Wily Choas Ragi (21/3) Tasya (Cindy, Hetinah ,Sta0ley) SHOL - LANTAT 5 ~ NELAS 1 / 1987205160022 18.56 Retro Jayantri Ketaren, SpS / 8°IS Pementia Avhame Diagnosis : Stroke Infark Gerulang ,freumpnia, “ © Kiinis : Hemiparese dee, Aictagia, di Ma © Topis: cortex. (ercbri sin- disartheg Mata: CAC4-) ST C-/-) THT : Sektet (-) deviasiC> Leber: deviasi (-) Yembesaran E66 (-) Refleks fisiologis = Cor: $1S2 Feguter. murmur ¢-7 gallorc-> © Bloeps + 2/1 © Triceps 12/41 Palmo: vesikuter (4/#). h OW) We (-1) fo Dawke 42/40 Aba: Supel, Bu C4) NT C-) *y © Achilles 42/41 Bhs: Seer hangat, CRT C2 dete, eden: Refleks patologis : Eks. Inferior : eterat hangat, Cer C2 deh, eden Mere atl ‘Pemeriksaan Penunjang : © Chnddock ~ wy ey te cos © Gordon - (68 Wade £9 ->pre-orm © Schafer ~ © Rossolimo Ct head ton - contrast ((6/3)- © Mendel Becthrew © Hofiman-trommer - Youiga infart aeut pada lobus occrertat sin. temporal sin. tostertor 4y muinele infarc labunar lama dgn ailosis Rada Centum semiovale stn., Corona radtata sin., CUS Posteror, capsula interna sin., Pertarnu anterior vente Wat. sin., fons dex. & globus raliidus stn) } lest hitodens di rendunde cerebr’ sin.- Pons Sin] L Cdegenerasi watlenian) to Terapi: ~ LevoFiOxgan 1X - aren uD fo = Ventolm 3x1 resp Nebu ~ Bisolvon 3x 20 9H Nebu = Clopidogrel 1k 18mg fo Fi 2 ‘Kelcaatan motorik: Lareralioast deat #z ~piawram 3x s5 = Ajldra lore bore se a KU: Meningeal sign: AG Kanan \emah sejak shari SMRS, Kaku adele» Lagos F aps; n= tha? Sat duduk , dtemutan oth dnak| > Kerntgs Stak det deg susah Menelan, Men £ mm C+) batwr c+? Seat erred — Bendzinski I: - Bteara Felo (4 © Bradzinski Saat Ini :+adi pagi sesak, Cranial Nerve: e CNI: ¢ CNM: CL (4/4) REE L477 ‘© CNULIV, Viz Quett bulat (Soke L3{nn/smm) e CNV: - -) DM (-) RPD:. ioretes Bh talu a acptiet Cketunan Samat) rent (+) — — > (@sfon minimal sanpe Bou Ce) 3th lau SHO. Mudah lua c+) os Life style: (okok (-) alkohot (-) . Kesadaran ‘GCSE 4M ,Valasa © ; ° +: distagla (4) dirtonta Ce) ‘TD: 120)'0, N: 80/m , RR: 2ox/m , 8: B6.C, SpO2: 91% @ ane i Kepala : normo (ephal © CNXM: Panese CWI2 sinisha disartncia © TumitIntut © Diedindakakinesis BAK: © Sekresi Keringat : a CamScannerJaga fiang : Olivia, Farhan, Utha, Levtia, Anderyon ‘Wdentitas? (anc oan \ D , wtOoKier Ruang: 4) 4) ‘ WS 60-59 GIST > * = Etiolo: a eae “pean «_Patologi: _| KU: pragxo Oetor ecron lave! r Meningeal sign: e = Kaku kuduk: . ae enon are y . woo © nk ™ er > jc ae . Cranial Nerve: . sit RIE gen Wieete Ga © CNT 3 town & Sude Ae Soyer pst > © NED: 220 worry rG-y OME e CN TTL, TV, VEz pec aryy Col Cry © CNV: 7 o Motorik: QUae Atlas o Sensorik: ~ RED : stor 3 ion loo > oseriet ° -CNVE: RPK: MHL seen 3 Ave it © CN VIL: 3000 ar vey Life sty! le swerkoe CL) peobol) © CN VIL: cope: woroavope Kesadaran : GCS : Ey Mg Vorona © CNIX,X? arnegic (4) attsenco C4) © CNXIEE swe cneos TD:'X/ 39 , Ni 48.