Bismillah, TB anak.pptx
-
Upload
kalih-r-gusti -
Category
Documents
-
view
285 -
download
27
Transcript of Bismillah, TB anak.pptx
![Page 1: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/1.jpg)
Ilmu Kesehatan Anak Osteon – FK 2011
![Page 2: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/2.jpg)
ب� ر� �ه� �ل ل �ي و�م�م�ات �اي� ي و�م�ح� ك�ي �س� و�ن �ي �ت ص�ال �ن� إ ق�ل��ن� �م�ي �ع�ال “ ال
Katakanlah, “ sesungguhnya shalatku, ibadahku, hidup dan matiku hanyalah untuk Allah , Tuhan Semesta Alam ”.
(QS. Al-An‘âm/6: 162)
![Page 3: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/3.jpg)
TB ANAK
AnamnesisPx. Fisik
Px. PenunjangDiagnosis
Penatalaksanaan
![Page 4: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/4.jpg)
ANAMNESIS - gejala
• RPS (keluhan utama) : Demam/BB turun/Batuk/Anoreksia/Malaise
- Onset - Lokasi - Kronologi- Kualitas- Kuantitas- F. Modifikasi- Keluhan penyerta
• RPD• RPK • RPSosek
![Page 5: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/5.jpg)
Batuk kronik merupakan gejala tersering pada TB paru dewasa, tapi pada anak bukan merupakan gejala utama !!!
![Page 6: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/6.jpg)
Gejala sistemik/umum TB Anak :
1. Berat badan turun /tidak naik
2. Demam lama (≥2 minggu) dan/atau berulang tanpa sebab yang jelas (bukan demam tifoid, infeksi saluran kemih, malaria, dan lain-lain).
3. Batuk lama ≥ 3 minggu4. Nafsu makan tidak ada
(anoreksia) atau berkurang, disertai gagal tumbuh.
5. Lesu atau malaise6. Diare persisten/menetap
(>2 minggu)
![Page 7: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/7.jpg)
Px. FISIK - tanda
1. Keadaan Umum2. Tanda vital3. Kulit 4. Kelenjar Limfe5. Kepala6. Mata 7. Hidung8. Mulut9. Tenggorok
10. Telinga 11. Leher12. Px. Dada13. Px. Abdomen14. Hati 15. Limpa 16. Ekstremitas17. Genitalia
![Page 8: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/8.jpg)
Kulit - skrofuloderma• limfadenitis TB yang pecah
• awalnya pembesaran kel limfe soliter multiple nodul sub kutan yang keras, eritem, asimtomatik membesar, padat & kenyal pencairan pecah ulkus linear (tepi bergaung, dasar yg bergranulasi)
• Ditandai adanya ulkus disertai dengan jembatan kulit antar tepi ulkus (skin bridge).
• sering ditemukan di leher & wajah
![Page 9: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/9.jpg)
Pembesaran Kelenjar Limfe
• Pembesaran kelenjar limfe
• sering pada kelj limfe colli anterior atau posterior
• karakteristik : multipel, unilateral, tidak nyeri tekan, tidak hangat, mobile, konfluen
![Page 10: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/10.jpg)
Kepala-meningitis TB• fontanela N ≠ 2,5 cm, datar• Menonjol
peningkatan TIK• Cekung malnutrisi
• Sering Meningitis TB • Diikuti gejala :
Nyeri kepala, penurunan kesadaran, kaku kuduk, muntah proyektil, kejang.
![Page 11: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/11.jpg)
Mata-KF
• Konjungtivitis Fliktenularis (KF):
• Nodul kecil berwarna putih/merah muda, sekitar hiperemis
• Disertai iritasi, nyeri, lakrimasi, fotofobia, sekret
![Page 12: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/12.jpg)
TB tulang
![Page 13: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/13.jpg)
Px. Penunjang
Kuman Patogen dalam Spesimen Deteksi Respon Imun
![Page 14: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/14.jpg)
Mantoux test
![Page 15: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/15.jpg)
![Page 16: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/16.jpg)
Pembacaan hasil – 72 jam
![Page 17: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/17.jpg)
Foto thoraks• gambaran radiologis yang
menunjang TB adalah sebagai berikut:
• Pembesaran kelenjar hilus mediastinal (96% pada anak) atau paratrakeal dengan/tanpa infiltrat (visualisasinya selain dengan foto toraks AP, harus disertai foto toraks lateral)
• Konsolidasi segmental/lobar • Efusi pleura • Milier • Atelektasis • Kavitas • Kalsifikasi dengan infiltrat
![Page 18: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/18.jpg)
![Page 19: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/19.jpg)
Diagnosis
![Page 20: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/20.jpg)
Penatalaksanaan
![Page 21: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/21.jpg)
![Page 22: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/22.jpg)
KDT (kombinasi dosis tetap)
![Page 23: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/23.jpg)
![Page 24: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/24.jpg)
![Page 25: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/25.jpg)
Non medikamentosa• DOTS• Sumber penularan & case finding • Edukasi penanganan gizi & aktivitas fisik• Pencegahan imunisasi BCG
![Page 26: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/26.jpg)
![Page 27: Bismillah, TB anak.pptx](https://reader036.fdocuments.net/reader036/viewer/2022082215/563dbb78550346aa9aad7293/html5/thumbnails/27.jpg)