Penyakit Pada Usus

Question 1

Penyakit Pada Usus

Answer 1

BAB

Question 2

Penyakit Pada Usus (2)

Answer 2

Irritable Bowel Syndrome (IBS)
Inflammatory Bowel Disease (IBD)

Question 3

Etio IBS

Answer 3

Stres

Question 4

Dx IBS

Answer 4

Kriteria ROMA III/IV

Nyeri perut + 2 gejala: >3 bulan dalam kurun waktu 6 bulan
- Membaik setelah defekasi
- Perubahan pola/frek BAB
- Perubahan konsistensi feses

Endoskopi → normal

Question 5

Tx IBS

Answer 5

• Tepat
  Edukasi & reassurance (psikoterapi)
• Farmako
  + Probiotik
  • IBS type C
    Constipation → diet tinggi serat + laxatif (dulcolax)
  • IBS type D
    Diare → diet rendah serat + anti diare (attapulgit/loperamid)
  • IBS type M
    Mix

Question 6

Etio IBD

Answer 6

Idiopatik, genetik

Question 7

Dx IBD

Answer 7

Diare kronis >3 bulan + endoskopi tidak normal

Question 8

Klasifikasi IBD (2)

Answer 8

Crohn’s disease
Colitis Ulcerative

Question 9

Crohn’s disease

Answer 9

💡 2C 2S
Crohn Cobble stone
String Skip lesion

Question 10

KU Crohn’s disease

Answer 10

Nyeri perut
Diare >3 bulan
Diare berdarah (+/-)

Question 11

Kolonoskopi Crohn’s disease

Answer 11

Skip lesion
Cobble stone

Question 12

Barium Enema Crohn’s disease

Answer 12

String sign

Question 13

Biopsi/GS Crohn’s disease

Answer 13

Granuloma/abses kripta

Question 14

Colitis Ulcerative

Answer 14

💡 2C 2P
Colitis Continuous
Pipe Pseudopolyp

Question 15

KU Colitis Ulcerative

Answer 15

BAB berdarah
Diare >3 bulan
Nyeri perut

Question 16

Kolonoskopi Colitis Ulcerative

Answer 16

Continuous lesion
Pseudopolyp

Question 17

Barium Enema Colitis Ulcerative

Answer 17

Lead pipe colon
Hilangnya haustra

Question 18

Biopsi/GS Colitis Ulcerative

Answer 18

Abses kripta

Question 19

Tx IBD

Answer 19

Rujuk → sulfasalazin: salofalk: 5 ASA