(em, RR: «(em , Sz , SpO2: 2%! © CN XIN: torere cura maitre Ovotnne Kepala : j0mocefo! " “ Kekuatan motorik : (otecouscs' coc Mata: ca (--) Si C-) pet (ayay pete Cay eI i is = THT? serree (-1-) yours 0 we kee lure ce) Refleks fisiologi e Biceps 4>/ 4\ Leher : rrvercton toe (-) cwron &) © Triceps v3.14 © Patella +21 4) ¢ Achilles +/+ Pulmo = ves Gia) wed) won“ Refleks patologis : Abd? sue tu Gy wr(-) ¢ Babinski (- } con's Chaddock -- ) Eks. Superior : P Oppenheim (-) Eks. Inferior : . . © Gordonc-) Pemeriksaan Penunjang: (Gos: (ue ‘ . . Cor: G6, woe our Ly opiioe LY Vira honey + COT <3 cote eolowe =e Schaffer :-) Uf (abs/o00) C1 Kee - Non contort Rossolimo WE © 6g Loy Come infort ofut Pe%a lobue aciptto! Mendel Becthrew WC ectrolaaig SIN Nomporet sin PORENOE e Hoffman trommer (- Muinge tintark leburat tome oergen Sensorik : NOS Aco senetvt Sermioudte NN, Koordinasi : COP FA reettofa FIN ett posrenor , © Tes tunjuk hidun, Consuls meena sui, Pericort entonge | © Tumit i : Your ave Vormere lererol sn, xf ° ree om PORE chad 4788 © Disdiadokokinesis {iar cop diioeveen * leek W\poctens ch purcluncie cetelen s(n es “ BAK: « Untee on 2 dovgen pere “POS Slo (clegenerort: wanenan) e __Sekresi Keringat : (+) Terapi: D\wolowen \ ¥600M_ FO > MocvestoRn Ae YOM 90 > eOW By 1150 Cel {puiang) 7 Ysov 2¥ Wer reo FUOMOOgI (x mag PO > Precgen Be tae >byoia Core 00 SCSk03, (ofs/22 kiGg: ops: sy ae vegan ‘TWHAY AMOY | Female Ph: oBs8e084888, 8569084889 WR No: SHLVA020-12.90 1D0B:02-0eL184 (dy bm 174) PAROS GO008/ Te Ma-2022 0822 Deni Puramaset/ SUS-SLOAMINTERNATIONAL HOSPITALS, PT (JM AVTOMIMLUDOON TATA fae Pasi 4/3 Gndy, Anayfarya, Cindy, tea AAT, OM don To. HIPS Patologi : (Stemi KU? Keletmahan Ag Kanan sédk bangun Kaur Cas mnie, ags) RPS: keluwanc-\ Mau USG Abdomen =nyert Kepaia hilang Kinbul (-) = sult Hdurcé) ri BAK berdarth 3Qak 3 hart suns RPD : DM CE) nm Obar teratur, berobat tak tuhn. RPK: Life style: pst 1 (26/s) Kesadaran? qq GCS tEAM, Vp ‘TD: Yo/¥ , N: BOA/M, RR: 20x/m ,S: 36-S2SpO2: 547, Kepala: Normo phat Mata: CACY) SE C44) THT: Steet (1-) destasi ry Leher : deviast (-) Rmbecaran kB Cor: SK NeQuler, murmur (-) Gallo? L) Pulmo : vesileuler (+4) W264-) th (-/-) Abd: 6U G+) HEC 284), RECU Hee C CeACLSY) eGER 32.9 Urtnalirs: RBC ALG) OCutt blood ct) 2¢ uric acid S10 ¢ GEG (19/3) Sthus thy Cr hend non - (onvast (14/39: & thtark ( Perdarahan (-) maltermast vastuter.) Meningeal sign: + Kaku kuduk: (-) Laseque: ¢-) CNT: dapat tmembedatan bau CN IT: Hop, lazang eins forma CN