Obstetri Ginekologi

-
-
dr Kha
. .
I. Basie Obsktri -

Ganekologi
Istilah terminology
.
065 Coen
-

Bidanf Hodge

§aMg✓
a.

tf odfge ¥ , ÷ Tepiatarsimfisir
Tepi bawahsimfisit
pubis
pubis
( Jelen
tang promontonum)
Hodge I" "

Seientang spina Iskiadiia

Hodge EI :

seientangotcotcyfeut
.

" "

Hodge III Pada Ease aktfif :

pertimbangkan unhik 5C

Hodge III III Pada fade aktif : observers ,

-
I tencanakan Psp .

b. Mouse → penilaian suture Janin

lndikator CPD ( chepaio -

pelvic Disproportion )
O : Sutra lebar CN)

41 :
Suture mvlaimerapat : -0 Tam pang tihdih
-12 vital
: Saturn fumpangtindih : Tanda Janin CN)

¥3 vital
: Saturn fumpangtindih : Tanda Janin
terganffu .

¥D CD Tandajayanm
.

Balk Bunk

⑨ t① HR : 'tr

!!§
o

-12

MOUCHE O : observasi 9 rencanakan Psp

" "

Montage Sc
Xtc :
pertimbanfkan
 C . Horman -
Horman Pada Kehamilan
Ease Menstrual
'

: a ) FS# → Nerangsang fouteei ovarian

& maturasi

b) Estrogen → Menebalkan dividing uterus &

R Vaskularisasidlndlhf uterus

c) progesterone → Menebalkan dividing

• uterus &

R Vaskularisasidlndlhf uterus

Men loohtraksi uterus

cegah
•

d) Luteinizing Horman Cut) da're

.

-7 Meee pas Sei ovum

Folkes Yang Judah matier .

Kehamilan : at PHEE -1 -
Nerangsang penumbohan ( perkembangasl
dibvahi
Proliferasi Sel ovum Tanf Sudan

-
Deleksi Kehamilan

b) Estrogen
c) progesterone
d) Prolactin :
Neranggang ASI

II. Kehamilan Normal

= Tanda Reha milan =

④ Tanda Tak past

-
Amen orea ltidak Haid -
Hiperpigomentagi Nipple
--

Morning Sickness -
Mastalgia .

⇐
Pent membejar -

Konstipasi It Miki

Quickening -
B HEE ④
④ Tanda past
• Kanun Gegtasi > a mg Coto)

fetal HR use
}
.

pm
-
.

" " try

.
tenia german ga.nl?n0PP1er
 Haid Teramr
✓
.

Ease Menstrual
.

CN ) : 21 - 35 hari -
sinus normal .

Rumor Neagle (Whan ) -1 Ht 14 dan HI Haid

.

Terhifung
.

( Masa Subir )
Ttp :
7 B 3 ; TH

WTT
-

Silent 28 hari HPHT 16 4 2020

t7-3tl_T
23 I 2021
✓
26 hari - 2 21

30 hari +2
25
-

Antenatal care ( AND

Minimal ax dalam 9 pentode kehamilan ( IX Trimester I ; ex Trimester II
,
2x trimester III ) til ,
H2 KS & k4 .

- - -
I II Ill
Mefode Anamnesis tehamilan
: •
penguin
•
PD -1 T Vital
.
( kesadaran , TD , HR , Soho ) t EHR .

Pem Fifth .
: . Head to toe

• Leopold I -

CI

Mangaia
'

LH '

e
④

÷÷÷
""
LL 24 hari -
 KET
→
.

mm

uh

-0
or
 -

Leopold -

Leopold I : Akhir Trimester I ( Menilai Usta kehamilan)

Bartolomeu Mc
① Mende ② Metode Donal

mmggua-tvccm-OT7-ata.ir
. .
- .
-

TTV ( cm ) t 9 = - - - -

mingy .

interpreters :

< 37 Mf → Kehamilan preterm

37-42 → Kehamikn alarm
my
→ Kehamikn postern
342 my .

Leopold II : Trimester II ( Athir Trimester )

↳ Menen hikari letak 1 Status Janin

a) Letak Horizontal CT
Lintang -1 Jumbo janin ) :

C
Gagan what 8 a
Gagan Kent .

b) Cetak membyyr -2 Sambo Janin cental CI)

Bagan Kent A Coin / Kanan & rata .

c) Letak Oblique T Sambo Janin diagonal Cdl

Baham kin ( Kanan floating .

