Post on 06-Jul-2018
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ANAMNESA&
PEMERIKSAAN OBSTETabortus
Raja Della Marta
0708120443
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DIAGNOSIS KEHAMILAN• Perubaa! a!at"#$%& '($"l")$% *a! "r#"!al
+ Ma##ae
+ ,teru(
+ HPH-
+ Perubaa! uter$ a%$bat .e!$!)%ata! /a(%ular$(a($&%"!)e(t$ *a! e*e#a jar$!)a!& $.ertr"' %el (er/$%(
Chadwick, Hegar, goodell.
• ,j$ "r#"!al %ea#$la!
• Keb$a(aa! AK
• Piskacek signs +
• K"!tra%($ Braxton Hicks• ENOMENA AND,L
• P LEOPOLD
• Au(%ulta($ D 5a6al #))u 4
• A*a!a )era%a! ja!$!9
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DASAR PENEGAKAN DIAGNOSAABORTUS
• Nyeri suprapubik & %eja!) uteru( *a!atau !er$ .u!))u!)
• Perdaraha per!a"ia#
• D$lata($ (er/$% *a! teraba jar$!)a! %eluar*ar$ %a!al$( (er/$%al$(
• Gejala *a! ta!*a %ea#$la! #e!)$la!)
• -e( %ea#$la! !e)at$: atau .e!$!)%ata!%a*ar ;
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ANAMNESA DAN P$
• I*e!t$ta( PASIEN DAN SUAMI
• K,
Berhubu"a keha#i%a + Me#a(t$%a! *a! Me!)etau$ u($a %ea#$la!9
+ Mual& #u!ta *a! atau !er$ %e.ala9
+ Per*araa! .er/a)$!a#= Keluar >a$ra! .er/a)$!a# 5a$r%etuba!& leu%"rea?
+ Mera(a%a! )era%a! a!a% a!) %ura!) atau ba%a! t$*a%ber)era%9
+ Mera(a a%a! #ela$r%a!9
Berhubu"a d" peyakit peyerta + I!:e%($9
+ Pe!a%$t ($(te#$%=%r"!$( a!) (u*a *$ra(a%a! (ebelu#
%ea#$la!9
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• Kea#$la! a!) %e @99
• HPH- 5 la(t #e!(trual .er$"*eBCLMP
• R$69 "b(tetr$+ ,($a %ea#$la! 5 ab"rtu(& .reter#& ater#&
."(tter# 9
+ Pr"(e( .er(al$!a! 5 (."!ta!& t$!*a%a!& .e!"l"!)
.er(al$!a! 9
+ Kea*aa! .a(>a .er(al$!a!& !$:a( *a! la%ta($9
+ Kea*aa! ba$ 5 je!$( %ela#$!& berat ba*a! la$r&u($a a!a% (aat $!$ 9
• Pa*a .r$#$)ra/$*a
+ La#a %a6$!& .er!$%aa! a!) %e @9
+ Per%a6$!a! tera%$r $!$ (u*a berla!)(u!) @9
-au!9
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• A!a#!e(a ta#baa!
+ %eb$a(aa! bua!) a$r %e>$l = bua!) a$rbe(ar& %eb$a(aa! #er"%"%& e6a!.$araa!& %"!(u#($ "batC"bat terte!tu(ebelu# *a! (ela#a %ea#$la!9
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• Pe#er$%(aa! %u(u( "b(tetr$
+ Ispeksi
•
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Ab"rtu(I#$!e!(
20 #))& Per*araa! .er/a)$!a#
Ner$ =C& te( a#$l & "(t$u# ueter$
#a($ tertutu.
Per*araa! FFF& Ner$ (a!)atebat&
te( ur$! &"(t$u# ,ter$
terbu%a& ja!$!#a($ *$*ala# %a/u# uter$ 20 #))& a($l %"!(e.($
%eluar
Per*araa! (e*$%$t& "(t$u#uter$
tertutu.& te( %ea#$la! 7C10ar$ .a(>a
ab"rtu( ja!$! 00 #)& be(ar
ABORTUS
INSIPIENS
ABORTUS
KOMP'ETUS
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20 #))& A9K"#.letu( ta.$#a($ a*a
a($l %"!(e.($ ) ter($(a *$ %a/u#
,ter$&"(t$u# uetr$ terbu%a& teraba
jar$!)a! atau
(e(uatu ) #e!"!j"l .a*a "(t$u#
uter$&.er*araa! FF=&A!e#$a& S"%
e#"ra)$%&
be(ar uteru( u($a %ea#$la!9
20 #))& ja!$! #e!$!))al *l#Ka!*u!)a!=
#a($ *l# uteru(& ta!*a2 a#$l
#e!)$la!)&%elua! t*% a*a &! )ra%a! ja!$!
ber%ura!)&
te( %ea#$la! 5 + 9
AOR-,S
INKOMPLE-,S
Missed
ABORTION
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terja*$ 3 berturut2& ispeku%o Sela.ut
%etuba! ) #e!"!j"l .* (aat a%a!#a(u%
-r$#e(ter 29
ABORTUS
(ABITUA'IS
A!a#!e($( >er#at t!t) u(aaab"rtu(
*) t$*a% #e!))u!a%a!.eralata! (ter$l9
Gejala De#a# t$!))$& (a%$t*a! lela&
ta%$%ar*$& .er*araa!
.er/a)$!a# )
AOR-,S
INEKSI,S=
SEP-IK
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PA'PASI ABDOMEN PADA KE(AMI'AN
• ela(%a! #a%(u* *a! tujua! (erta>ara!a9
• Ibu berbar$!) tele!ta!)& (e!*$ lutut
(e#$ Je%($ #e!)ura!)$ %"!tra%($ "t"t*$!*$!) ab*"#e!9
• Le"."l* I (=* III .e#er$%(a berdiri
disa#pi" kaa ibu de"a#e"hadap kearah #uka $bu
• Le"."l* I .e#er$%(a berbal$% ara(e$!))a #e!)a*a. kearah kaki ibu)
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'eopo%d I 'eopo%d II
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'eopo%d III 'eopo%d I*
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