s i s t e m e n - dr hertati
TRANSCRIPT
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EMOSI
Stres Hipotalamus Obat
R.F
Kel.Pituitaria
Tropic Factor
Kel.Sasaran
Sel.Sasaran
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FUNGSI :
REGU!SI
" HIPOT!!MUS
" KE.PITUIT!RI!
" ORG!N EN#OKRIN
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H I P O T ! ! M U S
$ PUS!T : REGU!SI
% HORMON :
& T.R.H& '.R.H& P.I.F
& G.H.R.F& GON!#O TROPHIN ( R F
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$ G!NGGU!N :
) FUNGSI :* HIPO
* HIPER
) M!SS :
* FUNGSION!* NON FUNGSION!
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KEEN+!R PITUIT!RI!
+enis Sel , HormonSomatotrop- /0 G.H
Mammotrop- 10 2 30 P.R.4actotrop-5'orticotrop- 1/ 2 30 !.'.T.H
Gona6otrop- 10 .H 7 F.S.HT-8rotrop- / T.S.H
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K E ! I N ! N :
1. HIPO PITUIT!RISME
3 . HIPER PITUIT!RISME
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9 HIPER PITUIT!RISME
!#ENOM! ;;;
'!R'INOM!
HIPERP!SI!
TUMOR NON EN#OKRIN
ESI HIPOT!!MUS
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9 Pena Melebar
= Erosi Procesus Klinoi6 !nterior
= Pene>anan Kiasma ? N.Opti>us
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9+ENIS !#ENOM! HIPOFISE
!. !#ENOM! SOM!TOTROPH
@ GIG!NTISME@ !KROMEG!I
A. PRO!KTINOM! ;;;;
@ !MENORHE! 2 G!!'TORHE! SBN#R
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'.!#ENOM! 'ORTI'OTROPH
@ PRIMER : 'us-in< C s 6isease@ SEKUN#ER : Post !6renal ectomi (((((((((; D Nelsons S8n6rome
#.!#ENOM! GON!#OTROPH
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9H I P O P I T U I T ! R I S M E
1. #ESTRUKSI 0 2 0 ,
3. SEKUN#ER !KIA!T ESIHIPOT!!MUS
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ETIOOGI :
" !#ENOM! NON FUNGSION!" NE'ROSIS PITUIT!RI!
4 DS-ee-ans S8n6rome 5
" EMPTB SE! SBN#ROME
+!R!NG :Sarcoi6osis
InJe>si 4 Menin
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#eJisiensi Hormon Aerurutan :
G.H F.S.H 7 .H
T.S.H !.'.T.H P.R.
+!R!NG : #EFISIENSI MONO HORMON!
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$ POST PITUIT!RB SBN#ROME
L S!NG!T +!R!NG
L ETIOOGI : Tumor Hipotalami> #estru>si obus Posterior Metastasis
? inJe>si I6iopati>
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L !KIA!T :
#EFISIENSI !.#.H
((((((((; #I!AETES INSIPI#US
!.#.H meninat
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K E E N + ! R T B R O I #
G!NGGU!N :
1.PEMAES!R!N TBROI# 4 GOITER5
3.TIROTOKSIKOSIS
.HIPOTIROI#
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TIROTOKSIKOSIS
Kea6aan Hipermetaboli> 6i in6u>si>arena arintiJ berlebi- Q Pro6u>si Aerlebi- Pelepasan Aerlebi-
HIPER TBROI# Han8a Pro6u>sin8a Aerlebi-
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H I P O T B R O I # I S M E
1. ' R E T I N I S M E= NEUROOGIK
= MIKSOM!TOUS
3 . M I E # E M !
