Pemicu uro

39
PEMICU 5 BLOK UROGENITAL “CAIRAN, KUTIL, DAN LUKA Y ANG MERESAHKAN” ALMIRA NABILA VALMAI 405130193

Transcript of Pemicu uro

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PEMICU 5 BLOK UROGENITAL

“CAIRAN, KUTIL, DAN LUKA YANG MERESAHKAN”

ALMIRA NABILA VALMAI

405130193

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INFEKSI MENULAR SEKSUAL

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Ep!"#$%$&

'HO #"#p"()(*)*+ "%*- "(.*! 340 ./* )*/ *(/ P"+2*) M"+/%*(

S")/*% IMS p*!* *-/+ 1999

P*!* *-/+ 6007 )*/ "(*+2*)!!*p* p*!* 8*+* /* 1519 *-/+"(!*p* 74: )*/ p"( 100000 !*+p*!* p(* /* 6064 *-/+ 454 p"(100000

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DIAGNOSAANAMNESIS

A+*#+" 2*+& !*./)*+ )"p*!* p*"+!"+&*+ !/&**+ IMS #"%p/;

• K"%/-*+ !*+ (8*2* p"+2*) ** +

• P"+&$**+ 2*+& "%*- !"()*+

• R8*2* ")/*% 2*/ )$+*) ")/*%

*) ! !*%*# #*/p/+ ! %/*(p"(+)*-*+, "(&*+&*+ p**+&*+,)$+*) ")/*% !"+&*+ p**+&*+""%*- #"+&*%*# &".*%* p"+2*),<(")/"+ !*+ ."+ )$+*) ")/*%, =*(*#"%*)/)*+ )$+*) ")/*%, !*+ *p*)*-p**+&*+ ./&* #"+&*%*# )"%/-*+ **/&".*%* 2*+& *#*

• R8*2* p"+2*) "(!*-/%/ 2*+&"(-//+&*+ !"+&*+ IMS **/ p"+2*)! !*"(*- &"+*% %*+

• R8*2* p"+2*) "(* %*++2*

• R8*2* )"%/*(&* 2*/ !/&**+ IMS 2*+&!/%*()*+ $%"- / )"p*!* *2+2*

• K"%/-*+ %*+ 2*+& #/+&)+ "()**+

!"+&*+ )$#p%)* IMS, #*%+2* "(/p)/%, +2"( "+! !*+ p*!* 8*+*"+*+& +2"( p"(/ *8*-, &*+&&/*+-*!, )"-*#%*+ !*+ -*%+2*

• R8*2* *%"(& $*

PEMERIKSAAN FISIK 

• I+p") !*"(*- +&/+*%!*+ (**   p"#"*(*+)"%"+.*( !*+ =**)$+"+, /)/(*+,#$%*, (** +2"(, "(*

*+!* (*!*+& p*!* )/% !**+2* P"(-*)*+!*"(*- p/ !*+ )/%")*(+2*, *!*+2*p"!)/%$, <$%)/% **/

%" )/% %*++2*

I+p") !*"(*- p"(+"/#!*+ *+/

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PENCEGAHAN I M S

• M"++&)*)*+ K"*-*+*+ K"%/*(&* #"%*%/ p"*+ )/+= ;1 A ; Abstinance ; T!) "(-/ S")/*% ""%/# #"+)*-

B ; Be faithfull ; S*%+& "* p! p**+&*+ 2& *-C ; Condom ; G/+*)*+ )$+!$# *p*%* *%*- */p**+&*+ "(")$ "()"+* IMS **/ HIV ? AIDS

