A NGIE 102012267 B UDI 102013079 NI NENGAH OK T A V 102013111 DETI NURDIANTI 102013243 THOMAS AQUINAS 102013251 YU NI T A EL IA N A 10 20 13 35 0 MARIELA V ALERIE 102013433 KEVIN HAR TONO 102013444 APPENDISITIS AKUT
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7/18/2019 makalah blok 16 skenario 11
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A NG IE 102012267
BU D I 10201307 9
N I NENGAH OKTA V102013111
DE T I NURD I A NT I102013243
THOMA S A QU I NA S 102013251
Y UN ITA E LI ANA 1 02 01 33 50
MA R I E LA VA LE R I E 102013433
KE V I N HA RTONO 102013444
APPENDISITIS AKUT
7/18/2019 makalah blok 16 skenario 11
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SKENARIO
Seo!"# $!"%&! 'e()%! 35 &!*(" +!&!"# ,eUGD RS +e"#!" ,e-(*!" nyeri hebat pada perutkanan bawahnya sejak 6 jam .!"# -!-(/ !)%e"
e"#e-(* )e!, 3 hari yang au! uu hatinyaterasa sakit disertai mua !,!" &e&!% ,e-(*!"&e)e'(& tidak berkurang seteah pasienmengk"nsumsi "bat maag/ !+! ee%,)!!")%, ,e!+!!" (( )!,%& )e+!"# &!"+!&!"+!
%&!- +!-! '!&!) "o!-/ !+! ee%,)!!" )%,!'+oe" &e+!!& nyeri tekan dan nyeri epaspada kuadran kanan bawah/
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#U$USAN $ASA%A&
•ee(!" 35 &!*(" ".e%*e'!& !+! e(& ,!"!"'!$!* )e!, 6 ! .!"#-!-(/ !+! 3 *!% .!"# -!-(
".e% (-( *!&% +!" (!-/
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MIND MA
RM
A"!"e)%)
D%!#"o)%)
• 8D• DD
ee%,)!!"
•
ee%,)!!" %)%,• ee%,)!!"e"("!"#
E&%o-o#%
E%+eo-o#%
!&o)%
o-o#%
Ko-%,!)%
Te!%
• Me+%,!• No"
e":e#!*!"
o#"o)%)
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ANA$NESIS
• I+e"&%&!) ()%! +!" e,e!!"
• Ke-(*!" U&!!
•R%$!.!& e".!,%& Se,!!"#
• R%$!.!& e".!,%& D!*(-(
• !,&o -!%" .!"# ee'e!&,e!+!!"
• Ke-(*!" e".e&!
• A,&%%&!) +!" !,!"!" )e*!%*!%
• Me"#,o")()% o'!&
• R%$!.!& ,e-(!#! +!" )o)%!-
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PE$E#IKSAAN 'ISIK
•Inspeksi ; ".e% 'e"&(,!'+oe" e('!*!" $!"!
-e)% e'/+!!* e"%) 'e,!)-(,! 'e"o-!" (-)!)%e%)&!-&%, <
•Papasi
•Perkusi
•Auskutasi
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PE$E#IKSAAN 'ISIK
•)o!) S%#"
•O'&(!&o S%#"
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PE$E#IKSAAN PENUN(AN)
• D!!* -e"#,!
•
=R• U%"
• R!+%o-o#% > USG +!" =TS:!"
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*+#KIN) DIA)N+SIS
•Ae"+%:%&%) A,(&
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DIA)N+SIS DI''E#ENTIA%
•%im,adenitis $esenteri-a
-e!+!"#!" ,e-e"! #e&!*'e"%"# e)e"&e%: !'+oe"
-N.e% e(& +% ,!"!"
-M(!- +!" ("&!*; e"+!*(-(% !)! )!,%& <
-N.e% &e,!" )!!
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- I"?e,)% @ !+!"# !+"e! !*%
- De!
- S!,%& e(& '!#%!" ,%% !((" ,!"!"
- N.e% !+! )!!& 'e*('("#!" 'e,e%*
- Ke-(! :!%!" 'e'!( +!% !#%"!
Adneksitis
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KE&A$I%AN EKT+PIKTE#)AN))U . KET /
-H!)%- ,o")e)%'e%-!"&!)%
&('(* +!"'e,e'!"# +%-(!e"+oe&%( ,!(
(&e%-N.e% e(&-Ae"oe-S.o, *%oo-e%,
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ETI+%+)I
Penyebab > O')&(,)% -(e"!e"+%:!-
•
H%e-!)%! -%?o%+ )e,("+e ("&(,e".!,%& !+!"# ()()@I"?e,)%
• e:!-%&*)
•
!!)%&• Be"+! !)%"#
• Neo-!)!
