CHRISTIAN D.L. KLEDEN (1308012060)

11. RYAN DANIEL NDU U'I (1308012061)

12. YOHANA D.R.KOLI (11080

13. K.T.#AHYU ANANDA PUTRA (11080

SKENARIO 1


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S*+,- +,+ /*/+, 10 +, ++,- ,-+, 5+, 77* +, *5+ 7*+,.

H+5 , + +5+ :+ ++ 7+;. B5+ ,-+, ++ 7*+,< +,+ *5+ 7*+7+

7*. A,+ *,- :,- 75+ =+/ 7*+,. P++ /*++, > +, /*+?++,

=5 +, *< =;+, 77*< :,- 5+< 7 :+* +,-+, +, +. N+ +, +,+, +*+

,*+5. P++ /*++, *+ +, +@+ @,*5 +,+, ,,-+ *55 /+++

LSB3. B,; :+,,- 12 *, ,-+, ,,+ *+. B,- : 5 *+:+ 36PM

LSB4. A** >*+5 *+7+ ,*+5< /++ +,-+, + *+/+ :+*:+* =577,-(+7).

KATA SULIT

S+, ?+*,+ 7*+, / + ;- 7+7+, 5 *+/+,;+ ! -5

-57, * +5+ *5+.

T*55 ,+ -+*+, ;- *+++, / /+5/+ 7.

"+* +7 /7+*+, ;- 7*>+ ,--57,-

B,- : 5 7,; ;- 5+ S1< ,=+ / 5 @,*5.

LSB ( 5> *,+5 7,*) 5,+ *,+5 7+-+, *. G+*,;+ ,-+, ,=*+

:-5+*.

36 /.. ++, 7,; :+,,-

KATA KUNCI

1. A,+ /*/+, 10 +,

2. 5+, 77* +, *5+ 7*+,

3. + +5+ :+ ++ 7+;

4. B5+ ,+,- ++ 7*+,< +,+ *5+ 7*+7+ 7*

!. *,- :,- 75+ =+/ 7*+,

6. P++ /*++, > +/++, /*+?++, =5 +, *

%. S+, *5+ 77*


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8. N+ +, +,+, +*+ ,*+5

9. P++ /*++, *+ +@+ @,*5 +,+, ,,-+ *+ *55 /++

LSB 3

10. B" 1 2 *,< ,,+ ,-*+. T*,-+* 7,- : 5 *+:+ 36 /.

LSB 4

11. +.>*+5 *+7+ ,*+5

12. P++ +,-+, +, + *+/+ :+*:+* +7

PERBEDAAN SIANOSIS SENTRAL DAN SIANOSIS PERI'ER

S+, S,*+5

?+*,+ 7*7*+, /++ 5

+* 5 -, ;+,- *-+,--

=. S, +,+


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. T/ *, /,;+ :+,,- =,-,+5

. '5+ +**@, /5,*

. S,, =5 ,*+/5,* 5/5.

. H-57, ,-+, +>,+ -, ;+,- *,+.

2.1.2 A7,*+5+ H-57,

+. M-57,+ **< +/+

7. S5>-57,+ +/+

=. K+*7-57,+ (7+, +, ;+,- ,--,;+)

S+, P*>*

?+*,+ 7*+, /++ 5 /+ *,< + /++ + 5 +, 5+ 5 +*,+

-,+ (/,-+75+, O2 +* +*+ 5 :+*,-+,) ;+,- 7*57+,< +5 /++

@+,* P75 +*+< 7* /75 +*+. /+>5-

2.2.1 B**+,-,;+ =+*+= /

2.2.2 P+/+*+, ,-,

2.2.3 R*7 +5*+, +*+ +* *+

2.2.4 O7* +**+5

2.2.! O7* @,+ B**+,-,;+ S+O 2 7*++5 +* ,*,,;+ P+O2. M,*,,;+ P+O2

+/+ *:+ +* ,*,,;+ 'O 2 +,/+ *+ /,+ ;+,- ++ 7*/+

/*@,5+ +5@5+* , /*++,+, PO2 +5@5*. P++ ,--+, 2!00 ,+ O2 ;+,- *,+ (H7 K+,+),;7+7+, *,,;+ +*+ O 2 +, /++ +*,;+ *:+ +, ,*+5. G+,--+,


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>,- /+* ;+,- * 5+5 /*> /++ +*+ /+* ;+,- + *@,5+ ++ ,

