introduksi pmx fisik kulit
DESCRIPTION
Introduksi Pmx Fisik KulitTRANSCRIPT
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BAGIAN/SMF ILMU KESEHATAN KULIT DAN KELAMINFAKULTAS KEDOKTERAN UNSYIAH/RSUDZA BANDA ACEH
2015
PEMERIKSAAN FISIK KULIT
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ANATOMI KULIT DAN ADNEKSA
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Anatomi kulit dan adneksa
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FUNGSI KULIT
1. Fungsi proteksi2. Fungsi absorpsi3. Fungsi ekskresi4. Fungsi pengindra (Sensori)
- Badan Ruffini : sensasi panas- Badan Krause: sensasi dingin- Badan taktil Meissner & Badan Ranvier: raba, dekat epidermis- Badan Paccini: tekanan, jauh dari epidermis
5. Fungsi pengaturan suhu tubuh6. Fungsi pembentukan pigmen7. Fungsi keratinisasi8. Fungsi produksi vitamin D9. Fungsi ekspresi emosi
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PENEGAKAN DIAGNOSIS
Anamnesis Pemeriksaan fisik dermatologis Tes klinis Pemeriksaan penunjang:
- Pemeriksaan KOH, gram, tzank, sediaan langsung, BTA- Kultur- Pemeriksaan histopatologis- Imunofluoresensi, serologis, pemeriksaan genetik & biomolekuler- Radiologis
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ANAMNESIS
Keluhan utamaKeluhan tambahanRiwayat penyakit sekarangRiwayat penyakit dahuluRiwayat penyakit keluargaRiwayat pemakaian obatRiwayat kebiasaan sosial
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PEMERIKSAAN FISIK DERMATOLOGIS
pemeriksaan kulit, adneksa, membrana mukosa (mata, mulut, hidung, & genetalia)
Sistematis: kepala anggota gerak (cranio – cauda)
Alat-alat yang diperlukan untuk melakukan pemeriksaan fisik: 1. Lup , senter , mistar2. Kaca objek diaskopi, kaarsvlek phenomen & auspitz sign3. Kapas alkohol hilangkan sisik/minyak permukaan kulit4. Kasa/tissue dengan air hilangkan make up5. Sarung tangan pemeriksaan luka, skabies, sifilis
sekunder, membrana mukosa, & daerah genetalia6. Skalpel 15 (mengikis lesi) atau no 11 (insisi lesi)7. Lampu Wood (365 nm) nilai fluoresensi8. Kamera dokumentasi
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TEKNIK PEMERIKSAAN FISIK KULIT
Inspeksio Observasi & dokumentasi
Palpasio Sarung tangan dispossible jika ada lukao Periksa kelembaban kulit, temperatur, tekstur,
turgor, & lesi (kerusakan kulit)
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Rambut Inspeksi
Kuantitas Distribusi Pola kehilangan Warna
Palpasi Tekstur
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10
Kuku Inspeksi
Sudut Sekeliling Warna Punggung/permukaan Kesimetrisan Kebersihan
– Palpasi• Texture• Konsistensi• Ketebalan• Kekuatan
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DESKRIPSI STATUS DERMATOLOGIS
1. Regio capitis, torakalis post, femoralis ...2. Tipe lesi (primer/sekunder)3. Morfologi (mono/polimorf)4. Jumlah (soliter/multipel)5. Susunan (kelompok/tersebar)6. Konfigurasi (numular, linear, ...)7. Distribusi (regional, simetris, ...)
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TIPE LESI
Lesi primero Makula/patcho Papula, plak, nodul, urtikao Vesikel, bula, pustula
Lesi sekundero Skuama, krusta, ekskoriasi, fisura, likenifikasio Erosi, ulkus, kista, Skar
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Sabtu 22 April 2023
13 MAKULA/PATCH
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Sabtu 22 April 2023
14
Drug erruption oleh karena phenoplphtalein
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Sabtu 22 April 2023
16
PAPULA
A : Dermal celluler infiltrat
B : Hiperplasi celluler
C : Papulosquamous pada psoriasis
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Sabtu 22 April 2023
17PAPULA
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Sabtu 22 April 2023
18PAPULA/PLAK
Condiloma akuminata
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Sabtu 22 April 2023
20NODULA
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Sabtu 22 April 2023
21VESIKULA/BULA
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Sabtu 22 April 2023
22VESIKULA/BULA
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Sabtu 22 April 2023
23PUSTULA
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Sabtu 22 April 2023
24URTIKARIA
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Sabtu 22 April 2023
25SKUAMA
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Sabtu 22 April 2023
26 SIKATRIK
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Sabtu 22 April 2023
27KISTA
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Sabtu 22 April 2023
28KRUSTA
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Sabtu 22 April 2023
29EROSI
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Sabtu 22 April 2023
30GAMBAR EROSIToxik Epidermal
Nekrolisis
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Sabtu 22 April 2023
31
ULKUS
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Sabtu 22 April 2023
32GAMBAR ULKUS
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JUMLAH LESI
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SUSUNAN LESI
Berkelompok/clustero Herpetiformiso Zosteriform
Tersebar/scatteredo Diskret o Diseminata
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KONFIGURASI LESI
Anular/sirsinar - cincinNumular/diskoid - bulatArkuata/arsinar – lengkungPolisiklikLinearIrisformisKorimbiformisRetikularSerpiginosaKonfluens
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DISTRIBUSI LESI
RegionalUnilateralBilateralSimetrisGeneralisataUniversal
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APLIKASI KLINIS
Khusus untuk makula dan patch harus mendeskripsikan: WarnaBatasGaris tepi Bentuk UkuranPermukaan
- Plak tidak perlu batas dan garis tepi- Palpasi suhu, konsistensi, permukaan- Ulkus indurasi (pengerasan), nyeri penekanan.
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UJI KULIT
MORBUS HANSENSensibilitas (raba, nyeri, suhu)Pembesaran saraf perifer
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URTIKARIA
Dermografisme
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DERMATITIS ATOPIK
WHITE DERMOGRAFISME
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PSORIASIS VULGARIS
KaarsvlekAuspitzkoebner
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PURPURA
Diaskopi
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BULLOUS SKIN DISEASES
Nikolsky signAsboe hansen
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LAMPU WOOD
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TERIMA KASIH