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EPIDE$I+%+)I
• Se%"# 2030 &!*("
• L!,%-!,%C$!"%&! + ('e&!)
•
U)%! 25 &!*(" $!"%&!%!C 3>2• AS > 250/000 ,!)()@ &!*("
• A+! ,e:e"+e("#!" e+%)o)%)%+- ,e-(!#! &e*!+! !
• A e"+!* !+! e"+(+(, +#"!)(!" &%"##% )e!& !,!"!"
• I")%+e" &%"##% !e"+%)%&%) &e,!%&+#" !)(!" )e!& .!"# %"%
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PAT+)ENESIS
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)E(A%A K%INIS
• N.e% )!! +% e%#!)&%( )e,%&!('%-%,()
• M(!- ("&!* +!" "!?)( !,!" e"(("
• D- '' ! ".e% 'e!-%* ,e ,(!+!",!"!" '!$!*@ ,e &%&%, M: B("e.
•
T!"+! o)%"# B-('e# )%#"• Te,!+!"# &%+!, +%!)!,!" !+!".! ".e% &
,o")&%!)% +!" +e!/
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!+! !"!,!"!,
• Me"!"#%) +!" &%+!, !( !,!"
• T+, '%)! e"e-!),!" !)! ".e%".!
• B' ! ,e(+%!" !,!" &e!+% ("&!*("&!* +!" !"!, e"!+% -e!*
• 090 F !e"+%)%&%) '!( +%,e&!*(% )e&e-!*&e!+% e?o!)%
L!")%!
• Ge!-! )e%"# )!!)!!
•
Se%"# +%,e&!*(% )e&e-!* &e!+% e?o!)%
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!+! $!"%&!
• + $!"%&! *!%- +#" ()%! ,e*!%-!"
&%e)&e #e!-! !e"+%)%&%) 'e(! ".e%e(& (!- +!" ("&!* +%,!:!(,!"+e"#!" #e!-! )e(!/
•
Ke*!%-!" -!"(& )e,( +!" !e"+%,)&e+oo"# ,e ,!"%o-!&e!- )e*%"##! ,e-(*!"&%+!, +%!)!,!" +% e(& ,!"!" '!$!* &e&!%-e'%* ,e e#%o -('!- ,!"!"/
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K+$P%IKASI
•Perit"nitis
•
Per,"rasi
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PENATA%AKSAAN
•No" e+%,! e"&o)!
Me"!#! ,o"+%)% '!+!" +!" &%+!,
'!".!, 'e!,&%%&!)
•
Me+%,! e"&o)!•:!! &e'(,!
•:!! -!!o),o%
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EN=EGAHAN
•D%e& )e!&@+%e& &%"##% )e!&
•e!$!&!" +!" e"#o'!&!"
e".!,%& :!:%"# (#! +!!&e%"%!-,!" e)%,o
•e"#e"!-!" .!"# :e!&
e%"%!-,!" e)%,o &e!+%".!#!"#e" e?o!)% +!" e%&o"%&%)
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ROGNOSIS
•B!%, )e&e-!* e"#!-!%
&%"+!,!" e+%,! e"&o)!
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KESIMULAN
8!"%&! 'e()%! 35 &!*(" !e"+%)%&%) 'e+!)!,!" *!)%-!"!"e)%) ee%,)!!" )%, +!" ee%,)!!"e"("!"#/ Ae"+%:%&%) e(!,!" e!+!"#!"+%(-!% o-e* o')&(,)% +!% ?e,!-%& ;)(!&( !)! )ee&%'!&( .!"# &e'e"&(, +!% ?e:e)< !&!( %"?e,)% '!:&e%!-)((!&%?/ Ae"+%:%&%) +!!& e".e!"# )e(!,!-!"#!" ()%!/ e"!"#!"!" .!"# :e!& +!!&e%"%!-%)!)%,!" &e!+%".! ,o-%,!)% )e*%"##!
e"!"#!"!" .!"# +!!& +%-!,(,!" !+! e"+e%&!!e"+%:%&%) !+!-!* +%-!,(,!" &%"+!,!" 'e+!* .!%&(!e"+%,&o%/
•
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T&ANK 1+U
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