8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 1/39
PEMICU 5 BLOK UROGENITAL
“CAIRAN, KUTIL, DAN LUKA YANG MERESAHKAN”
ALMIRA NABILA VALMAI
405130193
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 2/39
INFEKSI MENULAR SEKSUAL
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 3/39
Ep!"#$%$&
'HO #"#p"()(*)*+ "%*- "(.*! 340 ./* )*/ *(/ P"+2*) M"+/%*(
S")/*% IMS p*!* *-/+ 1999
P*!* *-/+ 6007 )*/ "(*+2*)!!*p* p*!* 8*+* /* 1519 *-/+"(!*p* 74: )*/ p"( 100000 !*+p*!* p(* /* 6064 *-/+ 454 p"(100000
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 4/39
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 5/39
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 6/39
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 7/39
DIAGNOSAANAMNESIS
A+*#+" 2*+& !*./)*+ )"p*!* p*"+!"+&*+ !/&**+ IMS #"%p/;
• K"%/-*+ !*+ (8*2* p"+2*) ** +
• P"+&$**+ 2*+& "%*- !"()*+
• R8*2* ")/*% 2*/ )$+*) ")/*%
*) ! !*%*# #*/p/+ ! %/*(p"(+)*-*+, "(&*+&*+ p**+&*+,)$+*) ")/*% !"+&*+ p**+&*+""%*- #"+&*%*# &".*%* p"+2*),<(")/"+ !*+ ."+ )$+*) ")/*%, =*(*#"%*)/)*+ )$+*) ")/*%, !*+ *p*)*-p**+&*+ ./&* #"+&*%*# )"%/-*+ **/&".*%* 2*+& *#*
• R8*2* p"+2*) "(!*-/%/ 2*+&"(-//+&*+ !"+&*+ IMS **/ p"+2*)! !*"(*- &"+*% %*+
• R8*2* p"+2*) "(* %*++2*
• R8*2* )"%/*(&* 2*/ !/&**+ IMS 2*+&!/%*()*+ $%"- / )"p*!* *2+2*
• K"%/-*+ %*+ 2*+& #/+&)+ "()**+
!"+&*+ )$#p%)* IMS, #*%+2* "(/p)/%, +2"( "+! !*+ p*!* 8*+*"+*+& +2"( p"(/ *8*-, &*+&&/*+-*!, )"-*#%*+ !*+ -*%+2*
• R8*2* *%"(& $*
PEMERIKSAAN FISIK
• I+p") !*"(*- +&/+*%!*+ (** p"#"*(*+)"%"+.*( !*+ =**)$+"+, /)/(*+,#$%*, (** +2"(, "(*
*+!* (*!*+& p*!* )/% !**+2* P"(-*)*+!*"(*- p/ !*+ )/%")*(+2*, *!*+2*p"!)/%$, <$%)/% **/
%" )/% %*++2*
I+p") !*"(*- p"(+"/#!*+ *+/
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 8/39
PENCEGAHAN I M S
• M"++&)*)*+ K"*-*+*+ K"%/*(&* #"%*%/ p"*+ )/+= ;1 A ; Abstinance ; T!) "(-/ S")/*% ""%/# #"+)*-
B ; Be faithfull ; S*%+& "* p! p**+&*+ 2& *-C ; Condom ; G/+*)*+ )$+!$# *p*%* *%*- */p**+&*+ "(")$ "()"+* IMS **/ HIV ? AIDS
D ; Drugs ; H+!*( p"#*)**+ N*()$*E ; Equipment : M+*%*- p"(*%**+ )""-**+ 2& "(%
6 M"+.*&* )""(-*+ *%* ("p($!/)3 M"+="&*- (*+</ !*(*- 2& "%/# ! screening4 B"(-*-* /+/) #"+*+&*+ "&*%* -*% 2& "(="#*(
