P Abses Hati Amuba (3A)
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Transcript of P Abses Hati Amuba (3A)
7/21/2019 P Abses Hati Amuba (3A)
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Abses Hati Amuba(LK-3A)
Rendri Bayu Hansah
Modul Ilmu Penyakit Dalam
FK-n!rahPadan"
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# A!ses hati$ Ron""a %atolo"is !erisi &arin"an nekrotik y"
tim!ul dalam &arin"an hati aki!at in'eksi amu!aatau !akteri
$ Kom%likasi amu!iasis ekstraintestinal %alin"serin"
$ Klasikasi* A!ses hati amu!a
+* A!ses hati %io"enik
3* A!ses hati ,am%uran2
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# tiolo"intamoe!a histolitika
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# Dia"nosis
# Anamnesis$ 0yeri %erut kanan atas
$ Demam
$ Malaise
$ Mual1 muntah
$ Kadan" disertai nyeri %leura
$ Penderita ,enderun" mem!un"kuk atau
menahan "erakan hi%okondrium kanan$ Ada ri.ayat diare !erlendir !e!era%a !ulanatau !e!era%a tahun yan" lalu
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# Pemeriksaan Fisik
$ He%atome"ali y" nyeri tekan$ Ikterus
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# La!oratorium
$ Leukositosis
$ LD menin"kat
$ Penin"katan 2451 2P51 !iliru!in
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# Pemeriksaan Penun&an"
$ 2 a!domen (67-879)
ron""a dalam hati$ :5 s,an a!domen (8;-779)
$ Kultur %us !aku emas
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# 5era%i$ 5irah !arin"
$ Diet tin""i kalori tin""i %rotein (5K5P)
$ Metronida<ol1 3-= > ;77-?;7 m"@hari1 ;-7hari
$ Drainase ,airan a!ses
a* a"al d" tera%i konser/ati' !* A!ses ; ,m
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# Dia"nosis !andin"
$ He%atoma
$ Kista he%ar
$ Kolesistitis
$ 5B he%ar
$ A,tinomi,osis hati
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# Kom%likasi
$ Ru%tur a!ses ke %leura1 %erikardium1%aru
$ 2e%sis
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# Pro"nosis
$ Bonam
$ Ru%tur a!ses
mortalitas =7-;79
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5erima kasih
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