Bed Site Teaching

Otitis Eksterna
Sebrin Fathia Rahman Rahman / 1840312677
Wiwi Pertiwi / 1840312712
BAB 1
PENDAHULUAN
Otitis Eksterna
 Pendahuluan
Otitis Eksterna (OE) adalah
radang telinga luar akut maupun
kronis yang disebabkan oleh OE merupakan kasus yang
infeksi bakteri, jamur dan virus jarang menimbulkan komplikasi
yang serius, namun pnyakit ini
Content Title
memiliki angka kesakitan yang
Kejadian OE dipermudah
Here
tinggi. Karena itu, diagnosis
dengan adanya faktor seperti dan tatalaksana yang tepat
perubahan pH liang telinga, dibutuhkan untuk memberikan
kelembapan, sumbatan liang angka kesembuhan yang tinggi
telinga, trauma lokal dan
alergi
BAB 1I
TINJAUAN PUSTAKA
Otitis Eksterna
BAB 3
LAPORAN KASUS
Identitas - Anamnesis - Pemeriksaan Fisik - Diagnosis
- Tatalaksana - Prognosis
Identitas Pasien Riwayat Penyakit Sekarang :
- Nyeri pada kedua telinga yang memberat sejak
Nama : Nn. MS 3 hari sebelum masuk rumah sakit, nyeri sudah
Jenis Kelamin : Perempuan dirasakan sejak 1 minggu yang lalu. Awalnya
Usia : 16 tahun pasien merasaa gatal pada kedua liang telinga
Alamat : Salimpuangan sejak 1 bulan yang lalu, kemudian pasien
Suku : Minang megorek-ngorek telinga menggunakan cotton
bud.
- Keluar darah/ cairan dari telinga tidak ada
Keluhan Utama - Riwayat Keluar darah/ cairan dari telinga tidak
ada
Nyeri pada kedua telinga yang memberat - Penurunan pendengaran tidak ada
sejak 3 hari sebelum masuk rumah sakit - Telinga Berdenging tidak ada
- Riwayat mengorek telinga ada dengan cotton
bud
Riwayat Penyakit Sekarang :
- Nyeri saat membuka mulut ada
- Riwayat berpergian ke dataran tinggi/ naik Riwayat Penyakit Keluarga : Tidak ada yang
pesawat dalam waktu dekat tidka ada berhubungan
- Riwayat berenang/ menyelam tidak ada
- Riwayat demam ada 1 mingggu yang lalu,
sudah sembuh
- Riwayat batuk dan flu tidak ada

Riwayat Penyakit Dahulu : Riwayat Sosial dan Kebiasaan :

- Riwayat telinga berair tidak ada sebelumnya - Pasien seorang pelajar
- Riwayat nyeri telinga sebelumnya tidak ada - Pasien ada riwayat kebiasaan mengorek telinga
- Riwayat DM (-), HT (-)
 • Infographic Style
Laporan Kasus
Status Generalis Pemeriksaan Sistemik

