1.DEFINISI Hipotiroidisme: 1 .Defisiensi hormon ! ".Defisiensi hormon tiro#sin $.Defisiensi hormon $ !.Defisiensi hormon triiodo tironin %a&a' : E ".(en)e'a' ter'an)a# Hipotiroidisme Kon*enita+ den*an *e,a+a str-ma. A.Dis*enesis .Atireosis tiroid. /.D)shormo*enesis 0.1'at2o'atan (K%, 3oitro*en) D.h)roid HormonE 4nresponsi5eness E.Defisisensi SH %a&a' : A $. Simptom HI(1I61IDISME /A7I se'a*ai 'eri#-t, KE04A8I A.1'stipasi /.Ma+as menete# (Min-m s-s-) 0./a)i hiper a#tif D.I#ter-s neonator-m (ro+on*at-s E.Hipotermi %a&a' : 0 !.Si*ns (3e,a+a K+ini#) HI(1I61IDISME /A7I )an* dise'a'#an tiroid e#topi#: 1.Hipotoni ". Distenden A'domen $.Hernia -m'i+i#as+is !.3ondo# %a&a' : E 9.Si*ns (3e,a+a K+ini#) HI(1I61IDISME /A7I se'a*ai 'eri#-t, KE04A8I A.S)ndne) 8ine /.3ondo# 0. %ant-n* : Kardiome*a+i D.%ant-n*: /isin* : E. Fontane+a post ter'-#a &a#t- +ahir %a&a' : A JIHAD IS THE POWER OF MUSLIM Page 1 LATIHAN BELAJAR ENDOKRIN ANAK ;. Simtom HI(1I61IDISME ANAK 1.(ert-m'-han Menta+ ter+am'at ".(ert-m'-han Fisi# ter+am'at $.(ert-m'-han Dentisi er+am'at !.(ert-m'-han (-'ertas ter+am'at %a&a' : A <.Si*ns (3e,a+a K+ini#) HI(1I61IDISME ANAK 1.3oiter 'isa ada . tida# ".K-+it: (-cat $.K-+it: e'a+, !.K-+it:Karotinemi#, %a&a' : E =. (emeri#saan > 6a) pada HI(1I61IDISME ANAK : 1. dis*enesis epifisis (?i+#in) ". i+iac inde@ menin*#at $. /one A*e ter+am'at !. s-d-t aseta'-+-m men-r-n %a&a' : / A. (emeri#saan )an* ta# ter+a+- per+- di#er,a#an pada hipotiroidisme 'a)i.ana#: A.Scannin* iroid /.EE3 0.EK3 D.EM3 (E+ectrom)o*ram) E. /M6 %a&a' : E 1B.Dia*nosti# HI(1I61IDISME : 1.Hiper#o+estero+emia ".H' rendah $. /one A*e ter+am'at !.SH sensitif menin*#at %a&a' : E 11.Dia*nosti# HI(1I61IDISME : 1.Hipotoni ".I#ter-s neonator-m (ro+on*at-s $. /one A*e ter+am'at !.EK3 8o& Co+ta*e JIHAD IS THE POWER OF MUSLIM Page " LATIHAN BELAJAR ENDOKRIN ANAK %a&a' : E 1". Se#aran* -nt-# terapi hipotiroidisme di*-na#an: 1. Sodi-m 8e5o h)ro@in ". h)ra@ (1r*anon) $. E-th)ro@ (Merc#) !.h)ranon %a&a' : A 1$.(en)a#it.Ke+ainan )an* har-s di Dia*nosis /andin* den*an hipotiroidisme: 1.Kondrodistrofi ".D&arfism $.-rner S)ndrome !.Do&nDs S)ndrome %a&a' : E 1!./i+a hipotiroidisme diterapi ter+am'at . tanpa terapi a#an 'era#i'at 1.Kematian o.#.: 1'str-#si sa+-ran nafas ".Kematian o.#.: Infe#si $.Menta+ 6etardation !.SeE-e+e Nero+o*i# : in#oordinasi %a&a' : E 19. 4%I SA6IN3 (S06EENIN3 ES) HI(1I61IDISME K1N3ENIA8 (ADA NE1NA4S dipa#ai : A.6H /.SH 0./3 D.