Post on 13-Apr-2018
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PLENO THT
RADANG TONSIL
KELOMPOK 4
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Nama Kelompok
Nabila Malawat (20!"#!00$%
Ama&'a ) R*malat* (20!"#!00%
M*+amma' Pa&,e- Sot.a (20!"#!02%
A,t/ Dwi&i&,i+ (20!"#!022% Natalia ) Tetelepta (20!"#!0##%
L*,e, S) Ha-/a&to (20!"#!0#4%
G-i,el'a Toma,ila (20!"#!042%
1e&,ka So*me-* (20!"#!04#%
Dei Ha-ia&to 3'iata (200$!"#!042%
Lebe-i&a T*&.a&a& (200$!"#!044%
Milka M) Ta& (200$!"#!04%
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SKENARIO
5awa& 2" ta+*& 'ata& ke polikli&ik THT'e&a& kel*+a& o'i&o6ai /a& tela+ 'ialami
,elama 4 +a-i) Ge.ala i&i 'i,e-tai 'emam 'a&ba* m*l*t) Me&*-*t wawa& e.ala i&i .*ape-&a+ 'i-a,aka&&/a bebe-apa kali 'alamk*-*& wakt* ,eta+*& te-ak+i- i&i) Pa'a
peme-ik,aa& 6a-i&o,kopi tampak to&,ilmembe,a- melewati a-7*, po,te-io- tetapibel*m me&7apai li&ea me'ia&a8 pe-m*kaa&be-be&.ol a'a 'et-it*,)
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STEP
Identifkasi Kata Sulit : O'i&o6aia 9
N/e-i pa'a ,aat me&ela& maka&a& ata* mi&*ma&
Det-it*, 9 :a+a& pa-tik*la- /a& 'i+a,ilka& ata* te-,i,a
,etela+ 'i,i&te-a,i pa'a ,*b,ta&,i .a-i&a&
Pe&*mp*la& ba+a& ; ba+a& le*ko,it ata* bakte-i
/a& tela+ matai ata* ,el ; ,el /a& ,*'a+ mati
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Ne
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STEP 2
Identifkasi Masalah/Pertanyaan :
) A&atomi 'a-i to&,il =
2) A&am&e,i, lebi+ la&.*t *&t*k pa,ie& te-,eb*t =
#) Pe&/ebab /a& me&/ebabka& kel*+a& /a& 'ialami =
4) H*b*&a& o'i&o6aia 'e&a& pe-m*kaa& /a& be-be&.ol 'a&a'a&/a 'et-it*, =
>) :aaima&a meka&i,me te-.a'i&/a 'et-it*,8 'emam8 'a& ba*m*l*t =
?) Dia&o,i, apa ,a.a /a& 'apat 'iambil =
) :aaima&a 7a-a me&'ia&o,i, 'a& me&e&t*ka& 'e-a.atpembe,a-a& to&,il =
") :aaima&a pe&atalak,a&aa& /a& 'ilak*ka& pa'a pa,ie&te-,eb*t =
$) Komplika,i /a& 'apat te-.a'i pa'a ka,*, i&i =
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STEP #Jawaban Pertanyaan Step 2 :
) A&atomi to&,il 9
To&,il te-bai me&.a'i tia baia&8 /ait* 9 To&,il Palati&a 9 ,*at* ma,,a .a-i&a& lim6oi' /a&
te-letak 'i 'alam 6o,a to&,il pa'a ke'*a ,*'*to-o6a-i& @ 'ibata,i ole+ pila- a&te-io- (ototpalatolo,*,% @ pila- po,te-io- (otot palato6a-i&e*,%)
To&,il 1a-i&eal (A'e&oi'% 9 ma,a lim6oi' /a& be-lob*,@ te-'i-i 'a-i .a-i&a& lim6oi' /a& ,ama 'e&a& /a&
te-'apat pa'a to&,il) Lob*,,eme& te-,eb*t te-,*,*&te-at*- ,epe-ti ,*at* ,eme& te-pi,a+ 'a-i ,eb*a+7e-*k 'e&a& 7ela+ ata* ka&to& 'ia&ta-a&/a)
To&,il Li&*al 9 te-letak 'i 'a,a- li'a+ @ 'ibai me&.a'i'*a ole+ liame&t*m lo,oepilotika)
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Ne
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Ne
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Ne
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Ne) Meka&i,me te-.a'i&/a 'et-it*,8 'emam8'a& ba* m*l*t 9 Pa'a ,aat te-.a'i to&,iliti, a'a&/a i<-a,i
lim6o,it PMN /a& &a&ti&/a be&t*k 'et-it*,)Det-it*, me-*paka& k*mp*la& lim6o,it8 epitel/a& te-lepa, 'a& bakte-i ; bakte-i mati /a&memb*at pa,ie& te-,eb*t ba* m*l*t)
Se'a&ka& *&t*k 'emam&/a me&/ebabka&-e,po&, t*b*+ te-+a'ap i&6ek,i /a& te-.a'i,e+i&a im*&ita, t*b*+ me&*-*&)
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Ne
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Ne
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Ne
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Ne
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STEP 4
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STEP >LO
) A&atomi to&,il
2) Pembaia& 'e-a.at pembe,a-a& to&,il
#) Pe-be'aa& 'ia&o,i, 'i6e-e&,ial (to&,iliti,ak*tto&,iliti, bakte-ial8 to&,iliti, k-o&ik8a'e&oto&,iliti,8 6a-i&iti,%
4) Peme-ik,aa& ,ik pa'a 6a-i&
>) Komplika,i /a& te-.a'i
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STEP ?
