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7/26/2019 abses sebmandibula http://slidepdf.com/reader/full/abses-sebmandibula 1/24 Tutorial klinik Abses Submandibula

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Tutorial klinik 

Abses Submandibula

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Identitas Pasien

NAMA : Bpk S

UMUR : 31 thn

 JENIS KELAMIN : Laki-Laki

NO. CM : 30XXXX

ALAMAT : Bu! "uk!ha#$!

%EKERJAAN : S&a"ta

MASUK RS : 10-'-(01'

KELUAR RS : 1)-'-(01'

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SUBJEKTIVE

KU  B*n+kak pa,a #ahan+ a&ah

R%S    Bpk .S 31 tahun/ ,atan+ k* p!i TT RSU "uk!ha#$! ,*n+an

pa,a #ahan+ a&ah ,i"*#tai n2*#i t*kan ,an "u"ah 4*4uka 4uut "*t*#a"a t*a k*a,aan t*#"*ut 4uai 5 1 4in++u "*hin++a pa"i*n ti,ak i"a

4inu4 "*,ikit-"*,ikit. %a"i*n 4*#a"a tuuhn2a *4a" ,an ,*4a4 5 "u,4*n2an+ka p*#nah *#!at "**u4n2a k* ,!kt*#. %a,a ha#i p*#ta4a p*k*paa 5/ tapi ti,ak pu"in+ *#puta# 4ua -/ 4untah -/ p*n+*ihatan "*p*-/ p*nu#unan p*n,*n+a#an -/ tinitu" -/ k*ua# 6ai#an ,a#i t*in+a -/ k*ua#-/ ,*7!#4ita" -/ Batuk -/ pi*k -/ 4uut ",*/ #i&a2at "akit +i+i 5/  "*h"uk!ha#$! 4*n2a#ankan untuk pa"i*n ,i #a&at inap.

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RPD Ri&a2at k*uhan "*#upa : p*#nah 3

uan 2an+ au *n+kak pa,a #ahan+ a&ah

Ri&a2at "akit +i+i : p*#nah

Ri&a2at n2*#i t*an : ,i"an+ka

Ri&a2at ip*#t*n"i : ,i"an+ka

Ri&a2at A*#+i : a*#+i !at -/a*#+i 4akanan -/

Ri&a2at ia*t*" : ,i"an+kaRPK

Ri&a2at *n

Ri&a2at A*#+i

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OBJECTIVE

Keadaan Umum : C!4p!" 4*nti" ta4pak "akit/

Suu Badan : 386

Res!irasi : (094*nit

"adi : 8094*nit

Tekanan Dara : 110;0

 Jantun# : un2i $antun+ 1 ,an II #*+u*# ti,ak a,a i"in+ $a

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STATUS $OKA$IS

TE$I"%A &OTOSKOPI'

(IDU"% & RI"OSKPI A"TERIOR '

PE)ERIKSAA" BIBIR DA" KAVU) ORIS

ORO*ARI"%

KEPA$A DA" $E(ER

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ASSES)E"T SE)E"TARA

ABSES SUBMANIBULA

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P$A""I"%

ia+n!"tik

• La ,a#ah *n+kap• C!ttin+ ti4*

**,in+ ti4*•

Rh!nt*n Th!#a9• Rh!nt*n <*#t*#a*

6*#=i6a A%Lat.

 T*#api

• I<> RL (0tp4• In$.4*#!p*n*4 1

+#1($a4

• In7. M*t#!ni,a?! @004+8$a4• In$. M*ti p#*,ni"!!n*

1(@1( $a4• In$.k*t!#!a6 304+ 8 $a4• In$. Raniti,in @0 4+ 1( $a4•

In7.a4in!ui,() $a4• %!"i"i T#*,**nu#+

M!

• K*a,• Tan,

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(asil $ab

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RADIO$O%I

>!t! th!#a9 in"pi#a"i 6ukup/

 %u4! ,aa4 ata" n!#4a

 B*"a# 6!# n!#4a

X->!t! <*#t*#a 6*#=i6a A%Lat :

S!7t ti""u* "&*in+ "u 4an,iua iat*#a

%a#a"pina 4u"6u!"pa"4*

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*O$$O+ UP &,,-.-/0,.'

S : Suit uka 4uut5/ *n+kak pa,a *h*# 5/ "*"ak na7a" -/

O : <ita "i+n :

 T : 110;0 44+

RR : (094*nit

N : 8094*nit

Statu" !kai" :

 T*n++!#!k SE Su4an,iua !*,*4a 5/ N2*#i t*kan 5/

A    A"*" Su4an,iua

%    in7u" RL (0 tp4 in$. M*#!p*n*4 1 +#1( $a4 in7. M*t#!ni,a?!*4+8$a4 in$. M*tip#*,ni"!!n 1(@ 4+ () $a4 in$. K*t!#!a6 30 4+8 $a4Raniti,in @0 4+1( $a4 in7. A4in!ui,() $a4 %!"i"i T#*n,**nu#+

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,/-.-/0,.

S : Suit uka 4uut5/ tapi "u,ah i"a "*,ikit *n+kak pa,a *h*# 5/,*4a4 -/ a"*" 4uai p*6ah

O : <ita "i+n :

 T : 110;0 44+ T : 3'; C

RR : 1894*nit N : 8094*nit

Statu" !kai" : T*n++!#!k SE Su4an,iua !*,*4a 5/ N2*#i t*kan 5/ uktua

A    A"*" Su4an,iua

%    in7u" RL (0 tp4 in$. M*#!p*n*4 1 +#1( $a4 in7. M*t#!ni,a?!* @0M*tip#*,ni"!!n 1(@ 4+ () $a4 in$. K*t!#!a6 30 4+8 $a4 in$. Raniti,in @0A4in!ui,() $a4 %!"i"i T#*n,**nu#+ B*ta,in* +a#+* 4!uth&a"h8 $a4

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S : Suit uka 4uut-/ *n+kak pa,a *h*# 5/ 4*n+*6i "*"ak na7a" -/a"*" 4uai p*6ah "akit a+ian 4uut ,aa4 5/ *ka" p*6ahan pu".