Keadaan Umum : Sakit Sedang Kepala : Normochepal

Kesadaran : CM Mata : Konjungtiva tidak anaemis,
Frekuensi Nadi : 86x/menit Sklera tidak ikterik
Suhu : Afebris Thoraks: tidak diperiksa
Nafas : 18x/menit Abdomen : tidak diperiksa
Ekstremitas : Edema (-)
 Pemeriksaan Kelainan Dekstra Sinistra
Daun Telinga Kelainan Kongenital Tidak ada Tidak ada
Trauma Tidak ada Tidak ada
Radang Tidak ada Tidak ada
Kelainan Metabolik Tidak ada Tidak ada
Nyeri Tarik Ada Ada
Nyeri Tekan Tragus Ada Ada
Liang dan Dinding Telinga Cukup Lapang Tidak Tidak
Sempit Sempit Sempit
Hiperemis Hiperemis Hiperemis
Edema Tidak ada Tidak ada
Massa Tidak ada Tidak ada
Sekret/Serumen Bau Tidak ada Tidak ada
Warna Kekuninga Kekuninga Telinga
Jumlah Sedikit Banyak
Jenis Mukoid Mukoid
 Pemeriksaan Kelainan Dekstra Sinistra
Utuh Warna Putih Abu Sulit dinilai
Refleks Cahaya + Sulit dinilai
Bulging Tidak ada Sulit dinilai
Retraksi Tidak ada Sulit dinilai
Perforasi Atrofi Tidak ada Sulit dinilai
Jumlah perforasi Tidak ada Sulit dinilai
Jenis Tidak ada Sulit dinilai
Kuadran Tidak ada Sulit dinilai Membran
Pinggir Tidak ada Sulit dinilai
Timpani
Pemeriksaan Kelainan Dekstra Sinistra
Mastoid Tanda radang Tidak ada Tidak ada &
Fistel Tidak ada Tidak ada
Mastoid
Sikatrik Tidak ada Tidak ada
Nyerti tekan Tidak ada Tidak ada
Nyeri Ketok Tidak ada Tidak ada
 Pemeriksaan Kelainan Dekstra Sinistra
Hidung Luar Deformitas Tidak ada Tidak ada
Kelainan Kongenital Tidak ada Tidak ada
Trauma Tidak ada Tidak ada
Radang Tidak ada Tidak ada
Massa Tidak ada Tidak ada
Sinus Paranasal Deformitas Tidak ada Tidak ada
Nyeri tekan Tidak ada Tidak ada
Nyeri ketok Tidak ada Tidak ada
Rinoskopi Anterior
Vestibulum Vibrise Ada Ada
Radang Tidak ada Tidak ada
Kavum Nasi Normal/ Cukup lapang Lapang Lapang
Sempit Tidak Tidak Hidung
Lapang + +
 Pemeriksaan Kelainan Dekstra Sinistra
Rinoskopi Posterior
Sekret Lokasi Tidak ada Tidak ada
Jenis Tidak ada Tidak ada
Jumlah Tidak ada Tidak ada
Bau Tidak ada Tidak ada
Konka Inferior Ukuran Eutrofi Eutrofi
Warna Merah Muda Merah Muda
Permukaan Licin Licin
Edema Tidak ada Tidak ada
Konka Media Ukuran Eutrofi Eutrofi
Warna Merah Muda Merah Muda
Permukaan Licin Licin
Edema Tidak ada Tidak ada Hidung
 Pemeriksaan Kelainan Dekstra Sinistra
Septum Cukup lurus/ deviasi Tidak ada deviasi Tidak ada deviasi
Permukaan Licin Licin
Warna Merah muda Merah muda
Spina Tidak ada Tidak ada
Krista Tidak ada Tidak ada
Abses Tidak ada Tidak ada
Perforasi Tidak ada Tidak ada
Massa Lokasi Tidak ada Tidak ada
Bentuk Tidak ada Tidak ada
Permukaan Tidak ada Tidak ada
Rinoskopi Posterior
Koana Cukup lapang / normal Lapang Lapang
Sempit Tidak Tidak Hidung
Massa Tidak ada Tidak ada
 Pemeriksaan Kelainan Dekstra Sinistra
Mukosa Warna Sulit dinilai Sulit dinilai
Edema Sulit dinilai Sulit dinilai
Jaringan Granulasi Sulit dinilai Sulit dinilai
Konka Posterior Ukuran Sulit dinilai Sulit dinilai
Warna Sulit dinilai Sulit dinilai
Permukaan Sulit dinilai Sulit dinilai
Edema Sulit dinilai Sulit dinilai
Adenoid dan muara tuba Ada/tidak Sulit dinilai Sulit dinilai
Eustachius Tertutup sekret Sulit dinilai Sulit dinilai
Edema mukoa Sulit dinilai Sulit dinilai
Massa Lokasi Sulit dinilai Sulit dinilai
Ukuran Sulit dinilai Sulit dinilai
Bentuk Sulit dinilai Sulit dinilai Hidung
Permukaan Sulit dinilai Sulit dinilai
Post Nasal Drip Jenis Sulit dinilai Sulit dinilai
 Pemeriksaan Kelainan Dekstra Sinistra
Uvula Edema Tidak ada Tidak ada
Bivida Tidak ada Tidak ada
Palatum Mole + Simetris/ tidak Simetris Simetris
Arcus Faring Warrna Merah muda Merah muda
Edema Tidak ada Tidak ada
Bercak. / eksudat Tidak ada Tidak ada
Dinding Faring Warna Merah muda Merah muda
Permukaan Rata Rata
Tonsil Ukuran T1 T1
Warna Merah muda Merah muda
Permukaan Licin Licin
Muara kripti Tidak ada Tidak ada
Detritus Tidak ada Tidak ada Tenggorok
Eksudat Tidak ada Tidak ada
 Pemeriksaan Kelainan Dekstra Sinistra
Peritonsil Warna Merah muda Merah muda
Edema Tidak ada Tidak ada
Abses Tidak ada Tidak ada
Perlengketan Tidak ada Tidak ada
Tumor Lokasi Tidak ada Tidak ada
Bentuk Tidak ada Tidak ada
Ukuran Tidak ada Tidak ada
Permukaan Tidak ada Tidak ada
Konsistensi Tidak ada Tidak ada
Gigi Varies/radiks Tidak ada Tidak ada
Kesan Normal Normal
Lidah Warna Merah muda Merah muda
Bentuk Normal Normal Tenggorok
Deviasi Tidak ada Tidak ada
Massa Tidak ada Tidak ada
 Pemeriksaan Kelainan Dekstra Sinistra