@,5+ (/@,5+ +5@5+*) ++5+ /,;7+7 +, ,*+5 ;+,- *,-. K, ,

+/+ *:+ 7+ + /* /++ /,,+ 5+ ++ + /+* +/, *, *+

/,;+ /+* *, (+5,;+ >+). P++ ;+,- *:+ =+*+ *,< 7++,;+ 75

/5+ ,* +, :+* +7. N+, /++ 7+,;+ / /,;+ /+* *, ,-+,

>7* +, 75*+ +* =+/55+*; @+=5+* 7< +, + *:+ +*,+ /++ +*+ ;+,-

+ *@,5+< +*,+ /++ +*+ , +,;+ *:+ *5+> /*>. P,;7+7 5+,

*,,;+ S+O 2 ++5+ ,,- +* +*+ @,+ * +**. P,;+ :+,,-

=,-,+5 *, 7*7,-+, ,-+, +,. K+*,+ +5*+, +*+ 7*++5 +* /+

7*+,+, ,-- /+ 7*+,+, *,+< , ,-+5+, , +* +,+, *

/++ > +*+ +5 +* > ++ /,,-++, *,

@+5* /+*. L +*+ =,-,+5 **,- ;+,- 7*7,-+, ,-+, +, /++

?++ ++5+ T*+5- '+55 (7,+ $SD +, 7* /5,+*; >5? *+=).

M+, 7*+ 7*< +, ,-- *+:+ ,,- +* +,+, * ;+,- ,;7+7+,

+,. P++ /+, ,-+, PDA< /*, /5,+5< +, , +* +,+, *< *:+

+, >*,+5< ;+ +, /++ *+ 7+?+ (7+, /++ *+ ++).

'5+ +**@, /5,* +/+ =,-,+5 ++ +/+< 5* ++ 5/5. B*+,;+ +, +7+ ++,;+>5+ , *-+,,- +* *+, +,

:5+,;+. P++ 5+,-+ *+- **< ++,-++,- :-+ 7+ *:+

+,.P,*,+, S+O 2 +, +, :-+ 7+ *:+ /++ * +-+,;+ 7+-+ +7+

>5+ +**@,+ /5,* ++ +,+ @,+ /*+ +, @,+ /5,+5. P++

/,*+ ,-+, , +*+ ++ /5,* +* +,+, *< 7*+,;+ +, *5+>

*-+,,- +* *+, , *++/ +5*+, 7+-++,+ /++ +*+ H7O 2

+*+ @,+. D,-+, ,,-+,;+ *+ O 2 +* +*+ ?+ *:+ < +*+ @,+

;+,- 7+5 :+,,- +,+, 57 + *+*+ +*/++ ++ *++< +, ,-+,

,,- +*+ ++ 5,++,,;+ 5+5 /+* ;+,- + ,-+5+ -,+ ,*+5*+ 7, ** /* 75+, +7 ;+,- ,-55,- +*+ ;+,- 7

>*+, @+5. '*+, @+5 :+-+ *,;+ 5 7+ >5+/ :+*,-+, ;+,- 7*++5

+* / /** ;+,- 7*>,- + +*+ ;+,- ,-,+, +*+ ,-+5* +* +,+,

* 5++ /+, ,*+*,.

S/ @,*5 *7, +,+*+ ,-- /+ +, 5+/+, ++ -+

/ , *7, 5 > + *- ,*@,*5 ;+,- 7 +++* +/

:+,,- /+*/+ 7*+,+ / ;+,- 7 7+?+ +* 7+,+5+, ,+*.

(P+5- R77,


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ANAK SERING "ONGKOK BILA CAPEK BERMAIN

K+*,+ ,-+, / J+,-(5 :+:+* ,-+, ++) +,+ ++, *++ 57,;++,57 7+ 7+7 :,- ++, ,*,+, +5*+, +*+ 7+5 ;+,- *+,-

+,,-+, -,,;+. A7+,;+< *, ++, ,,-+ ,--+ /*+

+,+, * ,*, + +5*+, +*+ /+* ,,-+. S+*+ -, +** ,-+.

(+/+ 5+

TAMBAH BIRU SAAT BERMAIN DAN MENANGIS

B*+7+ 7* ++ 7*+, +, ,+,- , +*,++, 7+, -, *+,- ++

+ 7+,,- ,-+, ;+,- 7+,. S/* +5,;+ 7*+,< ++ 7*+,

;+,- 7*:+ *5+,+, /,,-++, *+ -, +* +*+ ,--+ +*+

-, ++, ,*, +, 7*+,>+ +5+ 7, 5 +, 7*+, +

7*+7+ 7*. S++ +5,;+ ,-+, ++ ,+,- < ++ ,+,- ++, *:+ /+

/*,+/++,< ,--+ +5*+, +*+ /+*/+* 7**+,- +7+,;+ +,

;+,- -,+ +5+ /+*/+* +7+,;+ +*+ -, 7**+,- +, +,

7*+7+


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MEKANISME "ARI "ARI TABUH

"+* +7 +/+ 7*>+ **< /+ +, ++ /,;+ :+,,- 7+?++,.