Leopold AI Catcher timelier

present an ( Kapala ( edu)
↳ Men enmkan Sanin
botany
-

Leopold II Catcher Trimester

Lb Menen mean
kepaia Janin pedals Mauk PAP f- 1-
 E-

-
I

Hey Korver son " Sudahmasuk

Pap
Diverge .
:
Baum Masais
Pap .
Tatalaksana : - Edukasi
-
Diet TKTP 2400 kkal than → t BB lkflbulan
Suplementan fed 9 At folat ixlhan
-
- .
.

-
falcfinasi TT : TTO i Kunju ngan I
TT , , 4 my setelah to

Ttu : 6 bulan Serials TT ,

TT , e
.
I tahuh Jeleeah Tiz

Tty : I tuhun Jelecah TT }

-
BOECE
III. Persacinan Normal
Syarat : > Kehamilan aterm → Cahir Psp .

> Usia kehamilan 37 42

Mf
-

> perfentasi kepaia CB Kapala )

.
:
Hodge II -
I
> DUKE 2 to jam

I -0 ada born pikas .

Paola thou 9 Janin

Ease terrain an Normal

Kala I Cpembukaan)
-
Ease eaten -1 0 o -
3 cm : Hit ④ r
, I -2×110-20 Sam "

Duras: lo
:
primigravida -
12
jam
Malfi gravida 8 to
jam
-

" "

Partograf
-

pemeriksaan 130 merit : HR IN 1 FAR .

HIT
'

pemenksaan I 2 -

ajam : TD, tahu ,

0 : urine
output

fo Go
panvgnf .
 Fase Akfif : 4 -
co cm
T HIT CN) 3-4×130-40" ( co men't

Ease -19cm
laysan
y
•
akseierasi Durai
→
Feese Dilatant Maksimas
Gjam
•
T -
g can .
I
•
fate beseceoah -
-1 10cm .

Kasa I Cpersaiinan ) .
→ Lahirnya Bayi
Sudan
pembukaan fengkap perineum menonjol :
-

Terri hat
kepaia qaeda Cnboihit vagina
-

Kohtmkh ⑦
'

Rasa CGU CHI )

-

mengedan pack ,

keheban Sudan
pecan
-

Tafalaksana :

Pimp, nan person non

-
→ Doran 230 men

Epinotomi (penggunhvigan Perineum)

I -
Maknsomia ( BB 74000 Srl
-

Destra bahu : CPD . , Primigravida

Tujvan :
Iyengar hkan hepner perineum .

Kala CI s Melakarta plafenfa

.

& face
T -

Keeny -

Bayi Sudan lahar Pusat Judah

dspotong
-

plasenta baum Cahir

-
Kohlman .
Uterus ⑦ ,
TF U mash Sama

Th f - onset C 30 merit

Manajemeh Cnj utero tonite & Maggie

( ft's
g
-
uterus leman ) .

Akhf fatally Pere gangan tani token dali (Ptt )

-

pusat
Kaia W :MiFa5

Observer Vital sign

2
jam post partum : -

-
perdarahan per vafinam
115
; to
I

menial
Jam I " ow up
I 30
-

Jam CI Follow up men Lt

c0ntohSoalf
tehamtknaterm -
post Date #
lender darrah

Cahjuttean Observer

ly
Tanda Bloody show ⑦
party
¥
in :

Hit ④ lhduksi
persaunan
0 72cm
-
peach i

£17 Kennan

EHR : fetal Distress FHR Cho .

7160 -
Ryuk 5C
,

FAR N → cansut Observers .

Hodge e. Kaia I
'

HIT

Hodge IAI : Ease eaten His ④ -1 Obs

persaiinan
:
.

'
Hodge III : Fuse (aten : His Id a Augmented
'

persaiinan
Hodge '
III : Ease Hktif : Hit ④ t Ryuk ke Rs → SC

Hodge 11 II :
forge aktif : Hit It -1 Augmenter Pergamon

Hodges NHI :
Gage along : His re )
-
observes
.

persaiinan
.

I
Observant
persacinan

peniiaianwouoseo.I.tk:9?ITe7I7-,sc.Tg
•
HI .

