adenotonsilitis kronik case
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AdenotonsilitisTRANSCRIPT
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Adenotonsilitis Kronik
Pembimbing:dr. Indo Sakka, Sp.THT-KL, M.Kes
Pendamping:dr. Asria Rusdi & dr. Syarifa Husnah
Oleh:dr. Abdi Dwiyanto Putra
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IDENTITAS PASIEN•Nama Pasien : An. FZ•Jenis Kelamin : Laki-laki •Umur : 4 tahun•No. RM : 086249•Tanggal (kasus) : 11 Maret 2016
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ANAMNESIS• Pasien masuk Poli rawat jalan dengan keluhan nyeri menelan.
Batuk (+) sesekali, flu (-), sesak (-) namun kadang sesekali dirasakan sulit bernafas.
• Mual (-), muntah (-), hidung berdarah / mimisan (-).• Riwayat demam berulang dan nyeri menelan berulang (+).• Riwayat bepergian ke daerah endemis (-)• Riwayat konsumsi es krim dan minuman dingin (+)• BAB (+) biasa• BAK (+) normal
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PEMERIKSAAN FISIK•Keadaan Umum
• GCS = E4V6M5• Keadaan umum = Tampak sakit sedang• Kesadaran = Compos Mentis
•Pemeriksaan tanda vital
• Nadi = 80x/menit• P = 20x/menit • S = 36,60 C• BB = 14,9
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• Status generalis:Kepala = NormocephalRambut = hitamWajah = Moonface (-)Mata = cekung (-)/(-),palpebra edema (-)/(-
), conjungtiva anemis(-)/(-) ,Sklera ikterik (-)/(-), refleks pupil (+)/(+)
isokor• Telinga = Lihat status lokalis• Hidung = Lihat status lokalis• Bibir = Sianosis (-), hiperemis (-)• Lidah = coated tongue (-)• Faring = Lihat status lokalis• Tonsil = lihat status lokalis
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Cont..
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Cont..Status Lokalis Telinga
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Cont..Status Lokalis Hidung
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Cont..Status Lokalis Tenggorokan - Mulut
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Resume..•Anak laki-laki umur 4 thn masuk Poli rawat
jalan dengan keluhan nyeri menelan. Batuk (+) sesekali, flu (-), sesak (-) namun kadang sesekali dirasakan sulit bernafas. Mual (-), muntah (-), hidung berdarah / mimisan (-). Riwayat demam (+), demam dirasakan naik turun. Riwayat bepergian ke daerah endemis (-) Riwayat konsumsi es krim dan minuman dingin (+)
•BAB (+) biasa•BAK (+) normal
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Cont..Pasien tampak sakit sedang, GCS 15, tanda vital dalam batas normal, BB; 14,9. Status generalis dalam batas normal. Status lokalis THT, Faring Mukosa hiperemis, granul (+); Tonsil T 3 – T 3 , hiperemis, kripte lebar -/-, detritus -/-; Hipertrofi adenoid ; Leher KGB Submandibula -/-
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Penatalaksanaan..• Non Medikamentosa:
Edukasi: menghindari konsusi es krim dan minuman dingin..
• Medikamentosa:R/ Cefadroxil 200mgN. acetilsistein 8mgMf.Pulv dtd no XVʃ3 dd IVitamin syrup 1 x 5 ml
• Operasi:Adenotonsilektomi
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Diskusi..Anatomi
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Cont..
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Cont..
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Cont..Komponen tonsil secara mikroskopik:
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Cont..
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Tonsilitis Akut
Defenisi
Gejala & Tanda
Etiologi
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Cont..
Pemeriksaan
Terapi
Komplikasi
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Cont..
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Tonsilitis Kronis
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Cont..
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Cont..
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Adenotonsilektomi•Tonsilektomi adalah tindakan
mengangkat tonsil seutuhnya bersama jaringan patologis lainnya, sehingga fosa tonsilaris bersih, tanpa meninggalkan trauma yang berarti pada jaringan sekitarnya seperti pilar dan uvula.
•Adenoidektomi adalah...
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Cont..Indikasi Tonsilektomi:
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Cont..
•Bleeding disorders•Obat kontrasepsi oral (masih kontroversi)
Kontraindikasi Tonsilektomi:
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Cont..Komplikasi Tonsilektomi:
•Perioperatif:pendarahantrauma
•Postoperatif:▫Immediate
pendarahanreaksi anestesi (asfiksia)
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Cont..▫ Intermediate
PendarahanHematoma dan oedem uvulaInfeksiKomplikasi pulmonariEndocarditis bakteri subakutNyeri telinga
▫LambatSikatriks postoperatifSisa tonsil
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