Dermatovenerologi - 1 Chalizar Syifa dr . Kiki ANA TOMI KULIT LES I KULIT PRIMER Pekubahan wanna kulit - - Makuta patch Penonjotan Kul it Cpadat) - papal - plate - Nodal Penonjotankulit ( - - ) cairn Vesiket Buta Penonjolan kulit ( nanah ) - pustular LES I KULIT SEKUNDER Skuama - & - - - - - kkusta Fissura Ulkus star Ltkenifikasi - F- Rosi - Ekskoriasi Penyakitkelamin Duhtubuh Bubo inguinal uretra / vagina . Ulkus genital . kutittetamin Duh Tubuh Uretra G-0 Non G- O - et = diplococcus gram negatif 00 ( Bijikopi sekret = et = ) mukopuruten + Sekret ctamidya trachomatis . mukoid = 1- disuria inkubasi Terapi = = 2- 7 hari GO dan Non GO disuria Inkubasi Tempi = = 2-3 minggy Non GO Duhtubuh vagina Trikomoniasis et = FR Gx : PF Px TX : : : et = Sexbebas FR Kuning tehijauaneberbusa Strawberry serving Sediaanbasah 1st 2nd Gx PF ( NaCl 0,9% ) Px : : Metronidazole ✗✗ soo mg 17hr7 G-ardnella Vaginalis et = Candida albicans memakaipembersih vagina terlalu Serino FR Hygiene gang buruk Sekret putih keabuan Gx whiff test : → , ban ants Bau amis Pemeriksaan gram Tx ' Servet keabuantengkef Menem pet : Metronidazole agr (SD) e- candidiasis vii.Ivo vaginalis - Trichomonas vaginalis Sekret : Batter, at vaginosis : - di Servi ✗ Ctl - : Sekret putih gatalct) : PF : Px : Tanda radang Ct) ROH to -1 Metronidazole agr LSD) 2nd Metronidazole 2×500 my 17hr) 3rd klindamisin 2×300 my G-hari ) . Pseudohifalhifasemu clue cell ct) 1st bergumpal btastospora TX : , set ragi / yeast . 1st Ktotrimazole 3ham) supp 200mg ( supp Boo mg CSD ) 2nd klotrimazole 3rd Fluconazole oral 4th Itraconazole oral 5th Nystatin supp 100.000 IU ( SD) 150mg (SD ) 200mg ( SD) I lllkus Genital . Granuloma Inguinale Ulkus Mole et = Haemophilus ducreyi et= Klebsiella granulomatis FR 1ms FR : 1ms : Ulkus Merah DX ' : : Ulkus multiple Dx dasar Kotor ' mudahberdarah idasar Kotor nyeri Ct) Herpes Simplex tepitidakrata nyeri ( -7 UIKUI Durum SCHOOL AZ-it-romisini.gr/mgget=HsVt-ipe1danltsv-tipe2 TX ( hari p× : pewarnaan gram TX of FIFA : FR Dx : 1ms' : Vesikelbergerombotjikapecah jadiulkusbergerombol & dangkal dasareritema 1- St Siprofloxacin 2×500 Mg 2nd F- Ritromisin 4×500 Mg (7- hari) 3rd Azitromisin ) 4th Seftria✗ one 250mg 1M (SD) 1 gr 3 ) et= FR : 1M$ Dx : Ulkus 1St 2nd Treponema pattdum ( SD : Doxicyclin 2×100 mg / hani 3rd Ciprofloxacin 2×500 mg /hari so liter Pasar bersih nyeri f) Px : TX : TZ-anklest-r.se/datiaintibanyat-TepirataPx:-Direk 1st Acyclovir sxaoomg Acyclovir 2nd 3✗ Valacyclovir tnikroskoptapangangelap - yoong 2×500 mg Beefy red app Indirek VDRL TPHA TX : 1st Penisilin Benzatin 2,451-1--0 IMCSD) 2nd Penisilin Pro cain 3rd Doxicidyn 4th Eritromisin boorb IV 1M ( tohari) 2×100 mg ( 30 hari ) yxsoomg (30 hari ) / 3m99 Bubo Inguinal . Limfogranuloma VeneRum Et G-✗ Chlamidyatrachomatis = awal = - = vesiket vesitel - . - Nyeri - C- ) sembuhsendiri t G- ✗ saattni - - - PF Th = : = pembesaran KGB nyeri Ct ) demam Sign of groove 1st Doxicydin 2×100 mg "d