lipoma sebaseus cyst
TRANSCRIPT
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LIPOMA and SEBACEOUS
CYST
Irwan Saputra Batubara
13294Koass Bda! K"atn
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L#po$a
% A "#po$a #s a &rowt! o' 'att( t#ssu t!at
s"ow"( d)"ops *ust undr t! s+#n,
- L#po$a .an 'or$ on an( part o' t! bod(/
t(p#.a""( appar on t! n.+/ s!ou"drs/
ba.+/ abdo$n/ ar$s/ and t!#&!s,
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- T!#s .ond#t#on #s
$ost pr)a"nt #n
adu"ts btwn t!
a&s o' 40 and 0
Ma(o/ 2012,
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% ar"(/ "#po$as .an b asso.#atd w#t!
s(ndro$s su.! as !rd#tar( $u"t#p"
"#po$atos#s/ ad#pos#s do"orosa/ 5ardnr6s
s(ndro$/ and Mad"un&6s d#sas,
% T!r ar a"so )ar#ants su.! as
ano"#po$as/ no$orp!#. "#po$as/
sp#nd" ."" "#po$as/ and adno"#po$as,
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- A rar .ond#t#on #s 7r.u$6s d#sas
ad#pos#s do"orosa/ .!ara.tr#8d b(
#rr&u"ar pa#n'u" "#po$as $ost o'tn 'ound
on t! trun+/ s!ou"drs/ ar$s/ 'orar$s/and "&s,
% 7r.u$6s d#sas #s t#$s $or .o$$on
#n wo$n #n $#dd" a&/ and !as ps(.!#.d#sturban.s as ot!r pro$#nnt 'aturs,
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S#&n and S($pto$
% L#po$as usua""( prsnt as:
% ;onpa#n'u" nodu"
% ound and "obu"atd% Mob#" $asss/ w#t! a .!ara.tr#st#. so't,
T! o)r"(#n& s+#n appars nor$a",
L#po$as .an usua""( b .orr.t"(d#a&nosd b( t!#r ."#n#.a" apparan.
a"on,
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- T! "#po$a #s on"(
pa#n'u" #' #t &rows
#nto nr)s
undrnat! t!
s+#n,
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- B#ops# and MI
!as bn usd to
d#''rnt#at
"#po$as and
"#posar.o$as,
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Trat$nt
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;on
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E
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- On. 'rd/ t!
"#po$a #s d"#)rd
as a w!o"/ and
!$ostas#s #s
a.!#)d
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- Intrruptd 3@0 or
4@0 #.r(" suturs
ar usd to
part#a""( ."os t!
dad spa.,
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- T! s+#n #s t!n ."osd w#t! #ntrruptd 4@
0 or @0 n("on suturs,
- A prssur drss#n& #s p"a.d to rdu.
t! #n.#dn. o' !$ato$a 'or$at#on,
- T! pat#nt #s )n rout#n wound .ar
#nstru.t#ons/ and t! wound #s .!.+d #n
two to s)n da(s,
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- T! suturs ar r$o)d a'tr s)n to
21 da(s/ dpnd#n& on t! bod( "o.at#on,
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Sba.ous C(st
% A sba.ous .(st #s a ."osd sa. undr
t! s+#n '#""d w#t! a .!s@"#+ or o#"(
$atr#a",
% T! $ost .o$$on .aus o' #s ruptur o' a
p#"osba.ous 'o""#." asso.#atd w#t! a.n,
% Ot!r .auss #n."ud a d)"op$nta" d'.t
o' t! sba.ous du.t or trau$at#.#$p"antat#on o' sur'a. p#t!"#u$ bnat!
t! s+#n,
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S#&n and S($pto$
% T! $a#n s($pto$
#s a s$a""/ '"u.tuatd
non@pa#n'u" "u$p
bnat! t! s+#n,% ound on t! 'a./
n.+ and trun+,
% It usua""( &rowss"ow"( and #s not
pa#n'u"
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% T! .(st #s t(p#.a""(
'#""d w#t! w!#t
'"a+s o' +rat#n,
% Most .(sts ar so't
to t! tou.!,
% Usua""( t!r #s a
pun.tu$ on t! topo' t! swo""n,
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% In #n'.td or #n'"a$d
"u$p:
% S+#n rdnss
% Tndr or sor s+#n% ar$ s+#n #n t! a''.td
ara
% 5ra(#s!@w!#t/ .!s(/
'ou"@s$""#n& $atr#a" t!atdra#ns 'ro$ t! .(st
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Trat$nt
% A'tr do#n& t!
#n'#"trat#on
anst!s#a and
."an w#t!ant#spt#./ .o)r
t! s+#n around t!
s#t o' t! .(st w#t!str#" draps,
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% In.#s t! s+#n up to
t! sub.utan t#ssus
us#n& a s.a"p",
% Us#n& b"unt ands!arp d#ss.t#on/
#dnt#'( t! p"an
btwn t! .(stand surround#n&
sub.utan t#ssus,
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% Prss t! nor$a"
surround#n& s+#n
and so't t#ssus on
bot! s#ds &nt"(w#t! t! t!u$bs/
'#rst #n on
d#r.t#on/ t!n at90 d&rs to t!
pr)#ous d#r.t#on,
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% 5nt"( "#'t up t!
#n.#sd ""#ps o'
s+#n and atta.!d
.(st w#t! 'or.ps/and sparat t!
dp po" o' t!
.(st 'ro$undr"(#n& t#ssus
us#n& s.#ssors,
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% Ensur
!a$ostas#s and
."os t! s+#n w#t!
non absorbab"#ntrruptd
suturs, ,&, ?0
Et!#"on,
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o""ow Up
% C!.+ t! b"d#n&
% C!.+ t! s#&n o' #n'.t#on
% T! suturs ar r$o)d a'tr s)n to21 da(s/ dpnd#n& on t! bod( "o.at#on
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'rn.
% Pub$d: Sba.ous .(st
% A$r#.an a$#"( P!(s#.#an: L#po$a