pemeriksaan fisik
TRANSCRIPT
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KOLONEL (PURN.) DR. WILMAR Y.L., SpB. KBD
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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SISTEMATIK PEMERIKSAAN FISIK DASAR ABDOMEN
INSPEKSIAUSKULTASI PALPASIPERKUSIRECTAL
TOUCHER (COLOK DUBUR)
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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PEMERIKSAAN FISIK DASAR BEDAH DIGESTIF
+
MENEMUKAN
HUBUNGANANATOMI & FISIOLOGI
GAMBARAN TEKNIK
TENTANGPEMERIKSA
AN FISIK
DIAGNOSA
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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2(DUA) SISTEM DENAH PERMUKAAN ABDOMEN
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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INSPEKSI
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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INSPEKSI
SIKAP : BERDIRI / TEGAK : HERNIA EKSTERNAL
SIKAP : - TIDUR / TELENTANG- BERBARING- KEPALA DIATAS BANTAL-MENEKUKKAN LUTUT
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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INSPEKSI
MELIHAT
KELAINAN BENTUK SIMETRIS / ASIMETRIS
-KELAINAN PERGERAKAN PD PERNAFASAN-KEADAAN DDG PERUT (WARNA KULIT, KONDISI KULIT)-PERGERAKAN BERHUB : PERISTALTIK, PULSASI-ADA TIDAKNYA PEMB. DARAH-KONTUR DATAR, SCAPHOID, BERBENJOL- BENJOL
TUJUAN PEMERIKSA
BERDIRI DI BLKG KEPALA
DANKAKI O.S
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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CAPUT MEDUSAE
HEPATOMEGALI
HERNIA UMBILICALIS
SPIDER NAVY
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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IKTERUS
JAUNDICE
LIVER JAUNDICE
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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AUSKULTASI
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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AUSKULTASI ABDOMENBISING USUS = PERISTALTIK (2-5 dtk)
MENURUN / (-) : PERITONITIS MENINGGI
BORBORYGMI : ILEUS OBSTRUKTIF
METALLIC SOUNDBISING PEMBULUH DARAH
ARTERI : BRUITSVENA : HUMS
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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AUSKULTASI
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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PALPASI
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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PALPASIPENEKANAN /
PERABAANDDG ABDOMEN
2 TAHAP
1. SURVEY
RINGAN - RASA NYERI EKSPRESI
O.S.- GAMBARAN LOKASI
KETAHANAN THD TEKANAN
- DDG ABDOMEN SPT BALON DIISI AIR :ASCITES
- DEFANCE MUSCULAR : PERITONITIS
2. SPESIFIK
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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2. SPESIFIK PALPASI
RASA NYERI - LOKASI - KEDALAMAN - HIPERESTESIA - PENJALARAN
PALPASI LIVER , LIEN GB, KIDNEY DUODENUM REGIO ILIACAKOL (PURN) DR. WILMAR Y.L., SpB. KBD
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LETAK NYERI SOMATIKLETAK ORGAN
Abdomen kanan atas Kandung empedu*, hati, duodenum, pankreas, kolon, paru, miokard
Epigastrium Lambung*, pankreas, duodenum, paru, kolon
Abdomen kiri atas Limpa*, kolon, ginjal, pankreas, paru
Abdomen kanan bawah Apendiks*, adneksa, ureter
Abdomen kiri bawah Adneksa*, kolon, ureter
Suprapubik Buli-buli*, uterus, usus halus
Periumbilikal Usus halus
Pinggang/punggung Pankreas*, aorta, ginjal
Bahu Diafragma
* = organ yang paling sering menimbulkan nyeri somatik
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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PALPASI LIVER
BAYANGAN LETAKGINJAL
PALPASI LIVER
PALPASI LIVER
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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PERKUSITEKNIK PERKUSI PD
ABDOMEN
TEKNIK PERKUSI PD ORGAN LAIN
2 (DUA) SUARA DASAR 1.TYMPANI ORGAN BERISI UDARA2.BEDA ORGAN BERISI CAIRAN
& PADAT KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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PERKUSIPEKAK HATI (-) : PERFORASI(LIVER DUMPING)
NYERI KETOK (+) : PERADANGAN
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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CARA PERKUSI
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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PERKUSI
ASCITES
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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RECTAL TOUCHER(COLOK DUBUR)
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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RECTAL TOUCHER
PERINEUM : KEADAAN ANUS DAN
SEKITARNYATONUS SPINCHTER ANI : KETAT,
LONGGARPERABAAN MUCOSA RECTUMPERABAAN PROSTAT PD PRIADAERAH – DAERAH NYERI TAHAN YANG
DINYATAKAN DENGAN JAMISI AMPULA RECTISARUNG TANGAN
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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RECTAL TOUCHER PERINEUM : BIASA, INFLAMASI,
FISTULA IN ANO, DLL..SPINCHTER ANI : KETAT, LONGGARMUCOSA : LICIN, TDK RATA,
BERBENJOL-BENJOL PROSTAT(LK) : TERABA / (-) NYERI TEKAN: ARAH JAM ….??
AMPULA RECTI : KOSONG, BERISISARUNG TANGAN : FAECES : +/-
(ST) LENDIR : +/- DARAH : +/-
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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SIROSIS HATI HIPERBILIRUBINEMIA
1. IKTERUS
2. BILIRUBINEMIA
3. JAUNDICE
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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2. GINEKOMASTIA
3. SPIDER NAVY
1. ATROFI TESTIS
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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SIROSIS HATI
CAPUT MEDUSAE
VARICES ESOPHAFUS
KOL (PURN) DR. WILMAR Y.L., SpB. KBD
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TERIMAKASIH
KOL (PURN) DR. WILMAR Y.L., SpB. KBD