20.2 kulit plenting dan demam

8/17/2019 20.2 Kulit Plenting Dan Demam

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KULIT PLENTING DANDEMAM

KELOMPO


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KELOMPOK 12B

1. Avisha Ayudhia Takari 136100001

2. D!sy Pur"a#asari 1361000$%

3. Mar&hya 'hrisa"(i )ahayu 1361000*1

%. +!rsha ,ya-r )a#adha" 1361001*

. )ika Iria"ika ,ara/ih 13610010

6. a""a I##a"u!a 13610016

$. Adia )a#adha"ia 13610021

. Di"isius Ta""ur 1361002

*. i!ry Briia"i O&(ari"a 1361002$

10. A"dira U(a#i 136100266

11. )udy Pak4aha"


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TU5UAN PEMBELA5A)AN

1. D!-"isi da" !4id!#i/i aris!a

2. E(i/i da" 7ak(r r!sik aris!a

3. Pa(/!"!sis da" 4a(-si/is aris!a

%. Ma"i7!s(asi Ki"is da" Dia/"sa aris!a 8A"a#"!sis9

P!#!riksaa" -sik9 4!#!riksaa" 4!"u":a"/;

. Dia/"sa di7!r!"sia aris!a

6. Ta(aaksa"a aris!a

$. K#4ikasi da" 4r/"sis aris!a


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DE+INI,I DAN

EPIDEMIOLOGI


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DE+INI,I

ari&!a is a v!ry &"(a/ius dis!as! &aus!dy (h! vari&!a;

aris!a 8&hi&k!"4?; adaah 4!"yaki( virusaku( da" &!4a( #!"uar. Dis!ra(i /!:aak"s(i(usi ri"/a" d!"/a" k!ai"a" kui(

4i#r79(!ru(a#a di a/ia" s!"(ra (uuh

h

ari&!a is (h! hi/hy &"(a/ius 4ri#aryi"7!&(i" &aus!d y >. I(Cs &hara&(!ri=!d y

su&&!ssiv! &r4s 7 4ruri(i& v!si&! (ha(!vv!s ( 4us(u!s9&rus(s9a"d a( (i#!s s&ars

I

KM

+',

'D


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EPIDEMIOLOGI

• Pai"/ s!ri"/ #!"y!ra"/ a"ak


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ETIOLOGI DAN

+AKTO) )E,IKO


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I)U, A)I'ELLA >O,TE)8>;

+a#ii@ !r4!svirida!

B!"(uk@ ua(

Dia#!(!r@ 10 a(!" da

/a"/i" s!"srik F !r4=s(!rshi"/!s


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+a#ii !r4!svirida!

G!"us T!rdiri dari

1. A4havirida! < , (i4! 12< Varicellazoster

2. B!(ah!r4!svirida! 'y(#!/avirus

3. Ga##ah!r4!svirida! E4s(!i"


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T)AN,MI,IPENULA)AN

Airr"! dr4!(s as ! as dir!&( &"(a&(

I"dir!&( &"(a&( u"&##"

Pa(i!"(s ar! &"(a/ius s!v!ra days !7r! vari&!a !?a"(h!a44!ars a"d u"(i as( &r4 7 v!si&!s

'rus(s ar! "( i"7!&(ius > &a" ! a!rsi=!d 7r# ski" 7 i"dividuas i(h h!r4!s =hi&h is au( "!


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TAAPAN INA,I DA)IA)I'ELLA >O,TE)


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1. Usia

2. K!k!aa" (uuh ya"/ #!"uru"9(!r#asuk 4asi!" d!"/a" k"disii##u"&#4ri#i=!d

3. B!u# #!"da4a( i#u"isasi

%. Musi# di"/i" da" #usi#s!#i

+AKTO) )E,IKO


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S


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PATOGENE,I, DANPATO+I,IOLOGI


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irus #asuk

B!rada !as di'E,

Makr7a/I"(!r7!r

"A"(ididari s! B

Masuk k! s!4!:a#u

Na(uraKi!r

'!

