Professional Documents
Culture Documents
Anemia
hemolitik
Anemia Normositik
normokromik
Restikulosit
Perdarahan
MCV Normal Akut
Aplastik
Defisiensi
folat N/
Makrositik Leukemia, etc
Defisiensi
MCV B12
MDT
Anemia Mi-Hi
Anemia Mi-Hi
ADB
Angular cheilitis
Smooth tongue
• Antasida • Daging
• Fitat (pada sereal) • Senyawa sitrat
• Tanin (pada teh) • Fruktosa
• Fosfat • Asam askorbat
Letak Penyebab
Extravascular Intravascular
Intrinsik Extrinsik
(90%) (10%)
Enzim Infeksi
Hemoglobin Microangiopathy
Anemia Hemolitik: Defek Intrinsik
Hb
Thalassemia
elektroforesis
Hemoglobin
Sickle cell
Anemia Hemolitik: Defek Intrinsik
Hb
Thalassemia
elektroforesis
Hemoglobin
Sickle cell
Membranopathy
Hereditary Spherocytosis
• MDT Spherocytes
• Osmotic fragility test
• Slenectomy often very effective
Anemia Hemolitik: Defek Intrinsik
Hb
Thalassemia
elektroforesis
Hemoglobin
Sickle cell
Enzymopathy
G6PD Deficiency
G6PD Deficiency
G6PD Deficiency
Anemia Hemolitik: Defek Intrinsik
Hb
Thalassemia
elektroforesis
Hemoglobin
Sickle cell
Hemoglobinopathy
Hemoglobin Deffect
Hb elektroforesis
Mechanism
+ IRON CHELATING
Warm
Autoimun
Cold
Prosthetic
Extrinsik Microangiopathy
valves etc
Cause:
• Microvascular disease (DIC, TTP etc)
• Heart valve prostheses
• Trauma / implanted devices
16
Deep Vein Thrombosis
• VIRCHOW
• FR
• WELL’S
Well’s Score
18
Komponen darah
Haemophilia A, Von
Multiple coagulation
Trombositopenia, Willebrand’s
factor deficiency,
profilaksis (operasi), disease,
DIC
Hipofibrinogenemia
20
ITP
Terapi ITP
ITP: antiplatelet antibody platelet destruction
Kortikosteroid
• Indikasi: AT<20.000-30.000 atau AT <50.000 dengan
perdarahan/risiko perdarahan (HT, peptic ulcer)
• Prednisone 1-1,5mg/kg/hari
IvIg
• Indikasi: severe, life-threatening bleeding, atau anak dengan AT
<20.000 dengan perdarahan minor
Platelet
• “Not indicated unless there is significant bleeding. In ITP transfusion
increments are usually poor and platelet survival is short”
PT
APTT
‘coagulation
cascade’
TT ‘waterfall’
*
Fibrinolysis system
Patophysiology of DIC
Clinical manifestation of DIC
Lab diagnosis of DIC
DIC
• Screening : bleeding time (>>) , PT (>>), APTT
(>>) , platelet count (<<), fibrinogen (<<)
• Diagnosis: Fibrin degradation product (FDP)
(>>), D-dimer (>>), AT III (<<)
Polisitemia
Polisitemia
Kriteria PV oleh PVSG
KATEGORI A KATEGORI B
KRITERIA DIAGNOSIS PV
AML without
maturation
nucleoli
AML-M3
promyelocytes
• Fase:
– Kronik: blast <5%
– Accelerated: blast >15%
– Acute/Blast crisis: blast >30% (mirip AML)
Lymphoma: Hodgkin & Non-Hodgkin(85%)
Enucleation
• surgical removal of a mass without cutting into or dissecting it. Eg: eye, oral pathology,
uterine fibroids (without hysterectomy)
FNA
• does not require an incision
Core biopsy
• uses needles that are slightly larger than those used in FNA
• Local anasthesia
• Sometimes uses a special vacuum tools to get larger core biopsies from breast tissue
Terima Kasih