$%"- !*(*- "&*(5 M"+="&*- p"#*)**+ *%**%* *.*# 2& !) "(%7 S"&"(* #"#"()*)*+ !( %* #/% &".*%*&".*%* IMS 2&
!=/(&*
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 9/39
GONOREDefnisi S"#/* p"+2*) 2*+& !"*)*+ $%"- *)"( Neisseria
gonorrhoeaeEtiologi Neisseria gonorrhoeae
Gambaranklinis
1 L*)%*) /("( &$+$("; $(@/# /("(* ")"(+/#"("#*?"!"#*, !/- //- /("(* )"+*%, p/-?)/++&)*!*+& #/)$!?#/)$p/(/%"+
6 P"("#p/*+
"(; *#$#*, !/- //-"() p/(/%"+?#/)$p/(/%"+, ")/!* p/(/%"+ !*(/("(*?)"%"+.*( B*(-$%+
3 P($); !/- p/(/%"+, (** p*+*?"+* "("+&*,"+"#/?p"(!*(*-*+ p*!* <""
4 *(+&; *#$#*) *#p* <*(+& (+&*+,
"("#*?(** "(*)*(5 K$+./+&; !/- p/(/%"+ p*!* #**7 G$+$(" !"#+**; )$#p%)* +<") &$+$(" "#)
*((, tenosynovitis syndrome
PP P"8*(+**+ &(*#, *)*+ T-*2"(M*(+, !*+ PCR
DD I+<") &"+*% +$+p"@)
D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 10/39
P*$&"+"
P($" p*(*" !("="! "+!$=2$
D*() )"p"(#/)**+ #/)$*
Ep"% )$%/#+*( 2*+& !*) "(%*
B*)"( !)"%%+& #)($%
P"%")**+ *)"( K$+*) ")/*%
#(*" F p($"+ OPA
T"(+<")
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 11/39
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 12/39
P*$@$%$&• S""%*- "(-//+&*+ +#, &$+$=$==/ #"%")* !*+ p"+"(* "%
"p"% )$%/#+*( 2*+& #"+#/%)*+ ("*) +*#* p*!* %*p*+
/#/)$* 2*+& +*++2* #"+&-*%)*+ ")/!*• M** +)/* ; 35 -*(
• P*!* p(*, !*"(*- 2*+& "(+<") ;
– U("-(*, p($*, )"%"+.*( L(" !*+ C$8p"(, ")/%* "#+*%,"p!!#
• P*!* 8*+*, !*"(*- 2*+& "(+<") ;
– U("-(*, ="(, )"%"+.*( B*($%+ !*+ S)"+", /* <*%%$p
• P*!* p(* !*+ 8*+* ;
– R")/#, <*(+&, )$+./+&*
• E)/!* +*#* *)*+ !&*+)*+ !"+&*+ @($%*,#"#p($!/) .*(+&*+ @($/ 2*+& *)*+ #"#p"("#p %/#"+
/("-(*, "p!!#, !*+ /* <*%%$p
c. Gambaran linisb. Bateri penyebab !Neisseriaonorrhoeae"
a. #on$ungtivitis
l k )
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 13/39
atalaksana
*(#*)$;• S"@)# 400 #& p"( $(*% !$ /+&&*%• L"$$)*+ 500 #& p"( $(*% !$ /+&&*%• O$)*+ 400 #& p"( $(*% !$ /+&&*%• Sp($$)*+ 500 #& p"( $(*% !$ /+&&*%•
K*+*#+ 6 &(*# IM, !$ /+&&*%• S"<(*)$+ 650 #& IM, !$ /+&&*%KI; O$)*+ p($$)*+ !*) /? / -*#%,
#"+2//, *+*) J 16 -+
N$+<*(#*)$;• B%* #"#/+&)+)*+, p"()* !*+ $* p**+&*+
")/*% "*p+2*• A+./()*+ *+"+* *#p* "(/) "#/- "=*(*
