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PBL URIN Skenario 2

Jul 06, 2018

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Dira Adhitya
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    DIRA ADHITIYA NINGRUM | 1102014077SASARAN BELAJAR

    1. MM Anatomi VU an U!"t!a1.1. Ma#!o1.2. Mi#!o

    2. MM $i%io&o'i B"!#"mi(2.1. )!o%"% *"!#"mi(2.2. R"+", *"!#"mi(

    -. MM In"#%i Sa&/!an "mi(-.1. D"ni%i-.2. Ei"mio&o'i-.-. Etio&o'i-.4. &a%i#a%i-.3. )ato&o'i an )ato%io&o'i-.. Mani"%ta%i #&ini%-.7. Dia'no%i% an ia'no%i% *anin'-.5. Tata&a#%ana-.6. )"n"'a(an-.10. om&i#a%i

    -.11. )!o'no%i%4. MM Sa&a%i& Ba/& 8T(a(a!a(9 R/#%(a(:

    1. Anatomi V"%ia U!ina!ia an U!"t(!a1.1. Ma#!o%#oi%

    V"%ia /!ina!ia t"!&"ta# t"at i *"&a#an' /*i% i a&am a;ita% "&;i%. V"%ia /!ina!ia /#/*ai# /nt/# m"no& #" ata%9 #" a&am a;ita% a*omina&i%.)"!iton"/m

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    DIRA ADHITIYA NINGRUM | 1102014077aa &a#i=&a#i an ligamentum pubovesicale aa "!"m/an. "/a &i'am"nt/m inim"!/a#an "n"*a&an a%ia "&;i%.

    • Tunica mucosa %"*a'ian *"%a! *"!&iat=&iat aa ;"%ia /!ina!ia a&an *"!%ama %a!a %imati% m"&a&/i &",/% (

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    DIRA ADHITIYA NINGRUM | 1102014077an>an' ai "!"m/an %"*a* aa &a#i &a#i t"!aat "ni% an #"&"n>a! !o%tat

    %"an'#an aa ?anita tia# aa. )aa &a#i &a#i an>an' /!"t(!a 8 15=20 : m an aa

    ?anita (anai %(int"! /!"t(!a int"!na

    8in;o&/nta!

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    DIRA ADHITIYA NINGRUM | 1102014077 Lai%an t"n'a( *"!a#(i! aa &"("! ;"%ia Lai%an &/a!9 &on'it/ina&9 *"!>a&an %amai #" />/n' !o%tat aa &a#i29 an aa

    ?anita *"!>a&an %amai #" m"at/% ",t"!n/% /!"t(!a"

    U"#T"A)!ia

    )a!% !o%tatia )aa *a'ian i%ta& t"!aat ton>o&an #"a&am

    &/m"n verumontanum. D/t/%

    ">a/&ato!i/% *"!m/a!a "#at ;"!/montan/m Di&ai%i "it"& t!an%itiona&

    )a!% m"m*!ano%a Di&ai%i "it"& *"!tin'#at to!a#

    Di*/n'#/% o&"( %(int"! /!"t(!a ",t"!na8;o&/nta!an' /!"t(!a9 t"!/tama aa

    a!% "n/&o%a

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    DIRA ADHITIYA NINGRUM | 1102014077

    anita )"n"#9 4=3 m Di&ai%i "it"& *"!&ai% '""n'9 i*"*"!aa t"mat

    t"!aat "it"& *"!tin'#at to!a# Di"!t"n'a(an /!"t(!a t"!aat %(in,t"! ",t"!na

    8m/%#/&a! *"!o!a#:

    GLANDULA )RFSTAT

    •  J"ni% "it"&na!.

    • S"#!"t m"n'an/n' o%ata%" a%am

    • on#!"m"n 8o!o!a ama& #" #an/n'#"mi(. "ti#a #an/n' #"mi( t"!i%i9 />/n' /!"t"! an' o!'an=

    o!'an an''/&. N"/!on=n"/!on moto!i#

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    DIRA ADHITIYA NINGRUM | 1102014077/!in #"&/a!. S"&ain it/9 #a!"na m"!/a#an otot !an'#a9 %n't"! "#%t"!na an ia!a'ma"&;i% *"!aa i *a?a( #ont!o& #"%aa!an. "/an

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    DIRA ADHITIYA NINGRUM | 1102014077