Persacinah Patmos

a) Kelacnan Pada Kala I

① Nemanjang ( prolonged latent phase)
persacinan
E: Maku Soma : Hi 5 :
CPD
T
Kardinal Kala I primifravida 7,20 jam
fase eaten Duran .

. :

Multi grand a 7, 16
joins

② persaunan Terhambat ( prolonged active

phase)
E: Mako Sonia : Hft : CPD
T . Kardinal :
pemanjangan Duran
Pd fare alone
-

prlmigravida 1,5 cm ( jam

Multi gravida 21,2 can I
-
jam .

③ Persaanan ( Arrest Dilatation)

macet
of
E : Makrosomormz : Hes : Cpp

T Kardinal :
pemanjangan durasi
fate alchf 7
Yam
( multi gravida ) day 73
jam prlmigrauiaa

Tatalaksana :
Mj . utewtonikacoksitos.in) -1 Gaga t Ryuk SE .

b) Kecacrian His
therSia uteri / Hipofonic uteri
"
E :
cdoopahk .

T . Karolina 'd '

uld f- Rkuenfi / Duran .
His pal Petaling
•
Shea dari aural Sld akhir -0 normal -7 PRIMER .

• Diawal NO pemeriksaahterakhirtd -I SEKUNDER .

Th / Cnj . uterofomtea →
Gaga '
Sc
-

Ryuk free Rf → .
c) Kala II Nemanjang
T .
Kardinal -7
Persatuan Kala CI 730 Meal't

E : Ditto Sia Gaw s Nlakwsomia s CPD

Manajemen

VAKUM FOR SEP

Hamil ( 37 Hamil aterm ( 37 427mg
aterm 427mg
-
- -
-

-
Lelak
beeakang kepaia -
Lethe
beeakang kepaia :wajal : %mk%§
-

Hodge all I pemb lengkap

.
-

Hodge all I pemb lengkap .

-
His ⑦ ( female -
HIT ④ Iemah I ⑦ ada .

160 160
-
Masih ④ Gsa tenaya
-
-0 ada Asa tenaya
a- I
mengedan .

mengedan .
 = Protocol preterm =

#ehamilah preterm C 37 mg → o Tanda in

path t C -

ada → term , nasi "

SC "

① ada -7 tan >utkan

observant

|¥etae desist

fetal Dishes -① I
1-
✓ FAR 2110
Gmat team observant
7150
Usta Gellar 224 mggu y , zzmgg,
" "
•
Hyuk → terming .

so

Coy hnfgu kvretese

Usia Gestasi 23 -
34 Mingo
•
Nila
.

His → ④ Its thot My Time "

Tokouhk
"

lndometasin Ms soy
I
- -

✓
-
Need pine - Terbutacin .

① HIT

pematangan pan CUP

jam)
-

-
Dexamefasone 6mg I n
jam
Betahetesone 12g jam
-

12mg .

I
RUJUK ke 125 → terminer also

::::÷.:::::::.Tj
oksinsin "
I. Peng teaamilan
.

a) Hipenena -

pada kehamilan .

-
Munch C 20mg Hilary 214mg
-
mene
tap > 19mg Post partum
-

⑤ Rpt : Hiperlergi

m÷:÷÷F:i:%i÷a. nM
Th
①
Farooq

-
 Hipenena -

dengan proteinuria

① PE Rangan :
TD 140-159/90 Gg mmHg -

proteinuria tf

target -0
Gejaia organ
Tht Supiemeatasi
Mf (
-

calcium (ooo hari

Gol CCB 7 hari Ranap

-1
proteinuria ① his
-

I
ang
- .

② PE Berat :
TD 7160/100 mmHg
proteinuria 742
④
Gajda organ forfeit .

③ Superimposed preeldampsia → ④ Few Hepenenh

.

Tb 7 190 190 MmHg flbesumnya .

7 ti
Proteinuria
Tf -

Gajda organ target

④
Ekta:
tkejan8.MIL/profilaksi5konvuc5anCP6B/
Ya PE l PE
superimposed
Superimposed PE) ( anticancer ban CE)

1st line :
Mf 504 ,
anti do him ca Guianas -

2nd lire : Plate pans w

wtokol so Mfsog mind : 48r 90% t RL 15ms -1 Bout CF - 30 Mnt

[
( Rt 9L →
kvmatan : 6840% t
rips Sceaux 6
jam .