%*$(*$(, !*+ %* !*) !*p* #"+*-*+ !( /p*2*#"#*)* )$+!$#
• K/+./+&*+ /%*+& p*!* -*( )"3 !*+ -*( )":• K$+"%+&; ."%*)*+ #"+&"+* p"+2*) &$+$(",
)"#/+&)+*+ )$#p%)*, =*(* p"+/%*(*+, "(*p"++&+2* p"+&$**+ p**+&*+
• K$+"%+& #"+&"+* )"#/+&)+*+ ()$ "(/%*( HIV,-"p* B, -"p* C, !*+ IMS %*++2*
INEKSI GENITAL
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 14/39
INEKSI GENITALNONSPESIIK Defnisi I+<") &"+*% 2*+& !"*)*+ $%"- )/#*+)/#*+ +$+
p"@) !*+ !"+&*+ p"#"()**+ %*$(*$(/#
"!"(-*+* !*) !"#/)*+ )/#*+?"$%$& p"+2"*+2*Etiologi • Chlamydia trachomatis 3050
• %reaplasma urealyticum 1040• L*+%*+ 6030; V(/ -"(p" #p%"), A!"+$(/,
&aemophillus sp.' Bacterioides urealyticus'(ycoplasma genitalum
Gambaranklinis
1 L*)%*); !/- //- /("(* #/)$!?#/)$p/(/%"+)*!*+& p/(/%"+, "("#*, "!"#* #"*/
6 P"("#p/*+; !/- //- "() #/)$p/(/%"+, ")$p*"(), "() #/!*- "(!*(*-
PP LCR, PCR, E+2#" I##/+$ A*2 C-%*#2!*#",
ELISA, DADD I+<") &"+*% p"@)
atalaksana
• D$))%+ 6100 #&, $(*%, "%*#* -*(• A($#+ 1 &, $(*%, !$ /+&&*%• T"(*)%+ 4500 #&, $(*%, -*(• E(($#+ "*(* 4500 #&, $(*%, -*(KI; !$))%+ "(*)%+ !*) /? / -*#%, #"+2//,D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 15/39
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 16/39
TRIKOMONIASIS
Defnisi P"+2*) +<") p($$$* 2*+& !"*)*+ $%"-
)richomonas vaginalis, **+2* !/%*()*+ #"%*%/-//+&*+ ")/*% !*+ "(+& #"+2"(*+& (*)//($&"+*% *&*+ *8*- p*!* p"("#p/*+?%*)%*)
Etiologi )richomonas vaginalis
Gambaran
klinis
• D/- //- *&+* -$#$&"+, *+2*), p/(/%"+,
)*!*+& "(/*,"(*/ "p"( )*+ //), #/)$**&+* "("#*, p(/(/ /%*, P- *&+* 5
PP • P"#"()**+ "!**+ **-, p"8*(+**+ P*p*+=$%$/,)/%/( #$!@)* Diamond? )/%/( in *ouch
DD • S"( &$+$(", *&+$ *)"(*%, +<") &"+*%+$+p"@), )*+!!$ /%$*&+*%
atalaksana
• M"($+!*$% 6500 #& $(*%, -*(• M"($+!*$% 6 &(*#, !$ /+&&*%
D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 17/39
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 18/39
Kom!likasi • P("!p$ )$#p%)* $"() !*+ &+")$%$&)"("+/, "p"( ; )$($*#+$+, +<") =*(*+*##+$+,+<") p*!* #** +<*, p"+2*) (*!*+&p*+&&/%, )"%*-(*+ p("#*/( !*+ - p("#*/(
D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 19/39
SIILIS
D"@+ I+<") "#) 2& !"*)*+ $%"- T("p*+$#* p*%%!/#, 2&"(/*#* !/%*()*+ #"%*%/ -/ ")/*%
