Download - Apus Darah Tepi Edit
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Apus darah tepi
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Pembuatan apus darah tepi
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Apus darah tepi : CITO
• Lekemi akut
• Lekemi kronik
• Anemi aplastik
• ITP
• Anemi hemolitik
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Diagnosis klinis
Gejala dan tanda Anemi
Organomegali (+) Organomegali (-)
Anemi hemolitik
Anemi Fe defisiensi
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Diagnosis klinis
Anemi + manifestasi perdarahan
Organomegali (+) Organomegali (-)
Lekemi akut
MDS
Sindroma Evans
Anemi aplastik
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Diagnosis klinis
Manifestasi perdarahan kulit, mukosa
ITP
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Apus darah tepi
Diagnosis
Tindakan
Transfusi
PRC WRC Trombosit
Steroid
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ADT : lokasi eritrosit
Kepala
Badan
Ekor
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ADT : lokasi lekosit
12 3
4
4
4
1 : kepala
2 : ekor3 : Limfosit
4 : granulosit, monosit
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ADT : pembesaran 10x
• Perkiraan jumlah lekosit
Normal : 25-40 lekosit / lapang pandang
• Dugaan lekemi : monoton
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ADT (10X)
Normal
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ADT (10X)
Lekopeni
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ADT (10X)
Lekositosis
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ADT (10X)
Lekositosis, monoton : lekemi
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ADT (40X)
• Perkiraan jumlah lekosit : hitung 10 lapang pandang = N
N x 2000
10Jumlah lekosit =
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ADT (100x)
• Morfologi eritrosit, lekosit, trombosit
• Jumlah trombosit
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ADT (100X)
Hemolitik (+) Hemolitik (-)
Eritrosit
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ADT (100x) : eritrosit
Polikromasi, normoblast Anemi hemolitik
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ADT (100x) : eritrosit
Polikromasi Anemi hemolitik
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ADT (100x) : eritrosit
Anemi hemolitikPolikromasi, normoblast
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ADT (100x) : eritrosit
Anemi hemolitikPolikromasi, normoblast
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ADT (100x) : eritrosit
Normokrom normositer
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ADT (100x) : eritrosit
Hipokrom mikrositer Fe defisiensi
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Hipokrom mikrositer : fe defisiensi
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ADT (100x) : eritrosit
Hipokrom mikrositer, normoblast, target cell
Talasemia
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ADT (100x) : eritrosit
Roulleoux, sel plasma Mieloma multipel
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ADT (100x)
sel plasma Mieloma multipel
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ADT (100x)
sel plasma Mieloma multipel
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Sel plasma (flame cell) : bone marrow
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Sel plasma (flame cell) : bone marrow
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Bone marrow
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ADT (100x) : eritrosit
Tear drops Mielofibrosis
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ADT (100x) : eritrosit
Burr cell MAHA
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ADT (100x) : eritrosit
schistocyte MAHA
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ADT (100x) : eritrosit
Burr cell, schistocyte MAHA
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ADT (100X) :lekosit
Lekemi (+)Lekemi (-)
Akut Kronis
ALL AML CLL CML
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Lekemi : klinis
Akut Kronis
Keluhan utama
Trombosit
Perdarahan
Trombositopeni
Organomegali
Anemi
Normal
Trombositosis
Trombositopeni
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Lekemi akut : klinis
ALL AML
Umur
Organomegali
Hipertrofi gusi
Muda
+++
-
Tua
+/-
+
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Lekemi kronik : klinis
CML CLL
Umur
Organomegali
30-50
Lien +++
50-60
Limfadenopati
Lien +
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ADT (100x) : lekosit
Blast , anak inti 1-2, monoton, sitoplasma sedikit, smudge cell
ALL
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ADT (100x) : lekosit
Blast , anak inti 1-2, monoton, sitoplasma sedikit, smudge cell
ALL
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ADT (100x) : lekosit
Blast , anak inti 2-5, variasi, sitoplasma banyak
AML
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AML
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AML
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ADT (100x) : lekosit
Blast , anak inti 2-5, variasi, sitoplasma banyak
AML
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ADT (100x) : lekosit
AML
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ADT (100x) : lekosit
AML
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ADT (100x) : lekosit
AMLALL
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Promielosit (faggot cell) : AML M3
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ADT (100x) : lekosit
Monoton, limfosit matur, smudge cell
CLL
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ADT (100x) : lekosit
Monoton, limfosit matur, smudge cell CLL
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ADT (100x) : lekosit
Pasar malam CML
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CML
Basofil
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ADT (10 dan 100x) : lekosit
Lekositosis , dominan batang dan segmen
Reaksi lekemoid : infeksi, paraneoplasma
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ADT (100x) : lekosit
Reaksi lekemoid CML
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ADT (100x) : lekosit
Limfosit atipik / limfosit plasma biru DHF
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Dengue : limfosit atipik
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ADT (100x) : lekosit
Pelger Huet anomaly MDS
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Granula toksik
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Granula toksik
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Monosit
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ADT (100x) : lekosit
EosinofiliaITP, penyakit mieloproliferatif , infeksi cacing, asma
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ADT (100x) : trombosit
• Hitung trombosit 10 lapang pandang = n
Jumlah trombosit = n x 20.000
10
Atau
n x 2000
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ADT (100x) : trombosit
• Trombosit cukup :
minimal pada 5 lapang pandang ditemukan 8-20 trombosit
bila ADT tidak homogen, dilihat pada 10 lapang pandang
Stevens ML. Fundamental of Clinical Hematology 1997; p 265
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ADT (100x) : trombosit
Trombosit normal (cukup)
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ADT (100x) : trombosit
Trombositopeni, giant trombositITP, DHF, Aplastik, Lekemi
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Dengue :: giant thrombocyte
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ADT (100x) : trombosit
Trombositosis Trombositosis sekunder : infeksi, inflamasi, perdarahan
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ADT (100x) : trombosit
Trombositosis, giant trombosit Trombositosis primer
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ADT (100x) : trombosit
Trombositosis primer
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ADT (100x) : trombosit
Trombositosis primer
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ADT (100x) : LEB (lekoeritoblastik)
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LEB
• Anemi hemolitik
• Mielofibrosis
• Metastase keganasan ke sumsum tulang
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BM : eritropoiesis
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Apus sumsum tulang
Normoblast bridging : MDS( internuclear chromatine bridge)
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Apus sumsum tulang
Normoblast bridging : MDS( internuclear chromatine bridge)
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Apus sumsum tulang
Normoblast bridging : MDS( internuclear chromatine bridge)
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Lekosit dengan vacuole ec chloramphenicol