laporan tutorial blok 8 modul 3

8/19/2019 Laporan Tutorial Blok 8 Modul 3

1/22

LAPORAN TUTORIAL

BLOK 8 MODUL 3

PENYAKIT SISTEMIK YANG BERMANIFESTASI DI ORAL

PENYAKIT METABOLIK ENDOKRIN

KELOMPOK 8 :

AN NISAA AMELIA

RAHMAT HADI INDRA

TAMIA AKHIRA

RESTI KHAIRANI

WIRA PUTRI WINATA

KARINA NABILLA

ATIKA

FITRI ANGGINI

ENDA MARKUS

MUHAMMAD SETYO

VICKY DEVEGA

FAKULTAS KEDOKTERAN GIGI

UNIVERSITAS ANDALAS

MODUL 3


2/22

PENYAKIT METABOLIK ENDOKRIN

SKENARIO 3 :

“TIDAK SEMANIS GULA”

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3/22

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4/22

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7/22

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SKEMA

BAPAK YUSUF !"THN%

BEROBAT KE POLI GIGI

KELUHAN


8/22

GIGI GELIGI GOYAH4 BAU NAFAS4 ANTUNG BERDEBAR4 GUSI MUDAH BERDEBAR4

SERING KERINGAT MALAM

PEMERIKSAAN DM TYPE97 KONTROL

URIN REDUKSI %4 GDP

7" M)


9/22

L'().'$ > : S&(#+s' 1'( u& &(f-,2's& '() #+0'$ 1& /+,-0+$

LO

DIABETES MELITUS

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KLASIFIKASI :

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10/22

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ETIOLOGI :

• DIABETES TIPE

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TANDA DAN GEALA :

6 P+(u,u('( *+,'# *'1'( BB%

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11/22

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12/22

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13/22

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16/22

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17/22

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18/22

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2+(u,us /'1' #'(1' '() *+,0+*&$'( /'1' .+0+(', #&,-&1 u(#u. 2+()$'s&0.'(

$-,2-(9$-,2-( #&,-&16 K-(1&s& &(& '1'0'$ s'()'# ','() 1'( 1'/'# 1&.'.'(1+()'( .+0'&('(9.+0'&('( 0'&( 1',& .+0+(', /u',&6 U(#u. 2+()&1+(#&.'s&

.+.'5'u'( &(&4 s+-,'() +(1-5,&(-0-)&s# 2+0'.u.'( #+s9#+s #+,/+,&(5& u(#u.

2+(&0'& /+0+/'s'( 1',& TSH6

;6 T&,-&1&s /+,'1'()'( 1',& #&,-&1%

P+,'1'()'( 1',& .+0+(', #&,-&1 2u().&( #+,'1& s+#+0'$ su'#u /+('.

@&,us (subacute thyroiditis)" K-(1&s& &(& *+,$u*u()'( 1+()'( su'#u 1+2'2 1'(

su'#u s'. 0+$+, '() s+,&().'0& s'. /'1' '.#u 2+(+0'(6 K+0+(', #&,-&1 u)'

0u('. &.' 1&s+(#u$6 Mu().&( '1' s'.s'. 0+$+, 1'( (+,&9(+,& '() 1&s'2'

,'#'.'(6 P+,'1'()'( .+0+(', 1+()'( su'#u '.u2u0's& s+09s+0 1','$ /u#&$ 1&.+('0s+*')'& lymphocytes (lymphocytic thyroiditis) 2u().&( u)' #+,'1&6 P'1' .+1u'

.-(1&s&9.-(1&s& &(&4 /+,'1'()'( 2+(&())'0.'( .+0+(', #&,-&1 Q*-5-,Q4 s+$&())'

u20'$ $-,2-( #&,-&1 '() 2'su. .+ 1','$ 2+(&().'#6 L2/$-5#&5 #$,-&1&s

'1'0'$ /'0&() u2u2 s+#+0'$ su'#u .+$'2&0'( 1'( 1'/'# s+*+(',(' #+,'1& /'1'

s'2/'& 1+()'( 8 1',& '('9'(' s+#+0'$ 2+0'$&,.'(6

P'1' .'sus9.'sus &(&4f's+ $&/+,#&,-&1 1'/'# *+,0'()su() 1',& ? s'2/'& 7 2&())u

1'( s+,&().'0& 1&&.u#& -0+$ su'#u f's+ $&/-#&,-&1 $'s&0 #&,-&1 '() ,+(1'$% '()

1'/'# *+,0'()su() s'2/'& ; *u0'(6 M'-,'s 1',& '('9'(' '()

#+,/+()',u$ .+2*'0& .+ su'#u .+'1''( fu()s& #&,-&1 '() (-,2'06 T&,-&1&s 1'/'#1&1&')(-s&s 1+()'( su'#u #$,-&1 s5'(6

>6 P+2'su..'( Y-1&u2 '() *+,0+*&$'(

K+0+(', #&,-&1 2+())u('.'( -1&u2 u(#u. 2+2*u'# $-,2-(9$-,2-(

#&,-&16 Su'#u .+0+*&$'( -1&u2 1'/'# 2+(+*'*.'( $&/+,#&,-&16 H&/+,#&,-&1 '()

1&/+()',u$&


20/22

HIPERPARATIROID

H&/+,/','#&,-&1 '1'0'$ su'#u .+'1''( 1&2'(' .+0+(',9.+0+(', /','#&,-&1

2+2/,-1u.s& 0+*&$ *'('. $-,2-( /','#&,-&1 1',& *&'s'('6

KLASIFIKASI :

