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P 5 K 2 P 5 K 2 P P ENYEGARAN ENYEGARAN P P ENGETAHUAN ENGETAHUAN TENTANG TENTANG P P ERAWATAN DAN ERAWATAN DAN P P ENATALAKSANAAN ENATALAKSANAAN P P ENYAKIT ENYAKIT K K ULIT DAN ULIT DAN K K ELAMIN ELAMIN OLEH OLEH Dr. H. Sofwan ,SR, Sp.KK Dr. H. Sofwan ,SR, Sp.KK

P 5 K 2

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  • P 5 K 2

    PENYEGARAN PENGETAHUAN

    TENTANG

    PERAWATAN DAN PENATALAKSANAAN

    PENYAKIT KULIT DAN KELAMIN

    OLEH

    Dr. H. Sofwan ,SR, Sp.KK

  • DIAGNOSIS PENYAKIT KULIT

    IDENTIFIKASIANAMNESISPEMERIKSAANDIAGNOSIS BANDINGDIAGNOSISPENGOBATAN/PENATALAKSANAANFOLLOW UP ( PEMERIKSAAN LANJUTAN )

  • PEMERIKSAAN

    UMUM :

    VITAL SIGN

    STATUS INTERNUS

    KHUSUS :

    - STATUS DERMATOLOGIKUS

    `- STATUS VENEREOLOGIKUS

    - STATUS DERMATO-VENEREOLOGIKUS

  • LOKALISASI (REGIO) LESIUKK (UJUD KELAINAN KULIT) = RUAM KULIT = EFLORESENSI

    PRIMER

    SEKUNDER

    PEMBENGKAKAN KELENJARDUH TUBUH
  • LAIN-LAIN :

    UJI / TES KULIT

    IMUNOFLUORESENS

    TES SENSITIVITAS

    PEMERIKSAAN RONTGEN

    PEMERIKSAAN LABORATORIK

  • UKK PRIMER

    MAKULAPAPULA NODULA TUMORVESIKULABULLA HIPOPION

    BULLA PURULEN

    BULLA HEMORAGIK

    SCRATCH MARK ( BEKAS GARUKAN )

  • UKK SEKUNDER

    EROSIEKSKORIASIKRUSTAFISURASKUAMALIKENIFIKASIRHAGADENEKSFOLIASIULKUS

  • UJI ( TEST ) KULIT

    TEST TEMPELTEST PRICKTES INTRAKUTANTEST PROVOKASI ORAL

  • PENATALAKSANAAN

    UMUM :

    PERBAIKAN GIZI

    T.C.I.V / TRANSFUSI

    ROBORANSIA / VITAMIN

    KHUSUS :

    - SISTEMIK

    MEDIKAMENTOSA

    `- TOPIKAL /LOKAL

    (SESUAI KONDISI LESI)

  • TINDAKAN PADA KELAINAN KULIT

    SUNTIKAN

    TES KULIT

    INTRA LESI

    INTRA MUSKULAR

    INTRA VENA

    BEDAH KULIT

    BEDAH KIMIA

    BEDAH LISTRIK

    BEDAH BEKU

    BEDAH SKALPEL

    BEDAH LASER

  • PRINSIP PENGOBATAN TOPIKAL

    BASAH >< BASAHKERING >< KERINGLEPUH >< BEDAKMAKIN AKUT MAKIN LEMAH BAHAN AKTIF YANG DIPAKAI

    VEHIKULUM = PEMBAWA BAHAN AKTIF SUATU OBAT

  • BAGAN VEHIKULUM

    CAIRAN

    BEDAK KOCOK

    BEDAK

    KRIM

    PASTA

    PENDINGIN

    PASTA

    BERLEMAK

    SALEP

  • CAIRAN

    SOLUSIO

    TINGTUR

    PELARUTNYA

    AIR

    ALKOHOL

    ETER

    KLOROFORM

    UNTUK

    MENGOMPRES

  • KOMPRES

    TERBUKA

    LESI BASAH

    LESI ERITEM + EDEMA

    ULKUS KOTOR

    KRUSTA

    TERTUTUP

    LGV

    SELULITIS

    BISUL

  • CARA KOMPRES TERBUKA

    KASA 3 LAPISJANGAN TERLALU ERATTIDAK PERLU STERIL3-5x / 24 JAM SELAMA LEBIH KURANG - 2 JAM / KALIJANGAN SAMPAI MENETESTIDAK MELEBIHI 1/3 TUBUH

  • LARUTAN KOMPRES

    PK 1/4000 1/8000 1/10000 1/5000RIVANOL 0,1 %AS. BORAT 1-3 %AS. SALISILAT 0,25 -1 %PERAK NITRAT 0,25 0,5 %NaCL 0,9 %

  • CARA KOMPRES TERTUTUP

    KASA 5 LAPISDITUTUP PLASTIKMEMATANGKAN LESIJARANG DILAKUKAN

  • KORTIKOSTEROID TOPIKAL

    KRIMSALEPSOLUTIO

  • KORTIKOSTEROID TOPIKAL

    2 X SEHARI4 6 MINGGU UNTUK YANG POTENSI LEMAH2 MINGGU UNTUK YANG POTENSI KUAT

  • EFEK SAMPING KORTIKOSTEROID

    BILA PEMAKAIAN LAMA / BERLEBIHAN TAKIFILAKSISPENGGUNAAN KORTIKOSTEROID SANGAT KUAT / DENGAN BEBAT

  • EFEK SAMPING KORTIKOSTEROID

    HIPOTROFI KULITSTRIAETELANGIEKTASISPURPURAJERAWATTUMBUH BULU SETEMPATHIPOPIGMENTASIDERMATITIS PERI ORALMUDAH TERINFEKSIPENYEMBUHAN ULKUS LAMBATGAMBARAN LESI KABURHIPOTROFI KELENJAR ADRENAL

  • GOLONGAN ANTISEPTIK

    ALKOHOL 70 %FENOL 1 : 12,5HALOGEN ( YODIUM POVIDON )ZAT PENGOKSIDASI

    PK

    H2 02

    SENYAWA LOGAM BERAT : Ag NO3 0,25 0,5 %ZAT WARNA RIVANOL 1 %

  • TERIMO KASE


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