D ; Drugs ; H+!*( p"#*)**+ N*()$*E ; Equipment : M+*%*- p"(*%**+ )""-**+ 2& "(%

6 M"+.*&* )""(-*+ *%* ("p($!/)3 M"+="&*- (*+</ !*(*- 2& "%/# ! screening4 B"(-*-* /+/) #"+*+&*+ "&*%* -*% 2& "(="#*(

$%"- !*(*- "&*(5 M"+="&*- p"#*)**+ *%**%* *.*# 2& !) "(%7 S"&"(* #"#"()*)*+ !( %* #/% &".*%*&".*%* IMS 2&

!=/(&*

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GONOREDefnisi S"#/* p"+2*) 2*+& !"*)*+ $%"- *)"( Neisseria

gonorrhoeaeEtiologi Neisseria gonorrhoeae

Gambaranklinis

1 L*)%*)  /("( &$+$("; $(@/# /("(* ")"(+/#"("#*?"!"#*, !/- //- /("(* )"+*%, p/-?)/++&)*!*+& #/)$!?#/)$p/(/%"+

6 P"("#p/*+

 "(; *#$#*, !/- //-"() p/(/%"+?#/)$p/(/%"+, ")/!* p/(/%"+ !*(/("(*?)"%"+.*( B*(-$%+

3 P($); !/- p/(/%"+, (** p*+*?"+* "("+&*,"+"#/?p"(!*(*-*+ p*!* <""

4 *(+&; *#$#*) *#p* <*(+& (+&*+,

"("#*?(** "(*)*(5 K$+./+&; !/- p/(/%"+ p*!* #**7 G$+$(" !"#+**; )$#p%)* +<") &$+$(" "#)

*((, tenosynovitis syndrome

PP P"8*(+**+ &(*#, *)*+ T-*2"(M*(+, !*+ PCR

DD I+<") &"+*% +$+p"@)

D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*

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P*$&"+"

P($" p*(*" !("="! "+!$=2$

D*() )"p"(#/)**+ #/)$*

Ep"% )$%/#+*( 2*+& !*) "(%*

B*)"( !)"%%+& #)($%

P"%")**+ *)"( K$+*) ")/*%

#(*" F p($"+ OPA

 T"(+<")

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P*$@$%$&• S""%*- "(-//+&*+ +#, &$+$=$==/ #"%")* !*+ p"+"(* "%

"p"% )$%/#+*( 2*+& #"+#/%)*+ ("*) +*#* p*!* %*p*+

/#/)$* 2*+& +*++2* #"+&-*%)*+ ")/!*• M** +)/* ; 35 -*(

• P*!* p(*, !*"(*- 2*+& "(+<") ;

 – U("-(*, p($*, )"%"+.*( L(" !*+ C$8p"(, ")/%* "#+*%,"p!!#

• P*!* 8*+*, !*"(*- 2*+& "(+<") ;

 – U("-(*, ="(, )"%"+.*( B*($%+ !*+ S)"+", /* <*%%$p

• P*!* p(* !*+ 8*+* ;

 – R")/#, <*(+&, )$+./+&*

• E)/!* +*#* *)*+ !&*+)*+ !"+&*+ @($%*,#"#p($!/) .*(+&*+ @($/ 2*+& *)*+ #"#p"("#p %/#"+

/("-(*, "p!!#, !*+ /* <*%%$p

c. Gambaran linisb. Bateri penyebab !Neisseriaonorrhoeae"

a. #on$ungtivitis

l k )

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atalaksana

*(#*)$;• S"@)# 400 #& p"( $(*% !$ /+&&*%• L"$$)*+ 500 #& p"( $(*% !$ /+&&*%• O$)*+ 400 #& p"( $(*% !$ /+&&*%• Sp($$)*+ 500 #& p"( $(*% !$ /+&&*%•

K*+*#+ 6 &(*# IM, !$ /+&&*%• S"<(*)$+ 650 #& IM, !$ /+&&*%KI; O$)*+ p($$)*+ !*) /? / -*#%,

#"+2//, *+*) J 16 -+

N$+<*(#*)$;• B%* #"#/+&)+)*+, p"()* !*+ $* p**+&*+

")/*% "*p+2*• A+./()*+ *+"+* *#p* "(/) "#/- "=*(*

%*$(*$(, !*+ %* !*) !*p* #"+*-*+ !( /p*2*#"#*)* )$+!$#

• K/+./+&*+ /%*+& p*!* -*( )"3 !*+ -*( )":• K$+"%+&; ."%*)*+ #"+&"+* p"+2*) &$+$(",