IIL, TV, VI: Pupil (SokorL 3 rum/-23RELU/E) AECL CNV: | GAME Bola tanta Ke cee) (© Motorik: KONWaKS! re. Cemeoratr 4 yan © Sensorik: Sttnenis Mate ba TENE wala stars saat angeat lars, CN VIL: senyum & Kembung ear ‘CN VIL: Gegelan Jari dt £22 teltnga \semetny CN IX, X: diskagta G1 dlsfoniacs arcu CN XI: angen Sana 4 Menolen Cf) Ket CN XT: Udah saat ‘Shewhat ddan Kekuatan motorik: | F \F Refleks fisiologis : Biceps ¢2/ tt ‘Triceps €4/¢2 Patella €2/¢2 Achilles €2/¢2 patologis Babinski Chaddock ~ Oppenheim - Gordon — Schaffer — Rossolimo ‘Mendel Becthrew © Hoffman trommer ~ Sensorik: Kanan A Kitt Simetris Koordinasi : © Tes tunjuk hidung Tumit Iutut Refleks Cia} s0LC-> © Disdiadokokinesis Otonom : CR THETAXPA (19/3): BAB: BAK: by Cardiomegat’ 4 etongako asrte 4 Sckresi Keringat : Terapi: = Clortdogrel *5mg 6D to - Uifvoolin rooms Bp WV = fanthaing amg GO W ~ Amiodivin m4 0D to = Ceftriayone 29r 0d ~ Gabapentine 1004 TDS PO ~ Metobalamia S20m4 OD IV a CamScannerOWNS 7 Coden , Vebthve « SONY ine tiie KU? Kelemonon Ab Koran Seya bargan Heer Seyar 2 VW0n [atu | mia sures ) Diagnosis: (2A KU OA age To RICOH - hichee Klinis : Remon +f Con kee cca’ SHAT + ° Meningeal sign: Kaku kuduk: tc) Laseque: (-) Mata: CAl-(-), nel. THT: Seek (l7 (aexost (-(-) - Leher : detest (4 punucon kas . Cor: Sila reguter proucral pela - pulmo: Vureulur (4 (4) UR EEL PRE Abd: BOL) RPS: q kcleraren AG Selelay kaner talay — PxAnGong : we ra) le sebehan Kora dom bicara palo @ Saat ini © Brudzinski I: (-} Gukak ada fenega don Lyicara Suda {\Hou | Cranial Nerve: Yao. Hemant 4 : CNA: daa ry : 2 EN IIIY, Vie ugiliceer Be ‘ae SEN: 5H Neleveneke. nie ; - ) W) ghar rate’ ° Motorike anbeets « domeret Arerake is RPD: DM (yy, Ht 4) mihum + | Sensorik: Sree ean dt Kelunto® . en VT bape tings rok oN or RPK; tisk ody felavan Sen i e CN vir oryum Klaewsee | Life style: Meme 2 GN VIII: geuton sox 4 dove Adare feb Kesadaran : GCS:E M V e CN 1x x dee ven om ‘oe ro: . . ' op oN XT songeck eu & . TD: sN: , RR: ,S: »$p02: 8% ene eek tebe k Alon Kepala : Hormnotee! \ ‘thctkss : rc. Kekuatan motorik : ain rls Refleks fisiologis : e Biceps t2/*% © Triceps +2/*% Patella *2/*% © Achilles 42 (*2 Refleks patologis : Babinski (7) Chaddock (- L- Cotpcain Try BO IV Eks. Superior : Chorgek Cet Cdk , tone 5 ° k Eks. Inferior : yr ‘ ‘ _| : puree a Pemeriksaan Penunjang : U (19/9) = : eahatter n tHe (oto Une Reta: S40 e Rossolimo ) ue & (29-0). Ca Thorax CPr (O03. * Mendel Becthrew £0.75), G iS . Port e Hoffman trommer 2 yee ) > Cad kK dheyerto + | Sensorik : Kongn & cot Treedes out (100.4). Koordinasi : Lore (1,04) - © Tes tunjuk hidung eGR 329° © Tumit lutut batt. L ¥, ee saat Urtoalyeos GC 4Co\ ocoall anok e() “ CT ied wan - ontrack (03): ° BAB: BAK: Ly trac . (eerkereban C1 prolferreest vastdar le) SOLCI . « Sekresi Keringat : Terapi: . L Clapteageh, 7 req. 60 € = Hrcolrolamen 400 > 00 1U -a a Oe F) ol \ { ] q Yew up 5 f06 wii acne ene it AE saan Diagnosis Spite dd Ota 8 yn phoma BURT ‘ t © Klinis: cera, aseloc garing § ned Hone opis: bate cosets . Topis Muna * Etiologi: 5 *_ Patologi : betdabunten ga Chen Ss guided | KU: (idau oem tenia saat TAA Meningeal sign: * Kaku kuduk: 5 ° ; * Laseque: > 70 pp 0 peck t boys 9ehas ‘ ° B52 Anaieye weiangt sanggal ip) s Ire 2 p © Kerniq: 75° /> 135 sah btheg Feyory \erasa ned celeb ite be RS UA © Brudzinskil: - STM ES range Mr loee gi Gaon ; se Meh S92 dang, iwwmar deean Wig scien @ . Beadstnaidis ejay beeTegas THEMEOG beprle ose mute, |emas ranial Nerve: FOO, welen Wine tle Sotes — urem Pamrce penal © CNIS 7 Poreosmin ame |smn) / 4 See SSTY Nome RB] tee oat oq aon oA ob CN UD: pupil Iaateh chor C3 mn 5 om) Beh ger th IN hades merce faut * CNTILIV, Viz Get sep cre, daybogia > © CNV: © Motorik: Normotets -naieno toms RPD : barat Ss Pema betel boden Kecuget pelen © Sensorik: Vi V2 vs normed oa,” (p25 alae NYE rot 5 hae 2K. ttre * CNVI: GBM le ‘ RPK: me bey ia . ON vii Scqplo ova Life style ; Pokot 69 'h Legis ders 1015, Allabal volar olnbnta] CN Vil: “pe me pate = creat : e 3 Keederan: Comte COSTE, Mc Vs * CNIXX: dee €9 disteqee acy. TD: 2% y Nz , RR: |g +S: 364, Spor: 39%, © CNXE: puns Ogtat , bisa nth Kepala : Nevocpar , Woreo Snes ENKI aes, ailalaicy » Mordad 0 Mata: (*/- 33 -)-, pecan rege tn Kekuatan motorik : THT: Sted (-5, claret c- bem ©) Leher : Pwbesom, og (> Cor: 5.5. cegidan, parton 6%, gallop +) Pulmo: VBS +/, Ponta | 1 Witermee if Abd: Supe, Ry & , wr - Refleks Patologis ; . © Babinski -/- Eks. Superior £01 £24 satwak bapuyylurater | ©5553 | 33 © Chaddock - /- Eke Inferior; C21 C'S pate get ete 18 Tg Gace | i> Pemeriksaan Penunjang : ¢ Gordon _ - ly AEG net fod Peet Conve Refleks fisiologis : ° Biceps 42 [nr Triceps +2 /+% Patella +2 /r* Achilles +2 / +7 Dy eoraneng Etaminel Ix( ove ag s03) a022., ee i Gi Nea ShaK yang aly seeker Romo RPS: rasen cna mi daw ada Kelonin- KeWRAN ata» NYO dads dan myer peru dutaryval oie yasen + NAG moran darian sydah lebih membait: « BAB dan BAK NOON, sage oda pervbahdh frekvens - RPD: Bem pera mengatami very sepelvrryn. RPK: TAME age nWa¥At sepa Life style: merorayt = 2 bunguusthan , Arona ® - MuNtah myer Kepala quargvall ol panen. Fewhan demon, Mergials + Fenngatan rKengar maton, YEA Hnogemkan het ad) ‘hie fymphom ake 52M Ferg pie poring * Mea (or + Etiologi: ier = Patologi : te GABA > OU Meningeal sign: Kaku kuduk: @* Laseque: 740/70 + Kernia: 706/95 Brudzi 6 © Brudzinski tk ° Cranial Nerve: CNT: normosttig © CN IT: puptt bold, Wolter (t 3mmnfamn es) , © CNTIL TV, VE: Gin Seat arth « do Kesadaran cay Wank! GCS: Eq Mc Vs- TD: Mg 4: Kepala: Nornneqan , dejormiter 6 leilas © - Mata: On(-) 052.4) , REL tH /ROTL Alt THT: sewet 6° Leher : pemvesaran 66 6 Cor: $465 reguer, mumnur @y gallip @- Pulmo : venrwter “Hy speck t= wneeting T- Abd: Supe, BV® (ste Eks. Superior = Eks. Inferior: X SRR: (WK +S: 3b), SpO2: gp"{o- Yura hargat, ox asec era | Fenderyaran smetri CRDEX: stain Br dag 8 CN XI: vat argkat CN XI Kekuatan motorik: 2S_{ 7 sor [mr Refleks fisiologis = © Biceps taj42 © Triceps +2/42 = Patella 42449 + Achilles 43/42 Chaddock ~{- Oppenheim =1- Pemeriksaan Penunjang: Kt Hav eratonvtn (9103/2002) fos ts, 4 gid WaKC= 33.0 grt Has 4640 Ye r= 34,0 mosde RBCs 5,49 x10°/4L Ore tt mala WBC= (0.34 x 19>/4L CBRE B6et ge zowt = 1121216412979 RUGS e810 walt. halk] = 40/4.0/05- mlateee = IW rear) (nH HV (Rapid) = Negarive. Schaffer 4— Rossolimo -[- Mendel Becthrew 1- © Hoffman trommer 4 Sensorik : Sitters, dalam batas Noe Ar- © Gordon {- Koordin: © Testunjuk hidung @ 2 tumittuwt © \dokokinesis® * Di Otonom : « BAB: © BAK: © ¢ Sekresi Keringat: _@ din Hours, SQN ya) ats) fingins TED OE, jactti+’ beget evan G sfonwwiah © , dvama 6 - iG vapit Pemerixsoan Fenviyang : Miowbirtogy ((0/63/022) [Lp Bacteria direc snejr > bakin *O found. FUME dire te sted > comyteted. - AED deck mmear > ARS ThkAwnd. x Head_withowe cory (1903/2022 = TMQ = INFO qWWA -Pedarahgn akut, so. inyratranta = Suet otae/ thie Kang) dalam bata normal ‘Port = ParmLetann| 3x500 my PD — Warepamn stm. We PRN’ —HerametnarDne 4x sINy IV ~ Omeprarle 2x40my (Vv ~ ROMAN LX 450mg PO —Fenihin 3x10 o v- = Don THOOTNG FO — Wtoynamid 1x (p00 1 YO - ~ stambvtnl (x00 my 10° a CamScanneri Terpiiny, aT 2U19/2 KU: Ralen mash burdalok, wonun sudo dnt elu dyn vmsdnh /etdak girls diryction RPS: fugin dadany dyn hehe Gerhs £5 fam Somes, Sent SKIL FiOS rera| prsiie. tegtin dn deh diburikan rp nturber ays KepetSAn istringh, ln Saat Ini HHdak steak, poston berdakik dav doped keloar ‘on sondvring o fonpa suction clori fanetan fra keastomi RPD: Poin jut (7 Fb 201 st Key Nornasetyl Mata: CA(-/-), SLE[-) ; Means hadony Keri, sede — 2 dev hyn 7 Leher aimbaonrant RED.) ar fraktstom tOFR SHY Eke Ws Yelabrasi, poningke wl Meningeal sign: Refleks fisiologis : Cor? SSiry 1M) .g(-) . 