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CASE REPORT
FARINGITIS KRONIS
Perceptor :
dr. Khairani Sp. THT- KL

Oleh
G!ti A" Pt Kri!#edhani$ S. Ked
%%%&'%%'()

KEPANITERAAN KLINIK S*F THT KL

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IDENTITAS PENDERITA

Na,a : Tn. AIS

,r : )& tahn

 eni! /ela,in : La/i-la/i

Pe/er0aan : 1ira!#a!ta

Pendidi/an : S*A

S/ : La,pn2

Ala,at : Tan0n2 Karan2 P!at

A2a,a : I!la,

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
Autoanamnesis dan Alloanamnesis

3ila//an !ecara Atoana,ne!a den2an pa!ien
pada hari Senin tan22al +% 3e!e,4er +'%( p/l
%'.5' 1I6 di poli THT RS3 A4dl *oeloe/.


Keluhan Utama :

N"eri ten22oro/an


Keluhan Tambahan :

6at/

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 Riwayat Penyakit Sekaran :

 Pa!ien datan2 /e poli/lini/ THT RSA* den2an /elhan n"ari
pada 4a2ian ten222oro/an "an2 !dah dira!a/an !e0a/ 7 + hari
"an2 lal. Ten22oro//an dira!a/an !eperti ada "an2
,en22an0al dan tera!a !a/it !eperti ada tlan2 di ten22oro/an.
Pa!ien ,en2a/ ,enelan ,a/anan ,a!ih dala, 4ata!.
 Pa!ien !e4el,n"a ,en2a/ 4at/-4at/ !e0a/ 5 4lan "an2
lal$ 4at/ 4erdaha/ dan dapat di/elar/an. 3aha/ 4er#arna
ptih$ darah 8-9$ dan 4a 8-9. Kelhan pile/ di!an2/al pa!ien.
6at/ terta,a ,e,4erat pada dini hari. Ri#a"at de,a,
di!an2/al pa!ien. Pa!ien !e4el,n"a 7% 4lan "an2 lal
4ero4at /e do/ter Sp. P dan dila//an ront2en dan din"ata/an
par-par 4er!ih$ pa!ien lal di4eri/an o4at 4at/. Setelah
4ero4at /elhan 4er/ran2. Kelhan dira!a/an /e,4ali 7 + hari
"an2 lal. Pa!ien ,en2a/ ,e,ili/i ri#a"at ,ero/o/ na,n
!dah 4erhenti !e0a/ +' tahn "an2 lal.
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
Riwayat Penyakit Keluara

Ri#a"at ISPA : di!an2/al

Ri#a"at aler2i : di!an2/al

Ri#a"at a!,a : di!an2/al

Ri#a"at HT : di!an2/al

Ri#a"at 3* : di!an2/al


Riwayat Penyakit Dahulu

Ri#a"at ISPA 4erlan2 : 89

Ri#a"at aler2i : di!an2/al

Ri#a"at a!,a : di!an2/al

Ri#a"at HT : di!an2/al

Ri#a"at 3* : di!an2/al
 

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
Status !eneralis
 Keadaan ,, : 6ai/
 Ke!adaran : Co,po! ,enti!

Nadi : && <= ,enit

 Ten!i : %5'=&' ,,H2

RR : +' <= ,enit

Sh : tida/ dila//an

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Kepala Normochepal

Wajah Simetris

Leher anterior  Pembesaran KGB (-)

Leher posterior Pembesaran KGB (-)

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Status "okalis #Telina$

Bagian Telinga Telinga kanan Telinga kiri

Deormitas (-)! hiperemis (-)! Deormitas (-)! hiperemis (-)!

Aurikula
e"ema (-)! n#eri tarik aurikula (-) e"ema (-)! n#eri tarik aurikula (-)

$iperemis (-)! e"ema (-)! istula (-)! $iperemis (-)! e"ema (-)! istula (-)!
Daerah preaurikula
abses (-)! n#eri tekan tra%us (-) abses (-)! n#eri tekan tra%us (-)

$iperemis (-)! e"ema (-)! istula (-)! $iperemis (-)! e"ema (-)! istula (-)!
Daerah retroaurikula
abses (-)! n#eri tekan (-) abses (-)! n#eri tekan (-)
Serumen (-)! e"ema (-)! hiperemis
Serumen (-)! e"ema (-)! hiperemis
&analis akustikus (-)! urunkel (-)! sekret (-) minimal
(-)! urunkel (-)! otorea (-)
cair (-)

etraksi (-)! bul%in% (-)! perorasi etraksi (-)! bul%in% (-)! perorasi
'embran timpani (-)! cone o li%ht ()! posisi jam * (-)! cone o li%ht ()! posisi jam +
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Status "okalis #%idun$

Pemeriksaan Hidung Hidung Kanan Hidung Kiri
$i"un% Luar Bentuk (N)! ,nlamasi (-)! n#eri Bentuk (N)! ,nlamasi (-)! n#eri
tekan (-)! "eormitas (-) tekan (-)! "eormitas (-)

