hematoonkologimedikpembuluhdarahf.

se#rah
HOM →

plasma : air t protein t F. pemberkuondarah

mm

Sel daRah -
D Hb : E : 12 -

15 gr%
8 : 13 -
16 gr %
Hb t : anemia -
b pucat
the T :
polis Hernia
-
b ph le coma

↳Ukosit i 4.000 -

11.000
< 4000 :
Kako penta to lnfekcri

leukositosir-blnfektitrombos.tt
> 11.000 :

i 150 - OOO -
450.000
prdrhn

thM6OSltop@ni9-b745O.000itrom6osltosT.r
< 150.000 i

1--
Hbd , koukostt I ,
thmoosit t -
b
pansltopenia

Cth : Hb i g

A MEIN IA
MCV 70
✓ :

tactic : 25

-
Hb : < 129% I → Mcv :
mean corpuscular volume
E)
g% mlkrositek
< 80
< 13 :

80 -
100 : NORM Oster
NCHC : Mean corpuscular > 100 : Mak site R
hemoglobin consentration
↳ 27 -
33 : no RMOKDMTK
< 27
i
Mpokromik
i .
Anemia M lkoositik Hlpokromik ( Mart ,
Marc t)
A -
Anemia definiens best
F.RISKO : anak
'
, Ibu hamil
,
lnfeksi caring , malnutpisi ,

Perdanahas Konik , vegetarian

-

'

Dx : 5L t koilonikia
papier lidahatrofi
stomatitis angularis
pica D
-

'
Lab : morfologi darah top (MDT)
set pencil , set cigar o O
Gold standard : profile best
Serum iron d ,
MBCT ,
ferritin t
-

Terapi : non Farm akologir :

A ASU pan Eat best
-
D daging , hati ayam
T absorpsi Fe : vitamin C , JUS JPRUK

d absorpsi Fe : PPI antasida , teh / Kopi

tannin
,

FARMAKOlogis : SU Ifaf FEROSUS i 3 X 200

Mg
-
the 60mg Fe
SF (2 -
3 Minggu ) to Hb 4 to
teruskon Sld Hb normal

teruskan 3 -
6 billon

Ank : 3- 6mg 1kg BB that ccadangon besi )

✓ -
b duad dim 3 dour

Transf Usi Ilka : Hb < 7 9% I

F) ggnhemodlnom.lk
=
B. Thalassemia
↳ etiologi :
deeds pembentukan
Ranta: globin
↳ Ketu runan ( autosom donnan )
Dx : 5L + Jaundice t
organOmegaIi
+ facies Cooley (t)
Px : MDT : set target Ct)

Foto Schaer del : hair on end

Lab : bilirubin 9 ,
Sl NIT ,
TBC Nlt Ferrin T

Gold standard : Hb elektrofore sa "

d
-
+16 Az T .
Hbf T ,
1-16 A
#
th :
RUTUK : transfuse

Ct ) terapi Kelasi besi

= derferoxamcie

C. Anemia Sideroblastih
↳ ggn pengikatan
Dx : 5L

Px : BMP -
b
Ring SiderOblast

Th : RUJUK !

D . Anemia penyakit KRONK B

↳ TB Konik , Keganasian

Dx : 5L +
peony atte
2 . Anemia NORMOKDM NorMoster ( MCV : 80 -
too )
A - Retikulosit TL> 115 %)
i Anemia Hemolitik Iman CAHA) anak Clnkompatibllitas ABO -
Rh )
[?
:
.
,

non Iman :
GGPD ,
malaria ,
06 at Zan
,
I
I AIHA :( Autoimun hemolitik anemia ) Rh - Rh

Dx : 5L t Jaundice +
organOmegali -
b t Shh dltronsfasi
Px : coomb test Ct )

Th : kortlkosteroid D
-

RUJUK !

I Anemia '

a- GPD
- Dt Radikal beber
↳ o6at2an primaKlein ,
cotrimoxazole , got sulfa -

Dx : 5L t jaundice seteldh Mln um obat

Px : MDT : bite cell ( Heinz body

th :
hentikan obat !

B -
Rehkuloste ✓
t IN ( Eli 5 %)
I : Anemia Renalis

↳ Kareena p .
gingaikronik -
b definiens EPO
Dx : 5L t 456 Gingal MengeEl

+ Ur T Cr T

Th : atasi peony . ginga + erltropoeitin

✓
printer to Samsun that
I Anemia Aplastic \ Selander -
b 0602
↳ 06 at Zan :
klopromfenicol ,
karsltiogen.lk
Ggn PRO dalasi set daerah di sumsum twang
Dx : 5L t leukosit t : lhfeksi Ct )

from-00sit t i
perdardhon Ct)
Lab thot lead tomb
pansltopenia !
: .
,
I

dominoes
-
BMP Hip cellular / hip plastic
: -
b di set Iemak

Th :
deanship : transplantasi samsun huang
 Mako sitik Megalomania
.

3 .
Anemia ( MCV > too fl)
= a .

A .
Anemia defisiensi B12 anokobdlomin ) → A . pernisiosa
FR : peony lombung .
, gastrektomi
t

Dx : 5 Lt Glossltir t kesemuton
Px : MDT :
neurotic hipersegmented
Gold :
PEM B12 SERUM

Tht sianokobalomin a mglhari

B . Anemia defisiensi asam Folat D

-
. SSP
-

Fx : Ibu hamil , alkohol , Obata Cplrimetomin ,

Dx : 5L → berislko melakarta spina
Px : MDT : neutral hipersegmented bifida
Gold : Kadar Bg serum

Th : asam Folat 5mg / hari (t -

4 bulan )

Anemia

- -

/
FT MOV COO 171007 -

k¥2 ¥5
tint
-

/ bring siderobiast '

t
Kesari
I
Csideroblashh?
CADB ) -

anemia def B12 def Fdot

✓ ferritin TA
p .
Kronk (thalassemia ) 180-1007
← !
-

Rcohkulosit T RMkulostt.lu
t
/ I
tender
.