$ E.! %a&a' : / 1;. Ha+2ha+ )an* 'enar men*enai seoran* ana# +a#i2+a#i )an* didia*nosis hipotiroidisme pada -m-r $ tah-n #em-dian mendapat terapi hormone tiro#sin ade#-at se+ama ! tah-n , #eadaann)a pada -m-r < tah-n: 1. Hei*ht A*e (4m-r (era&a#an) F < tah-n. ". IG rendah . $. /one A*e (4sia t-+an*) F < tah-n !. /radi#ardi 1<..K8ASIFIKASI HI(1I61IDISME 'erdasar#an ter,adin)a A.. HI(1I61IDISME K1N3ENIA8 H HI(1I61DISME DIDA(A JIHAD IS THE POWER OF MUSLIM Page $ LATIHAN BELAJAR ENDOKRIN ANAK (A0G4I6ED) /. HI(1I61IDISME ENDEMIK H HI(1I61IDISME S(16ADIK 0. HI(1I61IDISME /A7I H HI(1I61IDISME ANAK D. HI(1I61IDISME (6IME6,SEK4NDE6,E6IE6 E. HI(1I61IDISME DEN3AN S64MA H HI(1I61IDISME AN(A S64MA %a&a' : A 1=.(en)e'a' ter'an)a# Hipotiroidisme didapat (AcE-ired) sporadi#: A.1perasi /.A-to imm-ne Disease2 iroidits 8imfositi# Kroni# (HASHIM11) 0.Infe#si D.1'at2o'atan E.Defisiensi Iodi-m %a&a' : / 1A. Simptom HI(1I61IDISME /A7I se'a*ai 'eri#-t, KE04A8I A.1'stipasi /.Ma+as menete# (Min-m s-s-) 0.8etar*i 2 ma- tid-r sa,a D.I#ter-s neonator-m (ro+on*at-s E.Ma#ro*+osi %a&a' : E "B.Si*ns (3e,a+a K+ini#) HI(1I61IDISME /A7I : 1. %ant-n* : Kardiome*a+i ".%ant-n*: /isin* : $. Fontane+a post ter'-#a &a#t- +ahir !./r-sfie+dIs spot %a&a' : A "1.Si*ns (3e,a+a K+ini#) HI(1I61IDISME /A7I se'a*ai 'eri#-t, KE04A8I A.Hernia -m'i+i#as+is /.mi#sedema 0.N)sta*m-s D.Hipotoni E.M-#a Sem'a' %a&a' : 0 "". Simtom HI(1I61IDISME ANAK 1.3em-# JIHAD IS THE POWER OF MUSLIM Page ! LATIHAN BELAJAR ENDOKRIN ANAK ".Str-ma $./odoh !.Cold Intolerance %a&a' : E "$.Si*ns (3e,a+a K+ini#) HI(1I61IDISME ANAK 1.K-+it: Din*in, ".Mi#sedema $.Hipotoni J 1tot 8em'e# !.A(6 , K(6 J 8am'at %a&a' : E
"!. (emeri#saan Hormona+ pada HI(1I61IDISME ANAK : 1.Free ! men-r-n ".SH sensitif menin*#at $.! tota+ men-r-n !.SH menin*#at %a&a' : E "9.4nt-# 'eda#an H (rimer dan H Se#-nder d+a#-#an : A.4,i SH /.4,i 6H 0.4,i ha-s D.EM3 E.TSH Screening Test %a&a' : / ";.Dia*nosti# HI(1I61IDISME : 1 Free ! men-r-n ".EE3 8o& Co+ta*e $.EK3 8o& Co+ta*e !.EM3 (E+ectrom)o*ram) meman,an* %a&a' : E "<.Dia*nosti# HI(1I61IDISME : 1.M-#a Sem'a' ".Hipotermi $.SH sensitif menin*#at !.EM3 (E+ectrom)o*ram) meman,an* JIHAD IS THE POWER OF MUSLIM Page 9 LATIHAN BELAJAR ENDOKRIN ANAK %a&a' : E "=. (en*o'atan hipotiroidisme #on*enita+: 1.Di+a#-#an -nt-# se-m-r hid-p. ".Men**-na#an o'at e#stra# tiroid. $.Men**-na#an sodi-m +e5o th)ro@in !.Men**-na#an o'at steroid. %a&a' : / "A.(en)a#it.Ke+ainan )an* har-s di Dia*nosis /andin* den*an hipotiroidisme: 1.A#ondrop+asia ".Hipopit-itarisme $.-rner S)ndrome !.Do&nDs S)ndrome %a&a' : E $B./i+a hipotiroidisme diterapi ter+am'at . tanpa terapi a#an 'era#i'at 1.Kematian o.#.: 1'str-#si sa+-ran nafas ".Kematian o.#.: Infe#si $.Menta+ 6etardation !.SeE-e+e Nero+o*i# : ata#si,spastic %a&a' : E $1. 8a'orator) e5idence of c+assic con*enita+ h)poth)roidism in a samp+e of '+ood ta#en on the third da) of +ife inc+-des A. e+e5ated SH, +o& ! /. e+e5ated SH, hi*h $ 0. +o& SH, +o& ! D. +o& !, hi*h $ E. +o& /3, +o& ! %a&a' : / $".(en)e'a' Hipotiroidisme Kon*enita+ den*an #adar free ! )an* norma+.. A.Dis*enesis .Atireosis tiroid. /.D)shormo*enesis 0.1'at2o'atan (K%, 3oitro*en) D.h)roid HormonE 4nresponsi5eness E.Defisisensi SH %a&a' : D JIHAD IS THE POWER OF MUSLIM Page ; LATIHAN BELAJAR ENDOKRIN ANAK LATIHAN BELAJAR HIPOTIROIDISME DD NYA DOWN'S SYNDROME Satriono, M.Sc., SpA(K) era#hir diper'ahar-i pada . (a*e -pdated :1B.B=."BB;
