Ujian Garpu Tala & Rinoskopi Anteror

UJIAN GARPU TALA / RHINOSKOPI ANTERIOR

OBJEKTIF PENGAJARAN :OBJEKTIF PENGAJARAN : Memberi pengetahuan tentang tujuan Memberi pengetahuan tentang tujuan

ujian garpu tala /rhinoskopi anteriorujian garpu tala /rhinoskopi anterior

OBJEKTIF PEMBELAJARAN :OBJEKTIF PEMBELAJARAN : 1. Menyatakan tujuan ujian garpu tala 1. Menyatakan tujuan ujian garpu tala

/ rhinoskopi enterior/ rhinoskopi enterior 2. Menerangkan bagaimana dapat 2. Menerangkan bagaimana dapat

melakukan ujian garpu tala / melakukan ujian garpu tala / rhinoskopi anteriorrhinoskopi anterior

Disediakn Oleh : Nassruto

UJIAN GARPU TALATUJUAN• Membezakan kepekakan konduktif drpd

kepekakan sensorineural serta membantu dalam diagnosis keadaan2 penyakit telinga

PERALATAN• Garpu tala ~ 256Hz, 512Hz, 1024Hz

JENIS UJIAN GARPU TALA1. Ujian Rinne2. Ujian Weber

UJIAN GARPU TALA : UJIAN RINNEPERSEDIAAN1. Beritahu/terangkan prosidur kpd pesakit2. Pesakit duduk dgn selesa3. Pemeriksa duduk di depan pesakit

TATACARA1. Pilih garpu yg sesuai ~ 512Hz2. Ketuk garpu tala di siku pemeriksa3. Letakkan hujung garpu tala yg sedang bergetar di depan

telinga pesakit sehingga pesakit memberitahu tiada lg bunyi

4. Alihkan garpu tala & letakan tapak/pangkal garpu tala di atas cuaran mastoid pesakit

5. Arahkan pesakit membezakan kenyaringan antara getaran yg didengar

6. Catat keputusan7. Uji telinga yg sebelah dgn mengulangi langkah 2 ~ 6

UJIAN GARPU TALA : UJIAN RINNE

KONDUKSI TULANG KONDUKSI UDARA

UJIAN GARPU TALA : UJIAN RINNE

KEPUTUSAN• Dlm kes normal ~ konduksi udara lebih baik drpd

konduksi tulang (Rinne positif)• Kepekakan konduktif ~ konduksi tulang lebih baik

drpd konduksi udara (Rinne negatif)• Kepekakan sensorineural ~ Rinne positif ttp

respons berkurangan• Rinne negatif palsu ~ dlm kes kepekakan

sensorineural unilateral yg teruk

KONDUKSI TULANG KONDUKSI UDARA

http://rds.yahoo.com/_ylt=A0S0204ohm9LFFsAx62jzbkF/SIG=125q6805l/EXP=1265686440/**http%3A//meded.ucsd.edu/clinicalmed/head_rinne1.jpg

http://www.prohealthsys.com/physical/images/head-rinne2.jpg

UJIAN GARPU TALA : UJIAN WEBERTATACARA1. Pilih garpu yg sesuai ~ 512Hz2. Ketuk garpu tala di siku pemeriksa3. Letakan tapak/pangkal garpu tala yg sedang

bergetar di tengah dahi (vertex) pesakit4. Arahkan pesakit membezakan kenyaringan getaran

yg didengar di antara kedua2 belah telinga5. Catit keputusan

http://rds.yahoo.com/_ylt=A0S020qKhW9LUF4AH7SJzbkF;_ylu=X3oDMTBpdDZuNzZrBHBvcwM5BHNlYwNzcgR2dGlkAw--/SIG=1g4ddcmq0/EXP=1265686282/**http%3A//images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253DRINNE%252BTEST%2526ei%253Dutf-8%2526y%253DSearch%2526fr%253Dfptb-divx%26w=1280%26h=960%26imgurl=meded.ucsd.edu%252Fclinicalmed%252Fhead_webber.jpg%26rurl=http%253A%252F%252Fmeded.ucsd.edu%252Fclinicalmed%252Fneuro2.htm%26size=292k%26name=head%2Bwebber%2Bjpg%26p=RINNE%2BTEST%26oid=a7ece831e5a4fea6%26fr2=%26no=9%26tt=107%26sigr=11c3i95mk%26sigi=11a0o1not%26sigb=12o3set44