)"#/+&)+*+ )$#p%)*, =*(* p"+/%*(*+, "(*p"++&+2* p"+&$**+ p**+&*+

• K$+"%+& #"+&"+* )"#/+&)+*+ ()$ "(/%*( HIV,-"p* B, -"p* C, !*+ IMS %*++2*

INEKSI GENITAL

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INEKSI GENITALNONSPESIIK Defnisi I+<") &"+*% 2*+& !"*)*+ $%"- )/#*+)/#*+ +$+

p"@) !*+ !"+&*+ p"#"()**+ %*$(*$(/#

"!"(-*+* !*) !"#/)*+ )/#*+?"$%$& p"+2"*+2*Etiologi • Chlamydia trachomatis 3050

• %reaplasma urealyticum 1040• L*+%*+ 6030; V(/ -"(p" #p%"), A!"+$(/,

&aemophillus sp.' Bacterioides urealyticus'(ycoplasma genitalum

Gambaranklinis

1 L*)%*); !/- //- /("(* #/)$!?#/)$p/(/%"+)*!*+& p/(/%"+, "("#*, "!"#* #"*/

6 P"("#p/*+; !/- //- "() #/)$p/(/%"+, ")$p*"(), "() #/!*- "(!*(*-

PP LCR, PCR, E+2#" I##/+$ A*2 C-%*#2!*#",

ELISA, DADD I+<") &"+*% p"@)

atalaksana

• D$))%+ 6100 #&, $(*%, "%*#* -*(• A($#+ 1 &, $(*%, !$ /+&&*%•  T"(*)%+ 4500 #&, $(*%, -*(• E(($#+ "*(* 4500 #&, $(*%, -*(KI; !$))%+ "(*)%+ !*) /? / -*#%, #"+2//,D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*

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 TRIKOMONIASIS

Defnisi P"+2*) +<") p($$$* 2*+& !"*)*+ $%"-

)richomonas vaginalis, **+2* !/%*()*+ #"%*%/-//+&*+ ")/*% !*+ "(+& #"+2"(*+& (*)//($&"+*% *&*+ *8*- p*!* p"("#p/*+?%*)%*)

Etiologi )richomonas vaginalis

Gambaran

klinis

• D/- //- *&+* -$#$&"+, *+2*), p/(/%"+,

)*!*+& "(/*,"(*/ "p"( )*+ //), #/)$**&+* "("#*, p(/(/ /%*, P- *&+* 5

PP   • P"#"()**+ "!**+ **-, p"8*(+**+ P*p*+=$%$/,)/%/( #$!@)* Diamond? )/%/( in *ouch

DD   • S"( &$+$(", *&+$ *)"(*%, +<") &"+*%+$+p"@), )*+!!$ /%$*&+*%

atalaksana

• M"($+!*$% 6500 #& $(*%, -*(• M"($+!*$% 6 &(*#, !$ /+&&*%

D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*

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Kom!likasi   • P("!p$ )$#p%)* $"() !*+ &+")$%$&)"("+/, "p"( ; )$($*#+$+, +<") =*(*+*##+$+,+<") p*!* #** +<*, p"+2*) (*!*+&p*+&&/%, )"%*-(*+ p("#*/( !*+ - p("#*/(

D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*

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SIILIS

D"@+ I+<") "#) 2& !"*)*+ $%"- T("p*+$#* p*%%!/#, 2&"(/*#* !/%*()*+ #"%*%/ -/ ")/*%

