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Tonsilitis Flashcards

1
Q

Tonsilitis

A

Nyeri menelan (+), demam, mialgia, anoreksia

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2
Q

PF Tonsilitis

A

Tonsil hiperemis, edema, hipertrofi

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3
Q

Klasifikasi Berdasarkan Onset Tonsilitis (3)

A

Tonsilitis Akut
Tonsilitis Kronis
Tonsilitis Kronis Eksaserbasi Akut

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4
Q

Tonsilitis Akut

A

<1 bulan
Nyeri menelan
Demam
Tonsil membesar
Hiperemis

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5
Q

Tonsilitis Kronis

A

Sulit menelan
Rasa mengganjal
Tonsil membesar
Kripta melebar

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6
Q

Tonsilitis Kronis Eksaserbasi Akut

A

Tanda akut + kronis

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7
Q

Klasifikasi Berdasarkan Etio Tonsilitis (4)

A

Tonsilitis Difteri
Tonslitis Bakteri
Tonsilitis Fungal
Tonsilitis Viral

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8
Q

Etio Tonsilitis Difteri

A

Corynebacterium difteri

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9
Q

PF Tonsilitis Difteri

A

Pseudomembran jika diangkat berdarah
Bullneck (+)
Riwayat imunisasi tidak lengkap (DPT 2, 3, 4 bulan 0,5 cc IM)

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10
Q

Tx Awal Tonsilitis Difteri

A

ADS IV/IM, sebelum diberi → skin test (+)

  • Rhinitis Difteri: 20.000 IU
  • Tonsilitis Difteri: 40.000 IU
  • Bullneck/Komplikasi: 80.000-100.000 IU
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11
Q

Tx Tepat Tonsilitis Difteri

A

Penisilin procain 50.000-100.000/kgBB
Eritromisisn 40-50 mg/kgBB

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12
Q

Tx Simtomatik Tonsilitis Difteri

A

Antipiretik
Analgetik

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13
Q

Komplikasi Tonsilitis Difteri

A
  1. Obstruksi jalan napas
  2. Miokarditis
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14
Q

Etio Tonsilitis Bakteri

A

SBHA

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15
Q

PF Tonsilitis Bakteri

A

Detritus (+)/eksudat (+)
Strawberry tongue (+)
Perubahan warna dahak → putih, kuning, kehijauan

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16
Q

Tx Tonsilitis Bakteri

A

AB spektrum luas (B-lactam, makrolid, sefalosporin)

17
Q

Etio Tonsilitis Fungal

A

Candida albicans → putih kuning

18
Q

FR Tonsilitis Fungal

A

Riw. immunocompromised (+)

19
Q

PF Tonsilitis Fungal

A

Selaput putih kekuningan/seperti keju

20
Q

PP Tonsilitis Fungal

A

KOH → Pseudohifa, Blastospora, Yeast

21
Q

Tx Tonsilitis Fungal

A
  1. Nystatin drops 4x400.000 IU
  2. Flukonazol oral 1x100-200 mg
22
Q

Etio Tonsilitis Viral

A

Coxsackie virus, EBV

23
Q

PF Tonsilitis Viral

A

Detritus (-)
Hiperemis saja

24
Q

Tx Tonsilitis Viral

A

Simtomatik

25
Q

Gold Standard Tonsilitis

A

Kultur Swab Tenggorokan

26
Q

Kultur Swab Tenggorokan Difteri

A

Basil gram (+)
Drum stick
Sel palisade
Huruf cina

27
Q

Kultur Swab Tenggorokan SBHA

A

Coccus, berantai, gram (+)
Hemolisis total pada biakan

28
Q

Kultur Swab Tenggorokan Candida Albicans

A

Pseudohifa, Blastospora, Yeast

29
Q

Tonsilitis Bakteri Folikularis

A

Detritus terlihat jelas
Menyatu (-)
Alur (-)

30
Q

Tonsilitis Bakteri Lakunaris

A

Lakuna = alur/sungai
Detritus saling menyatu membentuk alur

31
Q

Tonsilitis Membranosa Akut

A

Terbentuk membran menutupi tonsil → difteri, septik, kelainan darah (leukemia)

THT (38 decks)

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