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P E N B E A ! A Q
1. +!RING!N P!RENKHIM Gan
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3.G!NGGU!N SINTESIS :
Primer 4 Aloc>in< 2 !b 5 #eJe> Geneti>
#eJisiensi Bo6ium Obat Tiroi6itis Has-imoto
.G!NGGU!N SUPR! TIROI# : T.S.H 4 Pituitaria 5 T.R.H 4 Hipotalamus 5
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H I P E R T I R O I # I S M E
ETIOOGI : Hiperplasia Primer #iJus ;;;
Toic Multi No6ular Goiter
Toic !6enoma !6enoma HipoJise ((((; F.S.H
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$.P!TOGENESIS
!NTI RESEPTOR TSH= TSITiroi6 Stimulatin< Imuno Globulin
= TGI Tiroi6 GroZt- Stimulatin< Globulin
MIKROA! 4 BERSENI! 5= !FINIT!S TINGGI TERH!#!P TSH
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$ .M O R F O O G I :
[ EPITE ;;;[ 'OOI#
[ INFITR!SI IMFOSIT[ TRI!S : OPTH!MO P!THB
#ERM!TO P!THB '!R#IO MIO P!THB
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G O I T E R 4 S T R U M ! 5 :
#IFFUS 4 SIMPE 5 GOITER
MUTI NO#U!R GOITER
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#IFFUS 4 SIMPE 5 GOITER
9 EN#EMIK ; SPOR!#IS
9 ETIOOGI : ( 6eJisiensi Bo6ium ( oloi6
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9 KINIS :
\ Geala HipoT8roi6
\ Eut8roi6 setela- pembesaran T8roi6
\ Aeruba- mena6i Goiter Multi No6ula
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MUTI NO#U!R GOITER4 STRUM! !#ENOM!TOS! 5 TOI'
NON TOI'
EN#EMIS ;SPOR!#IS
MEK!NISME :
Respon Tirosit ter-a6ap TSH berbe6a ariasi Titer TSH
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M O R F O O G I :
Tirome
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TBROI#ITIS
9 InJe>si -ebat >elenar ole- le>osit ?Jibrosis
9 AENTUKNB! :
)InJe>si : ( Tiroi6itis !>ut SupuratiJ( T A ')Sarcoi6osis)Rie6els Fibrosis Tiroi6itis
)Has-imotos Tiroi6itis)#e^uer]ains Tiroi6itis)'-ronic 4 Silent 5 Tiroi6itis
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) H!SHIMOTO C S )
!uto imun (((((; OrPerempuan : la>i( la>i Y 30 : 1Usia pertensi irus
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$.M O R F O O G I :
* Membesar simetris 2 asimetris berlobus* Konsistensi seperti >aret* Fibrosis menroJasi>osis 4 Has-itoicosis 5
* Eutiroi6* Hipotiroi6
$ RESIKO MENINGK!T :* ` 'E BMPHOM!
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SUA !'UTE 4 #EUER!IN5Tis
Rasa sa>it ? bena>
Perempuan : la>i 2 la>i Y 3 : 1
Usia pertensi ]irus 4 5
Proses !uto imun
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$ MORFOOGI
) TBROI# ;;; 3 2 NORM!
) ! SIMETRIS
) S!R!NG NEKROSIS ? FIAROSIS
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$ MIKROSKOPIK :
d NEKROSIS ? KERUS!K!N FOIKEd R!#!NG GR!NUOM!TOS!d FIAROSIS
$ KINIS :* TIROTOKSIKOSIS 4 SEAENT!R 5* SEMAUH SEN#IRI* HIPOTIROI# 4 +!R!NG 5
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' H R O N I ' 4 SIENT 5TIROI#ITIS
IMPHO'BTI' TBROI#ITISP!INEES TBROI#ITIS
PEREMPU!N : !KI 2 !KI Y 3 : 1TBROI# NORM! 7 SE#IKIT ;;;MIKROSK : INFITR!SI IMPOSIT
SEMAUH SEN#IRI4 5 !RI!N H!SHIMOTO 7 GR!E
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T U M O R T B R O I #
+IN!K : " !#ENOM! : Soliter ? Aer>apsul "
!6enoma Foli>uler : Mi>ro ? Ma>ro "
'olloi6 !6enoma " !6enoma Simple " Fetal !6enoma
" Embr8onal 4 Trabe>ular 5 !6enoma "Hurt-les cell !6enoma4 Oncoc8toma 5
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9 #IFFERENSI! #I!GNOS! :
) !#ENOM!
