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Tugas Tht Dr ERNA BPPV

Jul 07, 2018

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    Benign Paroxysmal

    Positional Vertigo (BPPV)Oleh : Beatrix Flora E.Siregar

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    IDENTITAS PASIEN

    Nama : Ny. E

    Usia : 52 tahun

     Jenis Kelamin : PerempuanPekerjaan : Ibu Rumah

    Tangga

    lamat : !an"ung#uku !angsa : #un"a

    gama : Islam

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    Anamnesis

    • Seorang asien !atang "e oli"lini" T#T $SImman%el !engan "el%han %sing &er%tar.

    • 'el%han %sing &er%tar !irasa"an hilang tim&%lsea" hari yang lal%. 'el%han %sing &er%tar!irasa"an se"itar *+ menit.

    • P%sing !irasa"an "eti"a asien !%!%" ata% &er!iri.Pasien %ga merasa"an %sing &er%tar a!a saatmenggera"an "ealanya "e salah sat% sisi.

    • Pasien merasa"an m%al !an m%ntah  a!a saat%sing &er%tar, nam%n ti!a" a!a gangg%anen!engaran !an &ising a!a "e!%a telinga.

    • Pasien menyang"al a!anya !emam, ri-ayat tra%ma.

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    • $i-ayat Penya"it Dah%l%: #iotensi (), D/ (*), TB0 (*), Stro"e (*), Penya"it 1ant%ng (*), In2e"sitelinga (*)

    • $i-ayat enya"it "el%arga: "el%arga asien ti!a"

    memili"i enya"it ser%a• $i-ayat alergi : ti!a" a!a asma, alergi o&at ata%

    ma"anan

    • $i-ayat oerasi : menyang"al ernah oerasi

    telinga, hi!%ng !an tenggoro"an• $i-ayat "e&iasaan : mero"o" 3, min%m "oi 3,

    aanan &ising 3

    • $i-ayat tra%ma : *

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    • $i-ayat engo&atan : &el%m min%m o&ataa%n se&el%mnya

    • Pasien menyang"al min%m o&at asirin,stretomisin, neomisin, "anamisin,gentamisin, to&ramisin, ami"asin,2%rosemi!, o&at malaria, !an o&at tetesmata !an telinga.

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    • 'eala : -aah &ent%" 4 %"%ransimetris, e!ema 3 , nyeri te"an *,mata "on%ngti5a ti!a" anemis,

    s"lera ti!a" i"teri", nistagm%s .

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    Stat%s lo"alisTelinga "e$tra #inistra

    Prea%ri"%la

    *'elainan "ongenital * *

    -In6amasi * *

    - T%mor * *

    A%ri"%la

    *"ongnital * *

    *in6amasi * *

    *t%mor * *

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    P%staurikula "e$tra #inistra

    *'ongenital * *

    *in6amasi * *

    *t%mor * *

    *si"atri"s * *

    0analis a"%sti"%s intern%s

    *"elainan "ongenital * *

    *ser%men7&en!a asing * *

    *in6amasi * *

    *gran%lasi7t%mor7oli * *

    *se"ret * *

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    me&embran timpani

    *-arna P%tih m%tiara P%tih m%tiara

    *erm%"aan inta" Inta"

    *si"atri"s * *

    *ant%lan 8ahaya Arah am 9 1am

    -Per2orasi * *

     Tes en!engaran

    *tes &isi" Ti!a" !ila"%"an Ti!a" !ila"%"an

    *tes rinne

    *tes -e&er Ti!a" a!a lateralisasi Ti!a" a!a lateralisasi

    *tes s8h-a&a8h /emen!e" memen!e"

    A%!iometri

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    'i"ung (e$tra #inistra

    'ea!aan ;%ar Bent%" !an &atasnormal

    Bent%" !an &atasnormal

     Tes Passage %!ara Bai" Bai"

    $inos"oi anterior

    -/%"osa-Se"ret-Set%m-'on"a in2erior-'on"a me!ia-/eat%s in2erior

    -/eat%s me!ia- T%mor7oli

    /erah m%!a Ti!a" a!a Ti!a" !e5iasi#iertro

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    Anatomi4

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    Pato

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    Diagnosis

    )ejala Klinis

    •  Tera!i se8ara ti&a 3 ti&a

    • Ber%&ah osisi

    •P%sing&er%tarmenghilangsetelah >? !eti"

    •  1e!a antara er%&ahanosisi !an %sing&er%tar

    • Nystagm%s

    • 7* m%al m%ntah

    Pemeriksaan *sik "anpenunjang

    • Perasat Dix*#alli"e

    • Perasat Si!elying

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    Perasat Dix*#alli"e

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    Perasat Si!elying

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    Penatala"sanaan

    O&ser5asi

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    /e!i"amentosa

    Vesti&%loBetahistinSimtomati"

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    $eosisi

    "analit

    Eley/an%5er

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    Semont(;i&eratoryman%5e

    r)

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    Bran!t*Daro@ exer8ise

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