Anti AT CPE I ) Gol CCB

•
superimposed PE 1st .

and
i Meat dopa
. .

←
Otamc fkyuk kept -1 Sc .

::p? s.ie/kgBB1
' " "

ran;
:

yarat : Iii .

12 .
patella ④
jam
 Sind roma HELLP
complikasi : o

° Hemolisis → BAK Seperfi cucian Dag ing ( Cola , keening -

Elevated Liver Enzym → P -

Lab :
TT SGOTISGPT
Low platelet → P . Lab → trombosit < 150 - ooo 1mm 3

Tatalaksana :
Rujuk ke Rs → so
=
Hiperemescf Grand arum -

TT
BHATI
I
↳ emesis
Munich - Munich
maintain
777
.
Grauaa : ham,
I
T -
Kardinal : Maal - Maritain heart ⑦ tahan Gav ma Kanan
.

16
terjag at c
menyengaf mg
.

① tahir
perdarahan Jalan

c- FU N : Meng gangs dkhvitat

GRADING HE
'

Morning
"

Sickness
.

Dehidrosi pneshotk shook -

Tafalaksana
•
fhehidragi C -
AB
wit BG) -

Grade I Plridoxin Doksilamin

Farmakocog
t
•
s :
po
-
-

①
benaerang : Promefatone (Dyenhrdmmine
> Grade Metro l l
II
prams.de/ohdanfentrone PO
i -

Grade CI
pram.de/ondanfenWnlU
l : Neto .
 Perdarahan Pada kehamilan Abottut
( Antepartum ltemorafnk.
✓
-
KE -
→ KET .

About
awalkeham Men
\
a.
M .
Hidahi dosa .

kewaryahafilkohfe.ph 220 Mf BB damn

2500g
.

atau .

"
Menfahcam OVE anamnesis Iehft

Sedated
tenancy
no
WM ommatophore

I
Et
ABORTU5-77.nngm.ie
#
: - Hb ?

pemfit
.

,
lnsipient lnkompit Komp it .

- t
f Antibiotic
evakuo.si/kuretase Uterofonik
+ AB .

-
 Plano left -①
b. Mola Aidandosa -

BHCG 577 .

( Tumor
E:
Alper proliferate Hi trophoblast jinak)
.
-

T -
Kardinal : Mua' - Muntean Hebat ok PHC 277 .

The tea h
-

besar dah
-
Usta Gestasi
pp: UTE
-

Honey coomb
appearance
0708
0%0
" "
M .
Aidan dosa -

parsial USE
Snow storm
appearance
-
.

" '
M . Ctidah dosa
-

complete
"
t
tht fdesusitasi C - AB .
37
kantung
Ryuk .

c. Kehamilan Ektoplk
KE : di war uteri
lmplantasi ovum cacum

(
Ampuan 115MUSD
I

KET :
Rupture
I
Perdarahan 772
?
f- 12 : endometriosis ¥
Nyeri ( Kiri
Tanda :
pd adhexa Kanan
Tanda pre shock ( shock ④
"

lllhspekuso : - Cavucm
Douglas Menon, ol .
→

koldOSISTtesis-tbarahf.tk/f2egugifagi
Plano fest ④
CAB .
"

-
Nyeri Goyang patio .

Ryuk ke tht -
I Caparatohn .
.
 ④ fterdarahan Pada tehamika 720 Mfg .

a) Sowsio Plasenta / # bmtio i

lacerta -
to Prasanta lepas
et abdomen kehamican
: trauma 1 ftiperienfi .

Kardinal
T . : -

perdarahan Jalan lahar q 20mg .

-
Nyeri peut c peut te
gang
-

perdarahan kehitaman
-
FR : EHR + Fetal Disstress - Tt Ada .

P penury -1 058 ⑦
ang
.

b) Placenta Praia
et Ideo:
pahk
Kardinal Jalan lahar
T . :
perdarahan 720mg

.P:IIeaaeeainsT
causeless

trike::;
-

- Multi Grande Cernuda

-
-

KI : VT
d-
pp :
psasenta Terimpiantesi segment
Gawain rahim & menutup Jalan Cahir

w/ Resusitasi C AB
-

It !
Rujuk
c. poplar uteri .
PD :
Banda
etc : Makrosomia
Ring

ft
.
.

1%5 I
'
memansansr 's"

-
VBAC ( vaginal Birth n
After Caesarian ) .

