Referat Appendisitis (PPT)

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    REFERAT APPENDISITIS

    Pembimbing

    dr. Hendry Boyke Sitompul, Sp. B

    Di susun oleh

    Yolanda Theresia Sanjaya (4061470!"

    #$%&'T$)&&' #*'# B&+&' *- B$&H

    )-&H ST %$*&B-H&' /&)T&

    %$)$ 2$B)-&) 3 10 &%)* 01

    2-*T&S #$#T$)&' -'5$)ST&S T&)-&'&+&)&

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    EMBRIOLOGI APPENDIKS

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    ANATOMI APPENDIKS

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    ANATOMI APPENDIKS

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    ANATOMI APPENDIKS

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    ANATOMI APPENDIKS

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    HISTOLOGI APPENDIKS

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    Menghasilkan leni! " # $ ml%ha!i&

    Mensek!esikan IgA&

    Kom'onen a!i sis(em GALT&

    Pengangka(an a''eniks (iak mem'e!nga!uhi

    sis(em imun&

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    Insien i nega!a ma)u lebih (inggi a!i'aa

    nega!a be!kembang&

    Bebe!a'a (ahun (e!akhi!* insien menu!un

     be!makna&

    Disebabkan meningka(n+a 'enggunaan makanan

     be!se!a( alam menu seha!i,ha!i&

    Insien (e!(inggi 'aa kelom'ok umu! $- # .-

    (ahun&

    Insien laki,laki an 'e!em'uan sebaning&

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    Fak(o! sumba(an /0-12

    3-1 hi'e!'lasia )a!ingan lim4oi

    submukosa&

    .51 s(asis 4ekali(h&

    61 bena asing&

    "1 sebab lainn+a&

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    Fak(o! bak(e!i

    In4eksi en(e!ogen

    Fak(o! 4ekali(h me'e!be!a( in4eksi

    Bak(e!i +ang men+ebabkan 'e!4o!asi aalah

    o Anae!ob 031

    o Ae!ob 7"-1

    Fak(o! 'a!asi(

    Fak(o! !as % ie(

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    Bakteri aero Bakteri anaero

    Es8he!i8hia 8oli9i!ians s(!e'(o8o88iPseuomonas ae!uginosaEn(e!o8o88us

    Ba8(e!oies 4!agilisPe'(os(!e'(o8o88us mi8!osBilo'hila s'&La8(oba8illus s'&

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    A''enisi(is aku( !ingan /:a(a!al A''eni8i(is2

    A''enisi(is aku( 'u!ulen( /Su'u!a(i;e

    A''eni8i(is2

    A''enisi(is aku( gang!enosa /Gang!enous

    A''eni8i(is2

    A''enisi(is in4il(!a( /Phlegmonous A''eni8i(is2

    A''enisi(is abses /Ab8es A''eni8i(is2

    A''enisi(is 'e!4o!asi /Pe!4o!a(e A''eni8i(is2

    A''enisi(is k!onis /:h!oni8 A''eni8i(is2

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     N+e!i mulai mun8ul i e'igas(!ium % !egio

    umbilikus /n+e!i soma(ik2

     N+e!i 'inah ke kanan 'e!u( kanan ba

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    Anamnesis

    Peme!iksaan 4isik 

    Ins'eksi

    Auskul(asi

    Pal'asi

    Pe!kusi

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    M8& Bu!ne+=s sign

    Blumbe!g=s sign

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    Ro;sing=s sign

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    Psoas=s sign

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    Dasa! ana(omi (e!)ain+a Psoas=s sign

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    Ob(u!a(o!=s sign

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    Dasa! ana(omi (e!)ain+a Ob(u!a(o!=s sign

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    Ko8he!=s sign

    Si(ko;ski+=s sign

    Ba!(omie!,Mi8helson=s sign

    Dun'h+=s sign Hi' 4le>ion

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    Labo!a(o!ium

    Peme!iksaan u!in

    Peme!iksaan labo!a(o!ium lain

    :RP

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    Raiologi

    Fo(o 'olos abomen

    o Ai! 4lui le;el

    ?SG

    o Ta!ge( sign

    :T,S8an

    A'enikog!am

    o  Non,4illing

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    Sko! Al;a!ao

    Gejala Klinik Nilai

    Gejala

     Tanda

    Lab

     Total poin

    Adanya migrasinyeri

    AnoreksiaMual / muntahNyeri di RLQNyeri lepasFebris

    LeukositosisShit to the let

    !!

    !"!!"

    !!#

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    In(e!'!e(asi a!i Moi4ie Al;a!ao S8o!e

    •" # 6 @ bukan a''enisi(is aku(

    •5 # @ kemungkinan a''enisi(is aku(

    • # "- @ a''enisi(is aku(

    Penanganan be!asa!kan s8o!e Al;a!ao

    •" # 6 @ obse!;asi

    •5 # @ an(ibio(ik 

    • # "- @ o'e!asi

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    Gas(!oen(e!i(is

    In(ususe'si

    In4a!k omen(um

    :!ohn=s isease

    PID

    KET

    Kis(a o;a!ium (e!'un(i! 

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     jk

    Inikasi a''enik(omi

    A''enisi(is aku(

    A''nisi(is k!onik 

    A''enisi(is in4il(!a( alam s(aium (enang

    A''enisi(is 'e!4o!a(a

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     jk

    A'enikula! in4il(!a(

    A'enikula! abses

    Pe!4o!asi

    Pe!i(oni(is

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     jk

    Du!an(e o'e!asi

    Pe!a!ahan in(!a'e!i(oneal

    Robekan sekum % bagian usus lain

    Pos( o'e!asi

    Pe!a!ahan

    In4eksi

    Ileus 'a!ali(ik 

    Fis(el usus

    Abses in(!a'e!i(oneal

    He!nia

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     jk

    Mobilisasi se8e'a(n+a

    Obse!;asi in(ake

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     jk

    Mo!(ali(as -*"1 a''eniks aku( (iak 'e8ah

    Mo!(ali(as "51 )ika 'e8ah 'aa o!ang (ua