    Gambar 2! &ontrol "e0eks dan .olunter Atas Berkemih

    )"!%a!in'an (a&/% a&an a!i &"#%/% /nt/# m"n'in"!;a%i o!'ano!'an "&;i%. Ta# t"!aat "!*"aan

    #(/%/% o%t>/ntiona& anta!a %"!a*/t o%t'an'&ioni# anotot o&o% a!i "t!/%o!. S"*a&i#n"&a%. Simat"#tomi &/m*a& %a>a tia#

    *"!"n'a!/( aa #ontin"n% ata/ mi#%i m"%#i/n aa /m/mna#/&a%i !"t!o'!a. L"("! #an/n' #"nin' !ia *ana#/&a%i !"t!o'!a"

    ,ersarafan somantik 3'!pudendus4

    Ftot &/!i# a!i %n't"! /!"t!a m"!/a#an %at/=%at/n

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    DIRA ADHITIYA NINGRUM | 1102014077n/#&"/% Fn/9 m"n'an/n' *aan %"& a!i moto! n"/!on /##an

    *a(?a &"*i( *"!%iat %#"&"tomoto! i*anin'#an "!%a!aan "!in"a& a!a%imati%

    !"'an'&ioni#. S"!a*/t moto!i# a!i %"&=%"& ini *"!>a&an a!i !ai#% S29 S- an S4 #" a&am

    N./"n/% imana #"ti#a m"&"?ati "&;i% m"m*"!i "!a*an'an #" %n't"! ana& an a*an'

    "!in"a& #" otot &/!i# %n't"! /!"t!a. S"a!a "&"#t!omio'!a9 moto! /nit a!i otot &/!i# %n't"!%ama "n'an %"!a*/t &/!i# otot tai m"m/na&an a&am n."&;i#/% an m"m*a?a %"n%a%i a!i i%t"n%i #an/n' #"nin' tama#n/##an *a(?a &"%i aa *a'ian ant"!om"ia& a!i &o*/%!onta& aat m"nim*/an 'an''/an mi#%i *"!/a /!'"n%i9in#ontin"n%9 (i&an'n/##an aan

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    DIRA ADHITIYA NINGRUM | 1102014077S4. S"&ain a#omoa%i #an/n' #"nin'9 #ontin"n% %"&ama "n'i%ian m"m"!&/#an a%i&ita%i

    a#tita% otot &/!i# a!i %n't"! /!"t!a9 %"(in''a t"#anan /!"t!a &"*i( tin''i i*anin'#an

    t"#anan int!a;"%i#a& an /!in" tia# m"n'a&i! #"&/a!

    ,engaliran urine

    )aa o!an' "?a%a /##an #"*"!aaan

    mi#!oo!'ani%m" a&am /!in. Aan/##an "!t/m*/(an mi#!oo!'ani%m" &"*i( a!i 103 o&on< o!min' /nit%

    8$U: aa *ia#an /!in. Ba#t"!i/!ia *"!ma#na tana i%"!tai mani"%ta%i #&ini% IS i%"*/t

    *a#t"!i/!ia a%imtomati#. S"*a&i#n

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    DIRA ADHITIYA NINGRUM | 1102014077("mato'"n aa&a( brusella9 nocardia9 actinomises9 an Mycobacterium tuberculosa . Candidasp m"!/a#an >am/! a& o&i#i%ti#9 n"#!o%i% ai&a!9 Dia*"t"% M"&it/%9 %"n''ama9 #"(ami&an9#at"t"!i%a%i9 "n

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    DIRA ADHITIYA NINGRUM | 1102014077)!"%"nta%i #&ini% in"#%i %a&/!an #"mi( *a?a( t"!'ant/n' a!i '"n"!

    1. )"!"m/ana. Si%ti%i% aa&a( !"%"nta%i #&ini# in"#%i #an/n' #"mi( i%"!tai *a#t"!i/!ia *"!ma#na.*. Sin!om /!"t!a a#/t 8SUA:

    Sin!om /!"t!a a#/t aa&a( !"%"nta%i #&ini% %i%ti%i% tana it"m/#an mi#!oo!'ani%m"

    8%t"!i&:9 %"!in' inama#an %i%ti%i% *a#t"!ia&i%.

    2. La#i=&a#i

    )!"%"nta%i #&ini% in"#%i %a&/!an #"mi( aa &a#i=&a#i m/n'#in %i%titi%9 !o%tatiti%9 "iimii%

    an /!"t!iti%.