) MUTI NO#U!R GOITER 7NO#U INOUSI
) K!RSINOM! FOIKUER
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9 PEMERIKS!!N :
) USG) SUPRESSI TSH) R!#IO NU'EI#E S'!N) FN! AIOPSI
9 #I!GNOS! P!STI :
) AIOPSI EKSISION!
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$ . G!N!S :
;;; : O''UT '!R'INOM!
1 'M
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K!SIFIK!SI :
1.P!PIER '!R'INOM! TIROI# 7 PT'f0 2 g0 ,
3.FOIKUER '!R'INOM! TIROI# 7FT'
30 2 3/ ,.ME##U!R '!R'INOM! TIROI#7MT'/ 2 10 ,
X.!N!P!STIK '!R'INOM!
4 UN#IFFERENSI!SI 5 (((((((; 10 ,/. EPI#ERMOI# '!R'INOM! ((((((((; 1 ,f. ain 2 lain (((((((((; 1 ,
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P ! R ! T I R O I #
HIPER P!R!TIROI# 4 H P T 5
d PRIMER
d SEKUN#ER
d TERTIER 4 5
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HIPO P!R!TIROI# :
9Etioloalsemia
* HPT primer 4 f0 , 5* En6o>rinopatia : ( Hiper Tiroi6isme ( Feo>romoc8toma
( ipoma* Into>si>asi itamin #
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* Granuloma : ( Sarcoi6osis ( TA' ( Histoplasmosis
* 8mp-oma* Obat : ( T-8ahi6e
( it-ium
( Estroali Mil> S8n6rome ( Into>si>asi itamin ! 7 #
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* Immobilisasi ama
* !cut Renal Failure
* '-ronic Renal Failure
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9 !>ibat Hiper Kalsemia : OSTEO M!!SI!
OSTEO PORESIS
OSTEITIS FIAROS! 'BSTI'!
FR!KTUR MIKRO
NEPHRO '!'INOSIS
NEPHRO ITHI!SIS
K!SIFIK!SI MET!ST!TIK
9 HIPER P!R!TIROI# PRIMER
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9 HIPER P!R!TIROI# PRIMER4 H P T 5
ETIOOGI : !#ENOM!
HIPERP!SI! PRIMER
K!RSINOM!
MEN 1 7 MEN II
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& Patoalsemia
Mobilisasi 'alsium
Reabsorbsi Tubulus
!bsorbsi Intestin
E>s>resi FosJat ((((; Hipo FosJatemia
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HIPO P!R! TIROI#ISME
P T H j 7 AIOOGIK TI#!K EFEKTIF
((((((((((; G!NGGU!N :
9 NEURO MUSKUUS
9 G!NGGU!N MENT!
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HIPO P!R! TIROI#ISME
k ETIOOGI : OPER!SI TIROI#
P!R! TIROI#EKTOMI R!#I!SI #IGEORGES SBN#ROME
I#IOP!TIK
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HIPO P!R! TIROI#ISME
k !KIA!T HIPOK!SEMI! :
K!SIFIK!SI INTR! KR!NI!
K!T!R!K
G!NGGU!N #ENTIS
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! # R E N !
K O R T E K S
M E # # U !
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! # R E N !
. K O R T E K S ! # R E N !
GUKO'ORTIOI# 4 KORTISO 5
MINER!O KORTIKOI#4 !#O STERON 5
!N#ROGEN !#REN!
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! # R E N !
. H I P E R F U N G S I ! # R E N ! :
( HIPER KORTIKOISME 4 'USHING 5
( HIPER !#OSTERONISME
( !#REN! IRIISME
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! # R E N !