Kardinal
T.
: .

perdarahan Jalan tahir 7,20 Mf Usta

kehamilan
-

Nyeri pent
-
Tanda - Tanda Gre shock / Shook .

-
FHR -1 fetal Distress
-
t l - ada .

Tataeatcsana : - fhesyitafi C AB
-
-

-
Far makolofi.AM/0mahF Nor teratogenic -

Ryuk
-

Sc ( Repair uteri .
 Postpartum lkmorugk CPPH) 4T
Tanda Kardinal : perdarahan Jalan Cahir Kala cell II
7500mi
Psp
.

SC 71 1000 Ml .

Klas #Kasi

gyYEarcy : . Tonus -
Annia Uteri : ① fohut uterus I Hit ① ada .

uterus teraba Canale ( lembek

Tht -
Resuliteh '
C -
Ab .

224 Jam uterus

.

Eng uterofonika t Masase Gaga

-
-
→ .

Manual Bidompnefi Katter bacon

- -

•
Tissue

a) Relenscopiastnta :
Prasanta becumlahw
730 Men 't .

Tht -
Resnik .fi C -
AB .

-
Eng uterofonika t Matale Uterus → Gaga -

-
Manual tflhsehta .

b.) lnversio uteri -

-
Terrihat Massa & cntroi her vagina :

Merah Kagan
-

Nyeri ④
-0
.

TFV
Tht -
fesujile.fi C -
AB .

Reposa .
Manual
RT
< -

Ryuk ke -1
Repo Sisi operate'f
Utero tonite (persica Kontruksi )

Gbr In Verno Alen

.

.
•
Trauma

a) Ruptur perineum → Caseran AdobeKan Pada

galan
Cahir -

Klas yaKasi

Grade E RobeKandy Mutya vagina

Grade II Robekan di Olot vagina perineum -

A Robe Kan di c50%

Grade CE Stangler Ani Ekst .

B Robe Kan di > 50% Stangler Ani Ekst .

Robe Kan di Ani antenna

C
Seung ter .

Grade W RobeKan d '

tectum

Tht Resusifah .
C AB
- .

Grade III : Debridement

lpenjahifancuka .

Grabe HAI :
Ryuk ke 125 .

b) Ruphir Services : laserah ( Kobeteam

.
d- murat
Fahim .

Tht Resusitasi CAB

Repair Ruptur .

• Thinkin Dlc . Dlfeminaled Intravascular Coagulator .

⑦ tecacnom tonus l tissue / Trauma .

P Lab : Gary fecunrh Fak foafueengi

.

D. dimer 2500
Tht tht Resusitasi CAB
laleppttf-PPHferjad.rs 24
jam .

E
'
. Sasa Plajenta
Endo metritis .

① Sasa piasenta
Tanda Kardinal :
perdarahan Jalan lahar
pasta perfection 724 jam
Fender uteri Teraba ⑦

PD :
lhspekulo : Porno tenuta .

050 ④ Sga placenta di

}
:

pp : cauum

④ kotisedon uteri

TH Regusilan . C -
AB

Manual plajenla .

② Ehdometriht
e IR : Mahaveer persaiinan -0 Stem .

T . Kardinal: a
perdarahan Jalan tahir 724
jam postpartum
-

Demain ④
-
leukorea bemoan bcyuk
-

Nyeri letean Tfo to

-

p .
Lab : Keiko 81bar ④
Tht Refufltasi CAB

Ampicillin 2816dam
}
"

Farmako : Cw ) * kohdih .

Gentamicin
5mg I KFBB Cygan bent .

Metronidazole 500 w
f am
ng
.

Hyuk
Ketuban pecan Dini
E : . lnfetsi .
Bahari - bandh Kinion .

-
stress 1781101085
- stress Fcsik
7 Kardinal : Kevlar cairn
bening dam paean Cahir
.
.

Tanda empathy -0
FR ④
Pementsaan : Cavan ④ : test Lakmot (Nitration left

cairn -0 :
test fencing
Klas Kasi a.
Premature Rupture of membrane ( PROM )
↳ KPD 5 tegaoi kehamilan aterml postdate
pada .

b. lpekrmprempamretfupn.ro
lb
of membrane (pp Rom )
KPD 5 fejaoi pada kehamilan
preterm .