Laringoskop Indirect Sulit Dilakukan

Tenggorok
 Resume :
Anamnesis
- Nyeri pada kedua telinga yang memberat sejak
3 hari sebelum masuk rumah sakit, nyeri sudah
dirasakan sejak 1 minggu yang lalu. Awalnya
pasien merasaa gatal pada kedua liang telinga
Pemeriksaan Kelenjar Getah Bening :
sejak 1 bulan yang lalu, kemudian pasien
Inpeksi : tidak ada pembesaran KGB
megorek-ngorek telinga menggunakan cotton
Palpasi : tidak ada pembesaran KGB
bud.
- Riwayat mengorek telinga ada dengan cotton
bud
- Riwayat demam ada 1 mingggu yang lalu,
sudah sembuh
Status•Lokalis THT
Infographic Style Diagnosis Utama : Otitis Eksterna
Telinga Difusa Liang Telinga Dekstra dan
AD : Nyeri tarik (+), nyeri tekan tragus (+), LT sempit, Sinistra
hiperemis, MT utuh, sekret (+), RC (+) arah jam 5
AS : Nyeri tarik (+), nyeri tekan tragus (+), LT sempit, Diagnosis Tambahan : Tidak ada
hiperemis, MT Sulit dinilai sekret (+)
Diagnosis Banding : Tidak ada
Hidung
KNDS : Kavum nasi Lap/lap, Konka Inferior eut/eut, Pemeriksaan Anjuran : Tidak ada
Konka media eut/eut, sekret -/-, Deviasi Septum -/-,
massa -/- Terapi :
Ofloxacin tetes telinga 2x5 tetes ADS
Tenggorok : Ibuprofen 400 mg 2tab 3x1
Arcus faring simetris, uvula ditengah, tonsil T1-T1,
dinding posterior tenang Prognosis : Bonam
BAB 4
DISKUSI KASUS
Otitis Eksterna
 • Pasien seorang perempuan berusia 16 tahun
• Keluhan utama nyeri pada kedua telinga yang
memberat sejak 3 hari sebelum masuk rumah
sakit. Awalnya pasien merasa gatal pada telinga
Education kemudin mengorek menggunakan cotton bud
Plan • Pada pemeriksaan fisik ditemukan nyeri tekan
tragus dan nyeri tarik pinna, pada liang telinga
terlihat hiperemis dan terdapat sekret.

