i
DAFTAR ISI ............................................................................................................................... ii
DAFTAR TABEL ....................................................................................................................... iv
DAFTAR GAMBAR .................................................................................................................. iv
DAFTAR BAGAN ...................................................................................................................... iv
BAB I PENDAHULUAN.......................................................................................1
1.1 Latar belakang .................................................................................................. 1
1.2 Rumusan Masalah ............................................................................................ 3
1.3 Tujuan Penulisan .............................................................................................. 3
1.3.1 Tujuan Umum ............................................................................................. 3
1.3.2 Tujuan Khusus............................................................................................. 3
1.4 Manfaat Penelitian ........................................................................................... 3
BAB II TINJAUAN PUSTAKA .................................................................................... 4
2.1 Anatomi Apendiks .......................................................................................... 4
2.2. Histoligi Apendiks ........................................................................................... 5
2.3. Fungsi Apendiks ............................................................................................... 6
2.4. Apendiks ........................................................................................................... 6
2.4.1 Defenisi ...................................................................................................... 6
2.4.2 Epidemiologi ............................................................................................... 7
2.4.3 Etiologi dan Patofisiologi ............................................................................ 7
2.4.4 Gejala Klinis ................................................................................................ 13
2.4.5 Penegakan Diagnosis................................................................................... 14
2.4.5.1 Anamnesa ............................................................................................. 14
2.4.5.2 Pemeriksaan Fisik ................................................................................ 15
2.4.5.3 Pemeriksaan Tambahan/Penunjang .................................................... 19
2.4.6 Diagnosis Banding ...................................................................................... 21
2.4.7 Penatalaksanaan .......................................................................................... 22
2.4.8 Komplikasi .................................................................................................. 27
2.4.9 Prognosis ..................................................................................................... 27
BAB III KERANGKA KONSEP DAN DEFENISI OPERASIONAL ......................... 28
3.1 Kerangka Konsep Penelitian ........................................................................... 28
3.2 Variabel dan Defenisi Operasional .................................................................. 28
3.3 Jenis Penelitian................................................................................................. 29
3.4 Waktu Penelitian .............................................................................................. 29
3.5 Populasi dan Sampel ........................................................................................ 29
3.6 Teknik Pengambilan Data ................................................................................ 29
3.7 Pengolahan dan Analisa Data .......................................................................... 29
3.7.1 Pengolahan Data .......................................................................................... 29
3.7.2 Analisa Data ................................................................................................ 30
DAFTAR PUSTAKA ........................................................................................................ 31
DAFTAR TABEL
DAFTAR GAMBAR
Gambar 1.Letak apendiks ........................................................................................................ 4
Gambar 2.Perdarahan apendiks ............................................................................................... 5
Gambar 3.Histologi apendiks .................................................................................................. 6
Gambar 4.peradangan pada apendiks veriformis..................................................................... 7
Gambar 5.Apendisitis (dengan fekalith) .................................................................................. 8
Gambar 6.Titik Mc burney ...................................................................................................... 16
Gambar 7.Rovsing sign ........................................................................................................... 16
Gambar 8.Psoas sign................................................................................................................ 17
Gambar 9.Obturator sign ......................................................................................................... 17
Gambar 10.CT-scan apendiks (kiri) USG (kanan) .................................................................. 21
Gambar 11.Laparascopy apendiktomy .................................................................................... 26
DAFTAR BAGAN
Bagan 1.Patofisiologi apendisitis ............................................................................................ 13
Bagan 2.Pengelolaan penderita tersangka apendiks akut ........................................................ 23