Crash Course Reumatologi dan Orthopaedi
- 1st Edition -
- Latest edition
- Authors: Marc Aitken, Anthony Gibson
- Editor: Handono Kalim
- Language: Indonesian
Mencakup aspek silabus penting yang terdapat di Standar Nasional Pendidikan Profesi Dokter Indonesia, Crash Course mengantarkan mahasiswa agar lebih cepat untuk mengulang d… Read more
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Description
Description
Mencakup aspek silabus penting yang terdapat di Standar Nasional Pendidikan Profesi Dokter Indonesia, Crash Course mengantarkan mahasiswa agar lebih cepat untuk mengulang dan mengingat kembali agar bisa melalui ujian dengan mudah.
Buku ini menjelaskan tentang berbagai penyakit reumatik dan orthopaedik yang sering dijumpai dan diharapkan dapat menjadi rujukan untuk mahasiswa kedokteran, dokter umum, perawat serta tenaga kesehatan yang lain, yang bekerja di fasilitas kesehatan primer. Tenaga kesehatan yang bekerja di fasilitas kesehatan sekunder juga akan mendapat banyak manfaat dengan mempelajari buku ini.
Untuk lebih mudah memahami diagnosis penyakit-penyakit tersebut, setiap bab dimulai dengan teknik anamnesis dan pemeriksaan fisik muskuloskeletal yang komprehensif, serta pemeriksaan penunjang. Penyakit yang dibahas di sini adalah osteoarthritis, metabolik (gout), infeksi, serta berbagai macam penyakit reumatik autoimun. Topik tentang penyakit sendi pediatrik, trauma, fraktur, cedera olahraga (sports injuries), dan prinsip-prinsip pembedahan orthopaedi. Dengan mempelajari buku ini, diharapkan kompetensi tenaga kesehatan di fasilitas kesehatan primer di bidang pelayanan penyakit reumatik dan orthopaedik akan meningkat.
Key features
Key features
Edisi Indonesia yang sudah disesuaikan menyediakan pengetahuan dan pemahaman yang cocok untuk Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD)
- Memberikan silabus ujian di satu tempat - menghemat waktu belajar yang berharga
- Kualitas dijaga oleh Konsultan dan Editor yang terpandang - memastikan ketepatan informasi
- Memberikan "Petunjuk dan Tips" serta beberapa cara lain untuk membantu mengingat (aide-memoires) - disarikan dari para ahli
- Memastikan pemahaman Anda serta meningkatkan teknik menjawab ujian dengan lebih 152 soal latihan dan soal UKMPPD
Table of contents
Table of contents
Kata pengantar seri editor ........................................................................................... iii
Kata pengantar edisi asli ..............................................................................................iv
Kata pengantar editor edisi Indonesia ........................................................................v
Ucapan terima kasih ....................................................................................................vi
Ucapan terima kasih edisi Indonesia ........................................................................vii
Ucapan terima kasih editor seri .............................................................................. viii
Bagian I: Fundamental
1. Anatomi dan fi siologi tulang dan sendi ....................................................1
Metabolisme tulang ...............................................................................................1
Gambar rawan sendi dan struktur periartikuler ...............................................3
Regulasi remodelling tulang ..................................................................................5
Mobilisasi ................................................................................................................7
Pendekatan klinis keluhan muskuloskeletal .......................................................8
Anamnesis...............................................................................................................9
Pemeriksaan fi sik .................................................................................................10
Pemeriksaan laboratorium .................................................................................10
Referensi ................................................................................................................10
Bagian II: Anamnesis dan Pemeriksaan Fisis
2. Anamnesis .................................................................................................11
Keluhan utama .....................................................................................................11
Riwayat penyakit sekarang .................................................................................11
Riwayat penyakit terdahulu ................................................................................13
Riwayat pengobatan .............................................................................................14
Riwayat sosial .......................................................................................................14
Riwayat keluarga ..................................................................................................14
Pertanyaan sistemik .............................................................................................14
3. Pemeriksaan sendi ....................................................................................15
Prinsip utama .......................................................................................................15
Pemeriksaan klinis ...............................................................................................16
Pemeriksaan pinggul ...........................................................................................20
Pemeriksaan lutut ................................................................................................24
Pemeriksaan pergelangan kaki dan kaki ..........................................................28
Pemeriksaan tulang belakang .............................................................................31
Pemeriksaan bahu ................................................................................................34
Pemeriksaan siku .................................................................................................37
Pemeriksaan pergelangan tangan dan tangan .................................................37
Bacaan lebih lanjut ...............................................................................................41
4. Pemeriksaan penunjang ...........................................................................42
Pemeriksaan darah ..............................................................................................42
Analisa cairan sinovial ........................................................................................46
Pemeriksaan konduksi saraf dan elektromiografi ...........................................47
Biopsi .....................................................................................................................47
Pencitraan .............................................................................................................47
Bagian III: Keluhan Utama Pasien
5. Nyeri regional ...........................................................................................54
Nyeri pinggang, panggul dan tungkai ...............................................................54
Nyeri lutut .............................................................................................................58
Nyeri kaki dan pergelangan kaki .......................................................................64
Nyeri leher dan/atau lengan atas .......................................................................67
Complex regional pain syndrome
........................................................................72Bacaan lebih lanjut ...............................................................................................73
6. Nyeri muskuloskeletal menyeluruh .........................................................74
Penelusuran nyeri meluas ...................................................................................74
Fibromialgia ..........................................................................................................77
Sindrom reumatik paraneoplastik .....................................................................81
Bacaan lebih lanjut ...............................................................................................82
7. Sendi bengkak dan hangat akut ...............................................................83