6 H&/+,/','#&,-&1 /,&2+,

H&/+,/','#&,-&1 /,&2+, 2+2/u('& .-(s+(#,'s& s+,u2 $-,2-( /','#&,-&1 '()

#&())&6

K&,'9.&,' 8!/+,s+( 1',& .+s+0u,u$'( $&/+,/','#&,-&1 /,&2+, 1&s+*'*.'( -0+$

'1+(-2' #u())'0 !/+,s+( 0'&((' 2+0&*'#.'( *+,*')'& .+0+(',6 C-(#-$('

s+*')'& '1+(-2' '#'u $&/+,/0's&'6

S+1&. $&/+,/','#&,-&1 1&s+*'*.'( -0+$ /','#&,-&1 .',s&(-2'6

76 H&/+,/','#&,-&1 s+.u(1+,

H&/+,/','#&,-&1 s+.u(1+, '1'0'$ /,-1u.s& $-,2-( /','#&,-&1 '() *+,0+*&$'(

.',+(' ,'()s'()'( /,-1u.s& '() #&1'. (-,2'06

S+5',' .$usus .+0'&('( &(& *+,.''( 1+()'( .+)')'0'( )&('0 '.u#6

P+(+*'* u2u2 0'&((' 1&s+*'*.'( -0+$ .+.u,'()'( @'2&( D6

36 H&/+,/','#&,-&1 #+,s&+,

H&/+,/','#&,-&1 #+,s&+, '1'0'$ /+,.+2*'()'( 1',& $&/+,/','#&,-&1 s+.u(1+, '()

#+0'$ 1&1+,' 0'2'6

P+('. &(& 1'(1'& 1+()'( /+,.+2*'()'( $&/+,s+.,+s& $-,2-( /','#&,-&1 1'(

&(& '.'( 2+(+*'*.'( /+(&().'#'( .'0s&u2 1&1'0'2 1','$ 'u $&/+,.'0s+2&'6

ETIOLOGI :

M+(u,u# L',+(5+ K&24 MD 7""! :

6 K&,'9.&, ' 8!/+,s+( 1',& .'sus $&/+,/','#&,-&1 /,&2+, 1&s+*'*.'( -0+$

'1+(-2' #u())'06


21/22

76 S+1'().'( !/+,s+( 0'&((' 2+0&*'#.'( *+,*')'& .+0+(',6 C-(#-$('

$/+,/0's&'6 B&'s'(' $+,+1+, 1'( f,+.u+(s& (' *+,$u*u()'( 1+()'(

.+0'&('( +(1-.,&( 0'&(('636 B+*+,'/' '$0& 1'( *+1'$ /'#-0-)&s 2+0'/-,.'( *'$' /+2*+s','( 1',&

.+0+(', '() 2u0#&/0+ u2u2(' +(&s '1+(-2' '() )'(1'6

PATOFISIOLOGI :

H&/+,/','#&,-&1 /,&2+,

9 H&/+,/','#&,-&1 /,&2+, 'u 1&s+*'*.'( -0+$ $/+,/0's&' '#'u (+-/0's2'

'#'u s+.u(1+, 1&2'(' .'sus *&'s'(' *+,$u*u()'( 1+()'( )')')0 )&('0

.,-(&s69 P'1' 8"/+,s+( .'sus4 $&/+,/','#&,-&1 /,&2+, 1&s+*'*.'( -0+$ '1+(-2'

/','#&,-&1 &('.4 8/+,s+( .'sus 1&s+*'*.'( -0+$ $/+,/0's&' .+0+(',

/','#&,-&14 7/+,s+( .'sus 1&s+*'*.'( -0+$ .',s&(-2' /','#&,-&16

KOMPLIKASI :

9 P+(&().'#'( +.s,+s& .'0s&u2 1'( f-sf-,9 D+$&1,'s&9 B'#u )&('09 H&/+,.'0s+2&'9 Os#+-.0's#&.9 Os#+&s *,-s' 5s#&5'

MANIFESTASI ORAL :

9 T+,'1& /+,u*'$'( #u0'() '() 2+0&/u#& $&0'()(' 0'2&(' 1u,'4

1&.+2u.'.'((' “),-u(1 )0'ss” /'1' /-0' #,'*+.u0'4 /+(&/&s'( 1',&

#u0'() .-,#&.0 1&*')&'( &(f+,&-, 5'('0&s 1+(#'069 P'1' /+,&'/&.'0 #+,0&$'# )&'(# 5+00 0+ss&-( *,-( #u2-,% /'1' )'2*','(

,'1&-0us+( 1&'(#',' &(s&s&@us *''$ '() #+0'$ 2+()'0'2& /+,)+s+,'(6

PENATALAKSANAAN :

6 T&(1'.'( /+2*+1'$'( u(#u. 2+()'().'# ',&()'( /','#&,-&1 '()

'*(-,2'06


22/22

76 D+$&1,'s& .',+(' )'())u'( /'1' )&('0 2u().&( #+,'1&6 D&'(u,.'(

2&(u2 s+*'('. 7"""204 5'&,'( u(#u. 2+(5+)'$(' #+,*+(#u.(' *'#u

)&('0636 M+2*+,&.'( f-sf'# /+,-,'0 2+(u,u(.'( .'1', .'0s&u2 /'1' /'s&+(6?6 D&+# 1'( -*'#9-*'#'(6

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