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PRIMASWARI ANNISA F / LBM 4 / MODUL ENTEROHEPATIK

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STEP 3

1. Bagaimana metabolism garam empedu ?

Color of Atlas
Physiology; Chapter
X Nutrition and
Digestion; Pages
251

Medical
Biochemistry of
Bhagavan;
Chapter 17: Lipid
II: Phospholipids;
Glycosphingolipid
s; and
Cholesterol;
Pages 223
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PRIMASWARI ANNISA F / LBM 4 / MODUL ENTEROHEPATIK
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Disease of Liver and Biliary System; Sheila Sherlock; Chapter 2;Assessment of Liver Function

2. Mengapa pasien mengeluh adanya nyeri perut sebelah kanan yang hilang timbul dan menjalar
kepundak ?

3. Mengapa pasien mengalami nyeri setelah makan makanan berlemak ?

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PRIMASWARI ANNISA F / LBM 4 / MODUL ENTEROHEPATIK
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Color of Atlas
pathophysiology;
Chapter 6: Stomach,
Intestine, Liver; Role
of Gallbladder in
Cholelithiasis

4. Apa hubungan pemderita dengan memakai kontrasepsi KB ?

Harrison; Principles of Internal Medicine ; Part 14 Disorder of GI system; Section 2 Liver and Biliary Tract
Disease; Chapter 311 Disease of Gallbladder; Table 311-1 Predisposing Factor for cholesterol and pigment
gallstone formation
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5. Pathogenesis dan Patofisiologi

 Pathogenesis
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6. Bagaimana gejala dan tanda dari kasus skenario ?

Cholelitiasis

Acute Cholecystitis

Chronic Cholecystitis

Harrison Manual of Medicine; 18th edition; Section 11 Gastroenterology; 161 Cholelithiasis, Cholecystitis,
and Cholangitis; Pages 1021-1024

7. Apa etiologi ?

8. Apa faktor resiko ?

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PRIMASWARI ANNISA F / LBM 4 / MODUL ENTEROHEPATIK
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ABC of Liver; Pancreas;

and Gallbladder;
Chapter 2; Gallstone
Disease

9. Apakah DD dan Dx alasannya ?

10. Apa komplikasi ?

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PRIMASWARI ANNISA F / LBM 4 / MODUL ENTEROHEPATIK
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11. Bagaimana penatalaksaan dan pemeriksaan penunjang skenario ?

Terapi

Pemeriksaan Penunjang

a. USG

Acoustic Shadow

Stones and bones reflect more sound waves than fluid and produce “white” bright images.
Since ultrasound waves cannot transmit through stones, a black acoustic shadow will be
present behind them. Air is a strong ultrasound beam reflector making it difficult to visualize
structures behind it.[5]
Harrison principle of internal medicine; Part 14 disorder of gastrointestinal system; Section 2 Liver
and Gallbladder disease

PR

1. FISIOLOGI IMPULS NYERI ORGAN VISCERAL ABDOMEN

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PRIMASWARI ANNISA F / LBM 4 / MODUL ENTEROHEPATIK
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Snell anatomi klinik 321

STEP 4 Etiologi
Kolestrol ↑
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Kontrasepsi
Nyeri perut kuadran oral
kanan atas

Dx sementara
Gangg.v.fellea

Penunjang dan fisik

Diagnosis

Penatalaksanaan