Ep!"#$%$&
16.?-+ ! "%/(/- !/+*, "(/*#* ! A<()*, A#"()*"%**+, C-+* A* T"+&&*(*
P"+/%*(*+ - T"(/*#* #"%*%/ )$+*) ")/*%, *) #"%*%/ *&+*%,*+*% **/ $(*%
- B"(=/#*+- B"(*& .*(/# /+)- T(*+</ !*(*-- N""!%" =) +./(2- C*+&)$) $(&*+
K%*@)* 1 M** +)/*
*+p* &".*%*6 S@% p(#"( %" p(#"( p! +$)/%* p"(*#*3 S@% ")/+!"( p"+2"*(*+ )/#*+ )" "%/(/- //-4 S/)%+? %*"+ "(*-/+*-/+, !!"") #"%*%/
"($%$&5 S@% "("( *!/# *)-( @% "(/p* p"+2*)
p($&("< 2& #"%*)*+ //+*+ *(*< p/*, p"#/%/-!*(*- (, !*+ **/ p"#"+/)*+ &/##* 2& !p "(.*!S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 20/39
P*$&"+" - T p*%%!/# #"#(*+ #/)$* //-? )/% !&+#)($*(* #*/) .*(+&*+ %#<*) *%(*+!*(*- (p .*# +<") "#) T p*%%!/#"%*- !( 3033 .*#
-I+)/* (**(** 3 #+&&/
T*+!* &".*%*
- S@% p(#"( 616#&&; =-*+=(" p*p/%* /+&&*%,!) +2"(, ="p* "()) "(+!/(* D**(=-*+=(" **+2* -*%/, p+&&(+2* %- +&& "(** )"+2*% P! @% p(#"( **+2* .& !"(*%#<*!"+$p* ("&$+*%
- S@% ")/+!"( 17%+; %" #/)$)/*+ #*)/%*,p*p/%*, p*p/%*)/*#$*? p//%*( 2p-%!",=$+!2%$#* %** #/=$/ p*=-" 2& !p !"(*%#<*!"+$p* &"+"(*%** 2& !) +2"(
D*&+$ - A+*#+"- P"#"()**+ @)
- S"!**+ %*+&/+&- S"($%$& *+$! ("*&+= +$+p"=@= +$+
("p*+$#*% *+$! p"@) *+("p*+$#*%
PP - M)($)$p %*p*+&*+ &"%*p, DA, p"#"()**+-$p*$%$&, PCR, " "($%$& @%
DD - U%)/ #$%", &(*+/%$#* +&/+*%", -"(p" &"+*%,%#<$&(*+/%$#* "+"("/#, )*(+$#*, )*",S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 21/39
atalaksana
U+/) @% p(#"( !*+ ")/+!"(;• B"+*+ p"+%+, IM, !$ $*% 6,4 ./* IU• P"+%+ G P($)*+ 700000 IU?-*(, IM, 10 -*(• D$))%+ 6100 #& p"( $(*%, "%*#* 30 -*(•
E(($#+ "*(* 4500 #& p"( $(*%, "%*#* 30 -*(
D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*
Siflis !rimer Siflis ta"a! #
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 22/39
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 23/39
HERPES GENITALDefnisi I+<") &"+*% 2*+& !"*)*+ (/ -"(p" #p%")
!"+&*+ &".*%* )-* "(/p* ")"% "()"%$#p$) ! **
!**( "("#*$*, "(<* (")/("+Etiologi V(/ -"(p" #p%") p" 6 !*+ p" 1
Gambaranklinis
• I+<") p(#"(; p*p/% 2*+& #"+.*! ")"% !*+ /%)/?"($ #/%p"% "()"%$#p$), "!"#* ! +&/+*%,%#<*!"+$p* %*"(*% !*+ )"+2*%, &".*%* "#)•
I+<") (")/("+; %" !*) *+2*), !*+ )"%/-*+ !*)""(* %" p(#"(
