kriteria diagnosis Flashcards

1
Q

kriteria dispepsia

A
  • nyeri epigastrium
  • rasa terbakar
  • rasa pennuh
  • cepat kenyang

gejala 3 bulan terakhir, onset 6 bulan

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2
Q

alarm sign dispepsia

A

vabongmodd

  • vomitting persistent/reccurent
  • anemia
  • body loss
  • old >45 tahun
  • neoplasma
  • gi bleeding
  • massa
  • odinofagia
  • disfagia progresif
  • demam
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3
Q

gold standard h. pylori

A

urea breath test

atau rapid urase test (endoskopi)

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4
Q

golongan obat yang dapat diberikan pada pasien dispepsia

A
  • magnesium hydroclorida (antasida)
  • anti sekresi lambung: PPI dan Antagonis H2 reseptor (AH2R)
  • sitoprotektor
  • prokinetik
  • mukoprotektor
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5
Q

cara kerja antasida

A

-

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6
Q

cara kerja ppi dan ah2r

A

-

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7
Q

cara kerja sitoprotektor

A

-

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8
Q

cara kerja prokinetik

A

-

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9
Q

cara kerja mukoprotektor

A

-

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10
Q

lini pertama h.pylori

A

ppi+amoksisilin+klaritromisin

dosis/1000/500

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11
Q

lini kedua h.pylori

A

ppi+amoksisilin+levofloksasin

dosis/1000/500

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12
Q

lini ketiga h.pylori

A

ppi+amoksisilin+levofloksasin+rifabutin

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13
Q

karakterisitik khas GERD

A

heartburn dan regurgitasi

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14
Q

pertanyaan GERD-Q dan skor nya

A
  1. frekuensi heartburn
  2. frekuensi regurgitasi
  3. frekuensi nyeri ulu hati
  4. frekuensi mual
  5. frekuensi sulit tidur
  6. frekuensi minum obat

8-18 kemungkinan GERD

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15
Q

definisi IBS

A

kelainan fungsional usus KRONIK, BERULANG.

  • nyeri abdomen
  • perubahan defekasi (diare/konstipasi)
  • selama 3 bulan
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16
Q

klasifikasi IBS kriteri roma III

A
  1. ibs dengan diare (IBS-D)
  2. ibs dengan konstipasi (IBS-C)
  3. ibs campuran
17
Q

golongan obat pada IBS

A
  1. antispasmodik
  2. laksatif (osmotik, stimulan, emolien) -> IBS-C
  3. antidiare-> IBS-D
  4. antibiotik
  5. probiotik
  6. antagonis resepeti 5-HT3
  7. aktivator kanal klorida C2 selektif
  8. Antidepresan
18
Q

konstipasi adalah

A

bab <3x dalam 1 minggu atau kesulitan bab karenabab keras

19
Q

alarm sign konstipasi

A
  • hematokezia
  • massa abdominal
  • neoplasma kolorektal dan IBD
  • body loss
  • anoreksia
  • mual dan muntah kronik
  • lansia
  • anemia