    In"#%i %a&/!an #"mi( ata% t"!*a'i m"n>ai 29 a!in'an i#at a!"n#im 'in>a&

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    DIRA ADHITIYA NINGRUM | 1102014077*%& setelahterapi

     T"!ai tia# %"%/ai Sama anita ata/ &a#i=&a#i

    Tidak adekuat3relapsing4

     T"!ai in""#ti %"t"&a( !"in"#%i

    Sama anita ata/ &a#i=&a#i

    In"#%i "!%i%t"n Sama anita ata/ &a#i=&a#i

    R"in"#%i "at SamaK*"!&ainan anita ata/ &a#i=

    &a#i$i%t/&a"nt"!o;"%i#a&

    B"!&ainan anita ata/ &a#i=&a#i

     Ta*"&. &a%i#a%i IS R"#/!"n an Mi#!oo!'ani%m" 8MF:

    M"n/!/t #om&i#a%i

    1. IS %""!(ana 8 tana a#to! !"i%o%i%i :

    IS %""!(ana a& GGA ma//n GG 

    . Gan''/an aa!in'an i#at 8%a!!in':a%/& anti'"n R"%i%t"n%i t"!(aa "!ta(anan t/*/(

    )"!&"n'#"tan 8atta(m"nt:Lioo&

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    DIRA ADHITIYA NINGRUM | 1102014077  ,eranan faktor virulensi lainn6a! Siat ato'"nita% &ain a!i E. o&i *"!(/*/n'an

    "n'an to#%in. B"*"!aa %iat /!oato'"n MF @ %""!ti !"%i%t"n%i %"!/m9 %"#/%t!a%i*"%i9 "m*"nt/#an (i!o#%at an anti'"n a& a aa #an/n' #"mi(9 %""!ti aa >">a% #o!a %ina&i%9

    ta*"% o!%a&i%9 m/&ti"& %#&"!o%i%9 ia*"t"%9 ata/ "nai %"&ama */an' ai! #"i& ata/ "n'an "nin'#atan t"#anan

    aa #an/n' #"mi(. R"+/#% ;"%i#o/!"t"!a& t"!>ai >i#a '"!a#an !"t!o'!a at !aio oa# ata/

    !aioa#ti aat it/n>/##an m"&a&/i %i%to/!"t!o'!am %"&ama */an' ai! #"i&. Gan''/an

    anatomi% "!t"m/an ;"%i#o/!"t"!a& m"n

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    DIRA ADHITIYA NINGRUM | 1102014077$a#to! ;i!/&"n%i *a#t"!i m"m"n'a!/(i #"m/n'#inan %t!ain t"!t"nt/9 *"'it/

    ima%/##an #" a&am #an/n' #"mi(9 a#an m"n/'a *ia%an/'a m"m"!tin''i !"%i#o t"!>ainai in"#%i %a&/!an #"mi(.Mi#!oo!'ani%m" m"ma%/#i %a&/!an #"mi( m"&a&/i /!"t!a !o%tat ;a% ""!"n% t"%ti% 8aa!ia: */&i */&i /!"t"! 9an %amai #" 'in>a&.

    *nfeksi $ematogenS"!in' t"!>ai aa a%i"n

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    DIRA ADHITIYA NINGRUM | 1102014077an !"%i/ #"mi( m"n>ai m"ia "!t/m*/(an *a#t"!i a!in'an "!/t'in>a&9 *at/ n"o&a%ma9 an (i"!t!oi !o%tat ainai m"ia "!t/m*/(an *a#t"!i a!in'an a!/t 'in>a&9 *at/9 n"o&a%ma an

    (i"!t!o !o%tat" a&a IS aa *a'ian *a?a( aa&a( • N

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    DIRA ADHITIYA NINGRUM | 1102014077• Si%titi% i/!ia /!'"n%i9 !"#/"n%i mi#%i m"nin'#at "!/*a(an ?a!na an *a/ /!in"9

    nai9 ata/ (an

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    DIRA ADHITIYA NINGRUM | 1102014077n/m&a( %"im"n9 ata/ "nin'#atan =!"a#ti;" !ot"in *ia%ana&9 an ia*"t"%. )aa "m"!i#%aan

    /!in !/tin9 >i#a it"m/#an &"/#o%it a'a. T"mat "n/%/#an #at"t"! %"*ai#n/n' #at"t"!