Belajar Mandiri !!!
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STEP
asil Belajar Mandiri
Jawaban "earnin# $bjecti%e
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) A&atomi To&,il
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2) Pembaia& De-a.at To&,il
T09 To&,il ,*'a+ 'ia&kat (bila
,*'a+ 'iope-a,i%
T9 To&,il ma,i+ 'i 'alam
6o,,a to&,ila-T29 To&,il ,*'a+ melewati
pila- po,te-io- bel*mmelewati a-i, pa-a me'ia&
T#9 To&,il melewati a-i,
pa-ame'ia& bel*m lewat a-i,me'ia& (pe-te&a+a& **la%
T49 To&,il melewati a-i,
me'ia&8 bia,a&/a pa'a t*mo-
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#) Pe-be'aa& DiFe-e&tial Dia&o,ti7
To&,iliti, ak*t
To&,iliti, bakte-ial
To&,iliti, k-o&ik
To&,iliti, 'ipte-i
1a-i&iti,
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P&'B&())* ((
DD Etioloi Ge.) kli&i, peme-ik,aa&
te-api
) To&,iliti,bakte-ial St-epto7o77*, +emolitik-Demam-N/e-i me&ela&-N/e-ite&o-ok-Ra,a le,*-Otalia
-Tampakto&,ilmembe&kak-Hipe-emi,-Det-it*,
:&t*k6olikel
-A&tibiotik,p-ekt-*m
l*a,pe&i,ili&8e-it-omi,i&-A&tipitetik-Obat k*m*-
2) To&,iliti,k-o&ik
Sama'e&a&pe&/ebabto&,iliti, ak*t
-Na6a, be-ba*-Ra,ake-i&te&o-oka&
-To&,ilmembe,a--K-ipt*,meleba-
Te-api lokalp' +iie&em*l*t obatk*m*-
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Ne
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+, Pe-eriksaan .isis
Menekan lidah dengan spatulalidah
Memi&ta pa,ie& memb*kam*l*t&/a ,eleba- m*&ki&
Me&.*l*-ka& li'a+&/a
Peme-ik,a memea& ,pat*la'e&a& ta&a& ka&a& 'a&,*mbe- 7a+a/a 'i ta&a& ki-i
Spat*la 'iletakka& pa'a,epe-tia te&a+ li'a+
Li'a+ 'iteka& 'a& 'ibawa ke'epa&
A'aka+ ka&'i'ia,i,=
I*SP&KSI .)'I*
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I*SP&KSI 0$*SI"
Pe-ik,ala+ *k*-a& to&,il
Pembe,a-a& to&,il i&6ek,i ata* t*mo-
Apaka+ a'a memb-a& 'i ata, to&,il (be-kaita& 'e&a&
to&,iliti, ak*t8 i&6ek,i mo&o&*kleo,i, ata* 'i6te-i)
I&te-pe-eta,i p' ka,*, 9T2T2 +ipe-emi8 be-be&.ol!be&.ol8pe-m*kaa& ti'ak -ata
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INSPEKSI DINDING POSTERIOR 1ARING
o Apaka+ a'a pe&el*a-a&,ek-et8 ma,,a8 *l,e-a,i =
o Mi&ta pa,ie& me&ataka&aa+++J *&t*k me&amati
elea,i palat*m molle)
Li'a+ 9 Amati e-aka&&/a 'a&apaka+ a'a ma,,a t*mo-8ata* a'aka+ be-,elap*t
Palpa,i -o&a m*l*t'ipe-l*ka& bila a'a ma,,at*mo-8 ki,ta 'a& lai&!lai&)
Palpa,i kele&.a- li*- ma/o-(pa-oti, 'a& ma&'ib*la%
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>) Komplika,i Pa'a a&ak ,e-i&me&imb*lka& komplika,i 9
Otiti, me'ia ak*t
Si&*,iti,
Ab,e, pe-ito&,il (Quincythroat%
Ab,e, pa-a6a-i&
:-o&7+iti, Glome-*lo&ep+-iti, ak*t
Mioka-'iti,
A-t-iti,
Septi7emia akibat i&6ek,i)**la-i, I&te-&a(,i&'-om Lemie--e%
Akibat +ipe-t-o to&,il aka& me&/ebabka& 9
:e-&apa, melal*im*l*t
Ti'*- me&'e&k*-
Ga&*a& ti'*-ka-e&a te-.a'i&/asleep apneaata*Obstructive Sleep
Apnea Syndrome
(OSAS%)
To&,iliti, Ak*t
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Ne
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