M/, +, *:+,;+ :+* +7 75 :5+ ,+, ++ 77*+/+ /

,-,+ :+* +7 +5+ +,;+ 7*++, ,-+, /,;+ :+,,- ,-,+5

,-+, +,.

P,+, *+ (P*>. B,*,+, *. C* B,,+* Y** R-,+5

G,= S*@=) ,,:+, 7+?+ "+*+7 */++, +,>+ 5, +*

+5+ PGE2 :+*,-+, +5 ++ /+ /++ :+*,-+,. P*+-5+,, E2 ;+,-

/* 5 7 7+-+ +* ,>5++< -+,- /*+, /,,- /++

/* *:+ ,;+ :+*+7=577,- >,-*

P++ +++, ,*+5< PGE2 +*,;+ ++, *7+ /+*/+* 5 , 1!

HPGD


11/17

P++ 5+,+, :+,,- +,+ +5*+, +*+ ;+,- ,: :+,,- ++, 7**+,- @+5+* , ,,-++,

/*5>*+ 55 *+ +, ,-, /**>

(7* I7< +5. 163)

BISING "ANTUNG ( CARDIAC MURMUR )

B,; :+,,- +7,*+5< ++ ** ( 7,- :+,,- ) 7++,;+ ( +/ + 5+5 )

7*++, ,-+, /,;+ :+,,-. M** ;+,- + 7*++, ,-+, /+5- :+,,-,-,+5< 57 *,- :/+ /++ *+,- 7*+ +.

D+5+ +++, ,*+5 +*+ ,-+5* =+*+ laminar ;+< =+*+, ,-+5* ,-+, 5

+5+ 5+/+,5+/+, ;+,- 7*+/,-+, + ++ 5+,. N+,< +/+75+ +5*+, +*+

,:+ *75, ( 7*-5+ )< +/+ *,-+* 7,;. B,; +7,*+5 *7 7+7+,

5 -+*+, ;+,- *7, **** +* +5*+, ;+,- 7*-5+ *7.

P,;7+7 **,- *75, ++5+ +5>,- +/< 7+ +/ , ++ ,>,.

K+/ , ++5+ +/ ;+,- + +, ,;/ +, + 7+ =+*+ /*,+.

D+*+ +* /++ 5?+ 57+,- ;+,- ,;/ ,-+, =/++, ;+,- +,-+ ,--, ++5+ +/ ;+,- + +/+ ,/ /*,+< 7++,;+ +*,+ //

+, +/ ,-+5+ :+*-+, /+* +, + /+ + ++ 5+,. T*75, *:+ ?+

+*+ ,-+5* 7*7+5 +*+ 5+5 +/ ;+,- ,>, +, 7*7+, ,-+, +*+

;+,- ,-+5* +5+ +*+ 7*5+?+,+,< ,75+, ** ;+,- 7** ++ 7*-.

A5*+, 7+5 +*+ +, ,+5 7+-+ *-*-+. B++,;+ +/ :+,,- ;+,-

,>, 7 +/ 7=*< +*,+ ,-,+, +*+ ,-+5* 7+5 /++ ++ +/

+*,;+ */.

S+ ** ;+,- *:+ +,+*+ 7,; :+,,- I +, II ( 57**/< 57**/ )

,-;+*++, ** 5. T*+/+ 2 +=+ ** 5< ;+

T/ : ( :=, ;5= ) 75 +7+ +5*+, +*+ ;+,- //++, (:=)

5+5 7+-+, ;+,- ,;/ +, ,- 7+-+, >+ 5< +5 /++, +*+.


12/17

T/ /+,5 ( /+,;5= ) 75 +7+ +5*+, 7+5 ;+,- 5+5 7+-+,

:+,,- ;+,- + *7+ +, ,- 5* >+ 5< +5 /++ ,>,

*+5.

"+ *:+ +,+*+ 7,; :+,,- II +, I ( 57/**< 57/** )

*/++,** +5. M+=++=+ ** +5< ;+

M+5= *,-+* /++ /*,-++, >+ +5=.

E+*5; +5= *,-+* -*+ + 7,; :+,,- II< 75 +7+ +5*+, 7+5

/++ +/ +*+.

P*;5= *,-+* /++ +* >+ 5< /+ 75 7,; :+,,- I.

B,; ** ,+,++, +/++ ** *7 7*>+ , ( 7,; 5+, ) ++

,>, ( 7,; * ).

