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8/17/2019 Lapkas Tension-type Headache [Autosaved]
1/15
TENSION-TYPE HE
LAPORAN KASRIADHUS MACHFUD ALF
PUSKE5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
2/15
• IDENTITAS PASIEN
• N$'$ + N),I
• J!ni" *!l$'in + P!r!'p%$n
• U"i$ + 4- #$&%n
• A.$'$ + I"l$'
• P!*!r$$n + I% R%'$& $n..$
• Al$'$# + R$n(!.$n 1
• K%n%n.$n *! p*' + 4 '$r!# 2016
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
3/15
• Keluhan Utama : S$*i# *!p$l$ "%($& 5 &$ri )$n. l$l
•
Riwayat Penyakit SekaranP$"i!n ($#$n. (!n.$n *!l%&$n "$*i# *!p$l$ "!$* 5 &
l$l% , K!p$l$ #!r$"$ !r$# *!n3$n. ($n &il$n. #i'%l, S*!p$l$ (ir$"$*$n ($ri #!n.*%* "$'p$i $.i$n $#$" *!p$'!n)$n.*$l "$*i# *!p$l$ (i r$"$*$n &$n)$ "!!l$&, "$*#i($* !r#$'$& !r$# i*$ '!l$*%*$n $*#i#$" ,"$*i# *!(i"!#$i (!'$', p$"i!n '!n.$#$*$n "!rin. "$*i# *!p$l$ $r% '!l$&ir*$n $n$* )$n. *!#i.$ ($n p$"i!n '!r$"$ #i*%r$n. !r*%$li#$",$#%* 78 pil!* 98 "!"$*78 '%$l78M%n#$&78.$n..%$n AK78.$n..%$n A 78
TOANA!NESIS "#$%&%#'(
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
4/15
• P!rn$& '!n.$l$'i (!n.$n *!l%&$n )$n. "$'$• P$"i!n '!'p%n)$i ri:$)$# &ip!r#!n"i 'in%' ;$# ($n
"!3$r$ r%#in *! (;*#!r,• Ri:$)$# DM 78
RiwayatPenyakitDahulu
• A($ ri:$)$# &ip!r#!n"i (i*!l%$r.$ n!n!*8• Ri:$)$# DM #i($* (i*!#$&%i
RiwayatPenyakitKeluara
• S!($n. '!n.;n"%'"i ;$#7;$#$n ($r$& #in..i
Riwayat
Pen)*atan
• .$n..%$n #i(%r )$n. "!rin. #!r$n.%n $#$% $n.%n (i• P$"i!n !*!r$ "!$.$i i% r%'$& #$n..$• J$r$n. ;l$&r$.$ #i($* *;n"%'"i $l*;&;l,• D%l% "!rin. '$*$ '$*$n$n )$n. !r'in)$* ($n i*$n
"!*$r$n. "%($& !r&!n#i,
RiwayatP+ik)+)+ial
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
5/15
• Kea,aan umum + $'p$* "$*i# "!($n.
• Ke+a,aran + C;'p;"'!n#i"
• Tan,a ital – TD : #$.%/. mmH
– N +
8/17/2019 Lapkas Tension-type Headache [Autosaved]
6/15
Uni!r"i#$" M%&$''$(i)$& J$*$r#$5/12/16
• Kepala : normochepal
• Mata : anemis (-/-), ikterik (-/-), edema palpebr
• Hidung : normonasi, deviasi septum (-), sekret (-),epi
• Mulut : mukosa bibir kering (-), sianosis (-), lidah tr
faring hiperemis (-), tonsil T-T,
•
Telinga : tidak dilakukan• !eher : tidak dilakukan
8/17/2019 Lapkas Tension-type Headache [Autosaved]
7/15
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
• Thora"
#antung : $# %-%% murni reguler, murmur (-
&aru : vesikuler ('/'), ronkhi (-/-), he
• *bdomen
%nspeksi : tidak dilakukan
• +kstremitas
*tas : akral hangat, T . detik, edema (-/
$aah : akral hangat, T . detik, edem
8/17/2019 Lapkas Tension-type Headache [Autosaved]
8/15
• PE!ERIKSAAN NEURO1O2IS
– SARA0 KRANIA1 – !OTORIK
– SENSORIK
– KOORDINASI
– RE01EK 0ISIO1O2I
– RE01EK PATO1O2I – 0UN2SI 1UHUR
i($* (il$
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
9/15
RENCANA PE!ERIKSAAN PENUN3AN
• L$;r$#;ri%' + ($r$& r%#in !l!*#r;li# *$($r .%l$
$#$" in(i*$"i %n#%* '!n)in.*ir*$n p!n)!$ "!*• R$(i;l;.i + $#$" in(i*$"i %n#%* '!n)in.*ir*$n p!
