Referat hematemesis melena pdf

Approach to a child with hematemesis or melena avijeet k. Disorders of the blood vessels of the gastrointestinal system. On clinical examination, he was pale with no organomegaly or lymphadenopathy. Hematemesis, melena, and hematochezia clinical methods. Hematochezia is the passage of fresh blood per anus, usually in or with stools.

Senja moratimur studies medical education, earth sciences, and medicine. Nursing interventions for hematemesis melena nursing diagnosis i deficient fluid volume related to bleeding. Upper git bleeding hematemesis is the property of its rightful owner. Latar belakang hematemesis muntah darah dan melena berak darah merupakan keadaan yang diakibatkan oleh perdarahan saluran cerna bagian atas upper gastroinstestinal tract. Deficient fluid volume related to bleeding loss of active ineffective tissue perfusion related to hypovolemia. A focused physical examination can lead to the diagnosis in most cases. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Kebanyakan kasus hematemesis adalah keadaan gawat di rumah sakit yang menimbulkan 814% kematian di rumah sakit. Hematemesis and melena introduction all cases of actual or suspected hematemesis and melena must be assessed in a timely manner within the emergency department.

Warna mukakulit keabuabuan spider nevi eritema palmaris lunula melebar batas kuku. Muntah darah berwarna hitam sepertibubuk kopi melena. The main cause of hematochezia is bleeding anywhere from your lower small intestine to your anus. Nursing interventions for hematemesis melena nursing diagnosis i deficient fluid volume related to bleeding loss of active goal. Hematemesis muntah darah dan melena berak darah merupakan keadaan yang diakibatkan oleh perdarahan saluran cerna bagian atas upper gastroinstestinal tract. Warna hematemesis tergantung pada lamanya hubungan atau kontak antara darah dengan asam lambung dan besar kecilnya perdarahan, sehingga.

Hematemesis, or vomiting blood, is a symptom that can be caused by various conditions and typically, is a sign that the dog is severely ill. Warna hematemesis tergantung pada lamanya hubungan atau kontak antara darah dengan asam lambung dan besar kecilnya perdarahan, sehingga dapat berwarna seperti kopi atau. Jurnal ini akan membahas tentang beberapa wilayah penelitian yang mengubah praktek klinik, termasuk yang berikut. Any bleeding from the upper gastrointestinal tract gi tract like esophagus, stomach, or intestine can lead to hematemesis.

Hematemesis is a medical emergency that needs immediate treatment. Scribd is the worlds largest social reading and publishing site. Tatalaksana yang baik dan benar pada hematemesis melena sangat penting untuk mencegah terjadinya komplikasi. Diagnosis dan penatalaksanaan pada penyakit sirosis hati. The blood may be bright red, or it may look like coffee grounds. Ppt upper git bleeding hematemesis powerpoint presentation. Buang air besar berwarna hitam seperti ter atau aspal hematemesis dan melena hematoskezia. Hematemesis medigoo medical tests medical information. Please tell us where you read or heard it including the quote, if possible. 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. Laporan pendahuluan hematemesis melena pdf info kedokteran. Approach to hematemesis and melena is the property of its rightful owner. Hematemesis adalah dimuntahkannya darah dari mulut, darah bisa dalam bentuk segar bekuan gumpalan cairan warna merah cerah atau berubah karena enzim dan asam lambung menjadi kecoklatan dan berbentuk seperti butiran kopi almi, 20.

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. Oct 03, 2011 hematemesis and melena are two of the clinical symptoms of acute gastrointestinal hemorrhage. Sirosis hepatis adalah suatu penyakit hati dimana sirkulasi mikro, anatomi pembuluh darah besar dan seluruh sistem arsitektur hati mengalami perubahan menjadsi tidak teratur dan terjadinya penambahan jaringan ikat fibrosis di sekitar parenkim hati yang mengalami regenerasi soeparman, 1997. It is important to recognize that a negative pr exam for melena does not necessarily rule out a git bleed, especially if it is recent. Check the full list of possible causes and conditions now. Penelitian terhadap komponen larutan kristaloid konvensional malahan mendorong perbaikan komposisi bahanbahan anestetik pada umumnya. 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. The xray chest was normal, and ultrasound abdomen was normal.

