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DENTAL

EMERGENCIES

DRG. NYM AYU ANGGAYANTI, M. BIOMED

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ANGINA LUDWIGPHLEGMON

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WILHELM FREDRICK VON LUDWIG

AHLI BEDAH DARI JERMAN TAHUN 1836

MENDESKRIPSIKAN SEBAGAI peradangan akut yang progresif yang berasal dari region kelenjar submandibula, sublingualbilateral, dan ruang submental

Se !"!# $e%&e'#' "'#("$ )(!$%*'!# !"+*%" " "! !e&"%" -e " "'

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KASUS PHLEGMON

#'"$e/)%#'" !e("/"# 'e/"0"$ "%*%"%$" #

(# " / (e " 2" / $e%&" $*- " " +"- #%"SURAT KEPUTUSAN MENTERI KESEHATAN RI NO.455 Me 'e! SK IV 7 4 " " $" //"+ 19 A %#+7 4

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ANGINA LUDWIG

I e'!# %*" / -" #(*+" (e%* " !e+*+#$#! e /" $" " ' "!(e%* " e-(e /'"'" !e+*%* !*(-" #(*+", !*(+# /*"+

(#+"$e%"+, " %*" / !*(-e $"+ :: belum membentuk pusPHLEGMON

I e'!# %*" / -" #(*+" (e%* " !e+*+#$#! e /" $" " ' "!(e%* " e-(e /'"'" !e+*%* !*(-" #(*+", !*(+# /*"+(#+"$e%"+, " %*" / !*(-e $"+ ; sudah membentuk pus

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ETIOLOGI

INFEKSI ODONTOGENIK

K *!*! 2" "%# /#/# -)+"% 'e *" "$"* /#/# -)+"%

'e$#/" ("0" . A'"% /#/# $e%+e$"' # (e+"'" /("0" +# e" -2+) # e" " # # e'!# "-e-(e $*' "(!e! -"'" *! 2" " "$ -e 2e("%'e %*" / !*(-" #(*+" " " "$ -e+*"! 'e%*" / "%" "%# /e"+

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SIALADENITIS

ABSES PERITONSIL

FRAKTUR MANDIBULA TERBUKA

LASERASI ORAL

ORAL PIERCING

INFEKSI SALURAN NAFAS ATAS

TRAUMA DASAR MULUT

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PATOGENESIS

Be%"0"+ "%# # e'!# /#/#

Ne'%)!#! *+ " '"%e " '"%#e! "+"- 2" / $# "' $e%"0"$" )'e$ e%#) ) $"+ "+"- -e%* "'" >"+" ("'$e%#* $*' -e &" "# >"%# /" e%#" #'"+

K"%e " >*-+" ("'$e%# 2" / (" 2"' -"'" # e'!#-e >"+"% !"- "# 'e $*+" / ! ) /#)!" !"- "# $*+" /')%$#'"+

J#'" $*+" / $# #! -"'" # e'!# "'" -e e-(*! "-"!*' 'e >"%# /" +* "' $e%/" $* / "2" $" " $*(*

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I e'!# ) ) $)/e " "$ -e 2e("%-e+"+*# ?

1. J"%# /" #'"$ < e%') $# *"$*-=

P"+# / !e%# / '"%e " " " 2" &e+" #" $"%" >"%# /" 2" / (e% )$e !# !e("/"#$e- "$ (e%'*- *+ 2" *!

7. Pe-(*+* "%" < e-"$)/e e!#!=3. Pe-(*+* +#- e < 2- )/e e!#!=

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MANIFESTASI KLINIS

OH BURUK, NYERI PD GIGI

DEMAM

PEMBENGKAKAN PADA DASAR MULUT DAN BAGIAN ANTERIOR LEHER

DISFAGIA

DROOLING

TRISMUS

FETID BREATH

STRIDOR

SNIFFING POSITION

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DIAGNOSIS

ANAMNESA

Ge>"+" "0"+ (#"!" 2" (e%* " 2e%# " " "%e" /#/#

2" / $e%# e'!#. D"/* $e/" / " 2e%# !""$-e //e%"''" +# " . Pe e%#$" -* /'# "'"-e /"+"-# 'e!*+#$" -e-(*'" -*+*$, (e%(#&"%"" -e e+" 2" / -e /"'#("$'" 'e+*"% 2" "#%+#*% $e%*! -e e%*! " 'e!*+#$" (e% " "!.Pe e%#$" #+" )%'" 'e!*+#$" -# *- " -"'" ," "$ #>*- "# e-"- " %"!" -e //#/#+