Eritromisin 3rd Tetra yxsoony cyclin 4×500 my } 14 hari kutittetamin konditoma Akuminata sifil.is stadium I Csekunder) HPV tipe 6dam 11 Et : DX kondiloma Lata : " Px = TX = to paputverukosa (Kaisar) Ptak hiperkeratosis bunga Kot /jenggerayam th/ sesuailerapisif-il.is " Asam asetat (acetonitrile) 1st tingturapodofil.in 10-25%0 2nd TCA 80 -90% 3rd podofitotoksin 0,5% . Bedah Beka Ckrioterappt) scalpel ( eksisi) . listrik ( elektro canter ) Penyakit Kalif Virus Varicella Zooster et = - et = Varicella Vesikel seturuhtubuh - G-✗ = Hesikel krusta Ct . 1) Tx = Deman Gt3 H 2- otikus . : . vesikd 1st Asiklovir 5×800 mg 2nd Vat asikloVTR 3rd Fam STKIOVIR dasareritema di sekitar fetinga vesikel : Sistemik : 3×1000 mg 3×250 my - → . Ramsay Hunt syndrome : Beda Kasam Salis it at + menthol anak . H Z oftatmikus : Tzank test TopThat bergerombol sesuaidermatom , unilateral , nyeri CH . = zooster Virus ( Reaktivasivzv ) dasar epitema - ✗ zooster Varicella zooster Virus = G- ✗ Herpes 20m51BB/✗ bepi ( 4 ✗ sehari) DX = Tx = H . di sekitar Mata E . otikus-tparal.isis ototwajah Tzanlk test Sama dengan varicella zooster komplikasi : Post Herpetic Neuralgia ↳ nyeri lerbakar / tersayat di daerah betas herpes Easter Tx : Gabapentin 1×300 my Amitriptilin I ✗ 100 mg Penyakit Kalif Virus Hand ← Mouth & Foot Moluskumkontagiosum disease et G- ✗ = = Coxsakie Virus et kaki Pada mutut tongan Demain A) anak anak ( paling searing ) Vesike! , , Pox virus = (dome shaped ) - = et papal bentukkubah G✗= , Tx Veruka Vulgaris - lekukan G- ✗ = = HPV tipe 2 dan 4 plate hiperkeratosis papal verukosa di tengah Ct) Simptomatik Difekan Px Tx = = → keluar delle Th Bedah kuretase Asam Sali silat 10% , 20% . & kaki 410% Bedah Veruka Rujuk Topikal - - - - Btopsihistopatotogi Cantaridin 017%10,51 = } padajaritangan ⇒ Vulgaris ( HPV 2,4 ) Ptanajuvenilis (HPV 3,1-0,28) . Patmarisrptantaris (Hpv 1) Akuminargenitalis ( HPV 6,11) PIODERMA SBHA coccus bentuk d- rantai KRESEN Impetigo krustosa : - - - F-Ktima : - krustakekuninganidiangkat di mulut & hi dung seeking pada anak krusta tubal : dianguat to - - Selulitis : predileksi di kaki Ulkusdangkal string pada kaki post - - - trauma patch eriiema difut / batastidaktegas nyeri Ct ) dem am it) , - F-rise pel.at : - - - - Flegmon predileksi kaki dan wajah patch epiiema ( merah cerah) Batas tegas nyeri Ct ) , demam Ct) predileksi kaki dan wajah : setuliti.si + Pus to epitema PIODERMA #apEIIo#•Kass $ evens . →7 beatnik setaim ☒RIESSITEM aannggg.ae/F-01Ir aammbbatlkuu1I-r aammbbuut lHisF:teItn-D.npeeke$i at F-• Hiked fennggaahh Earmarked : iaµkAi¥oti1a1 rraammbbaltqj-aarainng.cain Akita rrnnyyaa #aarrbbainnlkef : - addaabbebbeaapaatf-urumnnkedkyy.ee modal . , dethmaammtmmpettB.3iuulgg.taakennddarrkhhi co/BBuu1p.co#--0nnD--&m--.0$a:-RI bberrddennyyuu # *D , agg fpaddaa neon athist FIORI E-Ia : Impe ssipaaddaa aka - - # # pass dissed Farr Kaka Terapipioderma Topikat - Banyakkkusta kompres → PK I -15000 1st line kompres Rivanol - Tidak adakirusta : Mall sistemik 3 ✗ → ktokso.si/in/diktoksasitin4X25o-5oomg/hari(dewasa) sehari I Amoxiclav Aja Bag -1 Mupirosin As Fusidat 2% 2% - 25 -50mg / atau ( bagi 4 3×625 my ldewasa ) , he amoxtas clavulanat . KOTOR Basitkasin kloramfenikol 2×/hari 2% 2nd line → Azitromisintxsoomg klindamtsin 3×300 mg F- Ritromisin 4×250 -500mg PRO INSISI & DRAINAGE → kgBB/ hari ( anak) doris ) KARBUNKEL 25mg / KGBB / hari ( bagi 3 doris ) ( anole ) Penyakitkulit Jamar makuta/ ptakeritematous , basahct) lesisatelit healing Ct gatalct) central Ct) Leti Matula /patch hipopi-gmento.si atauhiperpigmentsiditutupiskuamahal.us + G- ATAL 111 KOH → Hifa panjang f- G-ATAL ! ! Arthrospores + Lampa T.kapi-tiskolt-Dpseudohifalhifa.am wood khusus → u Blastospora Ragi / yeast KOH /Dermatofitosis Tinea candidiasis et = Tricopiton , Epidermopihyton , Spora bulat hifapendek , Lampu wood pug microspores met Matassetia Furfur = et - Candida Albicans Candidiasis Kutis Candidiasis Tnlertriginosa candidiasis oral = = = kulit Lipatan mullet Tinea Kapiti = Tinea Barbae Tinea Manus / Pedisi Tinea kruris . Tinea unguium = = = = Kapala janggutdagu tongan / Kaki lipatmapiiihdaari Kuku Kuning keemasan Tinea Kapiti - Black dot et - - Tricophyton endotrix gray patch et - microspornm ektotrix kerion etmicrospornm ektotrix Terapipenyakit Jamar Candidiasis Love Azole oooo / TINEA Topikal → → lktotnimazole 1% Sislemik → Itraconazole 1. → 2. Mikonazole = Griseofulvin 500 my G- olongan azole = - , ketoconazole , klotrimazole Itraconazole 100mg / hari Tlneaunguium → Terbinapin 250 my / hari 1×250 my } Itraconazole 2×200 ( selamat minggu sebanyak Tinea / capitis → . ( 6 minggu 12-16 * omg DT 1.0-1.4 hari ATAU → 2×20 t.gr Ketoconazole 200mg / hari Tekbinafin * Mikonazole 2% , Flukonatole 150mg DT Ketoconazole 2×200 rug ( Shari ) Terbinafin 1. % G- otongan Azole Sistemik Topikal , Kuku : mgg : istirahat Topikal . 3 8 minggu → Sistemik Selenium Sulfida G- olongan minggul denyut lkukutangan ) 3- ydenyut ( Kakutani ) Griseofulvin PVC Kuku Kaki my / hari 2 tangan ) → Azole 1,8% = Mikonoitol ketoconazole 1×200 ftp.akonazole my 1×200 my 17-10 hard ( 2- 34minggu ) , ktotpimazol . Penyakit kalif Parasit Skabies Pedikutosis ' et e€- pedicul.us var humanas Kapiti's = sarcoptescabi-eipedicul.us = Prediteksi var humanus Ancylostoma Caninum = Ancytostoma brasiliensis FR - Tanda Kardinal et korporis pythirus pubis Seta SetaJari = CLM ' Tidakpakaiataskaki : lesiberkd.de/seRpiginosa-gatalmalamhaRi-Menyerang - - DX P☒ kefompok Adatungau papal • • Tx 1,213 , nodut , erosi ekskoriasi - - - , ink test PERMETRIM 5% Sulfur presipitatum g- 20% Gametesan 7- % Benzoit Bento at 20 -25% krotamiton 10% : SISTEMIK Albendazole 400mg ( 3ham) Ivermectin 2×6 TOPIKAL DX Makuta = cerel.ae Telur oral kutu Th = - - = Tx - Skin scrapping /kerokankulit Burrow DX = - adalerowongan = = : - , PER ME -114N , sky blue spot mengkil.at 1- % Malathion 0,5 % GameKsan 1% - Chloretil . - steroid spray mg