Diagnosis banding ...............................................................................................83
Anamnesis yang berfokus pada sendi bengkak dan hangat akut .................83
Pemeriksaan fi sik pada sendi bengkak dan hangat akut ................................86
Pemeriksaan penunjang pada kasus sendi bengkak dan hangat akut ..........87
8. Anak pincang ............................................................................................90
Diagnosis banding ...............................................................................................90
Riwayat penyakit ..................................................................................................90
Pemeriksaan fi sik berfokus pada kepincangan anak ......................................93
Pemeriksaan pasien pincang ..............................................................................95
9. Benjolan pada anggota gerak tubuh ........................................................98
Diagnosis banding ...............................................................................................98
Anamnesis yang berfokus pada pembengkakan .............................................99
Pemeriksaan fi sik yang berfokus pada benjolan ............................................100
Pemeriksaan penunjang pasien dengan bengkak ..........................................102
10. Nyeri punggung ......................................................................................105
Diagnosis banding .............................................................................................105
Anamnesis yang berfokus pada nyeri punggung dan kaki ..........................106
Pemeriksaan pada nyeri punggung dan kaki .................................................106
Pemeriksaan penunjang pada pasien nyeri punggung .................................107
Nyeri punggung bawah mekanik .....................................................................108
Prolaps diskus intervertebra .............................................................................112
Spondilolistesis ...................................................................................................116
Stenosis spinal ....................................................................................................118
Discitis/osteomyelitis tulang belakang ............................................................120
Skoliosis ...............................................................................................................123
11. Perubahan sensorik dan kelemahan ......................................................127
Diagnosis banding .............................................................................................127
Riwayat ................................................................................................................127
Carpal tunnel syndrome
.....................................................................................131Jepitan saraf ulnar ..............................................................................................133
Cedera saraf radial .............................................................................................135
Cedera nervus peroneus komunis ...................................................................135
Bacaan lebih lanjut .............................................................................................136
Bagian IV: Penyakit dan Kelainan Reumatologi dan Orthopaedi
12. Osteoartritis ............................................................................................137
Defi nisi ................................................................................................................137
Insiden .................................................................................................................137
Patologi dan etiologi ..........................................................................................137
Gambaran klinis .................................................................................................139
Pemeriksaan fi sik ...............................................................................................141
Tata laksana .........................................................................................................141
Bacaan lebih lanjut .............................................................................................146
13. Artritis reumatoid ..................................................................................147
Defi nisi ................................................................................................................147
Insidensi dan prevalensi ....................................................................................147
Etiologi ................................................................................................................147
Kelainan imunologis ..........................................................................................148
Patologi ................................................................................................................148
Manifestasi klinis ...............................................................................................150
Bacaan lebih lanjut .............................................................................................165
14. Spondiloartropati ...................................................................................166
Defi nisi ................................................................................................................166
Etiologi ................................................................................................................166
Patologi ................................................................................................................167
Spondilitis ankilosa ............................................................................................167
Artritis psoriatik .................................................................................................173
Artritis reaktif .....................................................................................................177
Artritis enteropatik ............................................................................................179
Bacaan lebih lanjut .............................................................................................181
15. Penyakit jaringan ikat (Connective tissue diseases) ....................................182
Lupus eritematosus sistemik ............................................................................182
Sindrom antifosfolipid.......................................................................................189
Sindrom Sjögren ................................................................................................191
Poliomiositis dan dermatomiositis ..................................................................195
Sklerosis sistemik ...............................................................................................198
Vaskulitis .............................................................................................................205
Bacaan lebih lanjut .............................................................................................213
16. Penyakit tulang metabolik .....................................................................214
Osteoporosis .......................................................................................................214
Penyakit paget.....................................................................................................220
Penyakit rikets dan osteomalasia .....................................................................223
Bacaan lebih lanjut .............................................................................................226
17. Gout dan pseudogout (Nama lain: Pirai dan pseudopirai) .....................227
Gout .....................................................................................................................227
Penyakit kalsium pirofosfat dihidrat (calcium pyrophosphate
dihydrate, CPPD) ...............................................................................................233