• Pada pasien ditegakkan diagnosis otitis eksterna

berdasarkan anamnesis dan pemeriksaan fisik
• Tanda pada otitis eksterna adalah ditemukannya
nyeri tekan tragus atau edema dan hiperemis
pada meatus akustikus eksterna dengan atau
tanpa eritem membran timpani
• Terdapat gejala inflamasi berupa otalgia, gatal,
dan rasa penuh pada telinga dengan atau tanpa
penurunan pendengaran atau nyeri saat
mengunyah
 • Jaringan rusak  mediator kimia 
vasodilatasi pembuluh darah 
hiperemis
Education • Mediator kimia juga dapat
Plan meningkatan permeabilitas kapiler 
• Mengorek telinga merupakan salah kebocoran protein  edema
satu faktor predisposis terjadinya
otitis eksterna • Nyeri karena kulit dari liang telinga
langsung berhubungan dengan
• Faktor lainnya adalah trauma saat peiosteum dan perikondrium 
membersihkan telinga dengan
cotton bud, berenang, penyakit kulit menekan serabut saraf.
seperti eksim dan dermatitis
seboroik,penggunaan headset dan
penumpukan serumen
• Terlalu sering memersihkan telinga
mengakibatkan serumen yang
berfungsi sebagai pertahanan kulit
meatus akustikus eksterna,
protective lipid layer dan acid mantle
hilang  kelembaban dan suhu
meningkat  media pertumbuhan
kuman
 • Pengobatan yang diberika berupa
antibiotik obat tetes telinga karena
Education umunya penyebab otitis eksterna
adalah bakteri
Plan
• Antibiotik sistemik diberikan pada
infeksi yang berat atau infeksi yang
sampai di luar liang telinga
• Pemberian analgetik disesuaikan
dengan tingkat kesakitan pasien
• Edukasi kepada pasien untuk
menjaga kebersihan telinga agar
tetap kering dan tidak masuk air
serta dilarang mengorek telinga
TERIMA KASIH
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0
Portfolio Presentation

Simple Portfolio
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 Infographic Style
Your Text Here Your Text Here
You can simply impress your STRENGTHS You can simply impress your
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Your Text Here Presentations. Your Text Here
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 Content Here Content Here Content Here Content Here
Easy to change Easy to change Easy to change Easy to change
colors, photos colors, photos colors, photos colors, photos
and Text and Text and Text and Text

Modern PowerPoint Presentation

Graphic
Infographic

Contents Title
Contents
Designed
Contents
Title

Your Content Here

You can simply impress your audience and add a unique zing and appeal
to your Presentations. Easy to change colors, photos and Text. Get a
modern PowerPoint Presentation that is beautifully designed. You can

Education
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Presentations. You can simply impress your audience and add a unique

Infographic Style
zing and appeal to your Presentations. Get a modern PowerPoint
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 Infographic Style
Education
Plan Content Here
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unique zing and appeal to your Presentations.
Easy to change colors, photos and Text.

Content Here
You can simply impress your
audience and add a unique zing
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Content Here
You can simply impress your audience
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Presentations. Easy to change colors,
photos and Text.
Infographic
Style
NO.1
Presentation
Get a modern PowerPoint
Presentation that is beautifully
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can simply impress your
audience and add a unique
zing and appeal to your
Presentations. I hope and I
believe that this Template will
your Time, Money and
Reputation. Get a modern
PowerPoint Presentation that
is beautifully designed. Easy
to change colors, photos and
Text.
Infographic Style
Get a modern PowerPoint Presentation that is beautifully designed. I hope and I believe
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Content Here Content Here

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Content Here Content Here

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Content Here Content Here

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that is beautifully designed. I hope and I that is beautifully designed. I hope and I
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 Infographic Style
Get a modern PowerPoint Presentation that is beautifully designed. I hope and I believe
that this Template will your Time.

Your Text Here

You can simply impress your audience
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colors, photos and Text.

Your Text Here

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Two Your Text Here
Columns You can simply impress your
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Text Easy to change colors, photos
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your Time, Money and
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designed.
Your Text Here
You can simply impress your
audience and add a unique zing
and appeal to your Presentations.
Easy to change colors, photos
and Text. I hope and I believe
that this Template will your Time,
Money and Reputation.
Get a modern PowerPoint
Presentation that is beautifully
designed. Easy to change colors,
photos and Text. You can simply
impress your audience and add
a unique zing. I hope and I
believe that this Template will
your Time, Money and
Reputation. Get a modern
PowerPoint Presentation that is
beautifully designed.
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Simple this Template will your Time, Money and
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Portfolio
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Designed appeal to your Presentations. Easy to
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Presentations. Easy to change colors, photos and Text. I hope and I believe that this
Template will your Time, Money and Reputation. You can simply impress your audience
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Template will your Time, Money and Reputation.

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change colors, photos and Text. You can simply impress your audience and add a unique
zing and appeal to your Presentations.