Patofisiologi hematemesis melena pdf files

Miwa m, kikuchi k, senoue i, watanabe h, nomiyama t, suzuki s, harasawa s, tani n, miwa t. Dengan pemeriksaan klinis yang baik dan lengkap, diagnosis demam. Dalam penanggulangan penyakit hematemesis melena tentunya. Hal ini bukan hanya menggambarkan peranan hati sebagai sumber protein plasma dan factor pembekuan, namun juga produksi proteinprotein yang secara normal akan menghambat koagulasi, control fibrinolisis, atau aktivasi fibrinolisis. Hematemesis melena dapat di sebabkan oleh berbagai hal, salah satunya peptic ulcer atau ulkus peptikum. Quizlet flashcards, activities and games help you improve your grades. Boy with hematemesis, melena and mild splenomegaly. Nursing interventions for hematemesis melena nursing diagnosis i deficient fluid volume related to bleeding loss of active goal. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. This article will cover the conditions that can cause vomiting blood or blood with stools.

Symptoms in patients with peptic ulcer and hematemesis andor. Manifestasi klinik yang sering terjadi adalah adanya hematemesis muntah. In 20 patients, upper gi barium radiography had been obtained prior to endoscopy which was done within 7 days after hematemesis andor melena. P58 neonatal jaundice due to other excessive hemo p58. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Hematemesis, melena, and hematochezia are three different terms related to blood coming out of the body. Haematemesis is vomiting blood and melena is black faeces, like tar caused by the presence of upper gastrointestinal tract bleeding.

Tujuan penulisan jurnal ini adalah untuk memahami definisi, etiologi, patogenesis dan cara mendiagnosis hematemesis melena serta mengetahui algoritma. Approach to a child with hematemesis or melena avijeet k. Mellem h, stave r, myren j, osnes m, hanssen le, mosvold j, hebnes k. Racun ini disimpan di bawah gigi taring pada rahang atas. Sirosis hepatis informasi kedokteran dan kesehatan. Symptoms in patients with peptic ulcer and hematemesis andor melena related to the use of nonsteroid antiinflammatory drugs. Check the full list of possible causes and conditions now.

Anatomi dan fisiologi ileus obstruksi pathway patofisiologi. Hematemesismelena adalah keadaan muntah dan buang air besar berupa darah akibat luka atau kerusakan pada saluran cerna. Each symptom has its unique causes and presentation. Hematemesis muntah darah dan melena berak darah merupakan keadaan yang. Upper and lower emergency in gastroenterology need good diagnosis and rapid treatment. Hematemesis dan melena gangguan hemostasis dan penyakit hati merupakan hal yang beriringan. Hematemesis adalah muntah darah atau darah kehitaman coffe grounds menunjukkan perdarahan proksimal dari ligament treitz, dan melena adalah pengeluaran feses atau tinja yang berwarna hitam seperti ter yang disebabkan oleh adanya perdarahan saluran makan bagian atas.

Esophagusgasterduodenumproximal jejunumtreitz ligament lower gastrointestinal tract treitz ligamentdistal jejunumileumcolonanus. The biological half life of a substance is the time it takes for a drug to lose half of its pharmacologic activity. Spurious hematemesisvomiting of swallowed blood from upper respiratory tract. Deficient fluid volume related to bleeding loss of active ineffective tissue perfusion related to hypovolemia. Pathway, patofisiologi, pathophysiology, pathways, pathway askep.

Hematemesis terjadi bila ada perdarahan di daerah proksimal jejenum dan melena dapat terjadi tersendiri atau bersamasama dengan hematemesis. One hundred and seven consecutive patients with hematemesis andor melena and a diagnosis of duodenal, gastric, or esophageal ulcers were interviewed immediately before or after endoscopy about the use of nonsteroid antiinflammatory drugs nsaids and symptoms before the hemorrhage. Perdarahan spontan seperti menorhagia, metrorhagia, hematuria, hematemesis, melena dan epistaksis dapat terjadi pada kelainan purpura maupun kelainan pembekuan darah, sedangkan hemoptisis jarang terjadi karena gangguan perdarahan. Dyspepsia 18% epigastric pain 41% heartburn 21% diffuse abd. Upper gastrointestinal bleeding ugib is a common medical condition that results in substantial morbidity, mortality, and medical care cost. Mar 17, 2015 contd hematemesis vomiting of blood which may be red or coffee grounds melena passage of black tarry stools action of digestive enzymes and bacteria change the color of stool to black tarry and foul smelling hematochezia passage of fresh blood per anus, usually in or with stool. History of present illness patient came to emergency room rsud karawang with complaint vomiting of blood, color is black like coffee 3 times since 1 day before hospitalized. Pdf recurrent massive hematemesis from dieulafoy vascular. Hepatomegali hati pada umumnya dapat diraba pada pemulaan demam, kadang. The file extension pdf and ranks to the healthcare category. Differences in distribution of age, hemoglobin values, location and number of ulcers, activities of gastric secretion, associated conditions, treatment and prognoses between bleeding and nonbleeding gastric ulcer.