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    DIRA ADHITIYA NINGRUM | 11020140771. Sia#an *"*"!aa oton'an #a%a %t"!i& /nt/# m"m*"!%i(#an a"!a( ;a'ina an m/a!a

    /!"t!a. Sat/ oton' #a%a %t"!i& i*a%a(i "n'an ai! %a*/n9 /a oton' #a%a %t"!i& i*a%a(i

    ai! ata/ %a&in (an'at an %"oton' &a'i i*ia!#an a&am #"aaan #"!in'. Jan'an m"ma#ai

    &a!/tan anti%"ti# /nt/# m"m*"!%i(#an a"!a( t"!%"*/t. Sia#an /&a ?aa( %t"!i& an

     >an'an */#a t/t/n/tn

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    DIRA ADHITIYA NINGRUM | 11020140771. Ba(an /!in (a!/% %"'"!a i#i!im #" &a*o!ato!i/m9 #a!"na "n/naan a#an m"n/##an >/m&a( *a#t"!i %"*"na!nam %"t"&a( "nam/n'an.

    2 Sam"& (a!/% %/a( i"!i#%a a&am ?a#t/ 2 >am. S"tia %am"& am.

    . )"m"!i#%aan U!in Emat )o!%i 8M"a!"% Stam"

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    DIRA ADHITIYA NINGRUM | 1102014077Si&in"! a&am /!in aat m"mi&i#i a!ti a&am ia'no%i% "n

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    DIRA ADHITIYA NINGRUM | 1102014077)"m"!i#%aan !aio&o'i% aa IS ima#%/#an /nt/# m"n'"ta(/i aana&a /m/m9 aan/'a iia'no%i% "n'an

    1. in"#%i %a&/!an #"mi( *a?a( 8 %i%titi% an %in!om /!"t!a a#/t:

    2. in"#%i %a&/!an #"mi( ata%

    -. *at/ %a&/!an #"mi(

    6. )"nata&a#%anaan

    Mana>"m"n IS In"#%i %a&/!an #"mi( 8IS: *a?a()!in%i mana>"m"n IS *a?a( aa&a( intake ai!an am "n'an

    anti*ioti#a t/n''a&@ %""!ti ami%i&in - '!9 t!im"to!im 200 m'.• Bi&a in"#%i m"n"ta i%"!tai /!ina&i%i% 8&"#o%/!ia: i"!&/#an t"!ai #on;"n%iona&

    %"&ama 3=10 (a!i• )"m"!i#%aan mi#!o%#oi# /!in an *ia#an /!in tia# i"!&/#an *i&a %"m/a

    '">a&a (i&an' an tana &"#o%/!ia.

    R"in"#%i *"!/&an' 8freuent re!infection:

    • Di%"!tai ato! !"i%o%i%i T"!ai antimi#!o*a am.

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    DIRA ADHITIYA NINGRUM | 1102014077Ini#a%i Ra?at Ina )i&on"!iti% A#/t

    "'a'a&an m"m"!ta(an#an (i!a%i no!ma& ata/ to&"!an%i t"!(aa

    anti*ioti#a o!a& )a%i"n %a#it *"!at ata/ "*i&ita%i  T"!ai anti*ioti#a o!a& !a?at >a&an m"n'a&ami #"'a'a&an

    $ato! !"i%o%i%i /t/# IS ti" *"!#om&i#a%i  Di"!&/#an in;"%ti'a%i &an>/tan 

    omo!*iita% %""!ti #"(ami&an9 DM9 /%ia &an>/t

    Tu9uan Terapi

     T/>/an t"!ai IS aa&a( m"n"'a( ata/ m"n'o*ati a#i*at %i%t"mi# a!i in"#%i9 m"m*/n/(

    mi#!oo!'ani%m" "n

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    DIRA ADHITIYA NINGRUM | 1102014077

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    DIRA ADHITIYA NINGRUM | 1102014077

    )i&i(an antimi#!o*a *"!a%a!#an Educated Guess 3$a!ma#o&o'i9 $UI:

     :enis infeksi ,en6ebab

    tersering

    ,ilihan

    antimikroba

    Si%titi% a#/t E.o&i9

    S.%a!o(

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    DIRA ADHITIYA NINGRUM | 1102014077ot!imo#%ao& o!a&9

    +/o!o#/ino&on9

    amo#%i%i&in=a%am

    #&a;/&anat

    )!o%tatiti% a#/t E.o&i9 #/man '!am

    n"'ati;" &ainn

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    DIRA ADHITIYA NINGRUM | 1102014077P

    )/!in

    P

    DNA

    E"# %/&onami" i(am*at o&"( aana!in'an n"#!oti#9 #a!"na#"*/t/(an mi#!o*a a#an a%am o&at *"!#/!an' a&am m"ia "ni%

    %/&a i a*%o!%i i &am*/n'.

