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7/21/2019 Akut Abdomen Rds
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Acute abdomenAcute abdomenRidwan dwi dr.Sp.B
Kesdam Iskandar Muda
7/21/2019 Akut Abdomen Rds
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DEFINISI :
- SUATU KONDISI DIMANA GEA!AUTAMAN"A ADA!A# N"ERI DI $ERUT"ANG TERADI SE%ARA TIBA TIBA&
-
AKUT.- UNTUK MENGATASIN"A BIASAN"ADI$ER!UKAN TINDAKAN $EMBEDA#AN
7/21/2019 Akut Abdomen Rds
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KETE$ATAN DIAGNOSIS
$ENGETA#UAN TENTANG ANATOMI DANFISIO!OGI
$ENGAMBI!AN KE$UTUSAN TINDAKAN
KETER!AMBATAN MENINGKATKANMORDIBITAS DAN MORTA!ITAS
7/21/2019 Akut Abdomen Rds
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DEFERENSIA! DIAGNOSIS :
ABDOMEN KANAN ATAS :- KO!ESISTITIS AKUT- $ANKREATITIS AKUT
- #E$ATITIS AKUT- ABSES #ATI- $IE!ONEFRITIS AKUT- ANGINA $EKTORIS- #E$ATOMEGA!I AKUT- $ERFORASI TUKAK $E$TIK
7/21/2019 Akut Abdomen Rds
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ABDOMEN KIRI ATAS :
- RU$TUR !IEN- $ERFORASI GASTER- $ANKREATITIS AKUT- RU$TUR ANEURISMA AORTA- $ERFORASI KO!ON- $IE!ONEFRITIS AKUT- M%I
7/21/2019 Akut Abdomen Rds
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ABDOMEN KANAN BA'A# :
- A$$ENDIKSITIS- ADNE(ITIS- ENDOMETRIOSIS- KET- TORSI KISTOMA O)ARII- #ERNIA INKARSERATA- DI)ERTIKU!ITIS- $ERFORASI %OE%UM- ABSES $SOAS- BATU URETER KANAN
7/21/2019 Akut Abdomen Rds
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ABDOMEN KIRI BA'A# :
DI)ERTIKU!ITIS ADNE(ITIS
KET
TORSI KISTOMA O)ARII #ERNIA INKARSERATA
$ERFORASI KO!ON&SIGMOID
ABSES $SOAS
BATU URETER KIRI
7/21/2019 Akut Abdomen Rds
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MA%AM N"ERI :
*.N"ERI )IS%ERA!- RANGSANGAN $ERITONEUM
- DI$ERSARAFI SSO
- $ERITONEUM )IS%ERA! TIDAK SENSITIF TER#ADA$ RABAAN+
SA"ATAN ATAU RADANG.
SENSITIF $ADA TARIKAN+ REGANGAN
KONTRAKSI
7/21/2019 Akut Abdomen Rds
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N"ERI SOMATIK :
- RANGSANGAN $ADA $ERITONEUM, $ARIETA!E DI$ERSARAFI O!E# SARAF
, TE$I
- RASA N"ERI SE$ERTI DITUSUK ATAU DI
- SA"AT $ISAU $asien /isa menun0ukkan
- !1kasi n2eri
7/21/2019 Akut Abdomen Rds
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SIFAT N"ERI :
TERUS MENERUS KO!IK
RANGSANGAN $ERITONEUM $ARIETA!EDA$AT DISEBABKAN O!E# KIMIA'I ATAUBAKTERI INF!AMASI
!OKA! & GENERA!#AMBATAN $ASASE OTOT
7/21/2019 Akut Abdomen Rds
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DATA $ENTING :
*. UMUR3. $OSISI $ASIEN4. RI'A"AT #AID5. OBAT3AN6. $EMERIKSAAN FISIK7. KEADAAN UMUM
7/21/2019 Akut Abdomen Rds
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$EMERIKSAAN ABDOMEN :
*.INS$EKSI3.$A!$ASI4.$ERKUSI
5.AUSKU!TASI6.REKTA! TAU%#ER7.$M( $ENUNANG
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7/21/2019 Akut Abdomen Rds
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RadiologiRadiologi
ABDOMEN 4 $OSISI :O/8i9erasi peri91nea8 a9 8ine dan ps1as
s;ad1w peri91neum edemaAir-i88ed 811p pada usus + den<an
<am/aran pene/a8an dan dindin< 2an<1pa=ue usus edema dan i8eus para8i9ik
Free in9raperi91nea8 air per1rasiUSG+ %T s>an A/d1men+ MRI 9idak
di<unakan se>ara ru9in
7/21/2019 Akut Abdomen Rds
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Perforasi gasterPerforasi gaster
7/21/2019 Akut Abdomen Rds
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LaboratoriumLaboratorium
Dara; ru9in 8ek1si91sisUrin ru9inE8ek9r18i9Ureum dan %rea9ininBGA
7/21/2019 Akut Abdomen Rds
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$ENATA!AKSANAAN :
- ISTIRA#ATKAN SA!.%ERNA- DEKOM$RESI !AMBUNG- $UASA- $EMBERIAN %AIRAN $ARENTERA!
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RujukanRujukan
*. #i2ama T.D+ Benni1n S.R+ $eri91ni9is and in9ra peri91nea8a/>ess in Main<19?s A/d1mina8 1pera9i1n+New erse2+ap8e91n-!an<e: *@@
3. Anders1n R. $eri91ni9is+ Barke8e2+ A.D.A.M in>. 3*4. S>;e>9er $'+ $eri91neum and a>u9e a/d1men in Sur<er2Basi> S>ien>e and %8ini>a8 ECiden>e+ New "1rk+ Sprin<er-)er8a<+ 3*
5. Se92adi K+ $er/andin<an An9ara Sk1r A$A%#E IIden<andan 9anpa $emeriksaan BGA se/a<ai ni8ai $r1<n1s9ik $adaKasus $eri91ni9is Genera8isa9a Skunder+ Semaran<+ FK
UNDI$+ *@@6. Ad;i. M+ A$A%#E II Tanpa Ana8isa Gas Dara; se/a<ai
prediksi M1r9a8i9as Kasus-Kasus $eri91ni9is Genera8isa9a"an< Men<a8ami $em/eda;an di RS Dr. Kariadi Semaran<+Semaran<+ FK UNDI$+ *@@4
7. Fr2. ED+ $eri91ni9is+ New "1rk+ Fu9ura $u/. %1m+ *@@4
