tag:blogger.com,1999:blog-41010766383810124422024-02-20T16:26:03.765+07:00Elvi FitranetiResiden InterneElvi Fitranetihttp://www.blogger.com/profile/02956840851869517177noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-4101076638381012442.post-61848097325146525052009-07-11T18:58:00.001+07:002009-07-11T20:05:39.918+07:00Pendekatan Diagnostik Ikterik<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 12"><meta name="Originator" content="Microsoft Word 12"><div style="text-align: center;"><link rel="File-List" href="file:///C:%5CUsers%5CSINERG%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml"><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City"></o:smarttagtype><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place"></o:smarttagtype><o:smarttagtype 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mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-fareast-language:EN-US;} </style> <![endif]--><o:p> </o:p><b><span style="" lang="PL">TINJAUAN KEPUSTAKAAN</span></b></div> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><b style="">Hati <o:p></o:p></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 36pt; line-height: 150%;">organ intestinal terbesar<span style=""> </span>dan organ sentral dalam metabolisme di tubuh <span style="" lang="EN-US">Fungsi utama hati adalah pembentukan dan ekskresi empedu sebanyak satu liter perhari kedalam usus halus. Unsur utama empedu adalah air (97%), elektrolit, garam empedu. </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="EN-US">Fungsi hati;</span><span lang="EN-US"> </span></p> <ol style="margin-top: 0cm;" start="1" type="a"><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="EN-US">Metabolisme energi .</span><span lang="EN-US"> </span></li><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="EN-US">Sintesa protein.</span><span lang="EN-US"> </span></li><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="EN-US">Pengemulsi,transpor dan penyimpanan.</span><span lang="EN-US"> </span></li><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="EN-US">Kliren dan proteksi. </span></li></ol> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><span style="" lang="IT">Kategori Penyakit hati terdiri dari:</span><span lang="IT"> </span><span style="" lang="IT">Kolestasis</span><span lang="IT"> </span><span style="" lang="IT">Hepatitis akut</span><span lang="IT"> </span>, <span style="" lang="IT">Gagal hati Fulminan</span><span lang="IT"> </span>,<span style="" lang="IT">Hepatitis kronik</span><span lang="IT"> </span>,<span style="" lang="IT">Sirosis</span>,<span style="" lang="IT">Penyakit fokal atau ekstrinsik dengan manifestasi pada hati</span><span lang="IT"> </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><b><i><o:p> </o:p></i></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><b><i><span style=""> </span>IKTERUS</i></b><b><i><span style=""> </span></i></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;">P<span style="" lang="IT">erubahan warna kulit, sklera mata atau jaringan lainnya (membran mukosa) yang menjadi kuning karena pewarnaan oleh bilirubin(pigmen empedu)yang meningkat konsentrasinya dalam sirkulasi darah</span><span style="" lang="IT"> </span>.<span style="" lang="IT">Ikterus yang ringan dapat dilihat paling awal pada sklera mata</span>,<span style="" lang="IT"> konsentrasi bilirubin sudah berkisar antara 2 – 3 mg/dl ( 34 – 43 umol/L). Jika ikterus sudah jelas dapat dilihat dengan mata, bilirubin mungkin sudah mencapai angka 7-8 mg/dl</span><span style="" lang="IT"> </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><b><i><o:p> </o:p></i></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><b><i>Definisi</i></b><b><i><span style=""> </span></i></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><span style="" lang="IT">Ikterus adalah akumulasi abnormal pigmen bilirubin dalam darah yang menyebabkan air seni</span><span lang="IT"> </span><span style="" lang="IT">berwarna gelap, warna tinja menjadi pucat dan perubahan warna kulit menjadi kekuningan<span style=""> </span>yang mudah dilihat pada sklera mata karena elastin pada sklera mengikat bilirubin, biasanya dapat dilihat bila kadar<span style=""> </span>bilirubin mencapai 2,5 mg% atau lebih.</span><span style="" lang="IT"> </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><b><i><o:p> </o:p></i></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><b><i><span style="" lang="SV">Kelainan Fisik</span></i></b><b><i><span style="" lang="SV"> </span></i></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="IT">Intensitas dan distribusi pewarnaan<span style=""> </span>pigmen empedu pada jaringan<span style=""> </span>tergantung pada 4 faktor</span> : K<span style="" lang="IT">onsentrasi total bilirubin serum</span><span lang="IT"> </span>,<span style="" lang="IT">Bentuk bilirubin (terkonjugasi atau tak terkonjugasi)</span><span lang="IT"> <span style=""> </span></span><span style="" lang="IT">Perfusi kapiler dan kemampuan<span style=""> </span>mendeteksi kuning melalui<span style=""> </span>membran mukosa normal</span><span lang="IT"> </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="IT">Komposisi jaringan</span><span lang="IT"> </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="IT">2.1.Pembentukan<span style=""> </span>Bilirubin</span><span lang="IT"> </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">2.2. Transpor Plasma</p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">2.3<i>. Liver Uptake</i></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">2.4.Konjugasi bilirubin dalam retikulum endoplasmik halus.