Hepatomegali hati pada umumnya dapat diraba pada pemulaan demam, kadangkadang juga di temukannya nyeri, tetapi biasanya disertai ikterus. Mishra 1st year resident guide dr surya bahadur thapa doch 2. Bleeding originating from the lower gi tract such as the sigmoid colon and rectum is generally associated with the passage of bright red blood, or hematochezia, particularly when brisk. Patofisiologi setelah virus dengue masuk ke dalam tubuh, pasien akan mengalami keluhan dan gejala karena viremia, seperti demam, sakit kepala, mual, nyeri otot, pegal seluruh badan, hiperemi ditenggorokan, timbulnya ruam dan kelainan yang mungkin muncul pada system retikuloendotelial seperti pembesaran kelenjarkelenjar getah bening, hati dan. Patofisiologi meskipun ada beberapa faktor yang terlibat dalam etiologi sirosis, konsumsi minuman beralkohol dianggap sebagai faktor penyebab yang utama. Melena, is stool with blood, that has been altered by the gut flora, and appears blacktarry melena vs.

Temperature patients with hematemesis melena in general experienced a temperature rise of about 3839 degrees celsius. Melena, is stool with blood, that has been altered by the gut flora, and appears blacktarry. Gastrointestinal diseases and abnormalities in adult. Of these, 154 cases are regarded as being proved or probable cases of peptic ulcer. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Sirosis terjadi dengan frekuensi paling tinggi pada peminum. Terdapat perbedaan distribusi penyebab perdarahan saluran cerna bagian atas. Around 50% of patients present with both hematemesis and melena, and up to 5% of patients present with hematochezia, which is suggestive of a rapid and significant amount of blood loss. Patofisiologi hematemesis melena lisa qn85mr8v51n1 idocpub. In 5 to 10 percent of patients with severe ugib, it may present as hematochezia. Hematemesis secondary to gastroesophageal reflux and esophagitis is uncommon but should be considered in patients who are severely symptomatic with vomiting or aspiration. Symptoms in patients with peptic ulcer and hematemesis and. Contents introduction etiology initial assessment and stabilization history physical examination investigations management summary.

This document was uploaded by user and they confirmed that they. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Koagulopati juga menjadi penyebab terjadinya hematemesis. Sirosis hepatis adalah suatu keadaan dimana terjadi kemunduran fungsi hepar liverhati yang permanen yang ditandai dengan perubahan histopatologis, yaitu kerusakan pada selsel hati yang merangsang proses peradangan dan usaha perbaikan selsel hati yang mati sehingga menyebabkan terbentuknya jaringan parut fibrosis dan perubahan struktur dan parenkim hepar. Hematemesis melena adalah keadaan muntah dan buang air besar berupa darah akibat luka atau kerusakan pada saluran cerna. Tandatanda infeksi dapat berupa ulserasi mulut atau tenggorokan, dan sepsis. An analysis is made of 170 consecutive admissions for hematemesis and melena in a period of 20 months in 195052. Shock shock biasanya terjadi pada saat demam menurun yaitu hari ketiga dan ketujuh sakit. Ugib is hematemesis 30% of patients andor melena 20% of patients.

