kolik 2ucap dr.ysoni

8/18/2019 Kolik 2UCAP Dr.ysoni

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• Kolik -> Frequent Emergency

• Timbul akibat sumbatan batuginjal & saluran kemih

• Insidensi: 5-12 % populasi ->

batu ginjal-saluran kemih• Rekurensi : rata2 -> 50%

• *

Postgraduate Medical Journal, BMJ


3/22


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• *Smith’s General Urology,

• *Oxford Handbook of

Urology

• Gambar

: urology textbook.com

Kolik Ureter Diagnosis dan Tatalaksana

Pengertian (2)


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• *Oxford Handbook of Urology


Pengertian (3)


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Pengertian (4)


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Pengertian (5)


8/22

CT Urologi

• * gambar : AUA kidney stone


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• Koreksi dehidrasi• Terapi urinay infection

Cegah scaring jaringan ginjal•

Identifikasi single kidney (preexisting azotemia (creatine >2 mg /dl)

• * J.Stuart Wolf in Medscape

pre existing azotemia•

Diabetes• Dehidrasi• multiple myeloma


16/22

identifikasi pyonefrosis 38%, USG+C-Reactive Pro100 : 97%


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analgesisaantibiotic

Urologist (diversi-Nefrosto

perkutan)

• * J.Stuart Wolf in Medscape


18/22

Analgesia

• Narcotics ( morfin : 10 mg/70 kg IM, 4-10 mg IV

Oral : codein+PCT atau morfin 10 mg

• NSAIDs ( ketorolac 30 mg iv) -- *AUA

Oral: ketorolac 10 mg 2-3x /hr


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Desmopresin

* J.Stuart Wolf in Medscape*Postgraduate Medical Journal, BMJ


20/22

Ketorolac 3-4 x 10 mgKartikosteroid : prednisone 2x 20 mg,

Tamsulosin dan lain2

* J.Stuart Wolf in Medscape

*Postgraduate Medical Journal, BMJ


21/22

• Batu ginjal : ESWL, PCNL, open surgery• Ureter : ESWL, URS-litotripsi


22/22

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kolik 2ucap dr.ysoni

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