Blok 16 Dispepsia

7/24/2019 Blok 16 Dispepsia

1/19

DISPEPSIA TIPE REFLUKS

SINGGIH ARTO - 102012005

KELLY - 102012078


2/19

Rumusan Masaa!

N" T 50 #a!un m$n%$u! &'a ma(an)$*a# ($n"an%+ &$%a! ,an n"$' uu

!a#' (a,an% ($m&un% s$.a( / &uanau


3/19

Analisis Masalah

RM

Anamn$s'sP$m$'(saa

n

('n%D'a%ns's

D'3$$n#'aD'a%ns's

E#'%'

E*',$m'%'

Pa#4s'%'

G$.aa

K'n'(

P$na#aa(sanaan

P%ns's


4/19

H'*#$s's

N" T 50 #a!un ,',u%a m$n,$'#a,'s*$*s'a #'*$ $u(s


5/19

ANAMNESIS

1 I,$n#'#as *as'$n

2 K$u!an u#ama

6 R'a"a# *$n"a('# s$(aan%

/ R'a"a# #$,a!uu

5 R'a"a# ($s$!a#an ($ua%a

M$nan"a(an 'a"a# m'num &a#7 M$nan"a(an a*a(a! a,a #an,a ,an%$.aa 9aam:;*$'n%a#an


6/19

KELUHAN PASIENKELUHAN YANG DIRASAKAN PASIEN

R$%u#as' ,$n%an %$.aa a,an"a *$asaan asam ,'muu#

=$*a# ($n"an%

>$%a! ,an n"$' uu! !a#'

Rasa ($m&un%


7/19

PEMERIKSAAN FISIK

INSPEKSI

ASKULTASI

PALPASI PERKUSI


8/19

PEMERIKSAAN PENUN?ANG

1 P$m$'(saan a&a#'um

2. Barium enema

3. Endoskopi/ Ra,'%'


9/19

DIAGNOSIS KER?A

DISPEPSIA TIPE REFLUKSKELUHAN YANG DIRASAKAN PASIEN

Rasa #$&a(a *a,a $*'%as#'um+ ,a,a

R$%u#as' ,$n%an %$.aa a,an"a *$asaan asam ,'muu#

=$*a# ($n"an%

>$%a! ,an n"$' uu! !a#'

Rasa ($m&un%

D's*$*s'a #'*$ $u(s &'asan"a #$&u(#' s$)aa $n,s(*' a#au

mn'# PH am&ua#a


10/19

DIAGNOSIS >ANDING1. GERD ( Gastro esophageal re!"

#isease $ G$.aa 1 n"$'-#',a( $na( ,'$*'%as#'umB$#s#$n'a &aa!

2 H$a#&un6 R$%u%'#as'

/ D'sCa%'a5 O,'nCa%'a Mua- asa *a!'#

,'',a!7 G$.aa $(s#a$sCa%$a

1 ANAMNESIS2 PF Nma6 PP$n,s(*' S=>A

=a' %am&a Ca(# *$m&$a# ((+

($!am'an+ ,'a&$#+ &$s


11/19

2. Non Erosive Refux Disease

#an*a a,an"a $s'mu(sa

$s*!a%us+

*$a,an%anm'(s(*'s+

!'*$s$ns'#''#as's$a+ ,an

(n#a(s' $sCa%us

&$($an.u#an

1 ANAMNESIS2 PF Nma-n"$'6 PP$n,s(*' S=>A

PENGO>ATANL'n' 1 A#as',a

L'n' 2 H2 &)($L'n' 6 PPI


12/19

%. Dispepsia &!ngsional

1 D's*$*s'a #'*$ u(us. 2 D's*$*s'a #'*$ ,'sm#''#as

. 6 D's*$*s'a nn s*$s'4(

P$m&a%'an Rm$ III

1 Postprandial Distress Syndrome;PDS

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