Batch Mei 2021 Disusun oleh: Epler Allee Phanlp Egan Plow Scanned with CamScanner~ NEFROLOG|\- SINDROMEGINDAL: | Nerotix Syndmme Plasma Nepritix, Syndrome | sedemo anasorKa le 4 4ex. onkotix P a + edema loxal | anosuKa * Proteinuria (84K berbuih) > Yo my /m> rofeinuri + hipentenst ; + hipoatbumin ( Relaps: provtinuria > a3 hoyi berturul™ aminggdd$22,, 5, ont —r captopril (2 Dependen skeoid : velops 2x berurut bila dosis J ay % ce Resiston : 44K ada temili Sebtlah dosis penvd HISTOPATOLOGL TEA es Semsitie + remisi dio 4 oiinggu pertoma 1. TgA negropati , } [Wistoparowoer | Ly deposis; Iga (Beryer disease ) 1. Minimal chanye glomeruiosclerosi S 2. RPG (Rapid Progresif Glomerutaneeritis) cresenk sign mosatah podosit Caixaxi2® gtome) ty cr ion ® th 3. MPG (Membran Proligeratip 6 2, Focal Segmental sclerosis y bemmut . dgn ingens SLE 4 skierosis gtomerutus = Pemb. deposit KompleKs imun anti- dconn Scanned with CamScannerPENYAKIT GINJAL POLIKISTIK Aenea eee. Multiple Kista di area renal PP © USH [multiple Kista hipoechoic) fonda s+ 4ekanun daroh t Gold Standard : Ct San / MRI = hematuria jee ® + AyeriKotox cua J Senetix Komplikasi : ~ gagal gingol Kronix aneurisma ofak —? SAH Tata loxsan ; Rujux —» transplantusi gitigat KEL, GINDAL KONGENITAL ic Ki Horseshoe Dupiex. Renat Ectopic Kidney, Kidney, Kidney, cut 2 a ‘ hens ce Se. PQ Ltumer Syndr. +2 ureter 2 Orifidum ——renat ida + au os 45 x0) - + urgger v benax, 4 atau ”. Singal Kanan don Kiri duptinatl ureker veduong ‘menyotu Rc. Kegogalan divert - Culun metoneerik (potter syndiome) Fede Jamn meny . Oligchidramnion Scanned with CamScannerHipercalemia eos? Medicasi A sidosis Celtutar metabolisme fH yperatdosteron I oture Wepron > renal failuce Exertion ERG = gel. Plebor T- tail Kt > 2.5 > Vent. Fibrilodi Tanda : gone pain Aritmio Cardiac arrest “Kidney stone Muscle weaxnes Exessive urination Ca sluones to, Ww ® Sop intoxe Kativu ® kombinasi giuwosa + Ansulin 10.U Hipermay nesium ‘transport Gregiexs patento L eee = tiv -amtosida, saxit uxo Tk . Miperkoteme, Kador 5-G : Caldum 4*159¢ /hr po Kaliv >6 + tins £4 glusonas tov. 5omL wy Ca dorida te-% 40 mt w Keluarkan Kolium : Furosemid 40-80 ngiv+ acy aiatis Yipocaleme - mantan = diore berot « obstrugsi gus ‘ ry tee « gel T dator! jnve rte ‘ada getombong U Tanda : convulsion Aritmia Terany, Spasm * swidor ) ket 5-40meq (15 - Bomenit) 1s Nike threatening, Stobil : infus KCL 20 -Yo meq Scanned with CamScannera { ¥ linut pH duu | NpH 7,35-7.u5 MA-SA Metabolix - sama dgn PH Asidosis RE -GE respiratorix beda dgn pH Alwatosis (ene, PHL Komponen #7 Lnya pat | 1 —_* a Respivatoriss Metabolix Respirator =» Metabolix: my Hoos + pUDa t Host corns ' ex. anartesi, @x. muntoh - ex. Sepsi SeieMion on obsrru si Lasma, ” muntoh hiperoxsemia volemix , intoKsi Koi KOMPENSASI intox boo, Tak Kompentosi Kompensasi Kompensusi Parsiot Teta, = pH awa) dan pH ulong - mosih some + PH Gwat dan mosity = pH awol: PH long -» normal ae ~ #003 7 Peoa yy bermusoloh 7 Bets 7 cos 99 Bere = wa (feo 89 PE - Laoony (acos /pto2) masoloh fasaluh = Lawannya (1003 /pLO a Masih normal) ex. PHL, HOO3 4, PLA 8 Gsidosis metbol + Kompensasi PH. poor L. Hoos N AIKaIOSiS FeSPi + KOMpENsasi — \wuti rah mosatoh, 01 SOAL PAST: ADA PEME- RIKSAAN PH LANG ~ Luwannya (HeO3 /p02) ‘Kuti Gfgh masotah, ex. PHY, Hon 4, pcosd &. PHL, Hos, PLoS L Asidosis metbol Kompensasi PH ulong @ | pH ulong L ; parsial Qsidosis metabolik kompen- PHS, COLL, HOS L Sasi total AIKOLOSiS Tesi Kompensosi PHT, proat, COs S parti, PH ulang @ alkalosis respiratorik ter- Kompensasi tota _t Scanned with CamScanner= potivria ‘DIABETES “INSIPIDUS "Pr potsasio Diabetes Insipi Sentral / saceiaus Nerrogenix Nevrogenix : -Nasopresin @ Kerusa- 4 Kan di gingat. ~Vasopresin & / tak FR. gagal dingal . terbentux . ipoK alsemia homit FR. riwayot angkat tumor OtoK t a Penunjang: water Deprivation Test Osmotaritas * (>¢07%) 9 i ( 600 mosm) Pomberion vasopresin ——— Gmotarites tetap normal TetriWsi Cadirun hingga, Cumolaritas urin < 255 °F GAGAL GINJAL Rea Kronik Kut : - i Niguria / anuria 4,7 Kondisi oliguria/ anuda ROUTE Se SAMO tl : Edema, Risk oliguet 26 3am cr TLS. ‘Anemio = i 3 tax Hiperrensi Anjury. Oligurl > 123m cr Failure anurie crt 3x74) Grading fone ) ginga) 4 mg - im Loss rusak 7 jj 60-39 Jao End stage = usu gingal 3 bin fi AWG: 9) \ Nitai normol creatinin + 1,5 -2 . B w- 44445 v 15-29 | 5 ATN (Atute Tubular Necrosis) v 65 Kin CFeK Samping AB gol. ino gliKosidy, é i a Tdk Stabin Stabil Acute on CKD ~ CKD iq Miimel ado 4 dori. Syndrome Uredia inimol ado ¢ dori Ponaertying Leanorenia. Asidosis Cauies 2.™Mval muntoh INEOKSI Kasi @ atepinitig : 3. pruritus. uremia, hemodialisa Aransplantasi | 4, Neuropati Electrolyte imbalans| Cito M gingal 5. Kejung —y Koma OVerluad caiman | Scanned with CamScanner