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8/17/2019 LAPSUS - Acute Appendicitis
1/23
ACUTEAPPENDICITIS
SURYANINGTYASPRABOWO
8/17/2019 LAPSUS - Acute Appendicitis
2/23
Identifkasi• Nama : Ny. F
• Jenis Kelamin : Perem!an
• Usia : "# $a%!n• Ke&an'saan : In()nesia
• A'ama : Islam
• Pe*er+aan : I&! R!ma% Tan''a• Alama$ :
• Tan''al Peri*sa :
8/17/2019 LAPSUS - Acute Appendicitis
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Anamnesis
• Kel!%an U$ama : Nyeri er!$ *anan &a,a%
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Ri,aya$ Per+alanan Penya*i$• Nyeri er!$ *anan &a,a% se+a* - %ari yan' lal!.
• A,alnya nyeri (irasa*an (i !l! %a$i lal! &erin(a% *e
er!$ *anan &a,a%. Nyeri $erasa sema*in %e&a$ se+a* %ari ini.
• Demam a(a se+a* " %ari yan' lal!/ $i(a* $in''i/ $i(a*men''i'il/ $i(a* $er!s mener!s/ (an $i(a* &er*erin'a$.
• Na0s! ma*an &er*!ran' semen+a* sa*i$.• 1!al $i(a* a(a/ m!n$a% $i(a* a(a.
• Ri,aya$ sa*i$ maa' $i(a* a(a.
• BAB $i(a* a(a se+a* - %ari yan' lal!.
• BAK $i(a* a(a *elainan.
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• Ri,aya$ Penya*i$ Da%!l!:
Ri,aya$ enya*i$ (en'an *el!%an yan' sama(isan'*al.
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Pemeriksaan Fisik
• Kea(aan !m!m : $ama* sa*i$ se(an'• Kesa(aran : C1
• Te*anan Dara% : 23#2 mm4'
•Na(i : 5563meni$
• Fre*!ensi Na0as : -- 63 meni$
• S!%! : "5/2 C
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Status Lokalis•Keala : K)n+!n'$i7a al&e&ra !8a$ 939/S*lera i*$eri* 939
•P!il : Is)*)r/ ree*s 8a%aya ;3;
•
8/17/2019 LAPSUS - Acute Appendicitis
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Status Lokalis
Re'i) A&()men
• Inse*si : Da$ar
• Palasi : a(a $i$i*18.B!rney/ nyeri leas =;>
• Per*!si : Tymani
• A!s*!l$asi : Bisin' Us!s =;> 3 N)rmal
8/17/2019 LAPSUS - Acute Appendicitis
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Pemeriksaan Penunjang
Pemeri*saan (ara% r!$in> :
• 4em)'l)&in : "/" 'r3(l
• 4ema$)*ri$ : "5 7)l?
•
8/17/2019 LAPSUS - Acute Appendicitis
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Pemeriksaan Penunjang
• Urinalisa 9 sel ei$el : =;>
9 le!*)si$ : =;>
9 eri$r)si$ : =;>
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Alvarado Score
- Manifestations Value
Symptoms Migration of pain 1
Anorexia -
Nausea/vomiting 1Signs Right Lower Quadrant
Tenderness2
Reound pain 1
!"evated temperature 1
Lab Values Leu#o$%tosis 2
Left &hift -
T'TAL (')NT& 1*
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In$erre$asi Al7ara() S8)re
• : P)ssi&le• # 5 : Pr)&a&le• @ 2 : ery Pr)&a&le
•Pa(a *as!s/ Al7ara() s8)re : 5=Pr)&a&le Aen(isi$is>
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Diagnosis Banding
• Aen(isi$is A*!$
• Pel7i8 Inamma$)ry Disease
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Diagnosis Kerja
• Aen(isi$is A*!$
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Penatalaksanaan
• R!+!* RSA<
• Pr) Aen(i*$)mi
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Follow Up
Selesai (ila*!*an aen(e8$)my emer'en8y (alam
sinal anes$esi $an''al # 1are$ -2. An+!ran )s$) s&&:
•Imm)&ilisasi•Semen$ara !asa
•A,asi S• Ji*a BU=;> &)le% min!m•Ra,a$ &an'sal *elas .-
8/17/2019 LAPSUS - Acute Appendicitis
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erapi :
•IFD NaCl 2/@ ? -5 '$$3i
•In+ Ce0)$a6ime -6 'r I
•In+. Rani$i(in -6 am I•In+. Ke$)r)la8 -6 am (ri
8/17/2019 LAPSUS - Acute Appendicitis
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Follow up! anggal "
#aret $%&' ()ari*awatan I+
8/17/2019 LAPSUS - Acute Appendicitis
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Follow up! anggal &%
#aret $%&' ()ari*awatan III+ ,
8/17/2019 LAPSUS - Acute Appendicitis
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Follow up! anggal &%
#aret $%&' ()ari*awatan III+ ,
8/17/2019 LAPSUS - Acute Appendicitis
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-dukasi ,
•Kea(a asien (an *el!ar'anya (i+elas*an enye&a&$im&!lnya enya*i$ yan' (i(eri$anya (an men+elas*an$in(a*an yan' se%ar!snya (iam&il +i*a an'')$a *el!ar'ayan' lain men'alami 'e+ala9'e+ala a,al aen(isi$is a*!$.
Kontrol ,
• Ti'a %ari se$ela% !lan' (ari r!ma% sa*i$ (i )li &e(a%RSA
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Prognosis
•!) a( 7i$am : &)nam
•!) a( 0!n8$i)nam : &)nam
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TERI1A KASI4
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