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8/17/2019 Diagnosis Klinis Rhinosinusitis
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Diagnosis Klinis
Rosmayda Ria J
1413010002
8/17/2019 Diagnosis Klinis Rhinosinusitis
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PENEGAKAN DIAGNOSIS
• R i w a y a t a l e g i ! " # • $ y % o s m i a ! " # • $ a l i t o s i s ! " # • S e i n g m i n & m e s
• S e i n g ' e g a d a n g
Anamnesis
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• ( a n d a ) i t a l • ( D 1 0 0 * + 0 m m $ g
• N , + - * m e n i t • R R 1 + - * m e n i t • S 3 + .
• G e n e a l S & / e y D N • I n s % e s i $ i d & n g
•
A l l e g i 2 s i n e ! " #
• A l l e g i 2 s a l & t e ! 4 # • P a l % a s i
• N ( % a n g a l i d & n g ! " # • N ( % i % i a n a n ! " # i i ! 4 # • N ( d a i ! 4 #
Pemeisaan 5isi
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• ) e s t i ' & l & m m & o s a i % e e m i s
• . a / & m n a s i s e e t % & & l e n
! " # • O ' s t & s i o n g g a d e - t a ! " # • D e / i a s i s e % t & m ! " # • A ' s e s 6 % e 7 o a s i s e % t & m n a s i ! 4 # •
. o n 2 a m e d i a 8 i n 7 e i o
• R & a n g a n i % e e m i s • P e m & a a n l i 2 i n • E d e m a ! " #
• 9 e a t & s n a s i m e d i a s & l i t
d i n i l a i
Rinoso%yAnteio
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DIAGNOSIS K:INIS
Rinosin&sitis 9a-illa De-ta
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DE5INISI
• Rinosin&sitis %eadangan %adasin&s %aanasal yang &m&mnyadisetai ata& diai'atan ole Rinitis
.onsens&s G&ideline in Rinosin&sitis6 2011
;E&o%ean Position Pa%e on Rinosin&sitis and Nasal Poly%s6200, !EPOS#< Rinosin&sitis Initiati/e< itis Soiety 7oAllegy and .linial Imm&nology !SA.I#< .linial PatieG&ideline Ad< Sin&s !.PGA#=
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E(IO:OGI dan PREDISPOSISI
ISPA ai'at /i&s
Rinitis
Poli% id&ng
De/iasi se%t&m nasi
In7esi tonsil
In7esi gigi
Disenesia silia %ada Sindom KatgeneKelainan im&nologi
:ing&ngan 'e%ol&si
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K:ASI5IKASI
Rinosin&sitis A&t
•elangs&ng >12 mingg&
Rinosisn&sitis Koni•elangs&ng ?12 mingg&
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PA(O5ISIO:OGI
Rinitis Alegi
In@amasi
Edema m&osaid&ng dan
sin&s %aanasal
O'st&siosti&m sin&s
Silia %ada%em&aan
m&osategangg&geanya
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Gangg&andainase
sin&s
Pem'esian
m&osilietegangg&
(im'<ans&dasi
9<i%liasi'atei
9ediatoin@amasi
el&a
Kel&a seet%&&len
9enean N )
Nyei
9enigngatan set %oin
Demam
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GEJA:A K:INIS
9aBo
• Seet %&&len• O'st&si nasal• Nyei waBa• $y%osmia*anosmia• Demam• Kongesti waBa
9ino
• Nyei e%ala• Nyei telinga*asa %en& ditelinga• $alitosis•
Nyei gigi• at&• Demam• 5atig&e
Diagnosis 2 ata& le'i iteia maBo< 1 iteia maBo"2iteiamino
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PENEGAKAN DIAGNOSIS
Anamnesis
Pemeisaan 5isi
• (anda )ital• Geneal S&/ey• Rinoso%y anteio• Rinoso%y %osteio• Nasoendoso%y
Pemeisaan Pen&nBang
• 5oto Polos Posisi PA6 lateal dan Cates• .(San• (ansil&minasi• K<& seet
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$ASI: 5O(O PO:OS
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(A(A:AKSANA
9ediamentosa
• Amo-isilin 00 mg a&sati7 • Deongestan %se&doe7edin 1 tetes &nt&
mem'&a s&m'atan• Antiistamin• Kotiosteoid oal• Analgesi
Non mediamentosa
• (indaan o%eati7 SE5• 9engindai %aBanan
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KO9P:IKASI
Kelainan o'ita
• A'ses s&'%eiosteal• A'ses o'ita
• Edema %al%e'a• Sel&litis o'ita
Kelainan intaanial
•
9eningitis• A'ses s&'d&al• A'ses ota• Ene%alitis
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Kelainan %a&
•
onitis oni• onietasis
Osteomielitis dans&'%eiosteal
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(eimaasi
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