1. D1?NDS S7ND61ME (DS) 1.Dip-'+i#asi pertama #a+i tah-n 1=;; ".Dise'-t ,-*a Mon*o+isme $.Insidens : 12" .1BBB #e+ahiran !.Etio+o*i di#em-#anan o+eh 8e %e-ne d## tah-n 1A9A %a&a' : E
". 6IS1MI "1 pada do&nD s)ndrome 1. risomi 6e*-+er A9 K ". rans+o#asi !29 K $.Mosai# L 2 1 K !.7an* menem-#an 8e %e-ne d## tah-n 1A9A %a&a' : E $.3e,a+a K+ini# DS pada MAA 1.Nista*m-s ".Stra'ism-s $.Hiperte+orisme !./r-sfie+dDs Spot
%a&a' : E !.3am'ar di sampin* ini ini ada+ah : A.A604S F /4S46 /.811( F 8EN3K4N3 0. 6I 6ADI4S D.(4SA6AN (?H168) E. ENED A60H %a&a' : 0 JIHAD IS THE POWER OF MUSLIM Page < LATIHAN BELAJAR ENDOKRIN ANAK LATIHAN BELAJAR DIABETES MELLITUS PADA ANAK Satriono, M.Sc., SpA(K) era#hir diper'ahar-i pada . (a*e -pdated :1B.B=."BB; Dia'etes me++it-s in 0hi+dren: 1. is a s)ndrome of dist-r'ed ener*) homeostasis ca-sed ') a deficienc) of ins-+in and res-+tin* in a'norma+ meta'o+ism of car'oh)drate, protein, and fat. ".It is the most common endocrine2meta'o+ic disorder of chi+dhood and ado+escence . $.important conseE-ences for ph)sica+ and emotiona+ de5e+opment. ! is a s)ndrome of dist-r'ed ener*) homeostasis ca-sed ') ins-+in action and res-+tin* in a'norma+ meta'o+ism of car'oh)drate, protein, and fat. %a&a' : E ". 0+assification of Dia'etes Me++it-s in 0hi+dren and Ado+escents for. Ins-+inJ dependent (IDDM, t)pe I): 'ased on criteria: 1*+-cos-ria ". #eton-ria, $.random p+asma *+-cose ((3) M"BB m*.d8 !.F(3 N1!B m*.d8 &ith "2hr 5a+-e M1!B m*.d8 d-rin* 13 %a&a' : A $.Dia'etes me++it-s in 0hi+dren: 1.Ma+es and fema+es are a+most eE-a++) affectedO ".there is no apparent corre+ation &ith socioeconomic stat-s. $.(ea#s of presentation occ-r at 9J< )r of a*e !.(ea#s of presentation occ-r at the time of p-'ert) %a&a' O E !.he c+assic presentation of dia'etes in chi+dren : 1. po+)-ria, ".po+)dipsia, $.po+)pha*ia, !.&ei*ht *ain %a&a' : A 9. Ketaocidosis in dia'etic chi+dren. 1. appro@imate+) "9K of dia'etic chi+dren ".he ear+) manifestations consist of 5omitin*. JIHAD IS THE POWER OF MUSLIM Page = LATIHAN BELAJAR ENDOKRIN ANAK $.he ear+) manifestations consist of po+)-ria.. !.he ear+) manifestations consist deh)dration. %a&a' : E ;.0+inica+ si*n In dia'etic chi+dren &ith more pro+on*ed and se5ere cases of Ketaocidosis: A.5omitin*. /. po+)-ria.. 0. deh)dration D.K-ssma-+ respirations E. Dispnoe dDeffort. %a&a' : D <.he dia*nosis of dia'etes me++it-s in chi+dren 'ased on the demonstration of : 1.h)per*+)cemia ".