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Mental Organic
Disorder
Oleh :
Mirantika Audina I4061172033
Pembimbing:
dr. Sabar Parluhutan Siregar, Sp.KJ
FAKULTAS KEDOKTERAN
UNIVERSITAS TANJUNGPURA
2018
IDENTITY
Family History :
There is no history of same symptoms in his family
PEMERIKSAAN FISIK
Status Internus
KU : Baik TD : 160/89 mmHg RR : 22 x/menit
Kesan : Compos mentis HR : 98 x/menit T : 36,8OC
Kepala Normocephal
CA(-/-), SI (-/-), pupil reguler bulat isokor 3 mm/3 mm, refleks cahaya
Mata
(+/+)
Mulut Bibir sianosis (-), mukosa bibir kering (-), atrofi papil lidah (-)
Statis, bentuk dada simetris, kelainan kulit (-). Dinamis, gerakan paru
Inspeksi simetris, tidak ada gerakan paru yang tertinggal, penggunaan
otot bantu pernapasan (-)
Paru Palpasi Fremitus taktil paru kanan = paru kiri, nyeri tekan (-)
DIAGNOSIS BANDING
F00.00 Dementia on Earyl Onset Alzheimer
F01 Dementia Vascular
F02.8 Dementia causesby other disease
DIAGNOSIS MULTIAKSIAL
AKSIS I : F00.00 Dementia on Earyl Onset Alzheimer
AKSIS II : No Diagnosis
AKSIS III : Circulatory Disease
AKSIS IV : Unclear stressor
AKSIS V : 40 – 31 currently
MANAGEMENT PLANNING
Patient doesn’t need to hospitalized
Maintenance therapy :
Ability 2 mg + THP >> cap 0-1-8
Clobazam 10 mg 1x1 PO
Domenprezil 5 mg 1x1 PO
Meropan 0,5 mg 1X1 po
Psycotheray :
- Behavior management
- The patient need family support
- Explain that environment, neightborhood, family situation
assocaited to the disorder.
PROGNOSIS
Quo ad vitam : malam
Quo ad functionam : Dubia ad malam
Quo of sanactionam : Dubia ad malam
THANK YOU