Bacaan lebih lanjut .............................................................................................235
18. Penyakit sendi pada anak .......................................................................236
Variasi normal ....................................................................................................236
Kelainan sendi panggul pada anak ..................................................................237
Congenital talipes equinovarus
(clubfoot/kaki pengkor) ...............................245Osteogenesis imperfecta ...................................................................................246
Cerebral palsy
......................................................................................................248Pelecehan anak (child abuse) ..........................................................................249
Kelainan sendi lutut pada anak ........................................................................250
Juvenile idiopathic arthritis
...............................................................................252Bacaan lebih lanjut .............................................................................................257
19. Fraktur ....................................................................................................258
Insiden .................................................................................................................258
Defi nisi ................................................................................................................258
Gambaran klinis .................................................................................................261
Diagnosis dan pemeriksaan .............................................................................261
Penanganan .........................................................................................................264
Komplikasi fraktur .............................................................................................266
Fraktur yang sering ditemui .............................................................................270
Bacaan lebih lanjut .............................................................................................277
20. Trauma ....................................................................................................278
Defi nisi ................................................................................................................278
Insiden .................................................................................................................278
Gambaran klinis .................................................................................................278
Pemeriksaan ........................................................................................................284
Penanganan .........................................................................................................284
Fraktur terbuka ..................................................................................................284
Cedera tulang belakang .....................................................................................285
Fraktur pelvis ......................................................................................................289
Bacaan lebih lanjut .............................................................................................291
21. Infeksi tulang dan sendi .........................................................................292
Osteomielitis .......................................................................................................292
Artritis septik ......................................................................................................298
Tuberkulosis........................................................................................................301
Bacaan lebih lanjut .............................................................................................303
22. Keganasan ...............................................................................................304
Penyakit/tumor jinak .........................................................................................304
Tumor ganas .......................................................................................................304
Infeksi ..................................................................................................................305
Penyakit tulang metabolik ................................................................................305
Anamnesis...........................................................................................................305
Pemeriksaan fi sik ...............................................................................................306
Pemeriksaan penunjang ....................................................................................307
Tumor primer tulang .........................................................................................311
Tumor tulang sekunder .....................................................................................319
Penyakit hematopoietik .....................................................................................323
Leukemia .............................................................................................................325
Bacaan lebih lanjut .............................................................................................325
23. Cedera olahraga ......................................................................................326
Cedera lutut ........................................................................................................326
Gambaran klinis .................................................................................................328
Dislokasi bahu ....................................................................................................335
Cedera pergelangan kaki (ankle sprain) .........................................................339
Bacaan lebih lanjut .............................................................................................341
24. Kelainan jaringan lunak .........................................................................342
Pendahuluan .......................................................................................................342
Lesi tendon ..........................................................................................................342
Bursitis .................................................................................................................347
Kontraktur dupuytren .......................................................................................349
Bacaan lebih lanjut .............................................................................................351
Referensi ..............................................................................................................351
25. Prinsip pembedahan di bidang orthopaedi ...........................................352
Pemeriksaan praoperasi ....................................................................................352
Perawatan praoperasi ........................................................................................353
Pembedahan .......................................................................................................353
Perawatan pascaoperasi.....................................................................................360
Komplikasi ..........................................................................................................361
Infeksi ..................................................................................................................363
Syok ......................................................................................................................366
Bacaan lebih lanjut .............................................................................................368
Glosarium ...............................................................................................369
Indeks ......................................................................................................371
Product details
Product details
- Edition: 1
- Latest edition
- Published: March 2, 2021
- Language: Indonesian
About the authors
About the authors
MA
Marc Aitken
AG