*+-cos-ria &ith or &itho-t #eton-ria. $.decreased 02peptide !.increased H'A1c %a&a' : E =.the princip+e of treatment of dia'etes me++it-s in chi+dren : 1.ins-+in ".n-trition s-pport $.e@ercise !.ed-cation and co-nse+in* %a&a' : E A. Ha+2ha+ )an* ada h-'-n*ann)a den*an (613N1SIS DM pada ana#: 1.Serin* terdapat #omp+i#asi Cis-a+ dan mata. ".(-'ertas dapat ter+am'at $.Di+apor#an adan)a #ematian a#i'at '-n-h diri. !.in**i 'adan a#hir masih da+am 'atas norma+ %a&a' : A JIHAD IS THE POWER OF MUSLIM Page A LATIHAN BELAJAR ENDOKRIN ANAK LATIHAN BELAJAR STRUMA PADA ANAK. Satriono, M.Sc., SpA(K) era#hir diper'ahar-i pada . (a*e -pdated :1B.B=."BB;
3radasi pem'esaran #e+en,ar tiroid men-r-t ?H1: A.Dera,at 1, 1 A, 1/ , " dan $. /.Dera,at 1, 1 , " dan $. 0.Dera,at 1, 1 A, 1/ , " D.Dera,at 1, 1 , ". E.Dera,at 1, 1 , " .$ %a&a' : D
FI88 IN : 3radasi pem'esaran #e+en,ar tiroid pada s-r5e) 3AKI di Indonesia Dera,at PP..,PPPP,PPPP,PPPP,PPP,PP... %a&a' : B, 1A, 1/, ", $ 36ADASI MEN464 ?H1 PPP. , PPP.., PPP.. %a&a' : B, 1, " Str-ma 'isa di*o+on*#an #e da+am : 1PPPPPPPPPPP.. "PPPPPPPPPPP.. $PPPPPPPPPPP.. %a&a' : 1. Menin*#atn)a SH a#i'at 'er#-ran*n)a hormon tiroid ". infi+trasi ata- peradan*an dan neop+asma $. tirotrop)n receptor stim-+atin* anti'odies (6SA') (A1FISI1813I E6%ADIN7A S64MA: 1PPPPPPPPPPPPP "PPPPPPPPPPP $PPPPPPPP. %a&a' : 1. Kon*enita+ dan didapat JIHAD IS THE POWER OF MUSLIM Page 1B LATIHAN BELAJAR ENDOKRIN ANAK ". endemi# dan sporadi# $. intratrachea+ dan e#stratrachea+ LATIHAN BELAJAR GANGGUAN PERTUMBUHAN Satriono, M.Sc., SpA(K) era#hir diper'ahar-i pada . (a*e -pdated :1B.B=."BB;
(E6A?AKAN (ENDEK 1.(era&a#an pende# ata- short stat-re mer-pa#an s-at- termino+o*i men*enai pan,an*.tin**i 'adan )an* 'erada di 'a&ah PPP.. ata- PPPP pada #-r5a pert-m'-han )an* 'er+a#- pada pop-+asi terse'-t. A. persenti+ #e $ , J$ Standard De5iation /. persenti+ #e $ , J" Standard De5iation 0. persenti+ #e $ , J1 Standard De5iation D. persenti+ #e 9 , J" Standard De5iation E. persenti+ #e 9 , J$ S Standard De5iation %a&a' : / ".(era&a#an pende# primer . instrinsi#: A. Hipotiroidisme /.Sindrom -rner 0 .c-shin* sindrom D.H)po*onadism E.6ic#ets %a&a' : / Ada 'e'erapa #+asifi#asi pera&a#an pende# )ait- : a. ....................................... '. ...................................... c. ........................................ d. ..................................... %a&a' : a. Carian norma+ '. primer.intrinsi# c. se#-nder.e#strinsi# d. pera&a#an idiopati#
