Tonsilitis Refrat Ppt
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TONSILITIS
Preseptor :Dr.Al-Hafiz, Sp.THT-KL
Santy SeptinaFitria RamandaMuhammad Ryan S. A.
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BAB IPENDAHULUAN
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BAB IITINJAUAN PUSTAKA
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TONSILITIS
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klasifikasi
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Tonsilitis akut
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Patofisiologi
Detritus ini merupakan kumpulan lekosit,
bakteri yang mati, dan epitel yang terlepas
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mengisi kripta tonsil dan tampak sebagai bercak kuning
detritus
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Perbedaan strain atau virulensi penyebab tonsilitis dpt menimbulkan variasi dalam fase patologi :
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Gejala dan tanda
• Nyeri menelan anoreksia• Nyeri tenggorokan• Gejala sistemik : demam, nyeri sendi• Pembesaran KGB
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Pemeriksaan fisik
• Pada pemeriksaan tampak tonsil membengkak, hiperemis dan terdapat detritus berbentuk folikel, lakuna, atau tertutup oleh membrane semu.
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tatalaksana
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TONSILITIS MEMBRANOSA
• Radang akut tonsil disertai pembentukan selaput/membran pada permukaan tonsil yang dapat meluas ke sekitarnya.
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KLASIFIKASI
• Tonsilitis difteri• Tonsilitis septik• Angina plaut vincent• Penyakit kelainan darah
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TONSILITIS DIFTERI
etiologi Coryne bacterium diphteriae
Menurun : imunisasi pada anak
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GEJALA KLINIS
Gejala umum
1. Kenaikan suhu2. Nyeri kepala
3. Tidak nafsu makan : penurunan BB
4. Badan lemah, nadi lambat
5. Nyeri menelan
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Gejala lokal
1. Pembengkakan tonsil + detritus
(dapat meluas : palatum mole, uvula, nasofaring, laring,
trakea dan bronkus)2. Pembengkakan KGB pada
kasus lanjut
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Gejala akibat eksotoksin
Kerusakan jaringan tubuh :1.Jantung : miokarditis &
decompensasi cordis2.Saraf kranial : kelumpuhan
otot palatum, otot pernafasan3.Ginjal : albuminuria
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DIAGNOSIS
• Gambaran klinik• Pemeriksaan preparat langsung
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TERAPI
• Anti serum difteri (ADS) dosis 20.000-100.000 unit
• Kortikosteroid 1,2 mg/kgbb/hari• Pasien : isolasi• Antibotika :- Penisilin 25-50 mg/kgbb selama 14 hari- Eritromisin 25-50 mg/kgbb selama 14 hari
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KOMPLIKASI
• Laringitis difteri• Miokarditis• Kelumpuhan nervus kranial• albuminuria
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TONSILITIS SEPTIK
Etiologi Streptokokus hemolitikus
Penyakit ini jarang ditemukan
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ANGINA PLAUT VINCENT
Etilogi Bakteri spirochaetta/triponema
Penderita dengan higiene mulut yang kurang & defisiensi Vit. C
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GEJALA
• Peningkatan suhu tubuh• Malaise dan nyeri persendian• Rasa nyeri di mulut• Hipersalivasi• Gigi dan gusi mudah berdarah
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PEMERIKSAAN
• Mukosa mulut dan faring : hiperemis• Membran putih keabuan di tonsil, uvula,
dinding faring, gusi serta prosesus alveolaris• Mulut berbau (foetor ex ore)• Kelenjar sub mandibula membesar
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TERAPI
• Antibiotika spektrum lebar : 1 minggu• Memperbaiki higiene mulut• Vit. C
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Tonsilitis Kronik
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Patofisiologi
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Gejala dan Tanda
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Tonsilektomi
• tindakan pembedahaan mengangkat tonsil palatina seutuhnya bersama jaringan patologis lainnya, sehingga fossa tonsilaris bersih tanpa meninggalkan trauma yang berarti pada jaringan sekitarnya seperti uvula dan pilar.
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Indikasi Absolut
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Indikasi
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Kontra Indikasi
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TERIMA KASIH…