Ep!"#$%$&

16.?-+ ! "%/(/- !/+*, "(/*#* ! A<()*, A#"()*"%**+, C-+* A* T"+&&*(*

P"+/%*(*+   -  T"(/*#* #"%*%/ )$+*) ")/*%, *) #"%*%/ *&+*%,*+*% **/ $(*%

- B"(=/#*+- B"(*& .*(/# /+)-  T(*+</ !*(*-- N""!%" =) +./(2- C*+&)$) $(&*+

K%*@)* 1 M** +)/*

 *+p* &".*%*6 S@% p(#"(  %" p(#"( p! +$)/%* p"(*#*3 S@% ")/+!"(  p"+2"*(*+ )/#*+ )" "%/(/- //-4 S/)%+? %*"+  "(*-/+*-/+, !!"") #"%*%/

"($%$&5 S@% "("(  *!/# *)-( @% "(/p* p"+2*)

p($&("< 2& #"%*)*+ //+*+ *(*< p/*, p"#/%/-!*(*- (, !*+ **/ p"#"+/)*+ &/##* 2& !p "(.*!S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI

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P*$&"+"   -  T p*%%!/#  #"#(*+ #/)$* //-? )/% !&+#)($*(*  #*/) .*(+&*+ %#<*) *%(*+!*(*- (p .*#  +<") "#)  T p*%%!/#"%*- !( 3033 .*#

-I+)/* (**(** 3 #+&&/

 T*+!* &".*%*

- S@% p(#"( 616#&&; =-*+=("  p*p/%* /+&&*%,!) +2"(, ="p* "()) "(+!/(* D**(=-*+=(" **+2* -*%/, p+&&(+2* %- +&& "(** )"+2*% P! @% p(#"( **+2* .& !"(*%#<*!"+$p* ("&$+*%

- S@% ")/+!"( 17%+; %" #/)$)/*+ #*)/%*,p*p/%*, p*p/%*)/*#$*? p//%*( 2p-%!",=$+!2%$#* %** #/=$/ p*=-" 2& !p !"(*%#<*!"+$p* &"+"(*%** 2& !) +2"(

D*&+$   - A+*#+"- P"#"()**+ @)

- S"!**+ %*+&/+&- S"($%$&  *+$! ("*&+= +$+p"=@= +$+

("p*+$#*% *+$! p"@) *+("p*+$#*%

PP   - M)($)$p %*p*+&*+ &"%*p, DA, p"#"()**+-$p*$%$&, PCR, " "($%$& @%

DD   - U%)/ #$%", &(*+/%$#* +&/+*%", -"(p" &"+*%,%#<$&(*+/%$#* "+"("/#, )*(+$#*, )*",S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI

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atalaksana

U+/) @% p(#"( !*+ ")/+!"(;• B"+*+ p"+%+, IM, !$ $*% 6,4 ./* IU• P"+%+ G P($)*+ 700000 IU?-*(, IM, 10 -*(• D$))%+ 6100 #& p"( $(*%, "%*#* 30 -*(•

E(($#+ "*(* 4500 #& p"( $(*%, "%*#* 30 -*(

D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*

Siflis !rimer Siflis ta"a! #

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HERPES GENITALDefnisi I+<") &"+*% 2*+& !"*)*+ (/ -"(p" #p%")

!"+&*+ &".*%* )-* "(/p* ")"% "()"%$#p$) ! **

!**( "("#*$*, "(<* (")/("+Etiologi V(/ -"(p" #p%") p" 6 !*+ p" 1

Gambaranklinis

• I+<") p(#"(; p*p/% 2*+& #"+.*! ")"% !*+ /%)/?"($ #/%p"% "()"%$#p$), "!"#* ! +&/+*%,%#<*!"+$p* %*"(*% !*+ )"+2*%, &".*%* "#)•

