RADANG GINEKOLOGI Flashcards

1
Q

Bagaimana terbentukny kista dan abses bartholini

A

klj bartholini tersumbat> membentuk kista> permukaan diserang bakteri> abses

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2
Q

Tatalaksana kista / abses bartholini

A

marsupialisasi, insisi + drainase

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3
Q

corpus aleneum vagina

A

kondom, kassa post abortus

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4
Q

sistem imun genital

A

lingkungan asam <4.5
lendir servik
adaptive imun
flora normal

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5
Q

apa saja sekresi vagina

A

mukus serviks
sekresi vulva
cairan endometriosis dan tuba

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6
Q

Flora normal vagina

A

Lactobacilus

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7
Q

patof keseimbangan ph vagina

A

estrogen picu epitel vagina produksi glikogen> glikogen diubah oleh lactobacilus> dengan produksi hidrogen peroksida> glikogen diubah menjadi monosakarida> asam laktat

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8
Q

BV merupakan

A

overgrowth bacterial anaerob
Lactobacilus menurun
ph menjadi basa

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8
Q

cara masuk mikroba ke genital tract

A

coitus, pembedahan tidak steril, perlukaan, benda asing

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9
Q

Syarat dx BV

A

ph> 4.5
whiff test +
clue cell
bau amis

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10
Q

Komplikasi BV

A

PID, chorioamnionitis
Post sc endometriosis

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11
Q

tx BV

A

Metronidazole 2x500mg
Klindamisin 3x500 mg

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12
Q

Gx Trichomatis vaginitis

A

sekresi purulen, gatal di vulva strawbery servik ,

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13
Q

TX trichomona vaginitis

A

metronidazole 2x500
kalo gagal dosis ditambah

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14
Q

GX candidiasis albicans

A

perih saat kena keringat, keputihan, gatal area vulva

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15
Q

penyebab candidiasis

A

pengguna antibiotik, dm, hamil

16
Q

Vulvitis ditandai dengan

A

perineum bercak merah, gatal, nyeri kena keringat

17
Q

Tx vulvitis

A

mikonazol, ketokonazol krim 2-3x

18
Q

tx vaginitis

A

nistatin
ketokonazol
clotrimazol

19
Q

vaginitis ditandai dengan

A

infeksi vagina, kemerahan, gatal, flora normal hilang diganti streptococcus gram

20
Q

tanda vaginitis inflamatorik

A

eksudat vagina banyak
sel epitel ngelupas
discharge purulen
ph>4.5
rasa terbakar

21
Q

vaginitis atropik

A

vagina sgt bergantung dng estrogen> pd menopause atau post ovarektomi> estrogen menurun> mudah radang

22
Q

tanda vaginitis atropik

A

atropi genital eksterna
rugae vagina hilang

23
Q

obat vaginitis inflamatorik

A

clindamicin cream 5 gram
metronidazole 40 gram

24
Q

tx vaginitis atropi

A

estrogen topikal

25
Q

servisitis dibedakan menjadi

A

endoservitisa: GO, Chlamidia trachomatis
ekstoservitis: candidasis, trichomonas, herpes

26
Q

tatalaksana trichomonas dan GN

A

cefriaxone 125 mg
oloxacin 400 mg
cefixime 400 mg

27
Q

tx clamidia trachomatis

A

doxycycline 100 mg 2x
azithromycin 1 gr
ofloxacin 2x300