Tht .
pwfilaksis AB ,
enhomisin 27500 Clo hari )

•
Lanjutkan dfh protocol pergaiina ,
preterm lateran

Korioamnionihs
E :
lnfekfi pada Gonion & amnion

7. Kardinal Derham 7300C ditambah 2 atau leah

:
gejala
d- Gawain
-
HR 7100×1 i
-
fetal Distress : EHR e tho . FHR 77160 -

-
Nyeri Than funder
-
cairn amnion Deneau bosun fkehijavan
-
p Lab
.
→ leukosctoht
Th 1. Rematch .

C AB
-
.

Far Makoto fi Ampicillin 281 6dam CN)

-
"
f

Gentamicin 5mg 1kg BB my jam .

→ kohdihi Bent ④
Metronidazole wld
mg jam
-

too
-

ke
-

Ryuk 125

Dlstosia Bahu -

E :
Mako Sonia o
obese fat
-

( keiainan Pangu
CPD Cbu

7. Kardinal :

Kala II memanjanf Tuttle sign

Distress ↳
Fetal
kepaiabayrnyc
tf
Mauk
-

Rheo ④ (ah ke Iklh

Fak
perineum
'
.

keiuar
Tata laksa na : Manner Mc Roberts .

(etat Sungsang
E: ldiopahk
Kardinal
T -
:
legate membvjur dengan Presenters Oolong
Pada pem .
Leopold II CUI

Frank Breech : Manner

persaunan
klatch :( objet : Muller

-
Ryuk .
0
Prolapse Tari Pusat .

E :
ldiopatik
T Kardinal
.
: Tari
pusat Cahir men dahuwi Sanin :
Tanda
cnpartu ④
•
Prolapse Tali
pusat tendmuka
men dahuui
→ Tali pusat Janin dengan
Se caput Ketu ban atuh .

•
prolapse Toei
Pusat Gung Menon

men Iahuvi
→ Tai Pusat Janin
denfa
Seca put Kemba n pecan .

Th ( fetus Nati → lhduksi Persaiinan -

fetus Hidup I
-
Posisi Tredeienbers ( knee chest position)

Resositasi C A- -
B

Ryuk ! ! !
=GiNeK0l0gi=
I .
Kontrasepsi
Tvjuan : Membatasi > umrah anak / menjaranfcoan
kehamilan .

Denis :

•
KB Hormonal

Mini c progestin)
-

progesterone .

i. pit
implant ISUSUK

KB 12 bulan 13 bulan
-

ing ,

(
- Kombi nasi : Pil Kombi nasi Bifasik . monofasik )
( PG E ) KB Hormonal kombinasi
t
any

• KB Non hormonal

Metode Alannah : -

Patting Berkaia I kalender

-
Koitus intern plus

Mende Barter : -
Kondom ( 0-7 )
Drafragma
-

Cf)
Vasekfomi (P )
}
Mende operahf : " dlkasi :

( Kontap) Tcebektoanicq, Vision 160 x

jihanak
7100
Mende AKDRIIUD : Intra Uterine Device

Pemilihan KB
a) keingnan Pascenlsesuai kebuhehan paten
Hormonal ⑤ Raw Knut Htt DM , TB
Peay
-
: .
.

⑦ Gulam Sefecah tonguing

perdarah 71

atau me Makai hormonal .

-0 T BB pwfehf ( Manoa , acne

 Penyuiit kontrasepg
.

06at KB
A .

Lupa minim .

1 hari Minor 2
Pil KB hari Ini → Beak Akio ④
2 hari =) Minor 2
Pil KB hari Ini, -1 N' nun 2 book →

kemuoian begot Sikhs ④

7 3ham .
Gant
pic KB .

b-
Kohlrageph . Damtat .

Kahrs 25 hari T Pil Kombinah .

bifafik ( hrouofah .

Pil progestin .

Kohut han AkDR C IUD

7,5
.
.

II Massa di Jalan sahir

"
Massa
""
A -
Jirak 6 . Massa Ganas cancer
-

Kenya , Kent
-

pwgrefnfltet 1amGat Prof .

cepat
- Mobile ④ Tdak mobile .

Ping girl Gatattegaf Batas Gale

'
-

leger
-
Tc date ada nodal Perdarahan -①
-

Ti date
-

Men bernodui - north .

