Professional Documents
Culture Documents
URETEROLITHIASIS SINISTRA
Rahmatul Ikbal.Sked
04084821517017
Lectured by
Dr.Marta Hendry, SpU
Department of Surgery
RSUP Dr. MOHAMMAD HOESIN
PALEMBANG
Faculty of Medicine
Sriwijaya University
Overview
Identify
Chief Complain
Sick of left waist since 6 months ago
Additional Complain
History of disease
History of disease
previously
Physical Examination
General status
THORAX
PULMONARY
Inspection
: simetris, rectraction (-)
Palpation
: stem fremitus normal
Percussion
: Sonor
Auscultation
: VBS (+/+), Wh/Ro (-/-)
CARDIONARY
Inspection
: Ictus cordis not visible
Palpation
: Ictus cordis palpable , thrill (-)
Percussion
: cardio in normal limit
Auscultation
: cardio sound I/II regular, Murmur (-), Gallop (-/-)
Local Status
Abdomen
Inspection
: Flat, invisible mass
Auscultation
: Bowel sound in normal limit, metallic sound (-)
Palpation
: Tenderness right regio (+), nyeri ketok CVA sinistra (+), nyeri
ketok supra simphisis (+), defans muskular (-), balottement (-), hepar/lien not
palpable, not palpable mass
Percussion
: Tymphani in all quadrant abdomen
Additional Examination
Hematology
Hemoglobin
:
Hemoglobin
:
Chemistry Clinic
11,6 gr/dL
Ureum
Ureum
Eritrocyte
Eritrocyte
:
:
Leucocyte
Leucocyte
:
:
Hematocryte
Hematocryte
:
:
Trombocyte
Trombocyte
:
:
4.190.000/m creatinin
creatinin
3
m
3
11.500/mm
Elektrolit
Elektrolit
37%
Natrium
Natrium
229.000/L
Kalium
Kalium
0/5/55/34/8
Diff count
Diff count
: 39 mg/dL
: 39 mg/dL
: 1,26 mg/dL
: 1,26 mg/dL
: 140 mg/dL
: 140 mg/dL
: 4,0 mg/dL
: 4,0 mg/dL
BNO - IVP
Working diagnose
Differential diagnose
Treatment
Non Pharmacology
Pharmacology
Bedrest
Diet NB
Education about the disease
Observation of vital sign
IVFD RL gtt xx/menit
Antibiotica: Cefazoline 2x1gram
Analgetica: Ketorolac 3x1amp (20mg)
Anti histamine: Ranitidine 2x1amp (25mg)
Rehidration >2L/day
Operative procedure
Prognosis
Case analysis
THANKYOUVERYMUCH
THANKYOUVERYMUCH