REFRESHING

PENYAKIT PARU OBSTRUKTIF KRONIS

DOKTER PEMBIMBING
Dr Risky Akaputra Sp.P

Idham Andayana
2013730047

KEPANITERAAN KLINIK ILMU PENYAKIT DALAM

RUMAH SAKIT ISLAM JAKARTA SUKAPURA
PROGRAM STUDI PROFESI DOKTER
FAKULTAS KEDOKTERAN DAN KESEHATAN
UNIVERSITAS MUHAMMADIYAH JAKARTA
2018
 DEFINISI PPOK
“Chronic Obstructive Pulmonary Disease (COPD)
is a common, preventable and treatable disease
that is characterized by persistent respiratory
symptoms and airflow limitation that is due to
airway and/or alveolar abnormalities usually
caused by significant exposure to noxious
particles or gases.”

GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE 2017

ETIOLOGI PPOK
 Pathogenesis of
Cigarette smoke COPD
Biomass particles
Particulates
Host factors
Amplifying mechanisms

LUNG INFLAMMATION
Anti-oxidants Anti-proteinases

Oxidative
stress Proteinases

Repair
mechanisms

COPD PATHOLOGY
 DIAGNOSIS PPOK
A.Gambaran klinis
a. Anamnesis
~ Keluhan
~ Riwayat penyakit
~ Faktor predisposisi
b. Pemeriksaan fisis
B.Pemeriksaan penunjang
a. Rutin
b. Khusus
 DIAGNOSIS PPOK
• ANAMNESIS
– Riwayat :
~ Merokok
~ Terpajan iritan
~ Emfisema di keluarga
~ Faktor predisposisi : BBLR, ISPA, Asap rokok
~ BKB + dahak
~ Sesak + mengi
 DIAGNOSIS PPOK
PEMERIKSAAN FISIK :
INSPEKSI PERKUSI
Purse lip breathing
• Hipersonor
 Barrel chest
Otot bantu napas
AUSKULTASI
 Sela iga melebar
 Vena jugularis • Normal / melemah

 Pink puffer & blue bloater • Ronki, mengi

PALPASI • Ekspirasi memanjang
Fremitus melemah, sela iga • Bunyi jantung melemah
melebar