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LAPORAN KASUS Trombositopenia Dalam Kehamilan
Disusun Sebagai Sebagian Syarat Program Internsip Dokter Indonesia
Oleh: dr. Yohanes Malindo
Pembimbing: dr. Akhmad Nurdani, Sp.PD
RUMAH SAKIT UMUM DAERAH BALANGAN KABUPATEN BALANGAN PROVINSI KALIMANTAN SELATAN 2019
DAFTAR ISI
BAB I
Pendahuluan ............................................................................................
BAB II
Tinjauan Pustaka .....................................................................................
3
A.
Trombositopenia dalam kehamilan................................................
3
A.1 Trombositopenia Gestasional ...............................................
3
A.2 Immune Thrombocytopenia (ITP) .......................................
4
A.2.1
Epidemiologi ..........................................................
4
A.2.2
Patofisologi ............................................................
5
A.2.3
Gejala Klinis ..........................................................
6
A.2.4
Diagnosis................................................................
6
A.2.5
Tatalaksana .............................................................
7
A.2.6
Prognosis ................................................................
9
A.3 Hipertensi .............................................................................
B.
10
A.3.1
Preeklmapsia/Eklampsia ........................................
10
A.3.2
HELLP Syndrome ..................................................
10
A.4 Thrombotic microangiopathies ............................................
11
A.4.1
Thrombotic thrombocytopenic purpura (TTP) ......
11
A.4.1
Haemolytic Uraemic Syndrome (HUS) .................
11
A.5 Demam dengue.....................................................................
11
A.5.1
Epidemiologi ..........................................................
11
A.5.2
Etiologi ...................................................................
12
A.5.3
Mekanisme Penularan ............................................
12
A.5.4
Patogenesis .............................................................
13
A.5.4
Manifestasi dan Klasifikasi Klinis .........................
15
A.5.5
Pemeriksaan Penunjang .........................................
17
A.5.6
Tatalaksana .............................................................
17
A.5.7
Prognosis ................................................................
19
Myelodyplastic Syndrome (MDS) ...............................................
19
B.1 Etiologi .................................................................................
20
B.2 Patofisiologi .........................................................................
20
B.3 Manifestasi Klinis ................................................................
21
B,4 Pemeriksaan Penunjang .......................................................
21
B.5 Penatalaksanaan ...................................................................
22
B.6 Prognosis ..............................................................................
23
BAB III
Penyajian Kasus ......................................................................................
24
BAB IV
Pembahasan .............................................................................................
30
BAB V
Kesimpulan .............................................................................................
36
Disusun Sebagai Sebagian Syarat Program Internsip Dokter Indonesia
Oleh: dr. Yohanes Malindo
Pembimbing: dr. Akhmad Nurdani, Sp.PD
RUMAH SAKIT UMUM DAERAH BALANGAN KABUPATEN BALANGAN PROVINSI KALIMANTAN SELATAN 2019
DAFTAR ISI
BAB I
Pendahuluan ............................................................................................
BAB II
Tinjauan Pustaka .....................................................................................
3
A.
Trombositopenia dalam kehamilan................................................
3
A.1 Trombositopenia Gestasional ...............................................
3
A.2 Immune Thrombocytopenia (ITP) .......................................
4
A.2.1
Epidemiologi ..........................................................
4
A.2.2
Patofisologi ............................................................
5
A.2.3
Gejala Klinis ..........................................................
6
A.2.4
Diagnosis................................................................
6
A.2.5
Tatalaksana .............................................................
7
A.2.6
Prognosis ................................................................
9
A.3 Hipertensi .............................................................................
B.
10
A.3.1
Preeklmapsia/Eklampsia ........................................
10
A.3.2
HELLP Syndrome ..................................................
10
A.4 Thrombotic microangiopathies ............................................
11
A.4.1
Thrombotic thrombocytopenic purpura (TTP) ......
11
A.4.1
Haemolytic Uraemic Syndrome (HUS) .................
11
A.5 Demam dengue.....................................................................
11
A.5.1
Epidemiologi ..........................................................
11
A.5.2
Etiologi ...................................................................
12
A.5.3
Mekanisme Penularan ............................................
12
A.5.4
Patogenesis .............................................................
13
A.5.4
Manifestasi dan Klasifikasi Klinis .........................
15
A.5.5
Pemeriksaan Penunjang .........................................
17
A.5.6
Tatalaksana .............................................................
17
A.5.7
Prognosis ................................................................
19
Myelodyplastic Syndrome (MDS) ...............................................
19
B.1 Etiologi .................................................................................
20
B.2 Patofisiologi .........................................................................
20
B.3 Manifestasi Klinis ................................................................
21
B,4 Pemeriksaan Penunjang .......................................................
21
B.5 Penatalaksanaan ...................................................................
22
B.6 Prognosis ..............................................................................
23
BAB III
Penyajian Kasus ......................................................................................
24
BAB IV
Pembahasan .............................................................................................
30
BAB V
Kesimpulan .............................................................................................
36
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