PIELONEFRIT IS KRONIK SARASWATI QONITAH THIFAL 121 0211 134 TUTORIAL D-2
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PIELONEFRITIS KRONIK
PIELONEFRITIS KRONIKSARASWATI QONITAH THIFAL121 0211 134TUTORIAL D-2DEFINISIInfeksi pada pielum dan parenkim ginjal yang bersifat kronikEPIDEMIOLOGI2x > sering pd W drpd LLebih sering tjd pd bayi dan anak2 (< 2th)
ETIOLOGIInfeksi bakteri rekurenEscherichia Coli terseringProteus, Kleibsiella, Enterobacter, PseudomonasFAKTOR RISIKOPasien dgn kelainan anatomi spt:Refluks vesika urinariaObstruksi traktus urinariusTrauma ginjalPengguna kateter
GAMBARAN KLINISPada anak2:DemamLetargiNausea , vomitFlank pain / disuriaPada PF:HipertensiGagal berkembangFlank tendernessNafsu makan hilangBB turunHipertensiAnemiaNokturia, poliuria
DIAGNOSISAnamnesisPFLaboratoriumBUN, Kreatinin HiponatremiaHiperkalemiaAsidosis10UrinalisisHematuriaPiuriaProteinuria, albuminuriaIVPBtk ginjal asimetri, kaliks dilatasi (tepi tumpul & jar. Parut pd korteks ginjal di atas papila)Ketebalan parenkim ber
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