Case Gastritis Erosif

8/17/2019 Case Gastritis Erosif

1/23

Hematemesis e.c

Gastritis Erosif

Case Report : dr. Arief Gunawan, Sp.PD

Nikita Rizk A.!"!.!#.$#!


2/23

%DEN&%&'

• N . (Name

• $ ) e a r s o * dA+e

• , a d a s R & ! $ - ! k e c . & e * u k / a m 0 e

& i m u r

Address • H o u s e w i f e

/o0 • E * e m e n t a r S c 1 o o *(ast

Education • 2 a r r i e d

2arita*Status • 2 o e s * e m

Re*i+ion • S u n d a n e s e

Et1nic


3/23

Anamnesetaken on &1ursda 2a t1 !$

• 3omittin+ moret1an $!4 since $das a+o

2ainComp*ai

nt

•

Nausea• 'e**ow at 0ot1

ees• Pain at upper

ri+1t a0domen

Additiona*

Comp*ai

nt


4/23

Picture of t1e patient


5/23

Histor of Present Disease

• Patient came to %nterna*5s C*inic of 6arawan+ Cit1ospita* wit1 comp*aint of 0*ood 7omittin+ since $das 0efore 1ospita*ized. S1e 1ad 0een 7omittin+ for"4 containin+ foods and co*ored *ike co8e.

• S1e a*so fe*t nausea, disp1+ia, and a0domina* pain atupper ri+1t a0domen.

• Headac1e 9;, cou+1 9


6/23

Histor of Past Disease


7/23

Histor of =ami* Disease


8/23

Ha0its Histor

+


9/23

• Moderately ill

Genera* appearance

• Compos mentis

Consciousness

Genera* ConditionGenera* Condition


10/23

3%&A( S%GNS


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P1sica* E4amination

• N o r m o c e p h a l i

Head

• A n e m i c c o n j u n c t i v a - / - , • I c t e r i c s c l e r a + / +

Ees

• L i p : c y a n o s i s ( - • ! h a r y n " : h y p e r e m i c ( - ,

s y m m e t r i c a l , u v u l a a t m i d l i n e

2out1 • L y m p h # l a n d $ % h y r o i d # l a n d i s n o t p a l p a & l e

Neck


12/23

&1ora4 E4amination

- (un+ e4amination

• %nspection : Smmetrica*• Pa*pation : E>ua* 7oca* fremitus

• Percussion : Sonor

• Auscu*tation : 3esicu*ar 0reat1sound in 0ot1 *un+, no ronc1i

and w1eezin+


13/23

&1ora4 E4amination 9;

- Heart e4amination

• %nspection : %ctus cordis is a7ai*a0*e• Pa*pation : %ctus cordis is pa*pa0*e at ?t1

%CS (2CS

•Percussion : No en*ar+ement of t1e1eart

• Auscu*tation : Re+u*ar % < %% 1eart sound ,no murmur and +a**op


14/23

A@D2%NA( EBA2%NA&%N

• Inspection : @rown skin, =*at, skin a0norma*it 9


15/23

'"tremity

'"amination• arm acra*s

• edema

+ +

- -

< <


16/23

(A@RA&R' =%ND%NG2a, t1 !$

(lood )esults Normal

H0 #,) $


17/23


18/23

Di8erentia* Dia+nosis

Hematemesis


19/23

orkin+ Dia+nosis

Hematemesis e.c ErosiveGastritis


20/23

Su++ested E4amination

• Endoscop FG%&

• FSG Hepar

• Stoo* test• @reat1 test


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Pro+nosis

• Ad 3itam : ad 0onam

• Ad =un+tionam : ad 0onam

• Ad Sanationam : du0ia ad0onam


23/23

%erima>asih

Case Gastritis Erosif

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