42/42 Palmo: ps ° s/h tlt Vh- le Rho Refleks patologis : Abd: BU (4), supel © Babinski ~/- Eks. Superior: CRr225 , pling edem ,akeal hangat + Chaddock ‘4 Eks. Inferior: G4C25 1 Kal hangnst relay = 7 fon ae 7 Pemeriksaan Penunjang : eho (10/3) © Schaffer ~1- Lab 15/3 of LA. kv dilapor © Rossolimo = /- Gr Wit Weal = 8,9%T LvH ¢huenteh dyn m|: l Kaku kuduk: ~ Laseque: 770/770 Kerniqs 2135/2 (35 Brudzinski I: Brudzinski II: (-J I Nerve: f NI: sulif haji NIL: fopll Lele fsokor , RCL /Pee grids CNAME AV, Vis pfosis(-t-) 2am fA CNV: ©) Mc i : oa } sult dikafi CN VI: lapopaetroustrte) = ey [npophtaleas (--) CN IX,X: Mt feats RRR T Golit ita CN XI: Lysullt Biceps 2/42 Triceps 42/42 Mendel Becthrew -srulit dika}i Hoffman trommer | Clopidogrel 19.75 wy IAI Aspar kK fo Vay 4x1 arwetame) PO ty 3X! Omeprassle Iv 4a my ZAL Sotatil (V lomy “3X1 Bisolvon ner 3x1 Lanus SC ZU Nac caps PO Seery 3x1 Kamipril PO 2H Ix] se /Pdagra puck Lv Filliey pressore, | Sensorik : Keats be eg | BENT 7 Koordinasi a tl Fongst sotshik ML © Tes tunjuk hidung y 5 als ne ghlal menurepm + Tumit lutut {it Ataf te “ya mc 307 * Disdiadokokinesis nec aed MERE 36.4 4) Otonom : re ae + BAB: dbm BAK: 4ouwe Jip berakhy get 291 + Sekresi Keringat: — ‘Terapi: a CamScannerJaga Hans : Ol\tvia , farhon, Usha, Letitia, Anderton KU : alamamntie eter rae - oe * fanen terdahay dan led apat bongi grote grou fa ber dahak dagar relvar Be doh ae RPS: Pannen day engan Felyhan penuvnan besadora 19™ SMES Coad sat paren ) fdak sesak perdanay n daha‘ dapat © Brudzinski I: (- > Feluar dengan sendiringd dan 4caveostomi Sr . os © CN IDS toners fondong Ut © CN TILEY, VEE ccc cc) RET AED pup thee Hotes aout « CNV: ROWS HD nn lat pian © O © Motorik: « teat RPD : P4741 choie BH RL 1022-149 eda bad, © Sensorik: J» * 39 Pebmael wl Sdelah iy bde sade dram * CNVI: RPK: [dor ada yang memitiia Feluhan sevea,ayah DM 2 CN VIL: Life style: Alergi peninlin » DMO, HTQ@) 30 tahun ¢ CNVII: Nsw eircant Kesadaran: GCS: BE; Muv © CNIXX: ~ . 3 MY V4, s TD: °/0,N: 94 RR: of +S:31,5 , SpO2: 98% : onam: / Kepala: jocmose fal . Mata: ff (-/-), 31 (-]-) Kekuatan motorik : THT: Tepes NGT, lubang widung un, SeKCe+ (_),] Refleks fisiologis : Leher: septum (-) © Biceps .. WYPECEN LO IS, Hote stom Tee (er Cor: 1g ° Triceps «4-14 me vO 6© ° Patella «3,/.> Pulmo: yes Guy WIRED FOUL © Achilles 43/45 Abd = WL) goes Refleks patologis : © Babinski ;-5 . 4 Eks. Superior : che i phy © Chaddock (-) Eks, Inferior: “dima /. iting * Oppenheim (-y Pemeriksaan Penunjang : * Gordon (-) Ws (i512) (ao (913) * Schaffer c- te ute Wome 9.9" © Rossolimo : fe ¢ Mendel Becthrew See re 2% ¢ Hoffman trommer ¢-) le a Sensorik : ch a . Koordinasi : © Tes tunjuk hidung belt Sey BS © =Tumit lutut WU atrkeyi i Se Yee eet © Disdiadokokinesis We TBE WHE Bey Otonen : We $163 e BAB: (4) BAK: Que 29% Terapi: PAPO AVE IQ 9D DPrsoium pees 3x \ ae % By Utes po pens se orU facseerot ax a PO s 2ncck cop Ix Org > Heide DUNG WV dsm aytomg 1 7 Romipnl ote PD o_Sekresi Keringat: ; 4 {19 = cme