 I+<") (")/("+; %" !*) *+2*), !*+ )"%/-*+ !*)""(* %" p(#"(

PP  T" T*+=) !"+&*+ p"8*(+**+ G"#*, ELISA,-$p*$%$&, $p*$%$&

DD U%)/ &"+*% $? p"+2"* %*+, !"(#* )$+*)

atalaksana

I+<") p(#"(;•V*%*)%$( 6500 #& $(*%, -*(•A)%$( 5600 #& $(*%, -*(I+<") (")/("+;•V*%*)%$( 6500 #& $(*%, 5 -*(•A)%$( 5600 #& $(*%, 5 -*(

D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*

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P*$@$%$&

• C*(* +<") ; K$+*) %*+&/+& )/% ? #"#(*+

• *)$( V(/%"+ ; D"(#* *+! N"/($(/%"+="

+<") !*+ "("p%)* p*!* .*(+&*+ *(*< !*+

)/%

• HSV  HSV 1 !*+ HSV 6

 – HSV 1    I+<") $($%**% !*+ $)/%*(

 – HSV 6    I+<") &"+*%

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HSV1

• K$+*) %*+&/+& !"+&*+ (/ $(*%

 "p"% "# ("p(* ** +<")

p(#"(   &*+&%$+ (&"(#+/

$p-*%#=, #*%%*(2 !*+

#*+!/%*(   +<") *(*<  #**

%*"+   ("*)* (*/#*, (*!*,

#/+$/p(", ("

  #*+<"*

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HSV6

• K$+*) %*+&/+& !"+&*+ (/

-//+&*+ ")/*%   +<") "p"%

&"+*% +<") p(#"(   +<")

*(*< %/#$*=(*% S6S5   #**

%*"+

  ("*)* (*/#*, (*!*,

#/+$/p(", ("  #*+<"*

)%+)

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Her!es genital !ria Her!es genital $anita

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KONDILOMA AKUMINATUMDefnisi I+<") #"+/%*( ")/*% 2*+& !"*)*+ $%"- &uman

*apilloma +irus !"+&*+ )"%*+*+ "(/p* @($"p"%$#*p*!* )/% !*+ #/)$* ! !*"(*- *+$&"+*%

Etiologi &uman *apilloma +irus p" 7 !*+ 11 %$8 (), p" 17!*+ 1: -&- (), p*!* p"("#p/*+  )*+)"( #/%/(*-#

Gambaranklinis

P*p/% #%"( $%"( *#p* #/%p"% "()"%$#p$)#"#"+/) #** "(/)$* #"+2"(/p* )"#*+& )$%!*p* #"#"*(, "8*(+* )/%, #"(*- #/!*, %/+*)1 L*)%*); "#p* "("(+& p("p//#, &%*+ p"+,

/%)/ )$($+*(/, <("+/%/# !*+ **+& p"+6 P"("#p/*+; "#p* "("(+& %**, )%$(,

p"(/("(*%, p"(+"/#, *&+*, "()

PP  T" **# *"*, )$%p$)$p?*+!($)$p, p"#"()**+-$p*$%$&

DD K$+!%$#** %**, +"$p%** +(*"p"%*%, p*p/%$/8"+$!, )*(+$#* "% )/*#$*, #$%/)/#)$+*&$/#, %)"+ +!/, %)"+ p%*+/, &%*+!/%* "*"*

+$(#*%, p"*(%2 p"+%" p*p/%", )"(*$ "$($), )+D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*

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atalaksana

•  T+&/(* p$!$@%+ 1065, $p)*%, !=/= ""%*-"#p* .*#, !/%*+& "*p #+&&/ %* p"(%/

• L*(/*+ TCA :090, $p)*%• S*%*p **# *%%* 6040, $p)*%•

 T+!*)*+ "!*- %()• B"!*- ")/ +($&"+ =*(• K(# #/#$!• I+"(<"($+ +(*%"

D*% S M*)" 'IB, /"( , /!*+*($ I+<") #"+/%*( ")/*% E! )"4 *)*(*; B*%*

KANDIDIASIS

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Defnisi In%eksi &agina 'an ata( &(l&a )ang 'isebabkan ole" gen(s Can'i'a