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DIAGNOSIS

PEMERIKSAAN FISIK

D"!"% -*+*$ "'" $e%+# "$ -e%" " -e-(e /'"'.S""$ # e'!# -e 2e("% 'e (e+"'" / -*+*$, e%" " /"" " "!"% -*+*$ "'" -e 2e("('" +# " $e% )%) /'e "$"!:(e+"'" / !e # //" -e 2*-("$ >"+" " "!.

J#'" +"%# / #'*$ -e-(e /'"', !""$ (e% " "! "'"$e% e /"% !*"%" $# //#

"'" -e /"+"-# e # %"!# "'#("$ '*%" / 2" &"#%"2" / #-# *- -"* * -"'" " 2" / #-"'" . B#+"e-"- $# //# -e /# #'"!#'" " " 2" # e'!#!#!$e-#'

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DIAGNOSIS

PEMERIKSAAN PENUNJANG

A. LABORATORIUM

PEMERIKSAAN DARAH ? $"- "' +e*')!#$)!#! 2" /-e /# #'"!#'" " " 2" # e'!# "'*$.Pe-e%#'!"" 0"'$* (e'*" "%" e $# / * $*'#+"'*'" $# "'" # !#!# %"# "!e

PEMERIKSAAN KULTUR DAN SENSITIVITAS ? * $*'-e e $*'" ("'$e%# 2" / -e /# e'!# !e%$"-e e $*'" e-#+# " " $#(#)$#' " $e%" #

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RONTGEN ? )$) " )%"-#' " "$ -e-(" $*-e e $*'" +e$"' "(!e! !e%$" !$%*'$*% $*+" / %" " /2" / $e%# e'!#

USG ? " "$ -e * >*''" +)'"!# " *'*%" *! !e%$"-e$"!$"!#! "%# "(!e!. USG $ -e-(" $* #"/ )!#!" " " "' '"%e " (e%!# "$ ) # @"!# " ) %" #"!#!e%$" -e-(" $* e /"%" " "! #%"!# >"%*- * $*'

-e e $*'" +e$"' "(!e!CT !&" ? " "$ -e-(e%#'" e@"+*"!# %" #)+)/#' $e%("#'" " "(!e! +e e% "+"-, " "$ -e e$e'!# "'*-*+"!#&"#%" , e 2e("%" # e'!# !e%$" e%">"$ )(!$%*'!# >"+"

" "!MRI ? -e 2e #"'" %e!)+*!# +e(# ("#' * $*' >"%# /"+* "' #(" # / CT !&" $e$" # 'e'*%" /" 2" e%+*0"'$* 2/ (" 2"' !e # //" $ ' e !#e " " "!#e 2/

'e!*+#$" (e% " "!

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PENATALAKSANAAN

1. Pe%$"-" " "+# / *$"-" -e >"/" )$e !# >"+" " "!

7. Ke *", $e%" # " $#(#)$#' !e&"%" %)/%e!# ,#(*$* '" * $*' -e /)("$# " -e-("$"!"#e 2e("%" # e'!#

3. Ke$#/", e')- %e!# %*" / !*(-" #(*+"%,

!*(+# /*"+ " !*(-e $"+

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1. "! #%"!# # $#$#' "+# / *'$*"'$#

7. # " "$'" *! ; # !#!# ; '*+$*% '*-"

3. )!#!# %"# "/e

4. )!#!# TRENDELENBURG

. IVFD N"C+ ,9 ? D 1?1 ; 7 $e$e! -e #$

6. "- #+# 4 1 /% #.@. 17 >"- ; !'# $e!$ $e%+e(# " *+*

5. -e$%) # " )+e 4 /% #.@. 8 >"-8. 'e$)%)+"& 3 3 -/ #.@.

9. K"+"* -*"+ ; %" #$# # 7 -/ #.@.

1 .K"+"* e%+* ; ) " !e $%) 3 4-/

11. #+"$"!# ; %"# "/e $#" "%#

17. #e$ &"#%

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T E R I M A K A S

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