11 a

Massa di vulva

① KiHa Bartolini
e : Sambatan Pada Duchess Bartolini
↳ lnfeksi , lnfiamasi
T Kardinal
. : Dispaneunia ( Rasa folk nyeman Saat koines
"
PD
"

: Teraba ben-301an Tape jcnatc

Fcuktuasi ④ di Sibir Kennaway

Tbl Marsupials Sasi -

② Fibroma vulva
e
Cdaopahk (
:
Hiperpiana e
pilei vulva ) .

7. Kardinal : Dispaneunia ( Rasa folk nyyaman Saat koines

"
PD : Teraba ben-301an
"

Tape jcnatc
Fcuktuasi ① di Sibir Kennaway

Thfekscsi
Ln
penfangcoatan
Keg@Canemah
'
c

"

Massa di vagina
① Kister Gartner
E : 065 truth .
Saturn Kanai's wolfii

T . Kardinal : Dispareania .

lhfpekuco : Tera ha
Benjolah ( tent hat heyday
di deriding vagina Tape janak
Fiukfuagi ④
TH Eksisi

② fibroma
.

vagina
E :
Hiperpkha epitel Vagina ( ldeupahk)
T Kardinal :
Dcspaneunia .

Terhba ( tent hat heyday

lhfpekaco :
Benjolah
di deriding vagina Tape janak
Fwktuaa .
-0
Tht Ekka .

③ Endometriosis vaginal
Tam endometrium di war cauumciten
Fanfan
'

Guhnya
"
peritoneal
"

vaginal , Percle .

T Kardinal
.
: -
Nyeri Bert
menjelang
Haid / Dcsmenorec -
Bernt
Cotati Cahir
:
Jia Vajna pelvic
[
, ,

Suitt menisci tehrrunan .

Menara
Sia ⑦
-

PD :
lhsrpecaeco = Massa
tipe Anak
berdahl Paola Saat hand .

Tht aural : NSAID

'

Utama :
operahf llapawttopi
 "
"

Massa di Serviss
① kista Naboban
-

E : Resensi Kelenjar di Muara Servet's

T .
Kardinal : Asimtomah 's

lhsfieccuco : Binh't
"
cairn &

pemmican Servite 5

Thfobseruasi

② Poll p ferrites
E :
ftiperpcagk Eyalet sente .

7. Kardinal :
-

Dcspareania
-
perdarahan Parka Guitar
-
de BB anemia
haid
TY fhujute
-
fserdarahan CN)
" "
lnspecauo : ④ Massa berfangcoai pada Polipektomi
Seru x , Deepak & Mudd

Serdar ah .

③ Kara -

noma Servin ( ca Servetus )

E Human Unit ( Hpv ) tape 16 9 18
:
papiloma
FR : -
Akhtar sestsuai terran dini -

Multipara .

Men Heals ter Gahan

> l X
Papa
-
-

Debaunan di Usta Mada

tarsinogenik
-

T . Kardinal : -

Dlspareania
-

perdarahan palka Iulus

"
FR ④ Sanda d BB
-

,
Kegancyan :

"
,
anemia

( "
Tine Ganas
'

nsrpelaeco Massa
-
:
 Pem .

penuryang sawai :O IVA test : FKTP : Aceto while . ⑦

( at . Cut a )
smear FKTL Sel "
karsinoma
Pap
• : :

-
Cange ④ Ca cervix

lanjuttcan = .

kolposkopi → Grade CIN I 1111111 AI

- Cone Bloph
-

→ dlcaeucan aka

Stadium ESA .

Tht Ryuk 1 Rudi leaps I foemoterapi

:
operant
-

di Massa di
. uterus .

neiman:* . ... .. . . . .
me ..

T - Kardinal : -

perdana
tan hard TT dah lama
cmenorafa)
Dis meh one in
ngan
-
c

-
PD :
Massa :
ape Janak di supra pubic
-

pp : USE : Lehi Hipoekotk Pd miometr um

-

"
65 : Bio psi Whorl
patter appearance
'

Tht Ryuk .

th Miomektomi .
Y
"

Massa di ovarian
f. last ovarian

e
cdiopahk
:

T . Kardinal : -

Oligo menorahs
-

Nyeri adnexa
-
Suat Mcmillan Kearn non
-

PD : Taraba Massa Anak Q .

anthea .

USE : test Hipoecaric Berkapsuk di

ovarian .

④
began .

