Penyakit Rongga Mulut

Question 1

Penyakit Rongga Mulut (6)

Answer 1

Glositis
Parotitis
Oral Candidiasis (Oral Thrush)
Stomatitis
Leukoplakia
Eritroplakia

Question 2

Glositis

Answer 2

Glos = lidah, tis = inflamasi

Question 3

Etio Glositis

Answer 3

• Infeksi
  SBHA, candida
• Non Infeksi
  ADB, anemia vit. B12/B9
  Merokok, alkohol

Question 4

Dx Glositis

Answer 4

Lidah eritema, atrofi papil lidah, nyeri

Question 5

Klasifikasi Glositis (3)

Answer 5

Glositis Atrofi
Median Rhomboid Glositis
Benign Migratory Glositis

Question 6

Etio Glositis Atrofi

Answer 6

Infeksi → candida, SBHA
Non infeksi → ADB, AD vit. B12

Question 7

Dx Glositis Atrofi

Answer 7

Atrofi papil lidah
Lidah eritema
Nyeri

Question 8

Tx Glositis Atrofi

Answer 8

Atasi penyakit penyebab
Kumur chlorhexidine gluconate 0,2%
Ab oral
Anti fungal

Question 9

Etio Median Rhomboid Glositis

Answer 9

Merokok, HIV, inf. candida

Question 10

Dx Median Rhomboid Glositis

Answer 10

Lidah eritema pada foramen cecum, nyeri +/- (biasanya asimtomatik)

Question 11

Tx Median Rhomboid Glositis

Answer 11

Observasi
Antifungal (nystatin)

Question 12

Benign Migratory Glositis

Answer 12

= Geographic Tongue

Question 13

Etio Benign Migratory Glositis

Answer 13

Atopi, psoriasis

Question 14

Dx Benign Migratory Glositis

Answer 14

Bercak merah dengan tepi putih meninggi (seperti pulau), asimtomatik

Question 15

Tx Benign Migratory Glositis

Answer 15

Tidak perlu
Mouth hygiene

Question 16

Tx Glositis

Answer 16

• Atasi underlying disease
  ADB → SF 3x200 mg
  B12 → Inj. vit B12 1 mg
  B9 → Asam folat 5 mg/hari
• Awal
  Obat kumur chlorhexidine gluconate 0,2%
• Tepat
  AB → gol. B-laktam (amoks), cephalosporin (sefiksim, sefadroksil)
  Antifungal → Nistatin 400.000 IU 4x1 drops

Question 17

Parotitis

Answer 17

Parotid = kelenjar parotis, tis = inflamasi

Question 18

Etio Parotitis

Answer 18

• Parotitis ec viral/parotitis epidemica → mumps virus “mengenai orang sekitar”
• Parotitis ec bakteri → streptococcus → leukositosis, pus/supurasi

Question 19

FR Parotitis

Answer 19

Vaksin MMR (-) → 18 bulan, 5-7 tahun

Question 20

Dx Parotitis

Answer 20

Bengkak di bawah telinga/pipi
Nyeri (+) → meningkat saat mengunyah/makan yang asam

Question 21

Tx Parotitis

Answer 21

• Virus
  Self limited disease + simtomatik
• Bakteri
  B-laktam + simtomatik

Question 22

Komplikasi Parotitis

Answer 22

• Orchitis: Radang testis
• Ovoitis: Radang ovarium

Question 23

Etio Oral Candidiasis (Oral Thrush)

Answer 23

Candida albicans

Question 24

FR Oral Candidiasis (Oral Thrush)

Answer 24

Immunocompromised (HIV, DM, penggunaan KS, inhaler)

Question 25

Dx Oral Candidiasis (Oral Thrush)

Answer 25

*Oral haisy leukoplakia*: Plak putih kekuningan → dikerok → dasar eritema (berdarah)

Question 26

Px Oral Candidiasis (Oral Thrush)

Answer 26

KOH 10% → **P**seudohifa, **B**lastospora, **Y**east ## Footnote KOH = *Potassium Hydroxide Test*

Question 27

Tx Oral Candidiasis (Oral Thrush)

Answer 27

Nistatin drop 400.000 IU 4x2 tetes 7 hari Atasi *underlying disease*

Question 28

Etio Stomatitis

Answer 28

ADB/Anemia vit. B12 *Crohn’s disease*, HIV, HSV-1

Question 29

Dx Stomatitis

Answer 29

Luka pada mukosa buccal, bibir dalam, lidah, nyeri (+)

Question 30

Klasifikasi Stomatitis (3)

Answer 30

Aftosa minor → kecil, sedikit Aftosa mayor → besar, banyak Aftosa herpetiform → herpes

Question 31

Aftosa minor → kecil, sedikit

Answer 31

Dangkal D: 5-7 mm

Question 32

Aftosa mayor → besar, banyak

Answer 32

Dalam D >7 mm

Question 33

Aftosa herpetiform → herpes

Answer 33

Berkelompok, vesikel, dangkal D: 1-2 mm KGB (+)

Question 34

Tx Stomatitis

Answer 34

- Mayor/minor 1. Obat kumur *chlorhexidine gluconate* 0,2% 3x1 2. Krim *triamcinolone acetonide* 0,1% 2x1 - Herpetiform Acyclovir 5x200 mg/hari 7 hari

Question 35

Leukoplakia

Answer 35

Lesi prakanker

Question 36

FR Leukoplakia

Answer 36

**Merokok**, alkohol, *immunodeficiency* (HIV)

Question 37

Dx Leukoplakia

Answer 37

Plak putih yang tidak dapat dikerok

Question 38

Tx Leukoplakia

Answer 38

Obati penyakit dasar Krioterapi

Question 39

Eritroplakia

Answer 39

Lesi prakanker

Question 40

FR Eritroplakia

Answer 40

**Merokok**, alkohol

Question 41

Dx Eritroplakia

Answer 41

Plak merah asimtomatis

Question 42

Tx Eritroplakia

Answer 42

Suportif, rujuk

Question 43

Etio Leukoplakia

Answer 43

EBV

Question 44

PP Leukoplakia

Answer 44

Histopatologi → Hiperkeratosis, parakeratosis, atrofi

Question 45

Biopsi Barret Esofagus

Answer 45

Sel epitel kolumner selapis dengan sel goblet

Question 46

Gold Standard Ca Pankreas

Answer 46

Histopatologi