P 3a Abses Hati Amuba

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Abses Hati Amuba

(LK-3A)

Rendri Bayu Hansah

Modul Ilmu Penyakit DalamFakultas Kedokteran ni!ersitasBaiturrahmah

Padan"

  #

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A$ses hati

Ron""a %atolo"is $erisi &arin"an nekrotik y" tim$uldalam &arin"an hati aki$at

in'eksi amu$a atau $akteri

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3

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Klasikasi

#* A$ses hati amu$a* A$ses hati %io"enik

3* A$ses hati +am%uran

,

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Kom%likasi amu$iasis ekstraintestinal

%alin" serin"

.

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0tiolo"i

0ntamoe$a histolitika

1

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Pato"enesis

- le2at !ena %orta- o$struksi $ilier

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• Dia"nosis

• Anamnesis

 –

5yeri %erut kanan atas – Demam

 – Malaise

 – Mual6 muntah

 – Kadan" disertai nyeri %leura

 – Ada ri2ayat diare $erlendir $e$era%a $ulanatau $e$era%a tahun yan" lalu

#7

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Penderita +enderun" mem$un"kukatau menahan "erakan

hi%okondrium kanan

##

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#,

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Pemeriksaan Fisik

He%atome"ali y" nyeri tekan Ikterus

#.

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#/

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La$oratorium

Leukositosis

L0D menin"kat Penin"katan 89:;6 89P;6 $iliru$in

#1

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Pemeriksaan Penun&an"

89 a$domen (7-47<)

ron""a dalam hati

=; s+an a$domen (4.-#77<)

Kultur %us  $aku emas

#

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#4

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7

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=; s+an a$domen a$ses hati

#

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3

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 ;era%i

 ;irah $arin"

Diet tin""i kalori tin""i %rotein

(;K;P)

Metronida>ol6 3-, ? .77-1.7 m"@hari6 

 .-#7 hari

,

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 ;era%i

Drainase +airan a$ses

a* 9a"al d" tera%i konser!ati' 

$* A$ses . +m

.

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Dia"nosis $andin"

He%atoma Kista he%ar

Kolesistitis

 ;B he%ar A+tinomi+osis hati

1

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Kom%likasi

Ru%tur a$ses ke %leura6%erikardium6 %aru

8e%sis

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Pro"nosis

Bonam Ru%tur a$ses

 mortalitas ,7-.7<

4