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![Page 1: Asites](https://reader035.fdocuments.us/reader035/viewer/2022062322/55cf8e04550346703b8da749/html5/thumbnails/1.jpg)
ModulASITES
![Page 2: Asites](https://reader035.fdocuments.us/reader035/viewer/2022062322/55cf8e04550346703b8da749/html5/thumbnails/2.jpg)
•“Ascites” ---- bhs. Yunani
“askos” --- kantong.
•sejak Hippocrates 400 SM -
parasintesis-Th/.
![Page 3: Asites](https://reader035.fdocuments.us/reader035/viewer/2022062322/55cf8e04550346703b8da749/html5/thumbnails/3.jpg)
1. Tekanan hidrostatik meningkat
Congestive heart failure
Constrictive pericarditis
Intrahepatic portal hypertension
Hepatic vein thrombosis
Portal vein thrombosis
2. Radang
Keganasan :
Metastatic cancer
Mesothelioma
Lymphoma
Sindroma Meig
Infeksi :
Tuberculosis
Coccidiomycosis
Histoplasmosis
Chlamydia
Peritonitis
3. Kebocoran
Pankreas-- duktuspankreatikus atau pseudocyst
Chylous- limfe mesentrium
Biliary-- Saluran empedu
4. Tekanan Osmotik menurun
Hipoalbuminemia :
Sirosis hati
Sindroma nefrotik
5. Sistem Imun
SLE
ASITES
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ASITES
PENYAKITHATI
KHRONIS
PeningkatanAliranLimfe
Hipoalbuminemia
Retensi air &Na.
Hipertensiporta
VasodilatasiSplangnikus
VasopresorEndogenusMeningkat
RAA SNS VP
![Page 5: Asites](https://reader035.fdocuments.us/reader035/viewer/2022062322/55cf8e04550346703b8da749/html5/thumbnails/5.jpg)
ASITES
PENYAKITHATI
KHRONIS
PeningkatanAliranLimfe
Hipoalbuminemia
Retensi air &Na.
Hipertensiporta
VasodilatasiSplangnikus
VasopresorEndogenusMeningkat
RAA SNS VP
Infu
s al
bumin
D
iit <
< g
aram
(2 g
./hr)
F
uro
sem
id
S
pir
ino
lakt
on
C
apto
pri
l
-b
loke
r
Pungsi
Th/ HP
Operasi
Transplantasi
![Page 6: Asites](https://reader035.fdocuments.us/reader035/viewer/2022062322/55cf8e04550346703b8da749/html5/thumbnails/6.jpg)
Komplikasi
VasopresorEndogenusMeningkat
RAA SNS VP
Vaso-kontriksi
renal
SindromaHepatoRenal
Gagalginjal
fungsional
SumberInfeksi <->
spt : Abses
abdomen. Perforasi
usus
Peritoni-tis bakterispontan
Asites infeksi
Vasokonstriktor poten(ornipressin) + albumin
Antibiotika : Cefotaksim Ofloksasin
![Page 7: Asites](https://reader035.fdocuments.us/reader035/viewer/2022062322/55cf8e04550346703b8da749/html5/thumbnails/7.jpg)
Pemeriksaan
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Anamnesis
• Dimensi :• Perut membesar seperti ada cairan
• Sejak ?
• G/ yang menyertai :• Hati
• Jantung
• Ginjal
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Pemeriksaan fisik
•Inspeksi : •perut katak•Hernia umbilikalis
•Palpasi - cembung
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Pemeriksaan fisik
•Perkusi : • Kranial-kaudal
![Page 11: Asites](https://reader035.fdocuments.us/reader035/viewer/2022062322/55cf8e04550346703b8da749/html5/thumbnails/11.jpg)
Pemeriksaan fisik
•Perkusi : • Medial-lateral: pekak alih
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Pemeriksaan fisik
•Perkusi : • Undulasi
![Page 13: Asites](https://reader035.fdocuments.us/reader035/viewer/2022062322/55cf8e04550346703b8da749/html5/thumbnails/13.jpg)
Pemeriksaan fisik
•Auskultasi Tanda Puddle