O : <ita "i+n :

 T : 110;0 44+ T : 3'; C

RR : 1894*nit N : 8094*nit

Statu" !kai" :

 T*n++!#!k SE Su4an,iua !*,*4a 5/ N2*#i t*kan 5/ uktuat

A    A"*" Su4an,iua

%    in7u" RL (0 tp4 in$. M*#!p*n*4 1 +#1( $a4 in7. M*t#!ni,a?!* @00M*tip#*,ni"!!n 1(@ 4+ () $a4 in$. K*t!#!a6 30 4+8 $a4 in$. Raniti,in @0 A4in!ui,() $a4 %!"i"i T#*n,**nu#+ B*ta,in* +a#+* 4!uth&a"h8 $a4

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TI"JAUA" PUSTAKA

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De1nisi

A"*" "u4an,iua 4*#upakan "aah

"atu *ntuk a"*" *h*# ,aa4

i4ana a"*" 2an+ *#!ka"i pa,a"u4an,iua# "pa6*  2an+ "*#in+,itan,ai n2*#i t*n++!#!k ,*4a4 ,an

t*#ata"n2a +*#akan 4uut

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Etiolo#i

K*an2akan a"*" ,i"*akan !*h an2ak 4ik#!a

%a,a #uan+ "u4an,iua in7*k"i ,apat *#"u4*# ,a#i +i+i ,a"a# 4uutt!n"i "inu" ,an k**n$a# iu# atau k**n$a# i47* "u4an,iua.

Ku4an p*n2*a ia"an2a 6a4pu#an ku4an a*#! ,an ana*#!

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%e2ala klinis

Se3ara umum4 #e2ala abses adala:

N2*#i

B*n+kak

E#it*4a pa,a $a#in+an

 T#i"4u"

*4a4

Pemben#kakan !adabiasan5a :

 T*#a"a n2*#i

%ana"

Ku#an+ ,a#i ( 4in++u

B*#k*4an+ "an+at 6*p

i"*#tai "akit +i+i atau t*ka#i*" +i+i

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Dia#nosis

Anamnesis a#i ana4n*"i" ,i ,apatkan a,an2a #i&a2at "akit +i+i

4*n+!#*k atau 4*n6aut +i+i atau a,an2a #i&a2at hi+i*n* +i+i 2an+ u#uk

a#i ana4n*"i" $u+a ,i,apatkan +*$aa *#upa "akit pa,a ,a"a# 4uut ,an "uka#4*4uka 4uut

Pemeriksaan *is

%a,a p*4*#ik"aan tan,a,it*4ukan ,*4a4.

S*ain itu $u+a ,it*4up*4*n+kakan ,i a&a

,i papa"i akan t*#a"a t*#,apat pu"

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Pemeriksaan !enun2an#

>!t! p!!" $a#in+an unak

L*h*# ant*#!p!"t*#i!#

>!t! p!!" th!#a9

CT-S6an

Ma+n*ti6 R*"!nan6* I4a+in+ MRI

Ut#a"!n!+#a

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Penatalaksanaan

%*nataak"anaan a"*" "u4an,iua4*iputi:

%*nataak"anaan t*#ha,ap a"*"

%*nataak"anaan t*#ha,ap p*n2*a

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Conto asil sensiti6itas obat

Pola Ke!ekaan kuman aerob terada!antibiotik 

Pola Ke!ekaan kuman aantibioti

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Kom!likasi

K!4pika"i 2an+ "*#in+ t*#$a,i a,aah Lu,&i+D" an+ina.

Lu,&i+D" an+ina a,aah in7*k"i *#at 2an+ 4*iatkan ,

4uut #uan+ "u4*nta ,an #uan+ "u4an,iua.

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Kesim!ulan

Bia"an2a ,i"*akan !*h in7*k"i 2an+ ,apat *#"u4*# ,a#i +i+i ,a"a# 4t!n"i "inu" ,an k**n$a# iu# atau k**n$a# i47a "u4an,iua. Mun+kin $"*a+ian k*an$utan in7*k"i #uan+ *h*# ,aa4 ainn2a.

Ku4an p*n2*a ia"an2a 6a4pu#an ku4an a*#! ,an ana*#!.

*$aa kini" a"*" "u4an,iua 4*iputi ,*4a4 tin++i n2*#i *h*# ,i"*#p*4*n+kakan ,i a&ah 4an,iua ,an atau ,i a&ah i,ah 4un+kin *apat $u+a t*#$a,i "akit pa,a ,a"a# 4uut t#i"4u" in,u#a"i "u4an,iuaa&ah ,a+u *#it*4a ,an !*,*4.

%a,a p*n+!atan ,apat ,i*#ikan antii!tik ,!"i" tin++i ,an ,apat $u+a ,i,an ,#aina"* a"*" "*"*+*#a 4un+kin a+a# ti,ak t*#$a,i k!4pika"i.

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Da7tar Pustaka

>a6h#u,,in . A"*" L*h*# aa4. In: S!*pa#,i EA I"kan,a# N Ba"hi#u,,Buku A$a# I4u K*"*hatan T*in+a i,un+ T*n++!#!kan K*paa L*h*#. E,

 Jaka#ta: Baai %*n*#it >KUI. (00;. a ((F

Lu,&i+D" An+ina. A=aia* in: http:,ia4h*ath.!+"p!t.6!4(01003an

u,&i+.ht4