</p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">2.5. Sekresi bilirubin ke dalam empedu</p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><b><i><o:p> </o:p></i></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><b><i>Metabolisme Bilirubin</i></b><b><i><span style=""> </span><o:p></o:p></i></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center; line-height: 150%;" align="center"><b>BAB III
<br />PATOFISIOLOGI IKTERIK</b></p> <ol style="margin-top: 0cm;" start="1" type="1"><ol style="margin-top: 0cm;" start="1" type="1"><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">Pre Hepatik</li><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">Hepatik</li><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">Pos hepatik</li></ol></ol> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 72pt; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">Ikterus kolestatik terjadi pada:Hambatan pada kanalikuli bilier ( obat-obatan),Hambatan pada duktuli ( genetik, sirosis bilier primer), Hambatan pada saluran empedu (batu empedu, tumor pankreas, dan tumor ampula vateri)</p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center; line-height: 150%;" align="center"><b style="">BAB IV
<br />PENDEKATAN DIAGNOSTIK IKTERIK<o:p></o:p></b></p> <ol style="margin-top: 0cm;" start="1" type="1"><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">Gambaran Klinis</li><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;">Pemeriksaan Fisik</li><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="ES">Pemeriksaan Laboratorium</span><span lang="ES"> </span></li><li class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="NO-BOK">P</span>encitraan : <span style="" lang="NO-BOK">Radiologi </span>,<span style="" lang="ES">Ultrasonografi</span><span lang="ES"> </span>,<span style="" lang="ES">CT Scan</span><span lang="ES"> <span style=""> </span></span>,<span style="" lang="ES">Magnetic Resonante Imaging (MRI)</span><span lang="ES"> </span>,<span style="" lang="ES">ERCP dan PTC</span><span lang="ES"> </span></li></ol> <p class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">5.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="" lang="EN-US">BIOPSI HATI</span><span lang="EN-US"> </span></p> <p class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><span style="" lang="NL">Tabel 1 : Hasil Pemeriksaan Laboratorium dan Diagnosis Banding<span style=""> </span>pada Ikterik</span><span lang="NL"> </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><i><o:p> </o:p></i></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><i><span style="" lang="NO-BOK">Gambar 4 : </span>
<br /></i><i><span style="" lang="NO-BOK">Evaluasi Pasien dengan Ikterik</span></i><span style="" lang="NO-BOK"> </span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 150%;"><o:p> </o:p></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="" lang="NO-BOK"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: center; line-height: 150%;" align="center">BAB V<span style="" lang="EN-US"><o:p></o:p></span></p> <p class="MsoNormal" style="text-align: center; line-height: 150%;" align="center">PENUTUP</p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""> </span>5.1. Kesimpulan</p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -22.5pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">1.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Ikterus merupakan salah satu manifestasi klinis yang penting sebagai indikator penyakit hati dan saluran empedu.</p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -22.5pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">2.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Agar dapat memahami terjadinya<span style=""> </span>ikterus dengan baik perlu pemahaman tentang<span style=""> </span>fisiologi metabolisme bilirubin dan patofisiologi<span style=""> </span>terjadinya ikterik</p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -22.5pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">3.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Pendekatan diagnostik ikterik<span style=""> </span>harus komprehensif mulai dari gambaran klinis, pemeriksaan fisik, pemeriksaan labor, pencitraan dan biopsi hati.</p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -22.5pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">4.