p 3a abses hati amuba.ppt
TRANSCRIPT
![Page 1: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/1.jpg)
Abses Hati Amuba(LK-3A)
Rendri Bayu Hansah
Modul Ilmu Penyakit DalamFakultas Kedokteran Universitas
BaiturrahmahPadang
1
![Page 2: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/2.jpg)
Abses hati Rongga patologis berisi
jaringan nekrotik yg timbul dalam jaringan hati akibat infeksi amuba atau bakteri
2
![Page 3: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/3.jpg)
3
![Page 4: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/4.jpg)
Klasifikasi1. Abses hati amuba2. Abses hati piogenik3. Abses hati campuran
4
![Page 5: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/5.jpg)
• Komplikasi amubiasis ekstraintestinal paling sering
5
![Page 6: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/6.jpg)
6
![Page 7: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/7.jpg)
EtiologiEntamoeba histolitika
7
![Page 8: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/8.jpg)
Patogenesis- lewat vena porta- obstruksi bilier
8
![Page 9: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/9.jpg)
9
![Page 10: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/10.jpg)
• Diagnosis• Anamnesis– Nyeri perut kanan atas– Demam – Malaise– Mual, muntah– Kadang disertai nyeri pleura– Ada riwayat diare berlendir beberapa bulan
atau beberapa tahun yang lalu
10
![Page 11: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/11.jpg)
Penderita cenderung membungkuk atau menahan gerakan hipokondrium kanan
11
![Page 12: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/12.jpg)
12
![Page 13: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/13.jpg)
13
![Page 14: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/14.jpg)
14
![Page 15: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/15.jpg)
Pemeriksaan Fisik Hepatomegali yg nyeri tekan Ikterus
15
![Page 16: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/16.jpg)
16
![Page 17: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/17.jpg)
Laboratorium Leukositosis LED meningkat Peningkatan SGOT, SGPT, bilirubin
17
![Page 18: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/18.jpg)
Pemeriksaan Penunjang USG abdomen (80-90%)
rongga dalam hati
CT scan abdomen (95-100%)
Kultur pus baku emas
18
![Page 19: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/19.jpg)
19
![Page 20: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/20.jpg)
20
![Page 21: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/21.jpg)
CT scan abdomen abses hati
21
![Page 22: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/22.jpg)
22
![Page 23: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/23.jpg)
23
![Page 24: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/24.jpg)
Terapi
Tirah baring Diet tinggi kalori tinggi protein
(TKTP) Metronidazol, 3-4 x 500-750 mg/hari,
5-10 hari
24
![Page 25: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/25.jpg)
Terapi Drainase cairan abses
a. Gagal dg terapi konservatifb. Abses > 5 cm
25
![Page 26: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/26.jpg)
26
![Page 27: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/27.jpg)
Diagnosis banding Hepatoma Kista hepar Kolesistitis TB hepar Actinomicosis hati
27
![Page 28: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/28.jpg)
Komplikasi Ruptur abses ke pleura,
perikardium, paru Sepsis
28
![Page 29: P 3a Abses hati amuba.ppt](https://reader034.vdocuments.pub/reader034/viewer/2022050803/577c81201a28abe054ab96dd/html5/thumbnails/29.jpg)
Prognosis
Bonam Ruptur abses
mortalitas 40-50%
29