D*+:+ ,,+ ** ( 7,- :+,,- )

D*+:+ 1 7,- ;+,- +,-+ 5+

D*+:+ 2 7,- ;+,- 5+ +/ + *,-+*

D*+:+ 3 7,- +-+ *+ +/ + *+ -+*+, 7,-

D*+:+ 4 7,- =/ *+ +, *+ -+*+, 7,-

D*+:+ ! 7,- +,-+ *+ ;+,- +/ *,-+* 75+ / /5+,

7+-+, +:+ /++ ,,- ++

D*+:+ 6 7,- /+5,- *+ +, +/ *,-+* /, / +,-+ +*

,,- ++

M** +5 ,-+, /,- /* +/ D+-, S, +/ *+5

M** 5 ,-+, /,- /* +/ D+-, R-*-+ +/ *+5

M** 5 ,-+, /,- /* ICS IIII$ D+-, $SD ($,*=55+*

S/+5 D>=) M** 5 ,-+, +*+ 7,; :+,,- II *+/+ /5/=+ ,-+,

/,- /* ICS III D+-, ASD (A*+5 S/+5 D>=) M** 5 +,

+5 *:+ +,+ 7,; :+,,- I +, II +/* + *,-+*

D+-, PDA (P+, D= A**)


13/17

MURMUR "ANTUNG YANG DISEBABKAN OLEH KELAINAN KATUP

M** /++ S, A*+

P++ , +*+ +*+ 7*+, +* @,*5 * 5+5 7+ 57+,- ;+,- /

+/ +*+. A7+ ++,+, *++/ 7*+,< ++,-2 +,+, +5+ @,*5 *

,,-+ +/+ ,-- 300 H-< +,-+, +,+, +*+ +/ ,*+5. "+*, ,-- +,

, ;+,- */+ ,-+, *-*-+ +/ +*+< +, *++ +,+*+, *+

+* *. N+, +* * *5+ +5+ +5 *,--+ ++ ,--+ +* +5

, ,,-+* +*+ , /+ ++ +*. A7+,;+< +*+ /++ *-*-+ *+5

+,+*+, ,,- ++ *++ 5+5 @,*5 *< +, 7++,;+ *,-+* /+5,-

7+ +/ :+,,-.M** /++ S, K+/ M*+5

P++ , +/ *+5< +*+ ,-+5* + /+;+ 5+5 +/ *+5 ;+,- ,-+5+

, +* +* * @,*5 *< +, +*,+ +,+, +5+ +* * :+*+,-

,,-+ ++ 30 H- =+5 , :+,-+ ?+ /,< 5 +* +,+, ;+,-

7+* ;+,- ,*,- +*+ +* +* * @,*5 * + /*,+ *:+. A7+,;+

7,; +7,*+5 ;+,- *,-+* /++ , +/ *+5 7++,;+ 5+ +, ,-+,

>*, +,-+ *,+ ,--+ 7+-+, 7+* /=* +*+ 7*++ 7+?+ >*,

*,+ +* /,,-+*+, +,+.


14/17

S5++ 7+-+, +?+5 +5< @,*5 ,-+,,- +5 +*+ +, ,,-,;+

+, 5,+ ,--+ +*+ + +,5 75+ 7+5 +,+*+ ,,-,,-

@,*5. K+*,+ +5+ +, ,< 7++, /++ , +/ *+5 ;+,- 7+ +5/,< ++

+5 + *,-+* ** 5++ /*-+ +?+5 +5. K+,< 5+ /*-+

+?+5 +5 7*5+5 @,*5 + =/ *-+,- ,--+ +*+ /+,5+, 75+7+5 ;+,- ,;7+7+, P"B.

'+* -, +,- 7*/*+, +5+ /,;+ :+,,- 7+?++, (P"B). '+* *

7*+7+ :+ 5+*-+ ,-+ /*++ (*+,- + ++*+ +,,-) *,+. S+* 3F

/,*+ P"B ,>+ /,;+ > ,-+, -, /* /++ ,* +*>+, !

8F /,;+ *++, ,-+, 5+,+, *


16/17

T* 18 90F

T* 21 !0F

S,* *,* 40F

PEMERIKSAAN PENUN"ANG

T+,++,+ T' ;+,- +/+ /*-,++, , ,-++, +-, ++5+ 7+-+

7*

1) G+7+*+, :+,,- ,*+5=5 +, + /*+>.

2) P++ +5+ *,-+* murmur 5 ;+,- *+ *++ +*+ -+* *,+

* 7+-+, ,-+< 7,; II ,--+5 +, *+. A/+75+ , /5,* 7*+ ++

murmur++, 57 5+ +*/++ murmur=+*+ ,, /++ PDA< ++ 5+*+5

7*,+5 +/+ *,-+*


17/17

A,++,+ ,-+, T' /+5,- *,- ,+/++, ,=+*. E,=+* +/+ /++

++ /7++, +, 7=*+, +* /+=. A,7 7*+, 75 ,+5

/*=*< , ,=-+ ,=+*.

A,++,+ ,-+, T' 5+ /7++, 5 * 57 ,-- , -+,--+,

*++ :+,,- ;+ +*+. K++,-++,- ,;7+7+, /,- ++ /,-+,.

H+*.*-

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