kuliah integumen kulit
DESCRIPTION
Kulit KelaminTRANSCRIPT
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INTEGUMEN KULIToleh
Dr. Maria Dwikarya, Sp.KK
• Epidermis
Stratum Korneum
Stratum Lucidum, Granulosum,
Stratum Spinosum, Basale
• Dermis
Membrana Basalis,
Serat Collagen, Reticulin,Elastin
Folikel Rambut, Kelnjr Palit, Ekrin,
Pembl darah, limfe, ujung saraf
• Subkutis
Jaringan lemak & Fascia
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ANATOMI KUKU• Kuku terdiri dari beberapa bagian :
– Nail plate– Nail fold– Lunula– Kutikel
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Anatomi Kuku Potongan Sagital
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FUNGSI KULIT
• Proteksi : str. Korneum, mantel asam (pH 4,5), melanin, lemak
• Keratinisasi: pembentukan keratin Str Korneum ( 21-28 hari)
• Sekresi : cairan keringat kelnjr Ekrin, sebum kelnjar sebasea
• Absorbsi : selektif melalui pori2 dan trans epidermal
• Melanin produksi : cegah pembentukan kanker kulit
• Metabolisme Tulang : Sinar UV mengubah pro vitamin D
• Regulasi Suhu : sistem vaskular darah dan keringat.
• Sensibilitas : organ peraba, sensualitas dan seksualitas.
• Indikator kondisi sistemik : anemia, sianosis, ikterus, hemokromatosis, uremia, iktiosis, xerosis.
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EPIDERMIS
Sel Melanosit
SelKeratinosit
SelLangerhans
FungsiBtk
MelanosomeMelanin
EuMelaninFeoMelanin
FungsiBtk
KeratinKeratoHyalin
FungsiUtk
Immunologi
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KELENJAR KULIT
• Kelenjar keringat (sudorifera) Kel. Ekrin : semua bagian tubuh
Kel. Apokrin: daerah lipat2 tubuh
• Kelenjar palit ( sebasea) : Folikel (+) kepala, ketiak, genital
Folikel (-) muka, dada, punggung.
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Sistem pembentukan Melanin
RAS KULIT
KAUKASOID MONGOLOID NEGROIDMELANESIA
KULIT PUTIHMudah
Terbakar Matahari
Kanker kulit
KULIT KUNINGAgak mudah
terbakarMatahariberVlek
KULIT COKLATSulit
TerbakarMataharibervlek
KULIT HITAMSulit
Terbakar Matahari
FEOMELANIN EUMELANIN
Warna krem muda warna coklat tua
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Kulit sebagai sistem peraba
• Sensibilitas : ujung saraf peraba (Meisner), tekanan ( Pacini)
panas(Rufini),dingin (Krause)
• Sensualitas : warna kulit homogen
kelembutan str.korneum
• Seksualitas : daya tarik erotisme
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INTERFERENSI BAKTERI
• Bakteri Residen : Staphylococcus epidermidis
Propionibacterium acnes
Jamur Residen : Pityrosporum ovale kepala
Candida albicans saluran cerna
• Bakteri Transien : Streptococcus, Gonococcus.
Jamur Transien : Dermatofita, Sporotrichosis,
Actinomycosis, Chromomycosis dll.
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PenyakitKulit
INFEKSI NON INFEKSI TUMOR
GENETIK
BakterialJamurVirus
Parasit
DermatitisDrug Erupsi
PapuloSkuamBulosaKronik
VitiligoLupus EritemSkleroderma
Tumor Jinak
Pra Kanker
Tumor Ganas
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Prosedur pemeriksaan Kulit
PEMERIKFISIK
PEMERIKLAB
ANAMNESIS
DIAGNOSIS
Gatal – Nyeri
Waktu,intensitas
Terapi, kebiasaan
Distribusi,
Konfigurasi
efloresensi
Trio Gram KOH NaCl
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DISTRIBUSI & KONFIGURASI
• Distribusi Lesi : Soliter--Unilateral – Bilateral
Simetris / AsimetrisRegional – DermatomalGeneralisata – UniversalDiskret –Herpetiformis
Konfluensi ,
KONFIGURASI LESI
Liniar – Arsinar – Anular
Korimbiformis -- Poli Siklik
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Distribusi LESI
UnilateralDermatomal
Bilateral Regional
Herpes Zoster
DermatitisAtopik
SeboreikImpetigo
Candidosis
DermatofitosisDermatitis
Kontak Iritan
Unique
SerpiginosaIrisformis
Kissing phenom
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KONFIGURASI LESI• Soliter – Multiple• Diskret – Herpetiformis-
Konfluen• Korimbiformis –
Serpiginosa• Liniar – Arsinar – Anular • Poli Siklik - Roseolae
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UKURAN Lesi1. Miliar
2. Lentikular
3. Numular
4. Plakat
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EFLORESENSI
FLAT LESION1. Makula2. Petechiae3. Echymoses4. Infarct5. Sclerosis6. telangiectasi
Elevated lesion1. Papul, nodul
2. Plakat
3. Urtica
4. Vegetasi
5. Vesikel
6. Bula
7. Pustul
8. Kista,abses
9. Krusta
10. Skuama
11. Cicatrix
12. Likenifikasi
Depressed lesion1. Atrophy
2. Sclerosis
3. Erosi
4. Ekskoriasi
5. Fissura
6. Ulkus
7. Sinus/fistula
8. Gangren
9. Cicatrix
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1. Makula
2. Petechiae
3. Echymoses
4. Sclerosis
5. telangiectasi
FLAT LESION
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Elevated lesion1. Papul, nodul2. Plakat3. Urtica4. Vegetasi5. Vesikel6. Bula7. Kista,abses8. Pustul9. Krusta10. Skuama11. Cicatrix12. Likenifikasi
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1. Atrophy
2. Sclerosis
3. Erosi
4. Ekskoriasi
5. Fissura
6. Ulkus
7. Sinus/fistula
8. Gangren
9. Cicatrix
DEPRESSED LESION