Gejala Akut Abdomen Terselubung pada Pasien Gagal Jantung Akut: Identifikasi Awal dengan Ultrasonografi Darurat
Laporan Kasus
DOI:
https://doi.org/10.55175/cdk.v52i4.1274Kata Kunci:
Akut abdomen, gagal jantung akut, sepsis, USGAbstrak
Latar belakang: Penggunaan USG (ultrasonografi) di IGD (instalasi gawat darurat) berkembang pesat untuk membantu keputusan tata laksana pasien. Kasus: Wanita berusia 71 tahun dengan riwayat penyakit jantung, kondisi syok, demam 2 hari, dan diare dirujuk dengan diagnosis syok kardiogenik. Pada pemeriksaan fisik tidak ditemukan tanda akut abdomen, dengan kecurigaan sepsis. Foto toraks dan urinalisis tidak menemukan tanda infeksi. Selama perawatan, kesadaran dan tanda vital memburuk; pada USG abdomen menemukan tanda akut abdomen yang dipastikan melalui foto abdomen 2 posisi. Pembahasan: Pada kasus ini, diagnosis akhir syok septik dan gagal jantung akut (syok kardiogenik) dengan sumber peritonitis sekunder akibat perforasi organ berongga serta gangguan elektrolit (hiponatremia dan hipokloremia ringan) disertai penurunan kesadaran dan kondisi geriatri sebagai penyulit. Tindakan operasi tidak dilakukan terkait kondisi pasien. Pasien meninggal pada perawatan hari ke-2. Simpulan: USG di samping tempat tidur membantu diagnosis, khususnya jika gejala atipikal dan mungkin menjadi kunci untuk membuat keputusan medis yang lebih baik di IGD.
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