Kel. 1 Nyeri Bak.pptx

Modul : Nyeri Saat BAK Pendamping Tutor : dr. Fera The M.Kes Kelompok 1 Ketua : Farel Abukarim Sekert : Nurul Amalia Isnain Anggota: Nanda Nofrima Chentia L. Gamgenora M. Chandra Alim M. Agung Halilluhraman Vivi Christin L. Marcelina Lia Noveltin Berliaan Nada

Skenario Seorang perempuan 28 tahun datang ke Puskesmas karena Nyeri BAK. Keluhan disertai rasa ingin berkemih terus dan menurut anamnesis pasien sering menahan kencing dan sedikit minum air putih.

Kalimat Kunci 01

Perempuan 28 tahun

02

Nyeri saat BAK

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Rasa ingin berkemih terus

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Contents

Pertanyaan 1. 2. 3. 4. 5.

6. 7. 8.

Jelaskan anatomi dan fisiologi sistem urogenital Sebutkan Etiologi dan faktor resiko nyeri saat BAK Sebutkan penyakit-penyakit yang dapat menyebabkan nyeri saat BAK Sebutkan Diferensial Diagnosa Dari DD Sebutkan dan jelaskan:  Etiologi dan faktor resiko dari DD  Patofiologi dari DD  Manifestasi Klinis dari DD  Langkah – langkah diagnosa dari DD  Penatalaksanaan dari DD  Komplikasi dari DD  Prognosis dariDD  Pencegahan dari masing – masing DD Hubungan antara sering Menahan kencing dengan DD Hubungan antara malas minum air putih dengan DD Hubungan rasa ingin berkemih terus dengan DD

Anatomi dan Fisiologi Sistem Urogenital

Sumber : Netter, Frank H. MD. Buku Atlas Anatomi Manusia Edisi. 6; Sherwood Lauralee. Buku Fisiologi Manusia edisi 8

Etiologi dari nyeri saat BAK

ISK

BKK

Sumber : “Dysuria, Frequency and Urgency – Clinical. Http://www.ncbi.nih.gov>NBK291

Hub. seksual

Penyakit – penyakit yang dapat menyebabkan nyeri saat BAK Uretra (uretritis akibat IMS) Gonorre

Ruam yang berhub. Dengan BAK Herpes Chancresifil

Kandung kemih Sistitis akut (tanpa komplikasi dan dengankomplikasi

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Struktur urogenital pria Epidimidis Orchitis Prostatitis akut dan kronik

Struktur urogenital Wanita Gagal ginjal Pielonefritis

Vagina : Infeksi candida Prolaps uterus Infeksi neisseria gonorhohae

Skenario ISK BSK Portfolio Presentation Perempuan 28 tahun

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Nyeri BAK

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Ingin berkemih terus

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Sering menahan kencing 30% + 50% Sedikit minum air -

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ISK

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BSK

INFEKSI SALURAN KEMIH

Etiologi dan Faktor Resiko Faktor Resiko:

Etiologi : Gram negatif ( - ) :  Proteus  Enterobacter Gram Positif ( + ) :  Staphylococcus Aureus  Enterococcus sp

 Higine yang buruk  Kateterisasi yg lama  Hipertensi

Uretritis

FR

Bakteri masuk melalui uretra

Invasi Ke Vu.

Bakteri berkembang & membentuk koloni

Sistitis IL-6

Jar. teriritasi

Suhu

Dialiri urin

Hematuria

ureter

Ginjal

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