,!si(

4!

a"/ !k!r:a

,h!rd9 Laura!. +isi/i Ma"usia. 2013. 5akar(a@ EG'


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h((4@."a(ur!.&#"r#i&r:ur"av12"37u"r#i&r321.h(#


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I#u P!"yaki( Kui( da" K!a#i" 201


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> #asuk#!aui #uksa

saura" "a7as a(asa(au r7ari"/

B!r(!#u s!4!r(aha"a" di

("si

,! T si((ksikak(i7 da"

#!"/!"a s!r(a#!"/ika( a"(i/!"

asi"/ s4!si-k

,! T si((ksik#!"/!uarka" aha"

ki#ia u#!"/ha"&urka" s!ya"/ dis!ra"/ s#

virus !r!4ikasi

Na#u" 4asi!"s!da"/ daa#k"disi daya(aha" (uuh

#!"uru"

> #!#iikik!s!#4a(a"

!r!4ikasi da"#!"y!ar k! s!4!:a#u ai""ya

M!"y!a4!#uuh

da" i#7viremia p

Tuuh #!#!"/!i#virus #!

4!r(aha"a"""


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PATO+I,IOLOGI A)I,ELLA


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PATO+I,IOLOGI A)I,ELLAI"7!ksi !h

virus varis!a

Pada ra"/ya"/

i#u"k#4r!#ais

Ti#u /!:aavaris!a

,(adiu#4rdr#a

,(adiu# !ru4si

Pada ra"/d!"/a"

i#u"k#4!(!"

Ku#a" dr#a"di sis(!# sara7

Da4a((!r!ak(ivasi

#!":adi!r4!s =s(!r


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PATO+I,IOLOGI A)I,ELLA8,TADIUM P)ODO)MAL;


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PATO+I,IOLOGI A)I,ELLA8,TADIUM E)UP,I;

irus

varis!a

Ed!#

i"(ras!u!r

Ta#4ak4a4u !ri(!#

8kar!"avasdia(asi;

Daa#!!ra4a

:a#

B!ruah#!":adi

v!sik!

Pus(u

Ti#u rasa /a(a k!&!"dru"/a"u"(uk #!"//aruk

P!&ah

M!"/!uarka&aira""ya da#!"/!ri"/ d

4!r#ukaa" ku8krusta

;


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MANI+E,TA,I KLINI,DAN DIAGNO,I,


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G!:aa 4ada a"ak

Maais! ri"/a" ya"/ (i#u

!rsa#aa" d!"/a" !si dikui(

G!:aa 4ada ra"/ d!as

D!#a# 8#!"&a4ai 3*H';

Maais!

Ny!ri k!4aa

Mua

A"r!ksia


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Menyebar ke!arin#an kulit

Menyebarmelalui

pembuluhdarah

"erkemban#biak di $%

ersebar melaluikelen!ar #etah

benin#ari'ella

erbentuk lesi dba#ian ten#a

tubuh danmenyebar ke

perifer

PustulaesikelPapula

Makula

*rustamen#elupasdan men!adibintik hitam

+esi men!adikrusta


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MAKULA

P!ruaha" ar"a kui( ya"/ (!/as (a"4a ada&!ku"/a" a(au 4!"i"//ia".


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PAPULA

L!si 4ada( ya"/ #!"": 4ada 4!r#ukaa" kui( !rukura"J 1


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E,IKEL

/!!#u"/ ya"/ !risi &aira" s!ru#9 !ra(a49 #!#4u"yaid!"/a" dia#!(!r J1.


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PU,TULA

Pus(ua #!ru4aka" v!sik! !sar 8ua; ya"/#!"/a"du"/ 4us.


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K)U,TA

• 'aira" darah9 k(ra"9 "a"ah9 da" a( ya"/ su#!"/!ri"/ dia(as 4!r#ukaa" kui(.

• Krus(a da4a( !rar"a hi(a# 84ada :ari"/a""!krsis;9 #!rah 8asa darah;9 a(au &k!a( 8asa

darah9 "a"ah9 s!ru#;.