Hematemesis adalah muntah darah dan melena adalah pengeluaran faeses atau tinja yang berwarna hitam seperti ter yang disebabkan oleh adanya perdarahan saluran makan bagian atas. The mortality of those patients with proved or probable peptic ulcer has been correlated with age, site and size of ulcer, recurrence of bleeding after treatment, clinical complications and surgical. Bleeding that brings the patient to the physician is a potential emergency and must be considered as such until its seriousness can be evaluated. Warna hematemesis tergantung pada lamanya hubungan atau kontak antara drah dengan asam lambung dan besar kecilnya perdarahan, sehingga. Twedt, in small animal clinical diagnosis by laboratory methods fifth edition, 2012. Request pdf management of hematemesis and melena acute upper gastrointestinal bleeding is a common medical emergency which carries hospital mortality in excess of 10%. Hematemesis is the vomiting of blood, which may be obviously red or have an appearance similar to coffee grounds. Temperature patients with hematemesis melena in general experienced a temperature rise of about 3839 degrees celsius. Laporan pendahuluan hematemesis melena pdf referat kedokteran. Hematemesis medical definition merriamwebster medical. Konsep terbaru dalam manajemen cairan perioperatif.

If uncertainty remains and clinical suspicion is high, then a ng tube may be. Hematemesis adalah muntah darah dan melena adalah pengeluaran faeses atau tinja yang berwarna hitam yang disebabkan oleh adanya perdarahan saluran makan bagian atas. An analysis is presented of the primary cause of bleeding among 2,011 patients with hematemesis andor melena, personally treated over 14 years at the central middlesex hospital, london. Mishra 1st year resident guide dr surya bahadur thapa doch 2. This is caused by bleeding in your upper gastrointestinal gi system. Perdarahan saluran cerna bagian atas scba, terutama dari duodenum dapat pula bermanifestasi dalam bentuk melena. 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. The goals in managing a major acute gastrointestinal hemorrhage are to treat hypovolemia by restoring the blood. In the preshock state of the skin temperature becomes cooler as a result of circulatory. The mortality of those patients with proved or probable peptic ulcer has been correlated with age, site and size of ulcer, recurrence of bleeding after treatment, clinical complications and surgical intervention.

Please visit the project page for details or ask questions at wikipedia talk. If so, share your ppt presentation slides online with. Pd, kgeh finasim bagiansmf ilmu penyakit dalam fk unlam rsud ulin banjarmasin juni, 2014. Baixe no formato docx, pdf, txt ou leia online no scribd. Pengertian hematemesis adalah muntah darah dan melena adalah pengeluaran faeses atau tinja yang berwarna hitam seperti ter yang disebabkan oleh adanya perdarahan saluran makan bagian atas. Of these, 154 cases are regarded as being proved or probable cases of peptic ulcer.

Faktor utama yang berperan dalam tingginya angka kematian adalah. Contents introduction etiology initial assessment and stabilization history physical examination investigations management summary. He had dyspepsia with significant weight loss for 3 months period. Bleeding peptic ulcer is the most common cause of hematemesis. Perdarahan saluran cerna bagian atas scba, terutama dari. The causes of hematochezia and melena are entirely separate, despite having similar end results.