'engan berbagai mani%estasi klinik )ang 'a!at berlangs(ng ak(t*

kronik* ata( e!iso'ik+

E$%$& C*%=*+ :590

• M"#%) p$(* /%* !*+ %$+.$+&

• K*!*+& *!* 2*+& #"+$+.$% ! !+!+& p$(* /!!+& !"/ "*&*

p"/!$-<*

• C &%*(** !*+ Cp*(*p%$ 510

G*#*(*+ )%+   • D/- //- *&+* !*p* "(8*(+* p/- p/- **/ )/++&, !*) "(*/

**/ "!) "(*/ #**#, #"+&&/#p*% "p"( “=$*&" =-"""” **/

/(/( )"p*%* //

• V/%* p(/(/, "("#, (*, %" *"%

• R** "(*)*(

• Dp*("/+*

•G*#*(*+ 2*+& )-* *!*%*- *!*+2* p"/!$#"#(*+ "(/p* "(=*)p/- )")/++&*+ p*!* p"(#/)**+ /%* **/ !+!+& *&+* 2*+& !"/

KANDIDIASIS

Gambaran klinis

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P"#"()**+ p"+/+.*+&   • P"#"()**+ KOH

• P"#"()**+ G(*#

H*%+2* %* F !!*p*)*+ &*#*(*+ "p"( G(*# p$< "("+/) $*%,

"(!*p* /!!+&

B*-*+ ; C*(*+ *&+* 2*+& !*#% !*( <$(+) *&+* **/ * ./&* p*!*

p"/!$#"#(*+

 T"(*p • K%$(#*$% *&+*% *%" 500 #& !$ /+&&*%

• K%$(#*$% *&+*% *%" 600 #& "%*#* 3 -*(

• K"$)$+*$% 6600 #&?-*( p"( $(*% "%*#* 5 -*(

• %/)$+*$% 150 #& !$ /+&&*% p"( $(*%

T!*) $%"- /+/) 8*+* -*#% !*+ #"+2//

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ULKUS MOLE

D"@+ P"+2*) +<") &"+*% *)/ !&+ &".*%* )%+) )-* "(/p*/%)/ !"(* +2"( /p/(* KGB ("&$+*%p"#"+/)*+ /$ 2& !"*)*+ $%"- H*"#$p-2%/!/=("2

Ep!"#$%$& B*+2*) !"#/)*+ ! A* A<()*, "(/*#* +"&*(*

"()"#*+&P*$@$%$& - D/%*()*+ =( %&& #"%*%/ -/ ")/*% P("!%") p!

&"+*%, .*(, #/%/ !*!*- H !/=("2 #*/) #"%*%/ *(* "p!"(#*% )/%

**+2* ""%*- "(-//+&*+ ")  p*p/%*"(2-"#*$/ F +2"( ""%*- 4 -*(  %" "(/*-

#"+.*! p//%*  p"=*- #"#"+/) /%)/ 2& )-*

 T*+!* &".*%*   - P(*  /%)/ !!*"(*- p("p//#, &%*+ p"+, **+&p"+, <("+/%/# *+/

- '*+*  /%)/ ! /%*, )%$(, "() *+/- E)(*&"+*%  %!*-, (, .*( *+&*+, p*2/!*(*,

/#%)/ )$+./+&*S<* )-* /%)/; #/%p"%, %/+*), +2"( ")*+, !**(+2*S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI

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K%*@)* - G*+ =-*+=($!-  T(*+"+ =-*+=($!- U%)/ #$%" "(p&+$/#- U%)/ #$%" &*+&("+$/#- U%)/ #$%" <$%)/%*(- U%)/ #$%" p*p/%*(

D*&+$ - A+*#+"*- P"#"()**+ @)- L* &(*#, )/%/(- S"($%$& $R""+"(+*, ELISA

DD   - H"(p" &"+*%

- S@% *!/# I- L#<$&(*+/%$#* "+"(/#- G(*+/%$#* +&/+*%

S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI

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 T**%*)*+* - S"#)* A($#+ 1 & $(*% !$

