Presentasi Dr Irman

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    By :Budiana

    Npm. 110170011

    Preceptor :dr. H. Irman Permana. Sp.A., M.Kes

    Epilepsy

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    PATINT I!NTIT"

    Name : An. !S A#e : $t%

    &ender : &ir' Addres : (i'edu# Ten#a% )e'i#ion : Is'am

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    ANAMNSIS

    Main (omp'aint

    Sei*ure History o+ present

    Patients come to t%e %ospita' it% comp'aints o+ sei*ures

    since -a'ed / %ours e+ore admission. Patients sei*ures times, eac% spasm 'en#t% o+ 2 Manit. Spasms a'' o3ert%e ody, eyes u'#in# upard it% ot% arms and 'e#ssti4. 5ore3er sei*ures unconscious patient. Be+ore and

    a+ter sei*ures t%e patient is aa6e. (omp'aints sei*uresare not preceded y ody %eat. (omp'aints are notaccompanied dne#an diarr%ea, 3omitin# and 'oss o+consciousness. Boe' and 'adder no comp'aints.

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    Post medica' %istory

    A#e years %ad sei*ures

    5ami'y %istoris o+ medica'

    His unc'e %a3e epi'epsy

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    Hystory Treatment

    Patients een drin6in# I6a'ep 11 ct%+or 8 years

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    PH"SI(A9 AMINATI;N

    Ima#re : Bai6 &(S: 8/$ -ei#%t : 12 6# Hei#%t: 11/ cm B'ood pressure : 110

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    Nec6 : not present  T%ora : not present

    Adomen : not present 6stremitas : not present

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    Psyc%o'o#ica' Status A+e6 and emotion : #ood

    Proses erpi6ir : ai6 T%ou#%t process &(S : 8 M/ ?$

    Spea6 : not present

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    Menin#ea' si#n : 6a6u 6udu6 @ Brud*in6iI

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    Pemeri6saan sensoris

    !a'am atas norma'

    )eDe6s!a'am atas norma'

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    PM)IKSAAN PNENFAN&

    !ara% )utin : Hemo#'oin : 11,0

    Hemato6rit : G  Tromosit : 207.000 9eu6osit :10.00

    &!S : 11$

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    )SEM

    A #ir' a#ed $ years o+ comin# to %ospita'sit% comp'aints -a'ed sei*ures. Sei*uresoccur / %ours e+ore admission. Sei*ures times t%e 'en#t% o+ 2. At t%e time o+

    sei*ure eyes #'ared upard arms and 'e#ssti4. At t%e time o+ sei*ure t%e patient isunconscious, e+ore and a+ter t%e sei*ure t%e

    patient is aa6e. Sei*ures are not precededy ody %eat. At t%e a#e o+ years t%epatient %ad sei*ures t%at are not preceded yody %eat and dia#nosed epi'epsy. ;n

    p%ysica' eamination +ound -ei#%t. 12 6#

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    !IA&N;SIS

    pi'epsy

    Supporting investigation 'ectroence+a'o#rap%y @& 'ectro'it

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     T)API

     Terapi umum $ B @breath, brain, bowel,bladder, bone and skin

    Asam 3a'proat 11ct% !ia*epam in 10 m# i3 @dieri6an /

    menit i'a 6ean#

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    P);&N;SIS

    Aa 3itam : duia ad onam Ad +un#tionan : duia ad ma'am

    Ad sanationam : duia ad ma'am

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    TERIMAKASIH…