ppt case varisela

7/24/2019 PPT CASE VARISELA

1/41

VARISELA DENGAN ANEMIADEFISIENSI BESI

Pembimbing :

dr. Sri Primawati Indraswari, Sp.KK

Oleh: Pandu Satya Widiarto (030.10.21!

Fa"u#ta$ %&do"t&ran 'ni&r$ita$ )ri$a"ti

SMF %u#it dan %a*in RS'D %ardina+ )&,a#- a/a )&n,a+

LAPRAN %AS'S


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PENDA'L'AN


3/41

VARISELA

In&"$i a"ut ri*&r o#&+ iru$ari$a45o$t&r yan, *&ny&ran,

"u#it dan *u"o$a d&n,an ,&6a#a"on$titu$i dan "ainan "u#ito#i*or

D&7ni$i

Viru$ Vari$a45o$t&rEtio#o,i


4/41

L&$i %u#it

Pau# &rit&*ato$a

V&$i" (Tear drop) Pu$tu# %ru$ta

G&6a#a rodro*a#

D&*a* Sa"it "&a#a

G&6a#a %#ini$


5/41

)&r$&8ar "o$*oo#it = 9Biasa menyerang padaanak-anak

Eid&*io#o,i

Eid&*io#o,i


6/41

:31 :12

;

Angka kejadian pasien dengan varisela di Sri Lanka (WHO, 2012)

INSIDENSI

Ai$arnt+anara" A- %i#,or& P- Poura+*ad M- A#*un&& MA. Infect Control Hosp Epidemiol200=- A$ia Pa? Pu8#i?&a#t+. 2010.Sri Lan"a @M? Gra/ i## @ 3>;4::


7/41

RS'D %ardina+ %ota )&,a#

)a+un 201> 1: %a$u$ ari$a

)&r8anya" ada ana" &r&*uan u$ia 1141>ta+un

anuari4"to8&r 201: 10 "a$u$

)&r8anya" ada ana" &r&*uan

INSIDENSI


8/41

%AS'S


9/41

Na*a @ Ny. S.M

&ni$ %a*in @ P&r&*uan

'*ur @ 3: )a+un

A#a*at @ Banda$ari- du"u+ turi

A,a*a @ I$#a*

P&"&r6aan @ I8u Ru*a+ )an,,a

P&ndidi"an @ SMA

Statu$ P&rni"a+an @ M&ni"a+

Su"u Ban,$a @ a/a

IDENTITAS ASIEN


10/41

Ana*n&$i$ %+u$u$(Ri/ayat P&nya"it S&"aran,!

Sa!"#, $0%Ok"%1&

(1 ari SMRS!

Pa$i&n *&n,u+

4 D&*a*- *ua#

4 Sa"it %&a#a

4 Badan #&*a$

4 )&rdaat,&*8un, "&?i#ada &rut danun,,un, $&8&$ar6aru* &ntu#

'ingg#, 1%Nv%1&

Pada a,i +ari

a$i&n *&n,u+$a"it "&a#a$&*a"in 8&rat-,&*8un, "&?i#8&ri$i air $&*a"in

8anya" dan*&ny&8ar "& #&+&r$&rta #&n,an dantun,"ai.

'ingg#, 1%Nv%

1&Pa$i&n di8a/a "& IGDRS'D %ardina+ u"u#21@00 WIB


11/41

Ana*n&$i$ %+u$u$

Ri/ayat P&nya"itDa+u#u

Ri/ayat "u+an yan, $a*a (4!

Ri/ayat a#&r,i (4! Ri/ayat &n,,unaan o8at 6an,"a an6an,

(4!


12/41

Ri/ayat P&nya"it %uar,a

Pa$i&n dan $ua*inya *&n,ata"an 8a+/aana"nya *&n,a#a*i "u+an yan, $a*a

$&&rti a$i&n t&at $&*in,,u $&8u*a$i&n *u#ai ti*8u# "u+an.

