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VILDA ANA VERIA SETYAWATI
METODE KLINIS VILDA ANA VERIA SETYAWATI Friday, April 13, 2018
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PSG KLINIS Salah satu metode yg penting utk menilai status gizi masyarakat Tidak spesifik harus dipadu dg pemeriksaan lain Kelebihan : 1. Murah, alat tidak rumit 2. Tidak perlu tenaga ahli/khusus 3. Sederhana, cepat & mudah interpretasi Friday, April 13, 2018
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KEKURANGAN 1. Bbrp tanda tak mudah terdeteksi (tenaga ahli) 2. Gejala klinis tak spesifik (Bitot spot, Nasolabial seboroik , dll) 3. Gejala klinis ada yg multiple (kulit), Ada variasi gejala klinis 4. Gejala klinis dpt terjadi saat awal atau akan sembuh Friday, April 13, 2018
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TANDA KLINIS KEP Target Organ : Kulit (wajah, kaki,tangan)
Otot & gerakan motorik Rambut Mata Hati muka Friday, April 13, 2018
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Perbedaan marasmus & kwashiorkor
Muka spt org tua BB < 60 % Tak edema Hepar normal Bagy pant Kwashiorkor Sugar baby BB 80 % edema (+) Hepatomegali Crazy pavement dermatosis Friday, April 13, 2018
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Gambaran Klinis Marasmus
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Marasmus wajah seperti orang tua kulit terlihat longgar
tulang rusuk tampak terlihat jelas kulit paha berkeriput terlihat tulang belakang lebih menonjol dan kulit di pantat berkeriput ( baggy pant ) Friday, April 13, 2018
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WASTED Friday, April 13, 2018
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Marasmus (low weight for length)
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Kwashiorkor edem rambut kemerahan, mudah dicabut
kurang aktif, rewel/cengeng pengurusan otot crazy pavement dermatosis Friday, April 13, 2018
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EDEMA Friday, April 13, 2018
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Klinis Anemia Gizi Besi
Target organ Mata Kuku Bibir & lidah Klinis : palpebra anemis / pucat Kuku spt sendok Bibir & lidah pucat Friday, April 13, 2018
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Gambar Conjungtiva Anemis & Normal
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Gambar Kuku Anemis & Normal
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Klinis GAKI Target organ : Leher (kel tiroid)
Inspeksi (pemeriksa berhadapan penderita) Palpasi (pemeriksa di blk penderita) Klasifikasi : Grade : tak ada gondok Grade 1a : inspeksi (-), palpasi (+) Grade 1b : insperksi (+) tengadah, palpasi lbh grade 1a(+) Grade 2 : inspeksi (+) posisi N, palpasi lbh grade 1b(+) Grade 3 : inspeksi jarak jauh (+) Friday, April 13, 2018
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Friday, April 13, 2018
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Klinis KVA Target organ : mata & kulit Klasifikasi : Reversible
xerosis conjungtiva conjungtiva kering/kasar, pigmen s/d coklat gelap Bitot spot bercak abu2 perak berbuih pd conjungtiva Friday, April 13, 2018
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cornea kering, berkabut, warna spt susu Irreversible Cornea ulcerasi
Xerosis cornea cornea kering, berkabut, warna spt susu Irreversible Cornea ulcerasi cornea luka, bernanah pd sebgan/ seluruh cornea Keratomalacia cornea lembek, jika ada terinfeksi bola mata mengecil, jika ada jar ikat nampak menonjol/stafiloma Cornea scar keratomalacia Friday, April 13, 2018
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XEROSIS KONJUNGTIVA Friday, April 13, 2018
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Bitot spot Friday, April 13, 2018
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CORNEA ULCERASI Friday, April 13, 2018
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KERATOMALASIA Friday, April 13, 2018
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Cornea scar keratomalacia
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Gambaran Mata Normal Friday, April 13, 2018
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OBESITAS TANDA KLINIS MUKA MUKA TEMBEM DAGU DOBLE CLIN
LEHER NAMPAK LBH PENDEK BADAN PAYUDARA NAMPAK >> MEMBESAR PERUT MENGGANTUNG, ADA STRIAE Friday, April 13, 2018
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ADA STRIAE PD PAHA & LENGAN ATAS
ANGGOTA GERAK ADA STRIAE PD PAHA & LENGAN ATAS JARI TANGAN NAMPAK LBH BESAR DG UJUNG JARI TERKESAN >> RUNCING Friday, April 13, 2018
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