PP T" T*+=) !"+&*+ p"8*(+**+ G"#*, ELISA,-$p*$%$&, $p*$%$&
DD U%)/ &"+*% $? p"+2"* %*+, !"(#* )$+*)
atalaksana
I+<") p(#"(;•V*%*)%$( 6500 #& $(*%, -*(•A)%$( 5600 #& $(*%, -*(I+<") (")/("+;•V*%*)%$( 6500 #& $(*%, 5 -*(•A)%$( 5600 #& $(*%, 5 -*(
D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 24/39
P*$@$%$&
• C*(* +<") ; K$+*) %*+&/+& )/% ? #"#(*+
• *)$( V(/%"+ ; D"(#* *+! N"/($(/%"+="
+<") !*+ "("p%)* p*!* .*(+&*+ *(*< !*+
)/%
• HSV HSV 1 !*+ HSV 6
– HSV 1 I+<") $($%**% !*+ $)/%*(
– HSV 6 I+<") &"+*%
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 25/39
HSV1
• K$+*) %*+&/+& !"+&*+ (/ $(*%
"p"% "# ("p(* ** +<")
p(#"( &*+&%$+ (&"(#+/
$p-*%#=, #*%%*(2 !*+
#*+!/%*( +<") *(*< #**
%*"+ ("*)* (*/#*, (*!*,
#/+$/p(", ("
#*+<"*
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 26/39
HSV6
• K$+*) %*+&/+& !"+&*+ (/
-//+&*+ ")/*% +<") "p"%
&"+*% +<") p(#"( +<")
*(*< %/#$*=(*% S6S5 #**
%*"+
("*)* (*/#*, (*!*,
#/+$/p(", (" #*+<"*
)%+)
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 27/39
Her!es genital !ria Her!es genital $anita
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 28/39
KONDILOMA AKUMINATUMDefnisi I+<") #"+/%*( ")/*% 2*+& !"*)*+ $%"- &uman
*apilloma +irus !"+&*+ )"%*+*+ "(/p* @($"p"%$#*p*!* )/% !*+ #/)$* ! !*"(*- *+$&"+*%
Etiologi &uman *apilloma +irus p" 7 !*+ 11 %$8 (), p" 17!*+ 1: -&- (), p*!* p"("#p/*+ )*+)"( #/%/(*-#
Gambaranklinis
P*p/% #%"( $%"( *#p* #/%p"% "()"%$#p$)#"#"+/) #** "(/)$* #"+2"(/p* )"#*+& )$%!*p* #"#"*(, "8*(+* )/%, #"(*- #/!*, %/+*)1 L*)%*); "#p* "("(+& p("p//#, &%*+ p"+,
/%)/ )$($+*(/, <("+/%/# !*+ **+& p"+6 P"("#p/*+; "#p* "("(+& %**, )%$(,
p"(/("(*%, p"(+"/#, *&+*, "()
PP T" **# *"*, )$%p$)$p?*+!($)$p, p"#"()**+-$p*$%$&
DD K$+!%$#** %**, +"$p%** +(*"p"%*%, p*p/%$/8"+$!, )*(+$#* "% )/*#$*, #$%/)/#)$+*&$/#, %)"+ +!/, %)"+ p%*+/, &%*+!/%* "*"*
+$(#*%, p"*(%2 p"+%" p*p/%", )"(*$ "$($), )+D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 29/39
atalaksana
• T+&/(* p$!$@%+ 1065, $p)*%, !=/= ""%*-"#p* .*#, !/%*+& "*p #+&&/ %* p"(%/
• L*(/*+ TCA :090, $p)*%• S*%*p **# *%%* 6040, $p)*%•
T+!*)*+ "!*- %()• B"!*- ")/ +($&"+ =*(• K(# #/#$!• I+"(<"($+ +(*%"
D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*