/+&&*% C"<(*$+ 650 #& IM !$

/+&&*%= Sp($$)*+ 6500 #& $(*% 3-*(

! E(($#+ 4500 -*(" E(($#+ 3300 -*(< A#$)%+ F **# )%*/%*+*

3165 -*(& S("p$#+ 1 &? -*( 10 -*(- K$#+* ="<(*$+

*($#+ p! p"+!"(* HIV L$)*%* K$#p(" !&+ %*(/*+ +$(#*%

*%+ N*C% 0,9 6 "-*("%*#* 15 #"+ Ap(* *" (*+)/*+

/+/) /$ 5=#? %"- !&+/)/* !"+&*-+2*

K$#p%)* #$? p*(*@#$, @"% /("(*,@"% (")$* +*S/#"(; B/)/ A.*( I%#/ P"+2*) D*%*# %! I E! VI

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35

Ulk(s mole

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L#<$&(*+/%$#* V"+"("/#

• ,imfogranuloma venereum ; +<") #"+/%*("/*% 2*+& #"+&"+* "# *%/(*+ p"#/%/-%#<" !*+ )"%"+.*( %#<", "(/*#* !*"(*- &"+*%,+&/+*%, *+/ !*+ (")/#

• E$%$& ; Chlamydia trachomatis

• G*#*(*+ )%+ – S*!/# !+

• L" p(#"( &"+*%

S+!($# +&/+*% – S*!/# %*+./

• S+!($# *+$(")*%

• E%"<*+* &"+*%

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L" p(#"( &"+*% ; "($ ? /%)/ !*+&)*%

P*!* p(* ; !/%)/ )$($+*(/, <("+/%/#, p("p//#, p"+, /("(* !*+

)($/#

P*!* 8*+* ; !+!+& p$"($( *&+*, p$($# *&*+ p$"($(

%#<*+& ! *&*+ !$(*% p"+

S+!($# +&/+*%

D"#*#, #"+&&&%, +*/"*, *+$(")*, "(+& *) )"p*%*

P*!* 8*+* ; +2"( p+&&*+& *8*- %"- "(+& )(+ "()"+* )"%"+.*(

%#<" p"((")*% G"($-*, p($) !*+ p"(p($) "p"( +2"( *!$#"+

!*+ +2"( ** !"<")* !*+ !*("

K"%"+.*( +&/+*% #"#"*(, +2"( !*+ "(** p*!*

P"#"*(*+ )"%"+.*( !** !*+ *8*- %&*#"+/# +&/+*% p$/p*(

"("+/) ="%*- ; sign of groove !Greenbaltt-s sign"

P"#"*(*+ )"%"+.*( <"#$(*%, +&/+*% /p"(@=*% !*+ p($</+!/

#"+2"*)*+ "+/) "p"( *+&&* ; ettage bubo

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• Kom!likasi

 – S+!($# *+$(")*%

 – S+!($# &"+*% !Eschiomene" 

• Diagnosis

 – G*#*(*+ )%+

 –  T" GPR

 – P"+&"=**+ G"#* !( p/ /$ ; #"+"#/)*+ *!*+ +)%/ Chlamydia

2*+& )-*

 –  T" (" !*+ "($%$&

 – K/%/( .*(+&*+

• Penatalaksanaan

 – K"#$"(*p

 – P"#"!*-*+

• E%"<*+* %** ; /%")$# %$)*% ? %*")$#

• S+!($# *+$(")*% ; +!*)*+ !%** !&+ $/&" "(-!p ()/(* (") )*

$(/) $*% ; )$%$$#

• A" p"(*+*% !*+ p"((")*% ; !(*+*"

• Op"(* p%*) /+/) "%"<*+* p"+ !*+ =($/#

i % l

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39

Lim%ogran(loma&enere(m