CASE General surgery Residency Presentation Hepatoblastoma.pptx

1. CASE
CONFERENCE
Hepatoblastoma

2. Case

3. Identitas

4. Keluhan

5. Riwayat Penyakit Saat Ini

6. Pemeriksaan Fisis

7. Pemeriksaan Fisis

8. Kondisi Klinis

9. Hematologi Kimia Klinik
Hasil Nilai Rujukan Hasil Nilai Rujukan
Leukosit 14.610 6.00-18.00 10^3/µL GDS 89 <200 mg/dL
Eritrosit 2.88 3.10-4.30 10^6/µL Albumin 4.3 3.5-5.5 g/dl
Hemoglobin 11.3 13.4-19.8 g/dl Ureum 22.2 19.3-49.2 mg/dl
PLT 225.000 150-450 10^3/µL Creatinin 0.5 0.7-1.3mg/dl
Hematokrit 33.5 28.0-42.0 % SGOT <40 u/L
SGPT <41 u/L
Bilirubin Total 8.6 <1.0 mg/dl
Bilirubin Direct 1.6 0.3-1.0 mg/dl
BT 1-6 Menit Bilirubin Indirect 7 0.0-0.8 mg/dd
CT 1-15 menit Alkali Phospatase 40-129 U/L
Hemostasis Electrolyte
APTT 41.4 24-36 detik Natrium 139 135-155 mmol/L
PT 19.1 10.8-14.4 detik Kalium 2.4 3.6-5.5 mmol/L
INR 1.37 Cloride 107 98-108 mmol/L
Imuno-Serologi Imuno-Serologi
Rapid Antigen
SARS-CoV-2
Negatif Negatif Ab HIV Non Reaktif Non Reaktif
Dengue Ig G Negatif HBs Ag Non Reaktif <0.09 COI
Dengue Ig M Negatif Gamma GT 187 <200 IU/ml
Procalcitonin
Elecsys
0.27 <=0.020 ng/ml CRP Kuantitatif <2.5 <=5 mg/L

11. X-Ray

12. CT SCAN

13. CT SCAN

14. Massa intra
abdomen susp
hepatoblastoma

15. Planning

16. Thank You