Hischsprung Disease

8/18/2019 Hischsprung Disease

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HISCHSPRUNG DISEASE

Disusun Oleh:

Rusman Hadi Rachman (2009-!-00"

#e$in %&'& N)a (2009-!-0!*"

+e,eina .un/anan (2009-!-0"

1aia 1& Ohiiin(2009-!-0*"

PE14I14ING RESIDEN d& Ul5aa6)

SUPER7ISORd& +u6h8) A66amimiS&Rad

DIBAWAKAN DALAM RANGKA TUGAS KEPANITERAANKLINIK

PADA BAGIAN RADIOLOGI FAKULTAS KEDOKTERAN

UNIVERSITAS HASANUDDINMAKASSAR


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#ASUS


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Iden6i6as Pasien

• Nama : 4)& D A

• Umu : 0 6ahun ;; hai

• %enis #elamin : Peemuan

• Pe


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ANA1NESIS

(Dila


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• R"#a$a Pen$a%" Dahulu ( )

•

R"#a$a Pen$a%" Kelua&'a ( -• R"#a$a Pen'*+aan ,e+elu! -"%a,u,%an ( )


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Pemei


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• #uli6 : siansis (-"

• #eala :

– 1a6a :

•

#n/un=6i$a : anemis(--"

• S


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• A,dmen

- Inse


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Pemei


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• Daah#imia

Hasil +ni& Nilai Rujukan

+rum 29 m!/"- 13,41','

ra&inin 1,4 m!/"- 0,8 – 1,4

Na&rium 153 m 134150

alium 3,9 m 3,6 – 5,8

l$ri"a 113 m 94 – 112


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Pemei


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• Hasil emei


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• Hasil Pemei


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• '6 ls a,dmen 2 /am


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• Hasil Pemei


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Dia=nsis:

Hischsun= Disease


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.ERAPI

• I7'D D* 206m

• Pasan= OG.

• Pasan= * m=;2 /ami$

• In/ ani6idine ;! am ;2 /ami$

• Raa6 NICU


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PENDAHU+UAN

• Pe6ama


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De5nisi

• Pen)a


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Pesaa8an Usus 4esa S",e! ,a&a/**n*!

Se&a+u.a&a,"!.a",+e&alan !elalu",a&a/ a'u, %e+a'"an en'ah

*l*n&an,e&,u!3 -an,a&a/ .el"%u,$an' +e&a,al -a&"

-ae&ah ,a&al!en,u.la" +a'"an-",al


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• sea,u6 s/a=h8=h8

Se&a+u ,"!.a",!en"n''al%an!e-ulla ,."nal",

!elalu" ,a&a/,.an'n"%u, unu%!ena.a" %*l*n

S",e! ,a&a/ **n*!

"n,&"n,"% .a-a u,u, 4.le%,u,(15 Ple%,u, Aue&+ah (

e&lea% -"ana&a la.",an** ,"&%ule& -anl*n'"u-"nal

25 Ple%,u, Henle ( e&lea%-",e.anan' +aa, -ala!** ,"&%ule&

45 Ple%,u, Me",,ne& (e&lea% -" ,u+)!u%*,a5

Pa-a .en-e&"a .en$a%"H"&,h,.&un'3 "-a%


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Insidensi

• ;:*000


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E6il=i

Pen)a


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Pa6=enesis

• Hi=an=linsis

• Ima6ui6as sel =an=lin

• #eusa


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.ie Hiscshun= Disease

Ul&a ,h*&,e'!en(

Gan=lin 6ida< ada

ada ,a=ian )an=san=a6


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Ge/ala #linis

Pada nena6us 6ias =e/ala


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Dia=nsis

Anamnesis dan emei


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Dila6asi cln


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Lna 6ansisi #n6a


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.ie I : Seluuh daeahe


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1enen6u


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B"*.,"

Nilai edi


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RESU1E #+INIS


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4).e&e!.uan31

1 ha&"

Suli6 4A4 RS

• '6 Pls A,dmen : Usus 6edis6i,usi samai


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• '6 Cln in +

6ama<


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• .ie en)a


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DIAGNOSIS 4ANDING


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S6ensis Ani

• #eadaan dimana 6e/adi en)emi6anlumen di daeah ec6um

•

Pen)e,a,: hemide


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Gam,aan adil=i<4aium enema =am,aancln ec6si=midmen)emi6 dise6ai dila6asi,a=ian


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Ileus 1e


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1ecnium Plu= S)ndme

• Dise,u6


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Gam,aan adil=i

Ta!."lan lae&al ene!a %*n&a,.a-a +a$" +au lah"& !enunu%%anu,u, .&*%,"!al $an' n*&!al h"n''a!en'e"l 7%*,*n'8 .a-a *l*n

-",al -an -"laa," u,u, .&*%,"!al+e&"," !ul".le .lu'

Pan-an'an /&*nal ,u."ne.e&u .a-a +a$" +a&u lah"&!enunu%%an +e+e&a.al**. -"laa," u,u, ea."

"-a% a-a 'a, &eu!


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.han< u

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Hischsprung Disease