.
Nyeri adnexa Elba - G- Ga Calarts ,
beret
ukcran di adnexc
pp : pembaLan mask .

Lb DX :
Torsio lasta ovarian
Th
/ Ryuk .

III. Gang .
Meatman .

a) Menoragia : Perdarahan Haid 99 & lama .

b) Metro ragia : Sikar haid berubah - Ubah

c) Meno metro raga :

perdarahau hard Bang ale - lame -

81k cut Adak teratur .

d) Oicgomenoraga ÷ Slavs Laid 735 hari

e) gildas had 221 hari

Poli Meno raga : .

f) Menopause : Wanita ⑦
dpt haid 7, 12 busan .

Ame hook -0 balan

g) : want
dpt Haid L 12 .
II. Prolapses uteri
E: Kecemahan Olof - ont Pasar panggul .

.mg?araIIcnegenerahf)
Er :

B
-

7. Kardinal : Massa di chm his vagina

① Nyeri
-0 perdoralah
PD : Sistokel : Tertia massa bengal clan
.

Bending
anterior Vagina .

Reechoed : Tertia massa bengal clan .

Bending
postern vagina .

Fundus uteri -0 feraba

.
r

get
.

'

de
't
Gra
Klan #Kasi or

Gtd
Grade II
:

:
It
It
uterus

uterus
71cm diatat
L com diatutHymen
Hymen .

④n +

ۤ
Grade UI : ft uterus a loan dibawal Hymen
A

Grade Ty : atone
memory H 17 1cm dilawar Hymen
-

TH Hoste@ kami
menopause ⑦ :

Menopause -0 : Grade E III :

pemesaryarcinais pesarivm
Grade Cll III : tether
fugue
-1
Vagiroraphg
.
 Disease ( MD)
f- Pelvic Inflammatory
E N Gonorrhea / C trachoma
ocnfeccfi
: : .
.
.

IUD ( AKDR
inferior
° Non : .

T . Kardinal : Nyeri panggul Sedang - berat : Deman 730°C .

① Kew Freesex -
I
Saipihghf
'
CND IAKDR) .

④ Raw Free sext feuar due laanah lmacopumien

Gohorea
→
salpingitis
.

-
Duh ( hahah , mucaopumlen
(n enema Cernan Gohoree
hnspekuw : cervix
-
: .

Pp :
pewarnaa Gram :
DiploKolar Gram Megan't ④ to .

Tatalaksana : Sesuai Gon ore atom

ttohcgonoree .

VI . Toxoplasmosis Kehamilaa .

E : Toxoplasma
gondii ( parable)
T - Kardinal :
Hamil :
kegaguran , suit memiciki kehrmnan .

FR : Suta makan makanan mental .

memevhaee heaven , Kuang ④

pp :
Serology Toxoplasma
. .

( Lt) toxoplasmosis
GM
: .

(
gmt) ; 185 Ct ) t
toxoplasmosis .

Tht Hyuk ke Rg .

Lion mg -1
Spiramicin
'

710mF I
pinmetanin sulfa diazine
-
+
VII. lnfettihtas

Def Kegagalan Konsepsiatau

:
memperleihan kehainilaa Pada
Pacetti gang meiakukan Koitus Nitin
tampa aint

Kontraseph
-

Pada Usia 235 than

Duran 1 than
USK 735 thr Duran 6 bulan
Pada

Eti Olof
-

: 40% dari want .

Gang patens tuba 068hm Kfi tuba PID du

• .
.
,
: ,
.

poof Cpoiyccshe dragon syndrome) .

Dx dllemukan 2 clan 3
fejala
: -
.

-
Hifsutisme ( tumbler Ganyak Guo tache) '

Oligomehonea
-
055 : Kister 712 bud d .
ovanum

Tht thyme .
ke Rs .
"
RODA PEDATI
"

40% Penyebab Prion

•

6g scrotum (testis → varicocele , atwpilefht

-

•
6g sperms .

Olifozoospermia : djumkh Sperms (N :

Htt 1mi)

A- Steno Zouspermk / Seratt

:
Gang motives
(N : 732% B
Terhhitoosperma :
Gg Bennie lmorfulofi
(N :
sperms
benthic hormel 7929
29% benhrk abnormal) .

Hzoogpemk '
.
① Sperms ,
② Semen .

A- sperm is : -0 sperma ,
-0 semen .

20% bombings .
folch Tht Ryuk .