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7/23/2019 Bed Side Teaching Herpes

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BED SIDE TEACHINGHERPES ZOSTER

Presentan :AIDIL AKBAR NURSHAL 12100115140DIAN !AEDASARI 1210011510"D#I RADI SALI! 12100115141

PRESEPTOR :

DIANA #I$AATI% DR&% SP&K&K&

S!' IL!U PENAKIT KULIT DAN KELA!IN'AKULTAS KEDOKTERAN UNI(ERSITAS ISLA!

BANDUNG2015


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IDENTITAS PASIEN

Na)a: Ba*a+& A

Us,a : -0 ta./n

$en,s Kea),n : La+,a+,

Aa)at : C,.an/an3

Pe+eraan : Pens,/n

A3a)a : Isa)

Stat/s !ar,ta : !en,+a.


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KELUHAN UTA!A

Br/nt/s +e)era.an an3 terasa *anas an ner, , se6ea. +anan an */n33/n3 se6ea. +anan


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ANA!ESIS

Pas,en atan3 +e RSUD C,6a6at en3an +e/.an 6r/nt/s *aa *er/t +anan& Ke/.an ,n, ,rasa+an seaan3 a/& Br/nt/s )enaar ar, 6a3,an e*an *er/.,n33a +e */n33/n3 +anan *as,en& Pen,n3+atan n*anas /3a ,rasa+an *as,en sea+ a8a )/ana

6r/nt/s% 9e. +arena ,t/ *as,en atan3 +e r/)a. sa+,t&


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Paa 7 .ar, an3 a/% *as,en )en3e/.+an e)a)% e)as% ner, 9t9t an sa+,t +e*aa& Ke)/,anter+e/t en3an aana 6r/nt/s +e,& A8ana t6e6era*a 6r/nt/s an3 6er,s,+an a,ran ern,. +e6r/nt/s terse6/t 6er/6a. 6er,s,+an nana. en3an

+e)era.an an aa 6e6era*a 6r/nt/s an3 )e)6ent/+ +er9*en3 an3 )enaar ar, 6a3,an *er/.,n33a */n33/n3 +anan *as,en& Ke/.an terse6/t aana rasa *anas an ner,&


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Pas,en )en3a+/ *erna. ter+ena ase8a+t/ a.//& Daa) sat/ 6/atera+.,r *as,en t,a+ na;s/ )a+a

*as,en ter+aan3 .ana )e)a+an naen3an 3ara) saa% sea,n ,t/ *as,e

/3a )en3e/.+an s/sa. t,/r&

Pas,en )enan3+a *erna. ,3,3seran33a se6e/)na& Pas,en /3)enan3+a *erna. )ea+/+an a+t,


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PE!ERIKSAAN 'ISIK Keaaan /)/) : Sa+,t r,n3an

Kesaaran : C9)*9s )ent,s

TANDA VITAL

Te+anan Dara. : T,a+ ,a+/+an

Na, : T,a+ ,a+/+an

Res*,ras, : T,a+ ,a+/+an

S/./ : T,a+ ,a+/+an

STATUS GENERALIS Ke*aa =#aa.% !ata % H,/n3% !//t% Te,n3a>: T,a+ ,a+/+

Le.er :T,a+ ,a+/+an

T.9ra? =$ant/n3 an Par/> : T,a+ ,a+/+an

A69)en: T,a+ ,a+/+an

E+stre),tas : T,a+ ,a+/+an


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STATUS DERMATOLOGIS D,str,6/s, : Re3,9na

P9a : /n,atera% er)at9)a

L9+as, : Per/t an */n33/n3 +anan =er)at9)aT@T-

e?tra>

Karakteristik Lesi

$/)a.: )/t,*e Se6a3,an ,s+ret se6a3,an +9n/en

Bent/+: 6/at .,n33a ,re3/er

U+/ran:

!a+/a er,te) : 0%5?1 ) -? )

(es,+e /st/ +r/sta : 0 1?0 1?0 2 ) 1?1?1


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Batas: te3as

Se6a3,an atar% se6a3,an t,)6/

Ker,n3

Tipe eforesensiPr,)er : )a+/a er,te)a% */st/Se+/ner : +r/sta

S*es,+ :


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PE!ERIKSAAN

La6: Tan+ test F ,te)/+an se at,a 6er,nt, 6ana+


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RESU!E *as,en a+,a+, 6er/s,a -0 ta./n s/a. )en,+a. )enaana 6r/nt/s +e)era.an an3 terasa *anas an ner, se6ea. +anan an */n33/n3 se6ea. +anan sea+ 7 .ar,

A8ana *as,en )en3e/.+an e)a)% e)as% ner, 9t9t +e*aa% +e)/,an )/n/


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Paa *e)er,+saan s,+ *as,en ter,.at sa+,t r,n3a*e)er,+saan er)at993, ,a*at+an ,str,6/s, es, r*9a er)at9)a set,n33, T@T- e+stra% /)a. es, )

se6a3,an ,s+ret an +9n/ens% 6ent/+ 6/at .,n33a /+/ran es, 0%5?1 ) -? ) an 0%1?0%1?0%2 ) )& Ber6atas te3as% se6a3,an atar% se6a3,an t,)6/ es, an3 +er,n3& T,*e e9resens, an3 ,te)/+an aa*r,)er% a,t/ )a+/a er,te)a%


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'OTO LESI


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DI''ERENSIAL DIAGNOSIS

Her*es 9ster


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PE!ERIKSAAN USULAN

PCR

I)/n9/9reent ant,3ensta,n,n3


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DIAGNOSIS KER$A

Her*es 9ster set,n33, T@T- e+stra


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PENGOBATAN

S,ste),+

Ana3et,+:

asa) )e;ena)at 250 )3 2 ta61

Ant,


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PROGNOSIS

/9 a


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TERI!A KASIH

bed side teaching herpes

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