Ana*n&$i$ %+u$u$


13/41

P&*&ri"$aan Fi$i"

%&$adaran @ o*o$ *&nti$ %&$an $a"it @ )a*a" $a"it $&dan,

%&adaan'*u*

)&"anan dara+ @ 110C0 **, Nadi @


14/41

Statu$ G&n&ra#i$ Nor*o?&+a#i- ra*8ut +ita*- tida" *uda+ di?a8ut-

di$tri8u$i *&rata%&a#a o&d&* a#&8ra (4C4 !- "on6un,tia an&*i$ C-

$"#&ra i"t&ri" 4C4Mata

)ida" ada $&tu* d&ia$i- $&"r&t (4!idun, Siano$i$ (4!%ari&$ ,i,i (4!)on$i# )14)1 )&nan,-

Farin, tida" +i&r&*i$

Mu#ut Nor*otia - 8&n6o#an 4C4- ny&ri t&"an 4C4)in,a tot 8antu &rnaa$an M. St&rno?#&ido*a$toid&u$ (4!- tra"&a

di t&n,a+- d&ia$i tra"&a (4!- "&n6ar tiroid tida" t&ra8a*&*8&$ar- &*8&$aran %GB (4!L&+&r


15/41

e)eriksaan *isik

T+raksINSESI B&ntu" nor*a#- ,&ra" naa$ $i*&tri$- t&rdaat "ainan "u#it

(#i+at $tatu$ d&r*ato#o,i"u$!

ALASI )ida" di#a"u"an &*&ri"$aan (8anya" t&rdaat &$i"!

E-.SI

)ida" di#a"u"an &*&ri"$aan (8anya" t&rdaat &$i"!

A.S.LTASI

Paru @ Suara naa$ &$i"u#&r di$uru+ #aan, aru "iri4"anan-ron"+i (4C4!- /heezing (4C4!

antun, @ Bunyi 6antun, I4II r&,u#&r- *ur*ur (4!- gallop(4!


16/41

e)eriksaan *isik A!d)en

Datar- #&$i "u#it (!(#i+at $tatu$

d&r*ato#o,i"u$! +&ar

dan #i&n tida" t&ra8a*&*8&$ar- 8i$in, u$u$

(! nor*a#.


17/41

Statu$ G&n&ra#i$

&d&* (4!- d&or*ita$ (4!-

"ainan "u#it (! (#i+at $tatu$d&r*ato#o,i"u$!- "ainan "u"u(4!

E"$tr&*ita$


18/41

Statu$

D&r*ato#o,i"u$ G&n&ra#i$ataDi$tri8u$i

L&+&r- dada- &rut- un,,un,- #&n,an"anan dan "iri- tun,"ai "anan dan "iriAd r&,io

Mu#ti di$"r&t- 8&ntu" 8u#at- u"uran*i#iar4#&nti"u#ar- $ir"u*$"ri *&ni*8u#dari "u#itL&$i

Pau# &rito*atou$- &$i" (tear drop!d&n,an da$ar &rit&* (!- u$tu# (!-

Ero$i (!- "ru$ta (!

Eor&$&n$

i


19/41

Statu$

d&r*ato#o,i"u$

*"1/ k#li" !agian le+er


20/41

Statu$

d&r*ato#o,i"u$

*"2/ k#li" !agian lengan kanan*"$/ k#li" !agian lengan kiri


21/41

Statu$

d&r*ato#o,i"u$

*"/k#li" !agian per#"


22/41

Statu$

d&r*ato#o,i"u$

*"&/ 'rlgi k#li" !agian "#ngkai


23/41

P&*&ri"$aan &nun6an,La8oratoriu*

Hematologi

Leukosit 5,4 ribu /mm35.000-10.000

Eritrosit 4,1 * juta/mm34,5-5,5b !,"* #/$l 1"-14

t "!,% * & 43-51

'rombosit "() ribu/mm3 150-400

LE+laju e$a $arah ! mm/jam 10

2 %3,)* emtoliter ("-!"

"",)* io#ram "%-31

31 #r/$l 3"-3%


24/41

P&*&ri"$aan &nun6an,La8oratoriu*

Kimia

67O' 4%,! * u/l 35

67' "1,! u/l 41

R


25/41

R&$u*&

S&oran, &r&*uan 8&ru$ia 3: ta+un &"&r6aan i8u ru*a+ tan,,adira/at di 8an,$a# La&nd&r RS'D %ardina+ d&n,an "u+an a/a# ny&ri

"&a#a dan d&*a* yan, di$&rtai d&n,an *un?u#nya ,&*8un, 8&ri$i?airan $&6a" 1 +ari $&8u* *a$u" ru*a+ $a"it- ,&*8un, 8&ri$i ?airant&ra$a ana$ di &rut.

