P 3a Abses Hati Amuba
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Abses Hati Amuba
(LK-3A)
Rendri Bayu Hansah
Modul Ilmu Penyakit DalamFakultas Kedokteran ni!ersitasBaiturrahmah
Padan"
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A$ses hati
Ron""a %atolo"is $erisi &arin"an nekrotik y" tim$uldalam &arin"an hati aki$at
in'eksi amu$a atau $akteri
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Klasikasi
#* A$ses hati amu$a* A$ses hati %io"enik
3* A$ses hati +am%uran
,
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Kom%likasi amu$iasis ekstraintestinal
%alin" serin"
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0tiolo"i
0ntamoe$a histolitika
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Pato"enesis
- le2at !ena %orta- o$struksi $ilier
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• Dia"nosis
• Anamnesis
–
5yeri %erut kanan atas – Demam
– Malaise
– Mual6 muntah
– Kadan" disertai nyeri %leura
– Ada ri2ayat diare $erlendir $e$era%a $ulanatau $e$era%a tahun yan" lalu
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Penderita +enderun" mem$un"kukatau menahan "erakan
hi%okondrium kanan
##
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Pemeriksaan Fisik
He%atome"ali y" nyeri tekan Ikterus
#.
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La$oratorium
Leukositosis
L0D menin"kat Penin"katan 89:;6 89P;6 $iliru$in
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Pemeriksaan Penun&an"
89 a$domen (7-47<)
ron""a dalam hati
=; s+an a$domen (4.-#77<)
Kultur %us $aku emas
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#4
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=; s+an a$domen a$ses hati
#
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;era%i
;irah $arin"
Diet tin""i kalori tin""i %rotein
(;K;P)
Metronida>ol6 3-, ? .77-1.7 m"@hari6
.-#7 hari
,
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;era%i
Drainase +airan a$ses
a* 9a"al d" tera%i konser!ati'
$* A$ses . +m
.
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Dia"nosis $andin"
He%atoma Kista he%ar
Kolesistitis
;B he%ar A+tinomi+osis hati
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Kom%likasi
Ru%tur a$ses ke %leura6%erikardium6 %aru
8e%sis
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Pro"nosis
Bonam Ru%tur a$ses
mortalitas ,7-.7<
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