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Pada pasien ikterus, pemeriksaan laboratorium yang terpenting adalah menilai gangguan fungsi hati </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -22.5pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">5.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Kebanyakan center dengan ketersediaan alat diagnostik yang lengkap menggunakan terutama USG untuk mendiagnosis kolestasis karena biaya yang rendah.</p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -22.5pt; line-height: 150%;"><!--[if !supportLists]--><span style="" lang="FI"><span style="">6.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="" lang="FI">Biopsi hati<span style=""> </span>sangat<span style=""> </span>penting untuk memastikan<span style=""> </span>jenis kelainan hati<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="" lang="FI"><span style=""> </span></span>5.2. Saran<span style="" lang="EN-US"><o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54.75pt; text-align: justify; text-indent: -18.75pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">1.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Jika kita menemukan pasien dengan klinis ikterus kita harus memikirkan pendekatan-pendekatan baik itu dari manifestasi klinis, pemeriksaan fisik, pemeriksaan laboratorium, pencitraan dan biopsi.</p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54.75pt; text-align: justify; text-indent: -18.75pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">2.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Perlu diingat kelainan faal hati tidak spesifik sehingga interpretasi kelainan laboratorium harus dilakukan hati-hati dengan melihat keluhan dan gejala secara keseluruhan.</p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54.75pt; text-align: justify; text-indent: -18.75pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">3.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Perlu memilah dengan cermat jenis pemeriksaan laboratorium dan pemeriksaan penunjang yang<span style=""> </span>akan kita lakukan<span style=""> </span>sehingga biaya dapat ditekan</p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54.75pt; text-align: justify; text-indent: -18.75pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">4.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]-->Untuk perbaikan pelayanan<span style=""> </span>sebaiknya kita menetapkan<span style=""> </span>salah satu algoritma yang<span style=""> </span>akan kita pakai sehingga diagnosis dapat ditegakkan dengan cepat dan tepat</p> <p class="MsoNormal" style="text-align: justify;"><o:p> </o:p></p> <p class="MsoNormal" style="text-align: center;" align="center"><b style="">DAFTAR PUSTAKA<o:p></o:p></b></p> <p class="MsoNormal" style="text-align: center;" align="center"><o:p> </o:p></p> <ol style="margin-top: 0cm;" start="1" type="1"><li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><span style="" lang="IT">Amirudin R. Fisiologi dan Biokimia Hati. Buku Ajar Ilmu Penyakit Dalam Jilid I. Edisi IV .FKUI<span style=""> </span>Jakarta ,2007: 415-419.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><span style="" lang="IT">Sacher R.A, Mc Pherson R.A.Pendit B U, Wulandari Dewi.<span style=""> </span>Uji Fungsi Hati. Tinjauan Klinis Hasil Pemeriksaan Laboratorium, edisi 11. Penerbit Buku Kedokteran EGC,2004: 361 – 361. <o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><span style="" lang="SV">Lingappa V.R. Liver Disease. </span>Pathophysiology of Disease, An Introduction to Clinical Medicine, McGraw-Hill Companies, Fourth edition,2003: 380 – 419.<span style="" lang="EN-US"><o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;">Sofwanhadi R. Anatomi Hati. Buku Ajar Ilmu Penyakit Hati. Edisi I FKUI <st1:place st="on"><st1:city st="on">Jakarta</st1:city></st1:place>, 2007: 1 – 8.</li><li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;">Crawford.J M. Liver and Biliary Tract. Pathology Basis of Disease. Library<span style=""> </span>of Congress Cataloging in Publication Data. 2005: 878 – 937.</li><li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;">Tams TR. Liver Disease: Diagnostic Evaluation. <st1:place st="on"><st1:placename st="on">Atlantic</st1:placename> <st1:placetype st="on">Coast</st1:placetype></st1:place> Veterinary Conference. <st1:place st="on">West Los Angeles</st1:place> ;2001</li></ol> <p class="MsoListParagraphCxSpFirst" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" ><span style="">7.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" >Sulaiman A. Pendekatan Klinis pada Pasien Ikterus. Buku Ajar Ilmu Penyakit Dalam. Jilid I edisi IV, FKUI Jakarta, 2007:420 – 423.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" ><span style="">8.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" >Kanoko M. Metabolisme Bilirubin dan Patofisiologi Ikterus. Buku Ajar Ilmu Penyakit Hati.<span style=""> </span>Edisi Pertama, FKUI Jakarta 2007: 5 - 8.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><span style="">9.