    -istribusi

    S"m/a %/&onami% t"!i#at "n'an !ot"in &a%ma t"!/tama a&*/min a&am "!a>at /t#an "n'an 1' %"tia 4=

    >am

    /nt/# ana# 130m'K#'BB %"(a!i

    o*at ini *i%a m"nim*/an (i"!%"n%iti;ita% /t#an 'n 2=4' a&am

    -= #a&i "m*"!ian9 &ama "m*"!ian t"!'ant/n' #"aaan "n

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    DIRA ADHITIYA NINGRUM | 1102014077 E#%!"%in

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    DIRA ADHITIYA NINGRUM | 1102014077• Ini#a%i IS9 IS naa%9 IS "!na9 In. G"nita&

    • E.S m"'a&o*&a%to%i%9 &"/#o"nia ata/ t!om*o%ito"nia9 aa #/&it #a!"na

    %/&onamiG(L! ,#'*%*L*'

    $a!ma#o inami# • "ni%i&in m"n'ina#ti#an !ot"in i#a aa ma#anan i a&am &am*/n' O -0=0

    m"nit %"*"&/m ma#an K 2=- >am %"t"&a( ma#an. Di%t!i*/%i #" %"&/!/( t/*/(9 "ni%i&in

    *i%a m"&"?ati %a?a! &a%"nta O tia# t"!ato'"ni#. Tia# #" SS)

    E#%#!"%i m"&a&/i 'in>a&

    E.S (i"!%"n%iti;ita% 8an'io""m9 ma#/&oa/&a!9 ana&a#ti#:9 ia!"9 n"!iti%

    8m"ti%i&in:9 n"/!oto#%i%ita%9 'an''/an "m*"nt/#an a!a( 8#a!*an"%i&in an #a!%i&in

    O anti%"/omona%:9 to#%i%ita% #ation

    •  Tia# *i%a /nt/# #/man B=&a#tama%"

    • R"%i%t"n%i E.o&i

    • E"# %amin' !"a#%i a&"!'i 9 S

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    DIRA ADHITIYA NINGRUM | 1102014077• E"# %amin' !"a#%i a&"!'i 9 ana&a#%i% 9 "n'an %a%m" *!on#/% an /!ti#a!ia

    aat t"!>ai• S"a!a o!a&

    • F*at Ma(a&

    G(L! T#T"AC=CL*'

    • E"#ti /nt/# in"#%i (&aman' @ ("atoto#%i# @ atoto#%i &&.

    Int"!a#%i o*at anta%it O (a*i% *"!#/!an9 (am*at t"o&in9 tia# i#om*ina%i "n'ano*at

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    DIRA ADHITIYA NINGRUM | 1102014077!ot"in !"na( #"/a&i %t!"tomi%in -0=30. Di%t!i*/%i #" a&am ai!an ota#

    %an'at t"!*ata%9 "#%#!"%i i 'in>a&9 #aa! a&am /!in aai 30=200 m'Km&9

    'an''/an 'in>a& (am*at "#%#!"%i.• E.S a&"!'i9 !"a#%i i!ita%i 8!a%a n"ni% mi#!o*a9 #"/a&i !ot"/%

    • E.S i!ita%i &am*/n' 8300 ' :9 4=5 '!amK%"(a!i - m'9 i!ita%i %a&/!an

    #"mi(9 !ot"in/!ia9 ("mat/!ia9 "!/%i #/&it.• I "n'an 'an''/an (ati9 tia# /nt/# 'a'a& 'in>a&9 tia# i*"!i#an *"!%ama

    %/&onami.•

    Int"!a#%i o*at %/%/9 anta%i tia# i*"!i#an m"nin'#at#an H• F!a& 4 , 1 '!amK(a!i

    2. Nit!o!antoin• Ini#a%i M"n'o*ati *a#t"!i/!ia /an !o&a#%i% ata/ "n'o*atan %/!"%i IS 

    m"na(/n

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