Академический Документы
Профессиональный Документы
Культура Документы
PENDAHULUAN
1
BAB II
DISCUSSION
5
2.4 Problem Analysis
1. Ana, a 10 months old girl, visited the outpatient clinic RSMP with recurrent
diarrhea with her mother. She suffered from diarrhea almost every 1 time in
a month since she was 4 months old. The length of diarrhea was 7 to 10
days. Her mother said that her daughter’s appetite was like ‘usual’. Ana is
not having fever, cough, cold, and hard to breathe now.
1a. What are causes of diarrhea?
1b. What is the meaning of: She suffered from diarrhea almost every 1 time
in a month since she was 4 months old. The length of diarrhea was 7 to
10 days?
1c. How is the patophysiology of diarrhea and recurrent diarrhea?
1d. What is the meaning of: Ana is not having fever, cough, cold, and hard
to breathe now?
1e. What is the meaning of: Ana’s appetite was like ‘usual’?
1f. What are the possible illness with recurrent diarrhea symptom?
2. Ana weight was never weight (she was never taken to Public Health Center).
Highest weight was unknown.
2a. What are the impact Ana was never taken to PHC (Public Health
Center)?
2b. How many the ideal visit frequency to PHC?
2c. What are the objectives and benefits of checks performed in KMS?
2d. Bagaimana pertumbuhan normal anak seumur Ana?
2e. What are the assessments in KMS?
3. Ana was given exclusive breastfeeding just until 3 months of age. Since her
age was 3 months, she was given only regular formula milk 6 times a day
@ 90 cc until now. After her age was 4 months, she was given instant
porridge as a complementary feeding (MP ASI) 2 times a day @ ½ sachet
(1sachet is 80 kcal). She also was given cooked rice water (tajin) 2 -3 times
a day @ 50 cc since her age was 4 months.
6
3a. Berapa lama pemberian ASI eksklusif yang ideal?
3b. What of including nutrients in ASI and the benefits of ASI?
3c. What is the impact that ASI only given just until 3 months of age?
3d. Berapa cc normal pemberian susu formula per hari pada bayi 10 bulan?
3e. What of the bad effect and benefit of cooked roce water (tajin)?
3f. How diet pattern of the baby? (from neonatus – 10 month age)
3g. What is the meaning of: Ana was given instant porridge as a
complementary feeding 2 times a day @ ½ sachet ?
3h. Apa hubungan pemberian nutrisi dengan diare berulang yang di alami
Ana?
5. Immunization history: BCG 1 time but DPT, polio, hepatitis, and measles
were never given.
Growth history: image attachment of Ana’s KMS.
Development history: Ana can only sit with help.
Medication history: Ana was never got treatment.
5a. Apa hubungan riwayat imunisasi dengan diare berulang yang dialami?
5b. What are the impacts that imunization was given incompleted?
5c. Bagaimana jadwal pemberian imunisasi?
5d. Bagaimana interpretasi dari KMS Ana?
5e. Bagaimana perkembangan normal untuk anak ( Ana?
5f. Bagaimana interpretasi riwayat perkembangan Ana?
7
5g. Bagaimana interpretasi riwayat pemberian obat pada Ana?
6. Physical examination:
General status: child is not looking thin, round cheeks, pale, apathetic,
whiny, weight 5.5 kg, length 60 cm, head circumference 12 cm.
Vital signs: HR: 112x/minute, RR: 32x/minute, T: 36,5°C
Specific status:
Head:
No dismorphic face
Round cheeks,
Easy revoked sheer yellowish red head hair
Wistfull eyes
Look and cry at the examiner
Look towards when her name was called
Thoraks: noribs (piano sign)
Abdoment: bloated
Extramities:
Edema in the four extremities
No anatomy abdormalitis to noth legs and feet
No baggy pants
Skin: there is skin abnormalities (dermatosis) in the buttocks and groin.
Neurologicus status:
Normal movements, motoric muscle strength 4
Normal physiological reflexes
Normal clonus and tone
No uncontrollabe movement
No pathological reflexes
8
2.5 Hypothesis
Ana, 10
Idiopatik