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" >Julius. Ikterus. Ilmu Penyakit Dalam. </span><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">Jilid 1 edisi kedua. FKUI Jakarta 1991: 576 – 582<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="EN-US"><span style="">10.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" lang="NL">Soemohardjo S Pendekatan Klinis Ikterus. Buku Ajar Ilmu Penyakit Hati.<span style=""> </span></span><span style="line-height: 150%;font-family:";font-size:12;" >Edisi Pertama, FKUI Jakarta 2007: 135-139.</span><span style="line-height: 150%;font-family:";font-size:12;" lang="EN-US"><o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" ><span style="">11.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" >Pratt DS, Kaplan MM. Jaundice. <st1:place st="on">Harrison</st1:place>’s Principles of Internal Medicine 16 edition<span style=""> </span>Volume I. <st1:place st="on"><st1:state st="on">New York</st1:state></st1:place>: Mc Graw-Hill, 2005; 238- 243.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" ><span style="">12.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" >Wikipedia, the free encyclopedia. Jaundice<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" ><span style="">13.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" ><span style=""> </span>Wolkoff AW. The Hyperbilirubinemias. <st1:place st="on">Harrison</st1:place>’s Principles of Internal Medicine 16 edition<span style=""> </span>Volume II. <st1:place st="on"><st1:state st="on">New York</st1:state></st1:place>: Mc Graw-Hill, 2005; 1817- 1821<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><span style="">14.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" lang="SV">Sulaiman A. Pendekatan terhadap Penderita dengan Ikterus. Ilmu Penyakit Dalam. Jilid 1 edisi kedua. </span><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">FKUI Jakarta 1991: 547 – 550<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="EN-US"><span style="">15.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">Burrows CF. </span><span style="line-height: 150%;font-family:";font-size:12;" >An Approach to Icteric Patient. 29<sup>th</sup> World Congress of the World Small Animal Veterinary Association. <st1:placetype st="on">University</st1:placetype> of <st1:placename st="on">Florida</st1:placename>, <st1:place st="on"><st1:placetype st="on">College</st1:placetype> of <st1:placename st="on">Veterinary Medicine</st1:placename></st1:place>; 2004 ;1991 - 2009</span><span style="line-height: 150%;font-family:";font-size:12;" lang="EN-US"><o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><span style="">16.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">Nusi I A. Sekresi Empedu dan Kolestasis. Buku Ajar Ilmu Penyakit Hati.<span style=""> </span>Edisi Pertama, FKUI Jakarta 2007: 9-15.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><span style="">17.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">Makes D Ultrasonografi (USG) Hati. Buku Ajar Ilmu Penyakit Hati.<span style=""> </span>Edisi Pertama, FKUI Jakarta 2007: 39-53.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><span style="">18.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">Widjaja PM. </span><span style="line-height: 150%;font-family:";font-size:12;" lang="IT">Gambar Tomografi Dikomputerisasi (CT Scan). </span><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">Buku Ajar Ilmu Penyakit Hati.<span style=""> </span>Edisi Pertama, FKUI Jakarta 2007: 55 - 89.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><span style="">19.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">Rani AA. Endoskopi Penyakit Pankreato-bilier. Buku Ajar Ilmu Penyakit Hati.<span style=""> </span>Edisi Pertama, FKUI Jakarta 2007: 129- 133<o:p></o:p></span></p> <p class="MsoListParagraphCxSpLast" style="text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><span style="">20.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="line-height: 150%;font-family:";font-size:12;" lang="FI">Hasan I. Biopsi Hati. Buku Ajar Ilmu Penyakit Hati.<span style=""> </span>Edisi Pertama, FKUI Jakarta 2007: 31 – 35.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="" lang="NO-BOK"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="" lang="NO-BOK"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="" lang="NO-BOK"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="" lang="NO-BOK"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="" lang="NO-BOK"><o:p> </o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; text-align: justify; line-height: 150%;"><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><o:p> </o:p></span></p> <p class="MsoListParagraphCxSpLast" style="margin-left: 0cm; text-align: justify; line-height: 150%;"><span style="line-height: 150%;font-family:";font-size:12;" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 18pt; text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="" lang="FI"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="" lang="SV"><o:p> </o:p></span></b></p> Elvi Fitranetihttp://www.blogger.com/profile/02956840851869517177noreply@blogger.com0