KANDIDIASIS
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 30/39
Defnisi In%eksi &agina 'an ata( &(l&a )ang 'isebabkan ole" gen(s Can'i'a
'engan berbagai mani%estasi klinik )ang 'a!at berlangs(ng ak(t*
kronik* ata( e!iso'ik+
E$%$& C*%=*+ :590
• M"#%) p$(* /%* !*+ %$+.$+&
• K*!*+& *!* 2*+& #"+$+.$% ! !+!+& p$(* /!!+& !"/ "*&*
p"/!$-<*
• C &%*(** !*+ Cp*(*p%$ 510
G*#*(*+ )%+ • D/- //- *&+* !*p* "(8*(+* p/- p/- **/ )/++&, !*) "(*/
**/ "!) "(*/ #**#, #"+&&/#p*% "p"( “=$*&" =-"""” **/
/(/( )"p*%* //
• V/%* p(/(/, "("#, (*, %" *"%
• R** "(*)*(
• Dp*("/+*
•G*#*(*+ 2*+& )-* *!*%*- *!*+2* p"/!$#"#(*+ "(/p* "(=*)p/- )")/++&*+ p*!* p"(#/)**+ /%* **/ !+!+& *&+* 2*+& !"/
KANDIDIASIS
Gambaran klinis
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 31/39
P"#"()**+ p"+/+.*+& • P"#"()**+ KOH
• P"#"()**+ G(*#
H*%+2* %* F !!*p*)*+ &*#*(*+ "p"( G(*# p$< "("+/) $*%,
"(!*p* /!!+&
B*-*+ ; C*(*+ *&+* 2*+& !*#% !*( <$(+) *&+* **/ * ./&* p*!*
p"/!$#"#(*+
T"(*p • K%$(#*$% *&+*% *%" 500 #& !$ /+&&*%
• K%$(#*$% *&+*% *%" 600 #& "%*#* 3 -*(
• K"$)$+*$% 6600 #&?-*( p"( $(*% "%*#* 5 -*(
• %/)$+*$% 150 #& !$ /+&&*% p"( $(*%
T!*) $%"- /+/) 8*+* -*#% !*+ #"+2//
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 32/39
ULKUS MOLE
D"@+ P"+2*) +<") &"+*% *)/ !&+ &".*%* )%+) )-* "(/p*/%)/ !"(* +2"( /p/(* KGB ("&$+*%p"#"+/)*+ /$ 2& !"*)*+ $%"- H*"#$p-2%/!/=("2
Ep!"#$%$& B*+2*) !"#/)*+ ! A* A<()*, "(/*#* +"&*(*
"()"#*+&P*$@$%$& - D/%*()*+ =( %&& #"%*%/ -/ ")/*% P("!%") p!
&"+*%, .*(, #/%/ !*!*- H !/=("2 #*/) #"%*%/ *(* "p!"(#*% )/%
**+2* ""%*- "(-//+&*+ ") p*p/%*"(2-"#*$/ F +2"( ""%*- 4 -*( %" "(/*-
#"+.*! p//%* p"=*- #"#"+/) /%)/ 2& )-*
T*+!* &".*%* - P(* /%)/ !!*"(*- p("p//#, &%*+ p"+, **+&p"+, <("+/%/# *+/
- '*+* /%)/ ! /%*, )%$(, "() *+/- E)(*&"+*% %!*-, (, .*( *+&*+, p*2/!*(*,
/#%)/ )$+./+&*S<* )-* /%)/; #/%p"%, %/+*), +2"( ")*+, !**(+2*S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 33/39
K%*@)* - G*+ =-*+=($!- T(*+"+ =-*+=($!- U%)/ #$%" "(p&+$/#- U%)/ #$%" &*+&("+$/#- U%)/ #$%" <$%)/%*(- U%)/ #$%" p*p/%*(
D*&+$ - A+*#+"*- P"#"()**+ @)- L* &(*#, )/%/(- S"($%$& $R""+"(+*, ELISA
DD - H"(p" &"+*%
- S@% *!/# I- L#<$&(*+/%$#* "+"(/#- G(*+/%$#* +&/+*%