Use the download button below or simple online reader. Kompilikasi 1 perdarah saluran cerna bagian atas 2 hematemesis dan melena anemia 6 3 ulkus peptikum 4 perforasi 7. Gangguan aliran darah perifer ringan yaitu kulit yang teraba dingin dan lembab. Latar belakang hematemesis muntah darah dan melena. Abses mandibula acute respiratory distress syndrome ards ami anemia angina pektoris apendisitis asma aterosklerosis bblr bph bronkiektasis chf demensia dhf diabetes mellitus diare gagal ginjal kronik gangguan bipolar gastritis gastroenteritis glaukoma halusinasi hematemesis melena hepatitis hernia nukleus pulposus hipertensi hipertensi heart. Asuhan keperawatan, yang terdiri dari pengkajian, diagnosa keperawatan, perenca na animplementasi keperawatan dan evaluasi keperawatan. Hematemesis, melena and splenomegaly are suggestive of a diagnosis of portal hypertension the first three options can cause portal hypertension but considering the age and sex of the child, extrahepatic portal venous obstruction ehpvo is the most probable diagnosis. Pdf perdarahan saluran cerna merupakan keluhan pasien yang sering dijumpai dalam. Dosis racun pergigitan bergantung pada waktu yang yang terlewati setelah gigitan yang terakhir, derajat ancaman dan ukuran mangsa. Banyaknya darah yang keluar selama hematemesis sulit dipakai sebagai patokan untuk menduga besar kecilnya perdarahan saluran makan bagian atas. Buang air besar berwarna merah marun, biasanya dijumpai pada pasienpasien dengan perdarahan masif dimana transit time dalam usus yang pendek penampilan klinis lainnya yang dapat terjadi adalah sinkope, instabilitas hemodinamik karena hipovolemik dan gambaran klinis dari komorbid seperti penyakit hati kronis. Evaluation of hematemesis gastroenterology, notes, practical notes, symptomatology hematemesis means vomiting of blood, due to upper gi bleeding proximal to ligament of trietz.

Patofisiologi adanya kerusakan mukosa pada esophagus, lambung, intestinal bagian depan akan meicu terjadinya inflamasi dan hemoragis. Paling sedikit terjadi perdarahan sebanyak 50100 ml. Unduh sebagai docx, pdf, txt atau baca online dari scribd. Hematemesis is indicative of bleeding proximal to the ligament of. Hematemesis, hematochezia, melena, and or perforation of a viscus may accompany stressassociated ulcers. Rahang dapat bertambah sampai 20 mm pada ular berbisa yang besar. Shock yang terjadi dalam periode demam biasanya mempunyai prognosa buruk. Produce quality pdf files in seconds and preserve the integrity of your original documents. It can be due to causes in the mouth or nose epistaxis or bleeding gums due to which the patient swallows his own blood, vomiting it later on, esophagus ruptured varices,tears, esophagitis, bleeding disorders, carcinoma, stomach ulcers, gastritis, carcinoma and duodenum ulcers, etc and of course, bleeding disorders. In the preshock state of the skin temperature becomes cooler as a result of circulatory.

Pada kelainan bawaan gejala perdarahan biasanya mulai tampak sejak bayi atau. Upper and lower emergency in gastroenterology need good diagnosis and rapid treatment upper gastrointestinal tract. Gangguan aliran darah perifer ringan yaitu kulit yang. Scribd is the worlds largest social reading and publishing site. Nasogastric aspiration, with or without lavage, has a low sensitivity and poor negative likelihood ratio, which limits its utility in ruling out an upper gi source of bleeding in patients with. It commonly presents with hematemesis vomiting of blood or coffee groundlike material andor melena black, tarry stools. Tinjauan teori, yang terdiri dari anatomi fisiologi, pengertian, penyebab, patofisiologi, manifestasi klinik, pemeriksaan diagnostik, penatalaksanaan medik dan komplikasi. The causes of hematochezia and melena are entirely separate, despite having similar end results. Hematemesismelena polyp and cancer of the gasterduodenum. If the patients admitted no symptoms of abdominal pain or. The main cause of hematochezia is bleeding anywhere from your lower small intestine to your anus.

Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Hematemesis means vomiting of blood, due to upper gi bleeding proximal to ligament of trietz. Edema gejala lanjut lainnya pada sirosis hepatis ditimbulkan oleh gagal hati yang kronis. Etiologically this can be variceal and nonvariceal. Hematemesis vomiting blood icd10cm diagnosis code k92. In 14 of 20 patients, the bleeding lesions were identified radiologically and endoscopically, in 6 patients, the bleeding lesions were not identified radiologically but were detected endoscopically. Kompilikasi 1 perdarah saluran cerna bagian atas 2 hematemesis dan melena anemia 6 3 ulkus peptikum 4. Konsentrasi albumin plasma menurun sehingga menjadi predisposisi untuk terjadinya edema. Perdarahan organ dalam lebih jarang dijumpai, tetapi jika terjadi perdarahan otak sering bersifat fatal. Kasus dengan judul asuhan keperawatan komprehensif pada tn. Patofisiologi racunbisa diproduksi dan disimpan pada sepasang kelenjar di bawah mata. Bisa jadi hewan juga mengalami vomit darah yang berasal dari perdarahan rongga mulut atau saluran respirasi yang tertelan. Askep sirosis hepatis there is document askep sirosis hepatis available here for reading and downloading.