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Batu Saluran Kemih

Welriant Octa Alfandro

Pembimbing :dr. M. Romidon, Sp.B, F!A"S

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Anatomi #r. $enito%&rinari

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'Smith, ()*+

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Renal

CAMPBELL,2012

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&reter

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&rinar- on

Kalium

O/alat

Aam urat Pofat

!atrium

Sitrat Magneium

SulfatSMITH, 2013

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Fiiologi

0ltrai

Reaborpi

Se/rei

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12F!S

Proe /ali0/ai -ang terbentu/ ditra/tu urinariu, -ang terutamater3adi di gin3al 'nefrolithiai, dan

ureter 'ureterolithiai dan dapatter3adi atau pun berpindah pada4ei/a urinaria maupun uretra

SMITH, 2013

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2tiologi

$angguan anatomi gin3al

$angguan metaboli/

nfe/i aluran /emih Renal tubular aidoi

diopati/

CAMPBELL, 2012

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2pidemiologi

5arang diuia 6 (), punca/ : 7)%8)

Pria 9 anita

White 9 hipanic 9 aian 9 afro%american

daerah /ering, pegunungan

Pe/er3aan BM: reitani inulin, p; urin,

uperaturai urinCAMPBELL, 2012

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;ubungan reiteni inulin dengan

penurunan ph urin

CAMPBELL, 2012

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Fa/tor rei/o

Kritaluria

1iet : protein heani, glu/oa, danrendah erat

Soial%e/onomi

Pe/er3aan

/lim

Ria-at /eluarga dengan batu aluran/emih

Medi/aiSMITH, 2013

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Proe pembentu/an /rital

SMITH, 2013

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CAMPBELL, 2012

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CAMPBELL, 2012

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Klai0/ai

Batu /alium

Batu non /alium

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Batu /alium

Aborpti4e h-percalciuricnefrolithiai

Reorpti4e h-percalciuricnefrolithiai

Renal%induced h-percalciuricnefrolithiai

;-peruricouric calcium nefrolithiai

;-pero

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Batu non /alium

Stru4ite 'MAP

Batu aam urat

Batu itin Batu

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2tio%Patogenei batu/alium

;iper/aliuria

;ipero

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Renal tubular aidoi

CAMPBELL,2012

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batu aam urat

;iperuri/ouria

=olum urin -ang rendah

Ph urin -ang rendah

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Patogenei Batu Aam &rat

CAMPBELL,2012

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Batu itin

nborn of error metabolim

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Stru4it

#erdiri ata magneium, amoniumdan pofat 'MAP

Wanita 9 pria, re/uren

5arang terleta/ pada ureter

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Patogenei

CAMPBELL,

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CAMPBELL,

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Manifetai /lini

!-eri : /oli/ dan non /oli/

;ematuria

nfe/i 1emam

Mual

Muntah

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1iagnoi

Anamnei

Pemeri/aan 0i/

Pemeri/aan penun3ang

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1iagnoi banding

Keluhan utama n-eri abdomen, perludipi/ir/an :

Koli/ aluran cerna

Kolelitiai

Apendiiti a/ut

K& hematuria : Keganaan

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Pemeri/aan penun3ang

1arah rutin

&rinalii

B!O

&S$

B!O > =P

!on "ontrat "#

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CAMPBELL,

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#atala/ana

#erapi /oner4atif

2SW?

2ndourologi

Kemolii

M2#

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Koner4atif

!SA1 9 teroid

8 minggu

Rec : natrium di/lofena/ *))%*@)mghari, +%*) hari

Pethidin

European Association ofUrolo!, 2012

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2SW?

2

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Kontraindi/ai

Kehamilan

$angguan /oagulai

SK -ang ta/ ter/ontrol

Obeita

Malformai otot /eletal

Aneurima pembuluh darah Obtru/i anatomi di dital batu

European Association ofUrolo!, 2012

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Medical 2/puli4e #herap-

Penghambat alpha adrenergi/

Penghambat /anal /alium

Korti/oteroid

European Association ofUrolo!, 2012

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European Association ofUrolo!, 2012

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CAMPBELL,

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CAMPBELL,

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European Association of

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European Association of

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Prognoi

leta/ dan poii batu

Kompli/ai

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#2RMA KAS;