Pem Neuro

Pemeriksaan Neurologis Praktis pada anak Departemen Keperawatan Anak 01/23/11

Pendahuluan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/23/11 1. Berg. Principles of child neurology 1996.5-22 2. Menkes. Child Neurology 2005; 1-27

Anamnesis-Skrining perkembangan 1 01/23/11 1. Haslam. Nelson Pediatric 2004: 1973-83 Usia ( bulan) Motorik kasar Motorik halus Sosialisasi Bicara 3 Angkat badan Tangan terbuka Senyum spontan Cooing, ketawa 6 Duduk sebentar Memindahkan benda Suka, tidak suka Babbling 9 Menarik - berdiri Ambil dengan jari Ciluk - Ba Meniru suara 12 Berjalan dituntun Melepaskan benda Dipanggil menengok 1 – 2 kata 18 Naik tangga dibantu Makan pakai sendok Mengikuti mimik Lebih 8 kata 24 Berlari Susun balok 6 kotak Bermain 2 – 3 kalimat

Observasi klinis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/23/11 1. Berg. Principles of child neurology 1996.5-22 2. Menkes. Child Neurology 2005; 1-27

Pemeriksaan fisis umum ,[object Object],[object Object],[object Object],[object Object],01/23/11 1. Menkes. Child Neurology 2005; 1-27 2. Haslam. Nelson Pediatric 2004: 1973-83

Skala koma Glasgow ,[object Object],[object Object],[object Object],[object Object],[object Object],01/23/11 Current Management in Child Neurology 2005.h.551-62 Crit Care Med 2006: 34:31-41

Skala koma Glasgow ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/23/11

Pemeriksaan kepala ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/23/11 1. Berg. Principles of child neurology 1996.5-22 2. Kisler dan Ricker. Am Fam Physic 2003; 15:13-8 .

Pemeriksaan lingkar kepala 01/23/11 Usia < 1 thn: tiap bulan Usia > 1 thn: tiap 2 bulan

Bentuk kepala 01/23/11 Mikrosefali Brachicephaly Scapocephali

Pemeriksaan Saraf Otak ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/23/11 1. Berg. Principles of child neurology 1996.5-22 2. Menkes. Child Neurology 2005; 1-27 3. Haslam. Nelson Pediatric 2004: 1973-83

Pemeriksaan Saraf Otak 01/23/11

Pemeriksaan Neuromuskular ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/23/11

Pemeriksaan Neuromuskular 1,2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/23/11 1. Menkes. Child Neurology 2005; 1-27 2. Haslam. Nelson Pediatric 2004: 1973-83

Horizontal suspension Kekuatan batang tubuh

Vertical suspension Kekuatan bahu

Pemeriksaan Neuromuskular 01/23/11

Pemeriksaan kelemahan otot ,[object Object],[object Object],[object Object],[object Object],01/23/11

Pemeriksaan neurologis praktis ,[object Object],[object Object],01/23/11

Apa yang dapat di nilai? 01/23/11

Kesimpulan ,[object Object],[object Object],[object Object],01/23/11

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