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ANAMNE,I,

ANAMNE,I, A)I'ELLA


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Data Diri

• Laki


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• P!r"ah saki( i"is!!u#"ya

)iaya(4!"yaki(dahuu

• Adakah k!uar/a ya"/#!"/aa#i saki(s!4!r(i i"i

)iaya(4!"yaki(k!uar/a

• Adakah di (!#4a( k!r:aa(au dii"/ku"/a" ru#ahya"/ saki( s!4!r(i i"i

)iaya(k!iasaa"

4asi!"


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PEME)IK,AAN 5A,MANI

PEME)IK,AAN +I,IK


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PEME)IK,AAN +I,IKKULIT

INSPEKSI

• ar"a Kui( – ,a #a(a"/ ku"i"/ "!/r;

• P!ruaha" ar"a kui( – Ada (idak

– Bia ada 8'ka( iru #!rah ku"i"/ 4u&a(;


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K!!#aa"@ L!#aK!ri"/B!r#i"yak

,uhu@ Nr#aDi"/i"a"/a(

T!ks(ur@ ausKasar

Tur/r@ Nr#aM!"uru"

P!r#ukaa"@ Da(arM!"":

P&LP&SI


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DIAGNO,ADI+E)EN,IAL


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DI++E)ENTIAL DIAGNO,I,

O" s!(

Masa I"kuasi

+ak(r P!"&!(us

Er!s!"si

)!/i


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A)IOLLA


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E)PE, >O,TE)


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TATALAK,ANA


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NON


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MEDIKAMENTO,A

• T!ra4i !rsi7a( si#(#a(ik.

• Da4a( di!rika" a"(i4ir!(ik da" a"a/!sik u"(uk k!uha" /a(a

• B!rika" a"(ii(ik a4aia ada i"7!ksi s!ku"d!r.

• A"(ivirus A"ak


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PEN'EGAAN

• I#u"isasi ak(i7 d!"/a" #!#!rika" vaksi" varis!a 8ariva?;s(rai" 4ada usia a"ak 12IG 8,arisella-.isterImmunoglobulin/+

>IG 8,ARISE00A .1S2ER


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>IG 8,ARISE00A-.1S2ERIMMU31401BU0I3/ M!ru4aka" s!diaa" a"(idi ya"/ diua( dari 4as#a ra"/ sya"/ #!#iiki kadar a"(i ya"/ (i"//i.

Di!rika" *6 :a# s!(!ah (!r4a4ar virus.

I"dikasi 4!#!ria"@

• Ora"/ d!"/a" i##u"&#4ri#is!d

• Bayi ya"/ aru ahir9 di#a"a iu"ya #!"d!ri(a varis!a daakuru" ak(u hari s!!u# a(au % :a# s!(!ah #!ahirka".

• a"i(a ha#i

• Bayu 4r!#a(ur d!"/a" 4a4ara" 4s("a(a.


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KOMPLIKA,I DANP)OGNO,I,


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KOMPLIKA,I

I"7!ksi s!ku"d!r akia( ak(!ri

P"!u#"ia

N!ur/ik @ A&u(! 4s( i"7!ksius &!r!!ar a(a?ia

E"&h!4ai(is

!r4!s =s(!r


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KOMPLIKA,I A)I'ELLA

,!ri"/ di:u#4ai i"7!ksi4ada kui( da" (i#u4ada a"ak


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K#4ikasi ya"/ a#a(dari vari&!a yai(u(i#u"ya h!r4!s =s(!r9(i#u !!ra4a ua"hi"//a (ahu" s!(!ah(!r:adi"ya i"7!ksi 4ri#!r.

E)PE, >O,TE)


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P)OGNO,I,

T!r#asuk 4!"yaki( #!"uar 8&"(a/ius;

P!"uara" &!4a( s!&ara airr" i"7!&(i"

T!ru(a#a s!ru#ah4ada ra"/ i##u"&#4r#is! da" k!#/"/a" (!r(!"(u


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Tidak #!"y!aka" k!#a(ia"

Da4a( s!#uh s!"diri 8sasi#a;

arus #!#4!rha(ika" hy/i!"!

da" 4!raa(a" ya"/ (!4a(


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20.2 kulit plenting dan demam

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