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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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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A'enikula! in4il(!a(
A'enikula! abses
Pe!4o!asi
Pe!i(oni(is
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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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Mobilisasi se8e'a(n+a
Obse!;asi in(ake
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Mo!(ali(as -*"1 a''eniks aku( (iak 'e8ah
Mo!(ali(as "51 )ika 'e8ah 'aa o!ang (ua