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  • Apendisitis: Koas Bedah Februari 2017

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    Andrew Timanta
    3 Ansichten31 Seiten
    This document discusses appendicitis and its treatment. The key points are: - Appendicitis is caused by inflammation of the appendix, which is an immunological organ that produces IgA. - Symptoms include right lower quadrant abdominal pain with rebound tenderness, nausea, fever, lack of appetite, and constipation or diarrhea. - Diagnosis is made using the Alvarado score based on symptoms and lab tests like a leukocyte count. A score of 1-4 indicates observation, 5-6 antibiotics, and 7-10 suggests surgery is needed. - Treatment involves initial assessment, antibiotics, and either open or laparoscopic appendicectomy to remove the appendix surgically

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    apendisitis

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    Apendisitis

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    This document discusses appendicitis and its treatment. The key points are: - Appendicitis is caused by inflammation of the appendix, which is an immunological organ that produces IgA. - Symptoms include right lower quadrant abdominal pain with rebound tenderness, nausea, fever, lack of appetite, and constipation or diarrhea. - Diagnosis is made using the Alvarado score based on symptoms and lab tests like a leukocyte count. A score of 1-4 indicates observation, 5-6 antibiotics, and 7-10 suggests surgery is needed. - Treatment involves initial assessment, antibiotics, and either open or laparoscopic appendicectomy to remove the appendix surgically

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    3 Ansichten31 Seiten

    Apendisitis: Koas Bedah Februari 2017

    Hochgeladen von

    Andrew Timanta
    This document discusses appendicitis and its treatment. The key points are: - Appendicitis is caused by inflammation of the appendix, which is an immunological organ that produces IgA. - Symptoms include right lower quadrant abdominal pain with rebound tenderness, nausea, fever, lack of appetite, and constipation or diarrhea. - Diagnosis is made using the Alvarado score based on symptoms and lab tests like a leukocyte count. A score of 1-4 indicates observation, 5-6 antibiotics, and 7-10 suggests surgery is needed. - Treatment involves initial assessment, antibiotics, and either open or laparoscopic appendicectomy to remove the appendix surgically

    Copyright:

    © All Rights Reserved
    Als PPTX, PDF, TXT herunterladen oder online auf Scribd lesen
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    von 31

    Apendisitis

    Koas Bedah
    Februari 2017
    Apendiks adalah organ imunologik
    yang berperan dalam sekresi IgA.
    Organ ini juga termasuk dalam
    komponen gut-associated-lymphoid
    tissue
    Appendi
    x
    Appendi
    x
    Tanda Kardinal Apendisitis
    Nyeri abdomen disertai adanya
    rebound tenderness di kuadran
    kanan bawah
    Mual dan muntah (karena
    rangsangan peritoneum viseral)
    Demam (dengan suhu 37,3oC
    38,5oC
    Anoreksia
    Konstipasi/diare
    Diagnosis Apendisitis
    Pemeriksaan Penunjang
    Darah
    ALVARADO score
    Manifestasi Skor
    Abdominal Pain 2
    Leukositosis 2 Penanganan yang
    Vomitus 1 diberikan :
    Anoreksia 1
    1-4 : Observasi
    Rebound tenderness 1
    Abdominal migrating pain 1 5-6 : Beri antibiotik
    Degree of celcius 1 7-10 : Indikasi
    (>37,5oC)
    Observation of hemogram 1 operasi
    (segmen >72%)
    Total Skor 10
    Initial Assesment
    Acute Appendicitis
    1. Nuchter
    2. IV line
    3. Profilactic Antibiotic
    4. H2 Blocker
    5. Laboratory test :blood and urine
    6. Planning : Appendicectomy
    (open/laparoscopic)
    Initial Assesment (cont...)
    Appendiceal Mass
    1. Bed rest
    2. IV line
    3. Low fiber diet
    4. Broad spectrum Antibiotic
    5. Measurement of mass
    6. Confirmation : clinical and
    laboratory finding
    Surgical intervention

    1. Open appendicectomy

    2. Laparoscopic appendicectomy
    Reddick EJ, Saye WB, Corbitt JD, Atlas of Laparoscopic Surgery, 1
    Single Incision Laparoscopic Surgery

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