HP, FKUWKS, 2012

FAAL :

Inspirasi – ekspirasi :

Substances

Iritans
nX
Inflate / Ekspansi
Chest wall
Destruktive

Ekspulsif (2.5 L )
Cairan

1.Rec. batuk : Rec: pada trakeo bronkial tree

Sensasi tenggelam Pathophysiology: concepts altered health state: carol mattson porth .2. Congestif : capillary Alveoli/ Juxta capillary Rec. Tekanan Inspirasi : otot polos: Herring Brauer Rflx 4. Bahan iritan : Epitel bronkus : Bronkokonstriksi 3.

5. Chemo Rec Central : Medulla (LCS ) H+ Perifer : A carotis ( pO2 < 60 mmhg) hiperkapnea peningkatan RR: .

Laringo trakeo bronkitis Croup syndrome Barking Cough Hoarseness Stridor Inspiration .

mycoplasma Masalah2 Jantung Stress Kanker Paru . Akut Kronik Lebih dari 3-8 minggu Rhinitis Faringitis Bronkitis kronik Croup Bronkiectasis Emfisema Bronkitis akut Asthma Bronkiolitis Pneumoni GERD Pneumoni akut ACE-inhibitor (… pril) Infeksi TBC.

Allergi Bronkitis Kronis. Pagi hari Malam hari Seasonal Asthma. Bronkiectasis GERD ( anak ) : Croup Stress ( batuk hilang saat tidur) . CHF.

Dahak Kering Bronkus Sinusitis Bronkioli Faringitis Alveoli ( pneumoni ) Trakeitis Corup ( ?) ACE inhibitor Pneumonia intersitial putih Allergi Kuning Bakteri Hijau Pneumoni Coklat Darah Abu2 Polusi Merah Darah .

Barking Hoarsness Stridor inspirasi Epiglotis Vocal Cords Laring DD Snorring Gurgling .

Berapa Lama ? < 3mgg Kering / dahak ? ( warna ) Sesak/ Dyspneu Pagi/ malam Batuknya spt apa ( lokasi ) Nyeri dada/ Chest pain .

Stimulasi dari otot dan tension yg mempengaruhi TV . Stimulasi dari Lung Rec.Primary Lung disease Heart disease Neuromuscular disorder Emphisema Pulmonary congestion Mystenia gravis Asthma Muscular dystrophy pneumonia 4 mekanisme sesak 1. Berkurangnya cadangan ventilasi 4. Transformasi informasi dari Rec ke otak 3. 2.

Non spesific chest pain Pleuritic Pain : breathing Bronkitis Bronkiolitis Pneumonia kanker paru Pneumothorax Pleural effusion Pulmonary emboli .

Bronchus Bronchitis Bronchiolitis Bronchiectasis Asthma bronchial Lung Ca Alveoli Pneumonia Lung Ca .

Chronic .Acut .

which can mimic the disease clinically. Although findings such as increased lung markings or tubular opacities. The mucus secretions and inflammation in the bronchi tend to narrow the airways and provide an obstacle to airflow. bronchial wall cuffing (thickening) can be seen with bronchitis. Radiographic Appearance Chronic bronchitis cannot be diagnosed radiologically. The main reason for getting a chest X-ray is to exclude other conditions. In this manner bronchitis may cause obstructive pulmonary symptoms. .Bronchitis is a condition which is clinically defined as a chronic cough with mucus production most months of the year. thus increasing the resistance of the airways. such as bronchiectasis. they are nonspecific.

Immunocompromise ISPA. RA.Et: TBC. Aspirasi pneumoni .

pengaturan H20 dan garam pada proses pembuangan .Cystic fibrosis Gen cacat .

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Hiperreaktifitas bronchus Makrofag mediator lepas Neutrofil Histamin. bradikinin dan LT Eosinofil kebocoran vaskuler Limfosit T ( CD4) Limfosit B PG Bradikinin Bronko konstriksi Histamin Teori Steroid dan NE menurun pada malam hari : .

Gejala frekuensi pneumonia [ 12 ] Gejala Frekuensi Batuk 79-91% Kelelahan 90% Demam 71-75% Sesak napas 67-75% Dahak 60-65% Nyeri dada 39-49% .

Broncho pneumoni 3. Pneumonia interstitialis/bronchiolitis . Pneumonia lobaris 2.1.

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Komplikasi Emfisema Ateletaksis Pleural effusion pleuritis .

Produktive Kuning Hijau Darah Kentel.lengket . Batuk Akut/ Chronik Ringan Berat Malam hari/pagi hari Non produktive .

Pleura Croup Muscular problem Nerve ? RPD Allergi Riwayat : CHF Atau gejala Right-Left Anak2. sesak Mengi Bukan mengi Asthma Bronkial Asthma Cardiale Parenkim. Tanda Croup syndr .

Non spesific Chest pain Paru .

Terima kasih .