JIHAD IS THE POWER OF MUSLIM Page 11 LATIHAN BELAJAR ENDOKRIN ANAK '. (era&a#an pende# primer . instrinsi# 1.Sindrom2sindrom )an* dih-'-n*#an den*an #e+ainan #romosom Q Sindrom -rner Q Sindrom Do&n ".Sindrom Jsindrom +ain, misa+n)a: Q Sindrom Noonan Q Sindrom (rader28a'hart2?i++i Q Sindrom 6-sse++ Si+5er Q Sindrme Sec#e+ Q Sindrom H-tchinson 3i+fort Q Sindrom 0oc#a)ne c. (era&a#an pende# se#-nder . e@trinsi# 1. (en)a#it . #e+ainan sistemi# (chronic disease) Misa+n)a #e+ainan ,ant-n*, par-, +i5er, intestina+, rena+, hemato+o*i, 0NS dan *enera+iRed inf+ammator) disease, infe#si #roni#, anemia #roni#,ma+a'sor'si ". Ma+n-trisi $. #e+ainan endo#rin Q Hipotiroid Q 3ro&th hormon defisiensi Q I3F21 defect Q (se-doh)poparath)roidism Q he c-shin* sindrom Q Ma-riac s)ndrome (#arena re*-+asi *+-#osa )an* ,e+e# pada pasien dia'etes me++it-s) Q H)po*onadism Q 6ic#ets LATIHAN BELAJAR KELAINAN GENITALIA PADA ANAK. Satriono, M.Sc., SpA(K) era#hir diper'ahar-i pada . (a*e -pdated :1B.B=."BB;
1.Micropenis (A*e 1 J 11 )r) if +en*th of the penis : A. N 1 cm /. N " cm 0.N ",9 cm D. N $ cm E N ! cm %a&a' : D JIHAD IS THE POWER OF MUSLIM Page 1" LATIHAN BELAJAR ENDOKRIN ANAK S1A8 FI88 IN Hormona+ treatment for cr)ptorchidism ') -sin* :..................................... or ................................. %a&a' : H03 ata- 8H26H. S1A8 /ENA6.SA8AH Some 'e+ie5e that preoperati5e treatment &ith h03 faci+itates s-r*er). %A?A/: A./ENA6 /.SA8AH %a&a' : A LATIHAN BELAJAR HIPERPLASIA ADRENAL KONGENITAL. Satriono, M.Sc., SpA(K) era#hir diper'ahar-i pada . (a*e -pdated :1B.B=."BB;
1. (en)e'a' 0on*enita+ Adrena+ H)perp+asia ter'an)a#: A.Deficienc) of "12h)dro@)+ase /.E@cess of "12h)dro@)+ase 0. risom) "1 D.risom) 1= E. Defisiensi 3n6H %a&a' : A
". (ada pemeri#saan #romosome #eti*a 'a)i di atas !;, >>. Keti*a 'a)i ts' ada+ah: PPPPPP. Den*an PPPPPPPPPP A. ma+e pse-dohemaphrodites , 4ntreated con*enita+ adrena+ h)perp+asia /. fema+e pse-dohemaphrodites , 4ntreated con*enita+ adrena+ h)perp+asia 0. ma+e pse-dohemaphrodites , cr)ptorchisim D. hemaphrodites , 4ntreated con*enita+ adrena+ h)perp+asia JIHAD IS THE POWER OF MUSLIM Page 1$ LATIHAN BELAJAR ENDOKRIN ANAK E. hermaphrodites %a&a' : / FI88 IN ?hen the adreno*enita+ s)ndrome is associated &ith con*enita+ adrena+ h)perp+asia, it is ca-sed ') a fami+) of PPPPPPPPPP.. disorders of adrena+ steroido*enesis +eadin* to a deficienc) of PPPPPPP.. . he deficienc) of cortiso+ res-+ts in increased secretion of PPPPPP., &hich +eads in t-rn to adrenocortica+ h)perp+asia and o5erprod-ction of intermediar) meta'o+ites. Se5ere and mi+d forms of these disorders, ca-sed ') 5ariations in the se5erit) of the *enetic m-tations, ha5e 'een reported. %a&a' : a-tosoma+ recessi5e, cortiso+, corticotropin 0on*enita+ Adrena+ H)perp+asia Deficienc) of PPPPPPPPPPPP for A9K of affected patients. %a&a' : "12h)dro@)+ase JIHAD IS THE POWER OF MUSLIM Page 1!