Pemeriksaan

Ginekologi
Dr. dr. Herlambang, SpOG (K)
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Pendahuluan
 Pasien dengan keluhan yang berhubungan
dengan kelaminnya cenderung cemas,
gelisah, takut, malu-malu  Perlu
pengertian, kesabaran
 Pikirkan kemungkinan kehamilan serta
komplikasinya
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Pendahuluan

 Terdiri dari beberapa komponen:

1.  Anamnesis
2. Pemeriksaan Fisik:
a. Umum: Keadaan umum, payudara, abdomen
b. Ginekologik
Pemeriksaan Khusus/Penunjan
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Pendahuluan

Gejala/keluhan ginekologi:
1. Perdarahan per vaginam
2. Gangguan haid
3. Keputihan / discharge
4. Massa / benjolan
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Pendahuluan

Diagnosis pada ginekologi

1. Infeksi
2. Gangguan haid
3. Kelainan bawaan
4. Endometriosis
5. Tumor jinak / ganas
6. Gangguan akibat masalah psikis : vaginismus,
frigiditas, dsb
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Anamnesis
 Sangat penting untuk menegakkan diagnosis
 Berikan kesempatan untuk mengutarakan
keluhannya secara spontan terlebih dahulu
 Perhatikan privasi kerahasiaan
1. Data Identitas:
 Umur
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Anamnesis

2. Keluhan Utama:
 Keluhan yang membawa pasien berobat (kata-
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Anamnesis

3. Riwayat Penyakit Sekarang

 HPHT: kalau bisa siklus tiga bulan terakhir
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Anamnesis: perdarahan

 Hubungan dengan siklus haid: menorrhagi,

metrohagi
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Anamnesis: keputihan

 Fisiologis  menjelang, sesudah haid, hamil,

kontrasepsi hormonal
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Anamnesis: nyeri

 Lokasi
 Waktu munculnya nyeri: berhubungan dengan siklus
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Pemeriksaan ginekologik: periksa

dalam

 Jangan dilakukan pada anak atau Nn

 Masukkan spekulum:
 Gunakan ukuran terkecil
 Beri pelumas (jeli), kalau ingin Pap Smear jgn
diberi pelumas
 Sisihkan kedua labia dengan tangan kiri
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Pemeriksaan ginekologik: periksa

dalam

 Periksa kondisi serviks:

 Perbatasan endo dan
ektoserviks
 Warna
 Ulserasi
 Tumor
 Perdarahan
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Pemeriksaan ginekologik: periksa

dalam

 Pemeriksaan pap
smear
 Pemeriksaan sekret
vagina
 Observasi ke-4 dinding
vagina saat spekulum
ditarik keluar
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Pemeriksaan ginekologik: periksa

dalam

 Pemeriksaan bimanual
 Beri jeli pada jari telunjuk dan jari tengah
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