P Abses Hati Amuba (3A)

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Abses Hati Amuba(LK-3A)

Rendri Bayu Hansah

Modul Ilmu Penyakit Dalam

FK-n!rahPadan"

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# A!ses hati$ Ron""a %atolo"is !erisi &arin"an nekrotik y"

tim!ul dalam &arin"an hati aki!at in'eksi amu!aatau !akteri

$ Kom%likasi amu!iasis ekstraintestinal %alin"serin"

$ Klasikasi* A!ses hati amu!a

+* A!ses hati %io"enik

3* A!ses hati ,am%uran2

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# tiolo"intamoe!a histolitika

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# Dia"nosis

# Anamnesis$ 0yeri %erut kanan atas

$ Demam

$ Malaise

$ Mual1 muntah

$ Kadan" disertai nyeri %leura

$ Penderita ,enderun" mem!un"kuk atau

menahan "erakan hi%okondrium kanan$ Ada ri.ayat diare !erlendir !e!era%a !ulanatau !e!era%a tahun yan" lalu

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# Pemeriksaan Fisik

$ He%atome"ali y" nyeri tekan$ Ikterus

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# La!oratorium

$ Leukositosis

$ LD menin"kat

$ Penin"katan 2451 2P51 !iliru!in

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# Pemeriksaan Penun&an"

$ 2 a!domen (67-879)

ron""a dalam hati$ :5 s,an a!domen (8;-779)

$ Kultur %us  !aku emas

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# 5era%i$ 5irah !arin"

$ Diet tin""i kalori tin""i %rotein (5K5P)

$ Metronida<ol1 3-= > ;77-?;7 m"@hari1  ;-7hari

$ Drainase ,airan a!ses

a* a"al d" tera%i konser/ati' !* A!ses ; ,m

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# Dia"nosis !andin"

$ He%atoma

$ Kista he%ar

$ Kolesistitis

$ 5B he%ar

$ A,tinomi,osis hati

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# Kom%likasi

$ Ru%tur a!ses ke %leura1 %erikardium1%aru

$ 2e%sis

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# Pro"nosis

$ Bonam

$ Ru%tur a!ses

 mortalitas =7-;79

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 5erima kasih

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