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    MR 5-6 Juni 2019 NEW

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    yogi pramana
    This document summarizes obstetric and gynecology cases from June 5-6, 2019 at RSUD Sanjiwani Gianyar Hospital. There was 1 new obstetric case and 2 vaginal births. In gynecology, there was 1 case of a 56-year-old woman with stage 3B ovarian cancer who received chemotherapy and was being monitored. No postpartum or post-curettage cases were reported.

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    MR 5-6 Juni 2019 NEW

    Uploaded by

    yogi pramana
    23 views8 pages
    This document summarizes obstetric and gynecology cases from June 5-6, 2019 at RSUD Sanjiwani Gianyar Hospital. There was 1 new obstetric case and 2 vaginal births. In gynecology, there was 1 case of a 56-year-old woman with stage 3B ovarian cancer who received chemotherapy and was being monitored. No postpartum or post-curettage cases were reported.

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    This document summarizes obstetric and gynecology cases from June 5-6, 2019 at RSUD Sanjiwani Gianyar Hospital. There was 1 new obstetric case and 2 vaginal births. In gynecology, there was 1 case of a 56-year-old woman with stage 3B ovarian cancer who received chemotherapy and was being monitored. No postpartum or post-curettage cases were reported.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    23 views8 pages

    MR 5-6 Juni 2019 NEW

    Uploaded by

    yogi pramana
    This document summarizes obstetric and gynecology cases from June 5-6, 2019 at RSUD Sanjiwani Gianyar Hospital. There was 1 new obstetric case and 2 vaginal births. In gynecology, there was 1 case of a 56-year-old woman with stage 3B ovarian cancer who received chemotherapy and was being monitored. No postpartum or post-curettage cases were reported.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    LAPORAN JAGA OBGYN


    Rabu, 5 Juni 2019 – Kamis, 6 Juni 2019
    RSUD SANJIWANI GIANYAR
    Tim jaga A: Igam, Yogi, Dindi
    RESUME KASUS JAGA
    Rabu, 5 Juni 2019 – Kamis, 6 Juni 2019
    (Pkl 07.00 – 07.00 WITA)
    KASUS OBSTETRI
    A. Kasus

    1. Kasus Baru
    • Fisiologis : 1 Kasus
    • Patologis : 0 Kasus

    2. Kasus Sisa
    • Fisiologis : 0 Kasus
    • Patologis : 0 Kasus

    Total Kasus : 1 Kasus

    B. Partus
    – Partus Fisiologis : 2 Kasus
    – Partus Patologis : 0 Kasus
    Total Partus : 2 Kasus
    Lain-Lain : 0 Kasus

    Kasus Ginekologi : 1 Kasus


    KASUS GINEKOLOGI
    Rabu, 5 Juni 2019 – Kamis, 6 Juni 2019
    (Pkl 07.00 – 07.00 WITA)

    1. SRI, 56th, 520653, Ca. ovarium std IIIB (residif) + post TAH - BSO -
    omentektomi adhesiolisis (6/8/18) + pasca kemoterapi paxus
    carboplatin VI seri (3/1/19) + paska kemoterapi doxorubicin
    carboplatin II seri (18/5/19) + anemia ringan (9,78) —> perbaikan KU
    (pro kemoterapi seri ke III di RSUP Sanglah bila KU optimal) (IGAM)
    OBSTETRIC CASE REPORT
    DUTY ON : JUNE 5 th 2019 – JUNE 6th 2019
    LUL, 35 th (617657) Dindi
    ASSESS PLAN OF
    NO DATA BASED
    MENT CARE

    1 Anamnesis :
    Patient complained labor pain (+) since 08.00 am (05/06/19), watery
    vaginal discharge (+) since 11.00 am (05/06/19), fetal movement (+)
    good.

    LMP : 15/09/2018
    EDD : 22/06/2019
    Marital status : married

    Obstetric history :
    1. 2009, aterm, SC, male, 3000g
    2. Current pregnancy

    Menarche : 14 YO
    Duration : 4 DAYS
    Volume : + 50 CC
    OBSTETRIC CASE REPORT
    DUTY ON : JUNE 5 th 2019 – JUNE 6th 2019
    LUL, 35 th (617657) Dindi
    PLAN OF
    NO DATA BASED ASSESSMENT
    CARE

    2. Physical Examination:
    Weight/Height : 55 kg / 158 cm  BMI: 22,5 kg/m2
    • Present state :
    GCS: E4V5M6
    BP : 120/70 mmHg RR : 20x/minute
    HR : 80x/minute Tax : 36,50C
    • General state :
    Head: Eyes : Anemic (-/-)
    Thorax : Cor : S1 S2 normal, regular, murmur (-)
    Pulmo : Vesiculer +/+, ronchi-/-, wheezing -/-
    Abdomen : ~ Obstetric state
    Extremities: Warm +/+
    +/+
    • Obstetric state :
    Abdomen :
    Fundal Height 29 cm ~ EFW 2790 gram
    Uterine contraction (+) 3-4x/10’~40-45’’, FHB: 148 bpm
    Vagina (5/6/2019) pk 11.15 pm
    Cervical dilatation complete, amniotic membrane (-)
    Head palpable, left occiput anterior, Hogde III+
    Small parts/umbilical cord unpalpable
    OBSTETRIC CASE REPORT
    DUTY ON : JUNE 5 th 2019 – JUNE 6th 2019
    LUL, 35 th (617657) Dindi
    N0 DATA BASED ASSESSMENT PLAN OF CARE

    3. Laboratory Result G2P1001 37 weeks 4 day, Intervention :


    -WBC: 12,55 - HCT: 29,6 singletone/life, LMR 1. Expectative pervaginam
    -HGB: 9,5 - PLT: 213 ( Previous SC 1x ), mild Target: Well born baby and
    - BT/CT: 2’00”/8’00” anemia, 2nd stage of mother in good condition
    labor

    EFW: 2790 gr
    SPR: 2/LRP

    Lead to bear down

    At 11.25 pm born baby female,


    2600 g, 48 cm, AS 8-9,
    congenital anomaly (-)

    Active management 3rd stage of


    labor at 11.30 pm born placenta
    3rd stage of labor completely.
    RESUME KB

    KB POST PARTUM
    – IUD : 0 KASUS
    – SUNTIK : 0 KASUS
    – MOW : 0 KASUS
    – KONDOM : 0 KASUS

    JUMLAH POST PARTUM : 0 KASUS


    JUMLAH POST KURETASE : 0 KASUS
    THANK YOU

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