"!*%n(!r8,
• ?;l( S#$n($r( + Kri#!ri$ (i$.n;"#i* N)!ri *!p$l$ K"#%(i N@!ri *!p$l$ P!r(;""i 2005 )$n. (i$($p#$"i
S (International Headache Society)
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
10/15
RESU!E
• S!;r$n. p!r!'p%$n 4- #$&%n ($#$n. *! p%"*!"'$" (!
*!l%&$n "$*i# *!p$l$ "%($& 5 &$ri )$n. l$l% – RPS +K!p$l$ #!r$"$ !r$# *!n3$n. ($n &il$n. #i'%l, S$*i# *!
(ir$"$*$n ($ri #!n.*%* "$'p$i $.i$n $#$" *!p$l$, "$*i# *!p$l
!r#$'$& !r$# i*$ '!l$*%*$n $*#i#$" , p$"i!n '!n.$#$*$n
*!p$l$ "!'!n$* $r% '!l$&ir*$n $n$* )$n. *!#i.$ ($n p$"i!#i(%rn)$ *%r$n. !r*%$li#$", pil!* 98
– RPD + p!rn$& '!n.$l$'i (!n.$n *!l%&$n )$n. "$'$ P$"i!n ri:$)$# &ip!r#!n"i 'in%' ;$# ($n *;n#r;l "!3$r$ r%#in *! (;*
– RPK : $($ ri:$)$# &ip!r#!n"i (i *!l%$r.$
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
11/15
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
• Kea,aan umum + $'p$* "$*i# "!($n.
• Ke+a,aran + C;'p;"'!n#i"• Tan,a ital
– TD : #$.%/. mmH
– N +
8/17/2019 Lapkas Tension-type Headache [Autosaved]
12/15
DIA?NOSIS
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
Di$.ni"$ *!r$ +• #!n"i;n #)p! &!$($3&!
DiB!r!n"i$l Di$.n;"$ +• Mi.r$in• Cl%"#!r &!$($3&!• Sin%"i#i"
8/17/2019 Lapkas Tension-type Headache [Autosaved]
13/15
Penatalak+anaanN)nme,ikament)+a ,an E,uka+i
Reula+i li4e+tyle
M!n.$#%r ($n #i(%r)$n. 3%*%p
M$*$n ($n (i!# )$n.$i*
M!n.!#$&%i ($n'!n.&in($ri '$*$n
)$n. ($p$# '!'i3%n)!ri *!p$l$
!r;l$&r$.$ #!r$#%r
Hin,ari +tre++
M!n.&in($ri lin.*%n.$n";"i$l )$n. ($p$#
'!n)!$*$n "#r!"
R!l$*"$"i ;#;#
P"i*;#!r$pi
0i+i)tera5i !r$pi p$n$"
%l#r$";%n(
Pi$# ($n #r$*"i l!&!r
P!r!.$n.$n ;#;#7;#;#l!&!r
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
14/15
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
Penatalak+anaanM!(i*$'!n#;"$
8/17/2019 Lapkas Tension-type Headache [Autosaved]
15/15
PRO2NOSIS
5/12/16 Uni!r"i#$" M%&$''$(i)$& J$*$r#$
• Se6ara umum7 ,a5at ,ikatakan 5r)n)+i+ T