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Penyakit Rongga Mulut Flashcards

1
Q

Penyakit Rongga Mulut (6)

A

Glositis
Parotitis
Oral Candidiasis (Oral Thrush)
Stomatitis
Leukoplakia
Eritroplakia

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2
Q

Glositis

A

Glos = lidah, tis = inflamasi

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3
Q

Etio Glositis

A
  • Infeksi
    SBHA, candida
  • Non Infeksi
    ADB, anemia vit. B12/B9
    Merokok, alkohol
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4
Q

Dx Glositis

A

Lidah eritema, atrofi papil lidah, nyeri

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5
Q

Klasifikasi Glositis (3)

A

Glositis Atrofi
Median Rhomboid Glositis
Benign Migratory Glositis

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6
Q

Etio Glositis Atrofi

A

Infeksi → candida, SBHA
Non infeksi → ADB, AD vit. B12

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7
Q

Dx Glositis Atrofi

A

Atrofi papil lidah
Lidah eritema
Nyeri

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8
Q

Tx Glositis Atrofi

A

Atasi penyakit penyebab
Kumur chlorhexidine gluconate 0,2%
Ab oral
Anti fungal

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9
Q

Etio Median Rhomboid Glositis

A

Merokok, HIV, inf. candida

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10
Q

Dx Median Rhomboid Glositis

A

Lidah eritema pada foramen cecum, nyeri +/- (biasanya asimtomatik)

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11
Q

Tx Median Rhomboid Glositis

A

Observasi
Antifungal (nystatin)

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12
Q

Benign Migratory Glositis

A

= Geographic Tongue

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13
Q

Etio Benign Migratory Glositis

A

Atopi, psoriasis

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14
Q

Dx Benign Migratory Glositis

A

Bercak merah dengan tepi putih meninggi (seperti pulau), asimtomatik

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15
Q

Tx Benign Migratory Glositis

A

Tidak perlu
Mouth hygiene

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16
Q

Tx Glositis

A
  • Atasi underlying disease
    ADB → SF 3x200 mg
    B12 → Inj. vit B12 1 mg
    B9 → Asam folat 5 mg/hari
  • Awal
    Obat kumur chlorhexidine gluconate 0,2%
  • Tepat
    AB → gol. B-laktam (amoks), cephalosporin (sefiksim, sefadroksil)
    Antifungal → Nistatin 400.000 IU 4x1 drops
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17
Q

Parotitis

A

Parotid = kelenjar parotis, tis = inflamasi

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18
Q

Etio Parotitis

A
  • Parotitis ec viral/parotitis epidemica → mumps virus “mengenai orang sekitar”
  • Parotitis ec bakteri → streptococcus → leukositosis, pus/supurasi
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19
Q

FR Parotitis

A

Vaksin MMR (-) → 18 bulan, 5-7 tahun

20
Q

Dx Parotitis

A

Bengkak di bawah telinga/pipi
Nyeri (+) → meningkat saat mengunyah/makan yang asam

21
Q

Tx Parotitis

A
  • Virus
    Self limited disease + simtomatik
  • Bakteri
    B-laktam + simtomatik
22
Q

Komplikasi Parotitis

A
  • Orchitis: Radang testis
  • Ovoitis: Radang ovarium
23
Q

Etio Oral Candidiasis (Oral Thrush)

A

Candida albicans

24
Q

FR Oral Candidiasis (Oral Thrush)

A

Immunocompromised (HIV, DM, penggunaan KS, inhaler)

25
Q

Dx Oral Candidiasis (Oral Thrush)

A

Oral haisy leukoplakia: Plak putih kekuningan → dikerok → dasar eritema (berdarah)

26
Q

Px Oral Candidiasis (Oral Thrush)

A

KOH 10% → Pseudohifa, Blastospora, Yeast

KOH = Potassium Hydroxide Test

27
Q

Tx Oral Candidiasis (Oral Thrush)

A

Nistatin drop 400.000 IU 4x2 tetes 7 hari
Atasi underlying disease

28
Q

Etio Stomatitis

A

ADB/Anemia vit. B12
Crohn’s disease, HIV, HSV-1

29
Q

Dx Stomatitis

A

Luka pada mukosa buccal, bibir dalam, lidah, nyeri (+)

30
Q

Klasifikasi Stomatitis (3)

A

Aftosa minor → kecil, sedikit
Aftosa mayor → besar, banyak
Aftosa herpetiform → herpes

31
Q

Aftosa minor → kecil, sedikit

A

Dangkal
D: 5-7 mm

32
Q

Aftosa mayor → besar, banyak

A

Dalam
D >7 mm

33
Q

Aftosa herpetiform → herpes

A

Berkelompok, vesikel, dangkal
D: 1-2 mm
KGB (+)

34
Q

Tx Stomatitis

A
  • Mayor/minor
    1. Obat kumur chlorhexidine gluconate 0,2% 3x1
    2. Krim triamcinolone acetonide 0,1% 2x1
  • Herpetiform
    Acyclovir 5x200 mg/hari 7 hari
35
Q

Leukoplakia

A

Lesi prakanker

36
Q

FR Leukoplakia

A

Merokok, alkohol, immunodeficiency (HIV)

37
Q

Dx Leukoplakia

A

Plak putih yang tidak dapat dikerok

38
Q

Tx Leukoplakia

A

Obati penyakit dasar
Krioterapi

39
Q

Eritroplakia

A

Lesi prakanker

40
Q

FR Eritroplakia

A

Merokok, alkohol

41
Q

Dx Eritroplakia

A

Plak merah asimtomatis

42
Q

Tx Eritroplakia

A

Suportif, rujuk

43
Q

Etio Leukoplakia

44
Q

PP Leukoplakia

A

Histopatologi → Hiperkeratosis, parakeratosis, atrofi

45
Q

Biopsi Barret Esofagus

A

Sel epitel kolumner selapis dengan sel goblet

46
Q

Gold Standard Ca Pankreas

A

Histopatologi

GEH (9 decks)

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