Post on 23-Feb-2018
7/24/2019 Blok 16 Dispepsia
1/19
DISPEPSIA TIPE REFLUKS
SINGGIH ARTO - 102012005
KELLY - 102012078
7/24/2019 Blok 16 Dispepsia
2/19
Rumusan Masaa!
N" T 50 #a!un m$n%$u! &'a ma(an)$*a# ($n"an%+ &$%a! ,an n"$' uu
!a#' (a,an% ($m&un% s$.a( / &uanau
7/24/2019 Blok 16 Dispepsia
3/19
Analisis Masalah
RM
Anamn$s'sP$m$'(saa
n
('n%D'a%ns's
D'3$$n#'aD'a%ns's
E#'%'
E*',$m'%'
Pa#4s'%'
G$.aa
K'n'(
P$na#aa(sanaan
P%ns's
7/24/2019 Blok 16 Dispepsia
4/19
H'*#$s's
N" T 50 #a!un ,',u%a m$n,$'#a,'s*$*s'a #'*$ $u(s
7/24/2019 Blok 16 Dispepsia
5/19
ANAMNESIS
1 I,$n#'#as *as'$n
2 K$u!an u#ama
6 R'a"a# *$n"a('# s$(aan%
/ R'a"a# #$,a!uu
5 R'a"a# ($s$!a#an ($ua%a
M$nan"a(an 'a"a# m'num &a#7 M$nan"a(an a*a(a! a,a #an,a ,an%$.aa 9aam:;*$'n%a#an
7/24/2019 Blok 16 Dispepsia
6/19
KELUHAN PASIENKELUHAN YANG DIRASAKAN PASIEN
R$%u#as' ,$n%an %$.aa a,an"a *$asaan asam ,'muu#
=$*a# ($n"an%
>$%a! ,an n"$' uu! !a#'
Rasa ($m&un%
7/24/2019 Blok 16 Dispepsia
7/19
PEMERIKSAAN FISIK
INSPEKSI
ASKULTASI
PALPASI PERKUSI
7/24/2019 Blok 16 Dispepsia
8/19
PEMERIKSAAN PENUN?ANG
1 P$m$'(saan a&a#'um
2. Barium enema
3. Endoskopi/ Ra,'%'
7/24/2019 Blok 16 Dispepsia
9/19
DIAGNOSIS KER?A
DISPEPSIA TIPE REFLUKSKELUHAN YANG DIRASAKAN PASIEN
Rasa #$&a(a *a,a $*'%as#'um+ ,a,a
R$%u#as' ,$n%an %$.aa a,an"a *$asaan asam ,'muu#
=$*a# ($n"an%
>$%a! ,an n"$' uu! !a#'
Rasa ($m&un%
D's*$*s'a #'*$ $u(s &'asan"a #$&u(#' s$)aa $n,s(*' a#au
mn'# PH am&ua#a
7/24/2019 Blok 16 Dispepsia
10/19
DIAGNOSIS >ANDING1. GERD ( Gastro esophageal re!"
#isease $ G$.aa 1 n"$'-#',a( $na( ,'$*'%as#'umB$#s#$n'a &aa!
2 H$a#&un6 R$%u%'#as'
/ D'sCa%'a5 O,'nCa%'a Mua- asa *a!'#
,'',a!7 G$.aa $(s#a$sCa%$a
1 ANAMNESIS2 PF Nma6 PP$n,s(*' S=>A
=a' %am&a Ca(# *$m&$a# ((+
($!am'an+ ,'a&$#+ &$s
7/24/2019 Blok 16 Dispepsia
11/19
2. Non Erosive Refux Disease
#an*a a,an"a $s'mu(sa
$s*!a%us+
*$a,an%anm'(s(*'s+
!'*$s$ns'#''#as's$a+ ,an
(n#a(s' $sCa%us
&$($an.u#an
1 ANAMNESIS2 PF Nma-n"$'6 PP$n,s(*' S=>A
PENGO>ATANL'n' 1 A#as',a
L'n' 2 H2 &)($L'n' 6 PPI
7/24/2019 Blok 16 Dispepsia
12/19
%. Dispepsia &!ngsional
1 D's*$*s'a #'*$ u(us. 2 D's*$*s'a #'*$ ,'sm#''#as
. 6 D's*$*s'a nn s*$s'4(
P$m&a%'an Rm$ III
1 Postprandial Distress Syndrome;PDS