S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 34/39
T**%*)*+* - S"#)* A($#+ 1 & $(*% !$
/+&&*% C"<(*$+ 650 #& IM !$
/+&&*%= Sp($$)*+ 6500 #& $(*% 3-*(
! E(($#+ 4500 -*(" E(($#+ 3300 -*(< A#$)%+ F **# )%*/%*+*
3165 -*(& S("p$#+ 1 &? -*( 10 -*(- K$#+* ="<(*$+
*($#+ p! p"+!"(* HIV L$)*%* K$#p(" !&+ %*(/*+ +$(#*%
*%+ N*C% 0,9 6 "-*("%*#* 15 #"+ Ap(* *" (*+)/*+
/+/) /$ 5=#? %"- !&+/)/* !"+&*-+2*
K$#p%)* #$? p*(*@#$, @"% /("(*,@"% (")$* +*S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 35/39
35
Ulk(s mole
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 36/39
L#<$&(*+/%$#* V"+"("/#
• ,imfogranuloma venereum ; +<") #"+/%*("/*% 2*+& #"+&"+* "# *%/(*+ p"#/%/-%#<" !*+ )"%"+.*( %#<", "(/*#* !*"(*- &"+*%,+&/+*%, *+/ !*+ (")/#
• E$%$& ; Chlamydia trachomatis
• G*#*(*+ )%+ – S*!/# !+
• L" p(#"( &"+*%
•
S+!($# +&/+*% – S*!/# %*+./
• S+!($# *+$(")*%
• E%"<*+* &"+*%
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 37/39
L" p(#"( &"+*% ; "($ ? /%)/ !*+&)*%
P*!* p(* ; !/%)/ )$($+*(/, <("+/%/#, p("p//#, p"+, /("(* !*+
)($/#
P*!* 8*+* ; !+!+& p$"($( *&+*, p$($# *&*+ p$"($(
%#<*+& ! *&*+ !$(*% p"+
S+!($# +&/+*%
D"#*#, #"+&&&%, +*/"*, *+$(")*, "(+& *) )"p*%*
P*!* 8*+* ; +2"( p+&&*+& *8*- %"- "(+& )(+ "()"+* )"%"+.*(
%#<" p"((")*% G"($-*, p($) !*+ p"(p($) "p"( +2"( *!$#"+
!*+ +2"( ** !"<")* !*+ !*("
K"%"+.*( +&/+*% #"#"*(, +2"( !*+ "(** p*!*
P"#"*(*+ )"%"+.*( !** !*+ *8*- %&*#"+/# +&/+*% p$/p*(
"("+/) ="%*- ; sign of groove !Greenbaltt-s sign"
P"#"*(*+ )"%"+.*( <"#$(*%, +&/+*% /p"(@=*% !*+ p($</+!/
#"+2"*)*+ "+/) "p"( *+&&* ; ettage bubo
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 38/39
• Kom!likasi
– S+!($# *+$(")*%
– S+!($# &"+*% !Eschiomene"
• Diagnosis
– G*#*(*+ )%+
– T" GPR
– P"+&"=**+ G"#* !( p/ /$ ; #"+"#/)*+ *!*+ +)%/ Chlamydia
2*+& )-*
– T" (" !*+ "($%$&
– K/%/( .*(+&*+
• Penatalaksanaan
– K"#$"(*p
– P"#"!*-*+
• E%"<*+* %** ; /%")$# %$)*% ? %*")$#
• S+!($# *+$(")*% ; +!*)*+ !%** !&+ $/&" "(-!p ()/(* (") )*
$(/) $*% ; )$%$$#
• A" p"(*+*% !*+ p"((")*% ; !(*+*"
• Op"(* p%*) /+/) "%"<*+* p"+ !*+ =($/#
i % l
8/19/2019 Pemicu uro
http://slidepdf.com/reader/full/pemicu-uro 39/39
39
Lim%ogran(loma&enere(m
Recommended