MIND MAPPING

Laki-laki 82 tahun


Anamnesis:
Chief Complain:
Tidak bisa berkemih sejak 14 jam yang lalu
Nyeri di regio perut bagian bawah
3 bulan yang lalu:
Pancaran urin melemah
Dribbling
Nocturia


Physical exam:
Vital sign
BP: 130/80 mmHg normal
RR: 18 /menit normal
T: 37
0
C normal
PR: 100 /menit normal
Palpasi
massa di suprapubik, cystic, & nyeri saat dipalpasi
DRE exam
Berat prostat 40 gram, tanpa nyeri/ nodule saat palpasi.



Pemeriksaan Penunjang:
Hasil laboratorium:
Hb: 13 g% normal
Htt: 38% normal
WBC: 9100/m
3
normal
Ureum: 23 g/dl normal
URINARY RETENTION
Is?
Cause? Imbalance detrusor power X urethral
resistance
o Neurogenic bladder
o Carcinoma bladder pemeriksaan USG
o Bladder neck contracture no history
trauma
o Carcinoma Prostate DRE &
characteristic specimen PA
o BPH
o Meatal stenosis no history trauma
o Urethritis PE & lab
o Prostitis PE & lab
LUTS
Def
Symptom
Etiologi
Patgen
o Urethritis no fever +
no leukocytosis
o Prostitis no fever + no
leukocytosis
o Carcinoma Prostate No
induration/nodule

PROSTATE
Anatomy
Histology
Physiology
o Urethritis no fever +
no leukocytosis
o Prostitis no fever + no
leukocytosis
Random blood sugar: 98 g/dl normal
PSA: 1,2 ng/dl normal Is? Interpretasi?
Pemeriksaan ultrasound:
Kedua ginjal dan dinding bladder normal
TRUS: prostate membesar, volume 43 cc, tanpa hypo/hyperechoic area.



dilakukan TURP (Is? metode? Prosedur?)
Spesimen dikirim ke pathologis, dan hasilnya:
Macroscopically:
Cross section of prostate gland: there is well circumscribed, white tan, rubbery
hyperplastic nodules.
Microscopically:
Tumor tersusun atas galandular and fibromuscular stromal are grow proliferative. The
glandular are lined by hyperplastic epithelial columnar cell with normally nuclei. Pada
beberapa bagian tumor terlihat corpora amylacea.


Diagnosis: Urinary Retention et cause Benign Prostatic Hyperplasia


o Carcinoma bladder bladder normal

o Carcinoma Prostate No characteristic Ca

BPH
Definisi
Faktor Risiko
Epidemiologi
Etiologi
Patgen
Patfis
Manifestasi klinis
Diagnosis
DD
Management
Komplikasi
Prognosis