UJIAN GARPU TALA : UJIAN WEBER

KEPUTUSANNORMAL ~ getaran sama jelas di kedua2 telingaKepekakan konduktif ~ getaran lebih jelas ditelinga yg abnormalKepekakan sensorineural unilateral ~ getaran lebih jelas didengar di telinga normal

http://rds.yahoo.com/_ylt=A0S0206vim9L314AGn.jzbkF/SIG=13m2k2dbm/EXP=1265687599/**http%3A//www.bmc.med.utoronto.ca/cranialnerves/images/stories/Vestibulocochlear/viii-12_labelled.jpg

TUJUANMengesan segala keabnormalan yg terdapat di dalam

rongga hidungPERALATAN1. Cermin kepala2. Lampu pemeriksaan3. Spekulum nasal4. Kidney dish (receiver)PERSEDIAAN1. Beritahu/terangkan prosidur kpd pesakit2. Pesakit duduk dgn selesa3. Pemeriksa duduk di depan pesakit

RHINOSKOPI ANTERIOR

http://rds.yahoo.com/_ylt=A0S0205Ri29Lz1oA6aOJzbkF;_ylu=X3oDMTBqaWRlZWhnBHBvcwMxOQRzZWMDc3IEdnRpZAM-/SIG=1fo4td7eo/EXP=1265687761/**http%3A//images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dnasal%252Bspeculum%26w=552%26h=500%26imgurl=www.medisave.co.uk%252Fimages%252Finstrapac_Thudicum.jpg%26rurl=http%253A%252F%252Fwww.medisave.co.uk%252Finstrapac-thudicum-nasal-speculum-size-p-7582.html%26size=21k%26name=instrapac%2BThudic...%26p=nasal%2Bspeculum%26oid=c49e9c51e01426de%26fr2=%26no=19%26tt=135%26sigr=12cfp5eqh%26sigi=11g8dmj88%26sigb=11tnipnb8

http://rds.yahoo.com/_ylt=A0S020okjG9LrV0AdPKJzbkF;_ylu=X3oDMTBqZGRsOWN1BHBvcwM1NARzZWMDc3IEdnRpZAM-/SIG=1itplcpsr/EXP=1265687972/**http%3A//images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dexamination%252Bof%252Bnasal%2526js%253D1%2526b%253D41%2526ni%253D20%2526ei%253Dutf-8%2526y%253DSearch%2526xargs%253D0%2526pstart%253D1%26w=349%26h=311%26imgurl=www.jucm.com%252F2008-oct%252Fimages%252Fcl-fig2.jpg%26rurl=http%253A%252F%252Fwww.jucm.com%252F2008-oct%252Fclinical.shtml%26size=21k%26name=cl%2Bfig2%2Bjpg%26p=examination%2Bof%2Bnasal%26oid=64b045e701d78746%26fr2=%26no=54%26tt=145%26b=41%26ni=20%26sigr=11bi5okod%26sigi=118hrhe6i%26sigb=13mc2egqa

http://rds.yahoo.com/_ylt=A0S0202NjG9LXnkA0ySJzbkF;_ylu=X3oDMTBqc2ltdGE2BHBvcwM5MgRzZWMDc3IEdnRpZAM-/SIG=1p59i1hf3/EXP=1265688077/**http%3A//images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dexamination%252Bof%252Bnasal%2526js%253D1%2526b%253D81%2526ni%253D20%2526ei%253Dutf-8%2526y%253DSearch%2526xargs%253D0%2526pstart%253D1%26w=240%26h=240%26imgurl=www.heine.com%252Fvar%252Fezwebin_site%252Fstorage%252Fimages%252Fprodukte%252Fproduktuebersicht%252Fkombinierte-sets%252Fheine-en-100-r-diagnostik-center%252F116551-3-eng-COMMON%252FHEINE-EN-100-R-Diagnostic-Centre_medium.jpg%26rurl=http%253A%252F%252Fwww.heine.com%252Feng%252Fcontent%252Fview%252Ffull%252F2268%26size=51k%26name=HEINE%2BEN%2B100%2BDia...%26p=examination%2Bof%2Bnasal%26oid=504b27d040e99836%26fr2=%26no=92%26tt=145%26b=81%26ni=20%26sigr=11fsp2r97%26sigi=15qoj2soq%26sigb=13m8ppuop

RINOSKOPI ANTERIORTATACARA1.Dilat kaviti hidung dgn

memasukkan spekulum hidung ke dlm naris anterior

2.Gunakan lampu pemeriksaan & cermin kepala utk menerangi kaviti hidung

3.Perhatikan struktur dlm hidung & kaviti hidung

4.Perhatikan keadaan membran mukus hidung dr segi warna & lelehan

5.Perhatikan samada polip, bendasing @ tumor

Ujian Garpu Tala & Rinoskopi Anteror

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