quinsy abcess 2
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abcessTRANSCRIPT
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Etiologi Komplikasi tonsilitis akut Kuman penyebab : aerob, anaerob
Patofisiologi Daerah sup & lat fossa tonsilaris (ruang
potensial peritonsil) adalah jar ikat longgar infiltrasi pus
Pada stad awal (stad infiltrat) oedem , hiperemis bila proses berlanjut (terbentuk pus) fluktuasi (+) tonsil terdorong ke medial, depan, bawah,
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Uvula bengkak & terdorong ke sisi kontra lateral
Bila proses berlangsung terus iritasi m. pterigoid interna trismus
Abses bisa pecah spontan aspirasi
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gejala / tanda =tonsilitis akut Odinofagia hebat Otalgia Muntah Hipersalivasi foetor ex ore Hot potato voice Trismus Pembengkakan kel submandibula,nyeri
tekan
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Terapi : Stad infiltrasi : AB dosis tinggi,
simptomatik, kumur dgn cairan hangat, kompres dingin pada leher
Bila abses (+) ; pungsi insisi Tonsilektomi : Achaud : segera ( bersama drainase
abses) Atiede : 3 – 4 hr setelah drainase abses Afroid : 4 – 6 minggu sesudah drainase
abses
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komplikasi : Abses pecah :perdarahan, aspirasi paru,
piemia Abses parafaring Mediastinitis Penjalaran intrakranial : trombosis sinus
kavernosus, meningitis, abses otak
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