. H I P O F U N G S I ! # R E N ! :
( Primar8 !6reno 'ortical InsulJisienc8 !cut K-ronis 4 !66isons 5
( Secun6ar8 !6reno 'ortical InsulJisienc8
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' U S H I N G CS S B N # R O M E
. I ! T R O G E N I K . E N # O G E N :
( Pituitar8 'us-in
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' U S H I N GS S B N # R O M E
. P ! T O O G I :
'ROOKES HB!INE #EGENER!TION
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' U S H I N GS S B N # R O M E
. K I N I S :(Obesitas (Moon Face
(AuJJalo Hump (Hipertensi(Hirsustisme (Striae(Gosis(Poli Uri _ Poli #ipsi 4 # M 5
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HIPER !#O STERONISME
P R I M E RS E K U N # E R
! # O S T E R O N :( Se>resi Kalium ( Retensi Natrium
( Hipo Kalemia ( Hiper Natremia( Hipertensi
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!#RENO GENIT! SBN#ROME
k.INAORN ERROR OF MET!AOISME
k.RESESIF !UTOSOM
k. (((l((((((((((; 'ORTISO
!N#ROGEN
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!#RENO GENIT! SBN#ROME
k. #EFEK ENIM :
31 2 H86ro8lase 4 31 2 H# 5 ;;;
11 2 ` H86roilase
2 ` H86roi Steroi6 #e-i6ro
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!#RENO GENIT!I! SBN#ROME
= #eJisiensi 31 2 H # ( Salt osin< !.G Sin6rom (((; >lasi> ( irilihin< Sin6rome Simple
( Partial 2 31 H86roilase
k.KINIS P!#! NEON!TUS : : Mas>ulinisasi
q : PUAERT!S PRE'OK
HIPOFUNGSI
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HIPOFUNGSIKORTEKS !#REN!
9 D !##ISONS #ISE!SE D
d . M!NIFEST!SI : #ESTRUKSI 0,
d . SUA KINIS : KEAUTUH!N STEROI#
((((((((((((((((; M ! N I F E S T
HIPOFUNGSI
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HIPOFUNGSIKORTEKS !#REN!
9 D !##ISONS #ISE!SE D L . ETIOOGI :
*.!UTO IMMUNE !#REN!ITIS 4 I6iopat-8 !6renal !trop-8 5 ((((((((((((((; /0 2 f0 ,*.T A ' / 2 0 ,*. MET!ST!SIS / 2 10 ,*.+!MUR
*.S!R'OI#OSIS*.!MIOI#OSIS*.HEMO'HROM!TIS
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!'UTE !#REN! INSUFISIENSI
1.(((((((((((((((; STEROI# TIA! 2 TIA!
3.Stress pa6a pen6erita !66isons
.Per6ara-an uas !6renal
4 Water House Fri6eric-sen 5
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!'UTE !#REN! INSUFISIENSI
k.KINIS :=. emas=. Hiperpre>sia (((((((; Hipotermia=. 'oma=. 'ollaps as>uler
k.NEOP!SM! KORTEKS !#REN! :=.!6enoma 4 cm 5=.Karsinoma
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ME##U! !#REN!
9PHEO'HROMO'BTOM! k.'atec-olamine (((((; Hipertensi (((; Fatal
.0, Spora6is_ Unilateral
.10, Ailateral.10, Ganas.10, Familial_ Multipel.Usia #e>a6e 2 X
.!sal :sel para
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ME##U! !#REN!
9 NEURO A!STOM! D
k. / T!HUN
k. !S! : NEUR! 'REST
#apat 6itemu>an pa6aSusunan S8araJ Simpatis
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T B M U S
H I P E R P ! S I !d.KRITERI! :
( Folli>el 8mJoi6 pa6a Me66ula
d.#ITEMUK!N P!#! :1.M8astenia Gra]is3.Sistemi> upus Eritematosus.R-emati> !rt-ritis
T B M U S
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T B M U S
THBMOM! :d.AENIGN! 4 0 , 5d.M!IGN! :
( Epitelial Pre #ominance( 8mp-oi6 Pre #ominance( Mie6 8mp-o Epitelial
K!RSINOM! TBMUS
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