Skeniario a Blok 19 3

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  • 7/23/2019 Skeniario a Blok 19 3

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    KELOMPOK 5

    1. Felicia : 1a, 3d, 4a, 10, 14, 15 LI 1

    2. Tatia : 1b, 2c, 5, 11, 13, 16 LI 2

    3. Amir : 1c, 2b, 6, 12, 15, 17 LI 3

    4. M. Addien : 1a, 1d, 2a, 7, 11, 13 LI 4

    5. Marini : 1d, 2a, 8, 10, 14, 16 LI 1

    6. Lisa : 1c, 2b, 4a, 5, 8, LI 2

    7. !a"id : 2c, 10, 1b, 8, 1d, 5 LI 3

    8. Inda# : 3a, 11, 1a, 7, 2a, 6 LI 4

    . $%imas : 3b, 12, 17, 6, 2b, 7 LI 1

    10. Tri inda# : 3c, 13, 16, 5, 2c, 8 LI 2

    11. &a#n'(i : 3d, 14, 15, 4a, 3d, LI 3

    Assalamm)alai*)m (r (b.

    Tl+ *irim*an a(aban n LI *e lisa%)niarti3-%a#''.c'm

    Times ne( r'man

    i/e 12

    )sti%

    alin+ lambat #ari &ab). TOLONG DIKIRIM, DITUNGGU YA. Terima *asi#

    assalamm)alai*)m (r (b.

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    Skenario A Blok 19

    Jl,!oria!i! "#l$ari! %en$an ko&'lika!i '!oria(ik a(ri(i! %an ker#!akan 'a%a k#k#

    )ari al$ori(&a

    Mr )id,a 64 %ear 'ld man, came t' ')tatient linic ari 'sital (it# c#ie

    c'mlaint r'+ressi"e itc#% t#ic* er%t#emat')s la)es in b't# le+s, arms, b)tt'c*s, and

    l'(er l)mb'sacral since 6 m't#s a+'. T#e c'nditi'n initiall% maniested 'n #is let le+ as a

    a)le (it# t#ic* (#ite scales t#en raidl% sread t' b't# le+s, scal, b)tt'c*s, l)mb'sacral,

    and arms. is in+ers and t'e nails s#'(ed destr)cti'n ' t#e nail late. e eel ain and

    ri+idit% 'n #is *nees since 3 m't#s a+'. e #ad been treated #imsel (it# t'ical

    bet#amet#as'ne 'intment and m'ist)ri/er irre+)larl%.

    P*+!i)al ea&ina(ion:

    9eneral stat)s : 'm's mentis, "ital si+ns (it#in n'rmal limit

    !ermat'l'+ical stat)s : ell demarcated, er%t#emat')s a)les t' la)es (it# a

    (#ite ad#erent t#ic* scales 'n b't# ' #is le+s, arms, b)tt'c*s, l)mb'sacral.

    ;r%t#emat')s la)e (it# t#ic* (#ite sales 'n #is scal

    I Klari-ika!i I!(ila*

    1 Itc#% t#ic* er%t#emat')s la)es: en'n'lan lebi# dari 0,5 cm den+an

    erm)*aan %an+ lat %an+ +atal tebal dan *emera#an.

    . a)le: t'n'lan lesi ada *)lit %an+ *ecil, berbatas te+as, dan adat.

    / t'ical bet#amet#as'ne: +l)*'*'rti*'id sinteti*, ster'id antiradan+ %an+

    alin+ a*ti %an+ diberi*an secara t'ical

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    3 destr)cti'n ' nail late: *er)sa*an dari lemen+ *)*)

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    enin+*atan *eceatan mit'sis sel@sel eidermis *arena n)*le'tida si*li*

    %an+ abn'rmal ter)tama aden'sin m'n''sat < cAM = si*li*, +)anin

    m'n''sat < +AM = si*li*. eranan tia *elainan memen+ar)#i

    embent)*an la* s'riati*

    % a+aimana ma*na *linis 6 b)lan %an+ lal)

    . T#e c'nditi'n initiall% maniested 'n #is let le+ as a a)le (it# t#ic* (#ite

    scales t#en raidl% sread t' b't# le+s, scal, b)tt'c*s, l)mb'sacral, and arms.

    is in+ers and t'e nails s#'(ed destr)cti'n ' t#e nail late.

    a a+aimana at'isi'l'+i a)l

    4 4a$ai&ana Pre%ilek!i ka!#!

    ) a+aimana at'+enesis dari *er)sa*an nail late da"id

    / e eel ain and ri+idit% 'n #is *nees since 3 m't#s a+'. e #ad been treated

    #imsel (it# t'ical bet#amet#as'ne 'intment and m'ist)ri/er irre+)larl%.

    a a+aimana at'isi'l'+i n%eri dan *a*) ada l)t)t !a"id. LA seba+ai

    ac bert)+as men+i*at anti*an d *elainan +en LA

    b. a+aimana cara *era t'ical bet#amet#as'ne 'intment 9l)*'*'rti*'id.

    ream 0,1 . men)r)n*an )mla# sel lan+er#ans dia*ai )nt)* eadana+n

    %an+ berat

    c. a+aimana cara *era m'ist)ri/er

    emi '*l)si memebent)* bi'ilm di *)lit men+)ran+i

    Menari* air dari lin+*n+an se*itar

    eniri/in+, me*anisme *era %an+ lebi# *'mle*s, amin'liid.

    d. a+aimana ee* en++)naan t'ical bet#amet#as'ne 'intment dan

    m'ist)ri/er

    4. #%sical e?aminati'n:

    9eneral stat)s: c'm's mentis, "ital si+ns (it#in n'rmal limit

    !ermat'l'+ical stat)s:

    ell demarcated, er%t#emat')s a)les t' la)es (it# a (#ite ad#erent t#ic*

    scales 'n b't# ' #is le+s, arms, b)tt'c*s, l)mb'sacral.

    ;r%t#emat')s la)e (it# t#ic* (#ite sales 'n #is scal

    a Ba$ai&ana in(er're(a!i %an 'a(o-i!iolo$i %ari %er&a(olo$i)al !(a(#!

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    5 A'a %i--eren(ial %ia$no!i! ka!#!

    6. a+aimana cara mene+a**an dia+n'sis

    7. Aa ('r*in+ dia+n'sis *as)s

    3 A'a !a6a 'e&erik!aan 'en#n6an$ +an$ %i'erl#kan

    9 Ba$ai&ana e'i%e&iolo$i %an -ak(or re!iko ka!#!

    10. a+aimana eti'l'+i *as)s

    11. a+aimana at'+enesis *as)s

    12. a+aimana 9ambaran *lini* *as)s

    13. a+aimana enatala*sanaan *as)s

    14. a+aimana ence+a#an *as)s

    15. B'mli*asi *as)s

    16. r'+n'sis

    17. B!C

    I7 8i'o(e!i!

    Mr S#i%, !eoran$ 4a'ak 0 (a*#n, %en$an kel#*an #(a&a 'lak eri(e&a 'a%a kaki,

    len$an, 4okon$, %an 4a$ian l#&4o!a)ral !e6ak 4#lan +l, %i%#$a &en%eri(a

    '!oria!i!

    7 Learnin$ I!!#e

    1 Anat'mi B)lit

    . ist'l'+i B)lit

    / Fisi'l'+i B)lit

    4. s'riasis