Pada ana*n&$i$

4 G&*8un, 8&ri$i ?airan-

4 M&ny&8ar dari *u#ai &rut L&n,an dan %a"i

4 Sa*a &ra/atan 8&8&raa ,&*8un, &?a+ dan ?airan *&n6adi"&rin, 8&r/arna ?"#at "&+ita*an.


26/41

R&$u*&Pada &*&ri"$aan 7$i"

4 "on6un,tia an&*i$

4 &$i" yan, 8&r8&ntu" 8u#at (Tear drop) u"uran *i#iar4#&nti"u#ar 8&r8ata$ t&,a$ yan, t&r$&8ar di #&+&r- &rut- un,,un,#&n,an dan tun,"ai "anan4"iri (r&,iona#! d&n,an &or&$&n$i au#

&rit&*ato$a- &$i" (Tear drop! u$tu# dan "ru$ta.

P&*&ri"$aan &nun6an, #a8oratoriu*

8 ;-2 ,Cd# (di8a/a+ nor*a#!

Eritro$it >-1 6utaC**3(di8a/a+ nor*a#!

t 2;-< (di8a/a+ nor*a#!

MV


27/41

1. Vari$a d&n,an

an&*ia d&. 8&$i

2. Vario#a An&*ia

d&7$i&n$i 8&$i

3. &r&$ Ho$t&r d&n,an an&*iad&. 8&$i

Dia,no$i$ Bandin,


28/41

DIAGNSIS %ERA

Vari$a d&n,anan&*ia d&7$i&n$i

8&$i


29/41

'S'LAN

PEMERI%SAAN

1. Tzanck smear testd&n,an &/arnaan

Gi&*$a2. P&/arnaan ram


30/41

P&nata#a"$anaan

ena"alaksanaan k+#s#s

()edika)en"sa!

ena"alaksaan .)#)

PENA)ALA%SANAAN


31/41

P&nata#a"$anaan '*u*

Ra/at inaEdu"a$i a$i&n

*&n,&nai &nya"itnya

Monitorin, "&adaanu*u*- tanda ita#

Motia$i


32/41

P&nata#a"$anaan

%+u$u$ !"sidic #cid $% zalf

(dio#&$ ada

,&*8un, yan,ta+ &?a+ dan#u"a di"u#it 2 "a#i$&+ari!

)oi"a#

IVFD- RL >0 t* A$i"#oir :00 *, (&r4

ora#!

Para?&ta*o# 3:00 *,(&r4ora#! A*oi?i##in 3:00 *,

(&r4ora#! &tiri5in& 110 *, (&r4

ora#!

)ran$u$i PR :00??

Si$t&*i

"


33/41

Pro,no$i$

Ad 8ona*uo ad ita*

Ad 8ona*uo adun,$iona*

Ad 8ona*uo ad

$antiona*

Ad 8ona*uo ad

"o$*&ti"u*


34/41

PEMBAASAN


35/41

Ana*n&$i$

P&*&ri"$aanFi$i"

VARISELA

G&6a#a rodro*a#-ri/ayat "onta" d&n,an

oran, "u+an yan,$a*a

Statu$ ,&n&ra#i$ dan

$tatu$ d&r*ato#o,i"u$


36/41

/anita8&ru$ia

3: ta+un

G&6a#aProdro*

a#

Fa$&&ru$i"u#it


37/41

PERBEDAAN %LINIS


38/41

IS)PA)LGI


39/41

P&nata#a"$anaan

Si$t&*i"

Anti iru$

Si*to*ati"

)oi"a#

M&*8antut&rai

$i$t&*i"

Antiina*a$i


40/41

Aa8i#a "ita 8&rtinda" ?&at dan t&at-*a"a ro,no$i$ ?u"u *&*ua$"an

Pro,no$i$


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)ERIMA%ASI

ppt case varisela

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