't
A -
Hematite aplastic
perdarahan aku
I ↳ t t
iman non emir
pansiiopenrs . Ur GT
 G- gn Hemostasis - * i -
vasiokonstriksi
2 .
trombone
3 .
F -
koagulasri
4 . pemeocahon fibrin → D-dinner

1 Ggnrarokonstpyksi prostatitis
MN
.

b.fi?t:.tI Ij I7I#uuIDkuantitas
HSP (Henoch sichonlein Purpura ) si doh p
M Fg
trombone
.

GK : Pete Chie t palpable purpura BT :

Fung si
Dx :
bleeding time 9 HST : F .
koagulasi
trombone normal ↳ PT : F I
-
,
F. VII
in : prednisone

: ITP

2 . Ggn trombositfbkuahtas : von Willebrand

disease (VWD) →
I :
ITP : trombone t , BT T from N ,
BT T ,
VWDI ,
a PTT T

↳ autumn THI RUNK f

Th / RUJUK ,
korhko steroid Rlstotetin ⑦
I
*
lndikasi transfer : from a
20.000 t poordarahon VWF
-
adhoosi
- Mbw F .
VIT
3. Ggn Koagulasii
,

I Defistensi ht K -
b II , VI
↳ Pd anak baru tahir

Dx :
perdarahan suit berhenti

hematoma

Lab : PT 94 TT N APTT N
, ,

k
'

Th i ut

I Hemofilia to X -
linked Resesif -0 Laki
2

at t →
, a

FTII ft IX ¥ Xl

Dx :
perdrhn suit berhenti
Hamartnosiir :
perdarahon Sardi

Dx : a PTT TT ,
PT N e
TT N

Gold : Kadar FYI

FVII , FIX ,

Th : Hemophilia : A kriopresipitat
→

B/C → FFP (fresh Frozen plasma )

4 .
Ggn pemecahon Florin
① DVT
-

Lb edema uiaudicatio intermittent

tungKai unilateral →

Dx : Homan sign Ct) to nyeri dorsofleksi

Lab : D -
dimer Gold : US-6
Doppler
th : anti koagulon

I : Dlc →
komphkas-ib.bg pony i keganaroi ,
lnieksi
↳ Px : trombone I , clotting the CHST ) TT ,
D -

dimer t

Tht transfuser Efp -

b ontikoagulcn
TC
 Transfuse
-

set dares
semua
① . Whole Blood
- the V

V
trombone
Lemko SIE
protein
-

Sel dah ,

set drh Merah

( packed Red cell)
=

② PRC protein ④
drh merch
red ode ( WRC) set
③ washed
protein -0
concentrate
CTC) =p trombone
④ Trombone

( frozen )
plasma =D plasma
⑤ FFP fresh
④ F .
koagwlasi

FE FXII
FVIH
→

⑥ Krlopresipitio →
Polisitemia
-

↳ primer : Kel Samsun

twang → polisHernia Vera

tinggi Cfisiologir )
'
sekunder Orang yg tenggal di dataran
:
.

( patolog.ir ) ↳
peony para Konin moge
-
a

aehidrasi (relative ) decrease .

Px : tho 715 Mgldl 216 Mgldl

,
.

'
Sdktt kepala nyeri tubUh
,

Rehidrasi
-

th :
phlebotomy to donor daroh
l
 Leukemia
↳ ↳( Zatkarsinogenik
eukosit 730.000
,
benzene

\
-
Lf
.

Akut KRONK
e) blasts) → 32006 Ct) Sel Mater

C- ) organomegali Ct ) Organomegali

✓ ! ! I ,
AML ALL CML
ohh
acute myeloblastik acute limfoblastih
leukemia leukemia

¥ t t t

⑦ "MF Oblast ⑦ mutasi BCR ABL

my@ 106 last smudge cel
-

'

auer Rod 90% anak

kromosomphiladelpia
hyperplasia Myelostt ④
gingiva -

LiMf Omg → keg anarch KGB

introKoi
6K :
pemb KGB →
nyeri Ct) → limfadeninr →
TB

↳
.

t
Ilmfadenopati nyeri G) to llmfoma Malign a
IBB Ct) -

l
L
l -

Hodgkin Non Hodgkin

t

Biopsi :
Reed Stenberg cell Reedsleenberg ↳
Cowl eyes) bnsln Multiple
6k : benatar tunggal Cth : Burkitt is starry sky
 Hlpersetisltlvltas
-
-

I
I
I II IV
- O o
f

o÷
.

IgE -

tcpiecepah
Sltotoksik immune complex
delayed -

type
Ag terikae
Ag babas kompleksimun Ak
-

make
geht
' -
-

,
Ab beta
-

Ab terikat median konplenh

-

Ctn TB
-

-19£ -
:
popw
-

IgE bappi
, -

Cth : SLE 6NAP5

Cth AIHA
Dermatitis forth
,
: .

set Matt ,

ITP
Mems
'

Cth :
syokanafilaktin
Rhinitis alergi
dermatitis atop
asana