All patients with melena should be admitted the rockall scoring chart helps to stratify nonvariceal bleeding patients into those. Hematemesis article about hematemesis by the free dictionary. Similarly a lack of overt hematemesis does not necessarily rule out a git bleed. Buang air besar berwarna merah marun, biasanya dijumpai pada pasienpasien dengan perdarahan masif dimana transit time dalam usus yang pendek. Ppt tambahan referat hematemesis melena grace kahono. Diet diet lunak dilarang makanan berlemak, pedas, keras, alcohol, asam atau kopi 3. 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. The assessment is done on the patient hematemesis melena caused by rupture of esophageal varices as a result of cirrochis hepatis often experience ascites and edema. Acute confusion acute coronary syndrome orders anemia arterial blood gasses asthma blood pressure chest pain chest xray chf coma copd cranial nerves diabetic history diabetic foot dysphagia ekgs gallbladder and liver liver disease gait and balance headache hematemesis hypertension jugular venous. Asuhan keperawatan askep pada pasien dengan hematemesis.

A 52yrold man was admitted to the hospital with severe hematemesis and syncope. An analysis is made of 170 consecutive admissions for hematemesis and melena in a period of 20 months in 195052. Hematemesis hematemesis is seen in patients with herpes simplex virus esophagitis. Hematemesis dan melena disusun untuk memenuhi sebagian tugas kepaniteran klinik bagian ilmu penyakit dalam. Untuk mengetahui etiologi pasti dari hematemesis melena dapat dilakukan endoskopi. A 25yearold male presented with hematemesis, epigastric pain, and melena. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Mar 05, 20 sirosis hepatis adalah suatu penyakit hati dimana sirkulasi mikro, anatomi pembuluh darah besar dan seluruh sistem arsitektur hati mengalami perubahan menjadsi tidak teratur dan terjadinya penambahan jaringan ikat fibrosis di sekitar parenkim hati yang mengalami regenerasi soeparman, 1997. Warna hematemesis tergantung pada lamanya hubungan atau kontak antara darah dengan asam lambung dan besar kecilnya perdarahan, sehingga dapat berwarna. A 25yearold male presented with two bouts of hematemesis, 2 days prior to admission, containing about 200 ml of blood per bout, blackish in color mixed with few clots followed by episodes of malena for next 2 days. The symptoms of the dog must be monitored and the dog should get a clear diagnosis, so that he can receive treatment in a timely manner. Faktor utama yang berperan dalam tingginya angka kematian adalah kegagalan untuk. Pengertian hematemesis melena hematemesis adalah muntah darah dan melena adalah pengeluaran faeses atau tinja yang berwarna hitam seperti ter yang disebabkan oleh adanya perdarahan saluran makan bagian atas. The vomitus may contain brightred blood or digested blood that resembles coffee grounds.

Hematemesis, melena, and hematochezia are symptoms of acute gastrointestinal bleeding. Dyspepsia 18% epigastric pain 41% heartburn 21% diffuse abd. Perdarahan saluran cerna atas scba yaitu perdarahan dari lumen saluran cerna di atas ligamentum treitz mengakibatkan hematemesis dan melena. Hematemesis adalah muntah darah segar merah segar atau hematin hitam seperti kopi yang merupakan indikasi adanya perdarahan saluran cerna bagian atas atau proksimal ligamentum treitz. Patients included in the study were those patients aged 1875 years of either gender having aims65 score3 with ugib, defined by the presence of hematemesis, melena or hematochezia, andor a positive ng tube aspiration for coffee ground, black or bloody contents. Upper gastrointestinal bleeding presents with hematemesis, melena, or large amount of blood on nasogastric tube lavage and results mainly from peptic ulcers, gastric or esophageal varices, and. This article is within the scope of wikiproject medicine, which recommends that medicinerelated articles follow the manual of style for medicinerelated articles and that biomedical information in any article use highquality medical sources. Hematemesis adalah muntah darah dalam bentuk segar atau berubah karena enzim dan asam lambung menjadi kecoklatan berbentuk butiran kopi. Sementara itu, dasar tatalaksana dari hematemesis melena adalah resusitasi cairan, menghentikan perdarahan, dan mengatasi etiologi penyakit.