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7/21/2019 Praktikum Pa Modul Sp Sense Sem 5
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PRAKTIKUM PA
BLOK SPESIAL SENSE
FK UISU
2015
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NASAL POLYPPolip nasi
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Bernafas lewat
mulut, suarasengau, ganngguan
tidur, penurunankualitas hidup
Hiposmia atau
anosmia. Mungkindisertai bersin-bersin,rasa nyeri pada hidungdisertai sakit kepala di
daerah frontal
Rinore mulaiyang jernihsampai purulen
Hidung rasa
tersumbat dariyang ringan
sampai berat
Diagno
sisPolipasi
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HISTOPATOLOGI
Pada p!"i#saan $is%opa%olo&i' polip nasi
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B"dasa"#an pn!(an $is%opa%olo&i' Hll)(is% HB !nlassi*#asi#a
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All"&i/ nasal pol-p s$oin& a la"& n(!" o
osinop$ils and $-p"plasia o !(/o(s &lands3
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4ina Sla%an' Honon&' Sin&ap("a' Mala-sia dan Taian
!"R#$%M" "#%&"R$'
(!&)
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ETIOLOGI
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Manifestasi klinik *komplikasi
!&
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IAGNOSISAnamnese
Gejala klinisRinoskopi
posterior
CT-ScanTes SerologiBiopsi
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#$MP+%M $"$
Massa terlihat padanasofaring
'ejala khas di hidung'ejala khas pendengaran!epala sakit unilateral
bilateral'angguan neurologik saraf
otakksoptalmus
imfadenopati di leher
/010
10 0 0 0/0
&%RM2"
D$'B3
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Bila jumlah nilai men4apai 05,diagnosis klinis !& dapatdipertanggung jawabkan.
B$%P#$ +2M%R PR$MR M2+"!D$"!2!"
!%&$RM"#$ D$"'%#$#H$#+%P"+%%'$
#2B+$P H$#+%P"+%%'$
+R"P$
PR%'%#
"
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1.#6uamous 4ell 4ar4inoma(karsinoma sel skuamous berkeratin,
7H% tipe 1)
/. onkeratini8ing 4ar4inoma(karsinoma sel skuamous nonkeratin)9
". Di:erentiated nonkeratini8ing4ar4inoma
(7H% tipe /) B. 2ndi:erentiated 4ar4inoma (7H%tipe ;)
;. Basal 4ell 4ar4inoma
!lasi
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Kols%a%o!a
Kis%a pi%lial -an& "isi ds#(a!asi pi%l
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M"(pa#an !dia -an& ai# (n%(# p"%(!($an #(!an
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=ongenital =holesteatoma9
ia&nosd as apa"l- $i%!ass $ind an
in%a/% %-!pani/!!"anin a/$ild i%$ no$is%o"- o
/$"oni/ a"disas3
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Primary a46uired4holesteatoma P"i!"
T"n%(# sa&aia#ia% da"i "%"a#si!!"an %-!pani6%o"i In7a&inasi8
B"aal da"i "%"a#sip"as 9a#sida !!"an%-!pani -an& !n/apaipi%i!pan(!
S#(%(! %"#i#is d#pada dindin& la%"alp-%i!pan(! -an&p"la$an !l(as
R%"a#si "lan+(%
!la%i %(lan&:%(lan&
# d
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#e4ondary"46uired=holesteatoma
S#(nd"T"n%(# s%la$ p"o"asi
!!"ana %-!pani
To"i Mi&"asi
!as(#n-a pi%l da"i #(li%lian& %lin&a a%a( da"i pin&&i"p"o"asi # %lin&a %n&a$
To"i M%aplasi!%aplasi !(#osa #a7(!%-!pani #a"na i"i%asi -an&la!a
To"i I!plan%asipi%l s#(a!osa%"i!plan%asi di a("is !diapas/a %inda#an op"a%i
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Ma#"os#opis #ols%a%o!a' "(pa!assa
#p(%i$an
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Mi#"os#opi#
Kols%a%o!a %"di"i a%as ; #o!ponn
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SELAMAT BELA