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JOKO WIBOWO S (012116424)
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1. Why she had mens over 15 days and a
lot of blood out of the birth canal?
Etiology: Organic
Functional (ovulatory & anovulatory), and
Psychological complications of contraception Etiologyirregular menstrual cycleprolonged
bleeding & outside the menstrual
cyclemenometrorhagia
Manuaba,chandradinata.dkk. 2004. Gawat-darurat Obstetri-
ginekologi & Obstetri-ginekologi sosial untuk profesi bidan.
Jakarta: EGC.
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Patofisiologi gangguan perdarahan metropatia hemorrhagika menurut
Prawirohardjo (2005)
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.menstrual cycle somtimes
twice in a month ? Etiology: Organic
Functional (ovulatory
& anovulatory), and Psychological
complications of
contraception
Etiologyirregularmenstrual cycle
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.found to interfere with the
activity? Autonomic nervous:lumbar and sacralsegments
Visecerosensibel fibers
by plexus uterovaginalis Etiologymass, an
increase in estrogen,inflammationincreasein uterine sizepain
Manuaba,chandradinata.dkk. 2004.Gawat-darurat Obstetri-ginekologi &Obstetri-ginekologi sosial untuk profesibidan. Jakarta: EGC.
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4. Why is the foul-smelling discharge was
found between the two menstrual
cycles?
myoma uterichanges in the blood supply forgrowthsecondary changes or
degenerativedeficit circulationnecrosis in
center of the tumor
infection
septic
foul-smelling discharge.
Prawirohardjo, Sarwono. 2010. ILMU KEBIDANAN. Jakarta:
PT Bina Pustaka.
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5. Why she had anemia and whats to do
with the state of the obese patient's
illness?
Anemia:As a result of the bleeding patient may complain ofanemia due to blood deficiency, dizziness, tired, andeasy-going infection.
Obese:Obese=hypercholesterolemiacholesterol is a steroidhormone-forming materialLDL cholesterol is a carriermolecule in the theca cells to be used as raw material for
the androgenincreased levels of estrogen &LHRestraints on FSH secretion causes disruption offollicular proliferationirregular menstrualcycledisfunctional bleeding. (Kakisina, 2008), (Wasita,
2007).
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7. What is the relationship between the
mother dying patient complaints with ca
cervix?
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8. Why is the USG and histopathological
examination is required for the patient?
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9. What is the relationship between never
conceived and her illness?
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10. DD?
Menometrorhagia
Disfunctional Uterine Bleeding
Myoma Uteri
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MENOMETRORAGIA
Definition:Menometrorhagia is hipermenorhea menstrual bleeding or
menorrhagia is more than the normal / longer than normal
(more than 8 days). (Prawirohardjo, 2005).
Etiology:
1. Organic:
a. Cervical polyps uterine
b. Erosio portionis uteri
c. Ulcers portio
d. Abortion, ectopic pregnancy
e. Ovarian tumors
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2. Functional:
Bleeding from the uterus that has nothing to do with
organic causes, called dysfunctional bleeding.
Dysfunctional Bleeding can occur at any age betweenmenarche and menopause. But this disorder is more
common during the early period and the end of ovarian
function can.
Two-thirds of women of women hospitalized for bleeding
dysfunctional over 40 years old, and 3% under 20 years.
Actually, in practice found also in puberty dysfunctional
bleeding, but because of this condition is usually self-
limiting, rarely needed treatment in the hospital.
Signs and Symptoms:
1. ovulatory bleeding
2. anovulatory bleeding
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Clinical manifestations:
1. Irregular menstrual cycles,
2. Not long menstrual periods (amenorrhea)
3. Also, it will often have spots
4. Painful
5. Tense in the breast
6. Quick emotions
Pathophysiology:Broadly speaking, the above condition can occur in cycles of
ovulation (egg expenditure / ovum from the ovary), without ovulation or
other circumstances, for example in premenopausal women (persistent
follicle). Approximately 90% difunctional uterine bleeding (uterine
bleeding) occurs without ovulation (anovulation) and 10% occurred in theovulation cycle.
In the ovulation cycle.
Uterine bleeding that can occur in conjunction with the mid-menstrual
and menstrual period. This bleeding occurs due to low levels of the
hormone estrogen, while progesterone remains formed.
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In cycles without ovulation (anovulation),
Uterine bleeding that often occurs in the pre-menopause
and reproductive period. This is because ovulation does not
occur, so that the excessive estrogen levels while lowprogesterone. As a result of the uterine lining (endometrium)
experienced excessive thickening (hyperplasia) without being
followed by buffer (rich in blood vessels and glands) are
adequate. Well, this condition causes uterine bleeding due to
uterine wall is fragile. On the other hand, the bleeding did not
occur simultaneously. Surface of the wall of the uterus in a
new section recovered was followed in other surface
bleeding. Be prolonged uterine bleeding.
Manuaba,chandradinata.dkk. 2004. Gawat-daruratObstetri-ginekologi & Obstetri-ginekologi sosial untuk
profesi bidan. Jakarta: EGC.
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BLEEDING
In the uterus and ovaries at the same time can occurmenometrorhargia bleeding disorder called follicles thatoccurs because of the persistence of ovulation andcorpus luteum formation. As a result, there washyperplasia of the endometrium due to excessiveestrogen stimulation and continuously. Dysfunctionalbleeding can be found along with various types ofendometrial atrophic endometrium ie, hyperplastic,proferatif, and secretory. With the kind of non-secretoryendometrium with endometrial secretion is importantbecause the type of premises can thus be distinguishedfrom the avulatoir anovulatoar bleeding. In the ovulatory
dysfunctional bleeding disorders ascribed toneuromuscular factors or hematologic mechanism is notunderstood was some bleeding anovolatoir usuallyconsidered to stem from endocrine disorders.
(Sarwono Prawirohardjo,2003: 225)
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MYOMA UTERI
Definition:
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Physiology of fluxus
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Pathology : oligomenore, amenore,
menoragie
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Hormonal and organ
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Bleeding in TM 1 and 3
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Trauma & infection
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epresen en ome r os s a enomyos s
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epresen en ome r os s, a enomyos s,endometrial Ca (Risk factor & Clinical
manifestations) Endometriosis Risk factor:
Clinical manifestations:
1. Scar tissue in the oviduct and ovary: a sense ofdiscomfort in the bottom quadrantinfertility.
2. Rectal wallpain during defecation.
3. Serous uterine and bladder: dysuria and dyspareunia.
4. Intrapanggul bleeding and adhesionsperiuterusheavy Dismenorhea
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Adenomyosis
Risk factor:
1. Usia 40 tahun
Clinical manifestations:
1. Menorrhagia
2. Disminore
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Endometrial Ca
Risk factor:
1. Age 55-60 years
2. Obesity
3. Diabetes
4. Hypertension
5. Infertility Clinical manifestations: