Kolik 2UCAP Dr.ysoni
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Transcript of Kolik 2UCAP Dr.ysoni
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• Kolik -> Frequent Emergency
• Timbul akibat sumbatan batuginjal & saluran kemih
• Insidensi: 5-12 % populasi ->
batu ginjal-saluran kemih• Rekurensi : rata2 -> 50%
• *
Postgraduate Medical Journal, BMJ
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• *Smith’s General Urology,
• *Oxford Handbook of
Urology
• Gambar
: urology textbook.com
Kolik Ureter Diagnosis dan Tatalaksana
Pengertian (2)
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• *Smith’s General Urology,
• *Oxford Handbook of Urology
Kolik Ureter Diagnosis dan Tatalaksana
Pengertian (3)
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• *Smith’s General Urology,
Kolik Ureter Diagnosis dan Tatalaksana
Pengertian (4)
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Kolik Ureter Diagnosis dan Tatalaksana
Pengertian (5)
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CT Urologi
• * gambar : AUA kidney stone
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• Koreksi dehidrasi• Terapi urinay infection
Cegah scaring jaringan ginjal•
Identifikasi single kidney (preexisting azotemia (creatine >2 mg /dl)
• * J.Stuart Wolf in Medscape
pre existing azotemia•
Diabetes• Dehidrasi• multiple myeloma
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identifikasi pyonefrosis 38%, USG+C-Reactive Pro100 : 97%
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analgesisaantibiotic
Urologist (diversi-Nefrosto
perkutan)
• * J.Stuart Wolf in Medscape
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Analgesia
• Narcotics ( morfin : 10 mg/70 kg IM, 4-10 mg IV
Oral : codein+PCT atau morfin 10 mg
• NSAIDs ( ketorolac 30 mg iv) -- *AUA
Oral: ketorolac 10 mg 2-3x /hr
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Desmopresin
* J.Stuart Wolf in Medscape*Postgraduate Medical Journal, BMJ
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Ketorolac 3-4 x 10 mgKartikosteroid : prednisone 2x 20 mg,
Tamsulosin dan lain2
* J.Stuart Wolf in Medscape
*Postgraduate Medical Journal, BMJ
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• Batu ginjal : ESWL, PCNL, open surgery• Ureter : ESWL, URS-litotripsi
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