Rinoskopi Anterior
.estibulum $iperemis (-)! sekret (-) $iperemis (-)! sekret (-)
Ka/um nasi Lapan%! e"ema (-)! mukosa Lapan%! e"ema (-)! mukosa
hiperemi (-) hiperemi (-)
Konka nasi inerior 'ukosa hiperemi (-)! e"ema (-) 'ukosa hiperemi (-)! e"ema (-)

Septum nasi De/iasi (-)! ben"a asin% (-)! De/iasi (-)! ben"a asin% (-)!
 per"arahan (-)  per"arahan (-)
Daerah sinus rontalis 0i"ak a"a kelainan! n#eri tekan 0i"ak a"a kelainan! n#eri tekan
(-) (-)

Daerah sinus maksilaris 0i"ak a"a kelainan! n#eri tekan 0i"ak a"a kelainan! n#eri tekan
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Status "okalis
#&ro'arin$
Bagian Keterangan

'ukosa li"ah hiperemis (-)! massa (-)

'ukosa %i%i hiperemis (-)! massa (-)

Palatum "urum "an

$iperemis (-)! massa (-)
 palatu mole
$iperemis ()! e"ema (-)! massa (-)! %ranul
'ukosa arin%
()! ulkus (-)
$iperemis ()! ukuran 01-01! "etritus (-)!
0onsil
 permukaan rata! kripta melebar (-)

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Dianosis
Dianosis (andin

Farin2iti! /roni/

 Ton!iliti!

Dianosis Ker)a

*arinitis kronis

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Penatala/!anaan

+edikamentosa :

Ce><i,e + < % ta4

Cata?a, ta4 (' ,2 +< =hari

Cetri@ine ta4 %' ,2=hari

 Tran!pl,in !irp 5 /ali % !endo/

 Tant, erde 2ar2le +<=hari 8!ela,a ( hari9

Non,+edikamentosa :

Pa!ien dian0r/an nt/ 4er/,r-/,r den2an
,en22na/an air han2at ata anti!epti/

I!tirahat "an2 c/p

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 TINAAN PSTAKA
 Anato,i

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 Fi!iolo2i Farin2
Bn2!i Barin2: - Bn2!i ,enelan
  - Bn2!i 4er4icara

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Farin2iti!
 Farin2iti! adalah /eadaan in?a,a!i pada
!tr/tr ,/o!a$ !4,/o!a
ten22oro/an. arin2an "an2 ,n2/in
terli4at antara lain oroBarin2$ na!oBarin2$
hipoBarin2$ ton!il dan adenoid.

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Etiolo2i
 Etilo2i 
Fa/tor
- ir! 8Rhinoir!$ predi!po!i!i:
coronair!e!$ In?en@a
ir!$ Parain?en@a dara "an2 din2in$
ir!$ adenoir!$ Herpe! trnn"a da"a
!i,ple< ir! t"pe %+$
Co<!ac/ie ir! A$
tahan t4h$
c"to,e2aloir! dan /on!,!i
Ep!tein-6arr ir! 8E6D99
- 6a/teri 8de#a!a: 2rp ,a/anan "an2
/ran2 2i@i$
S.p"o2ene! $ ana/-ana/:
Grop A !treptococc! 9 /on!,!i al/ohol
"an2 4erle4ihan.
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In!iden!i Barin2iti!
 Farin2iti! ,erpa/an pen"a/it ,,
pada de#a!a dan ana/-ana/. National
A,4lator" *edical Care Sre" dan
National Ho!pital A,4lator" *edical
Care Sre" telah ,endo/,enta!i/an
antara $+-$ 0ta /n0n2an ana/-ana/
den2an Barin2iti! /e /lini/ dan
departe,en 2a#at darrat !etiap tahn$
dan le4ih dari ( 0ta /n0n2an oran2
de#a!a per tahn.

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Kla!i>/a!i Barin2iti!
 Farin2iti! a/t
- Barin2iti! 4a/terial
- Barin2iti! iral
- Barin2iti! Bn2al


Farin2iti! /roni!
- hiperpla!ti/
- atro>

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Farin2it! Bn2al
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3ia2no!i!
Ana,ne!i!

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Ko,pli/a!i

Sin!iti!

Otiti! ,edia

Epi2lotiti!

*a!toiditi!

Pne,onia

3e,a, rhe,atic a/t

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Pe,4aha!an
 TEORI KASS

Ana,ne!i! 
Ana,ne!i!
- ten22oro/an /erin2 dan 2atal
- n"eri pada ten22oro/an
- n"eri pada ten22oro/an
- ra!a ,en22an0al di
- 4at/ ten22oro/an
- 3e,a,
- ri#a"at 4at/ 4erdaha/

Pe,eri/!aan >!i/
!e0a/ 7 5 4lan "an2 lal
- Per4ahan ,/o!a dindin2
po!terior Barin2
 Pe,eri/!aan >!i/
- Ta,pa/ /elen0ar li,Ba di - ,/o!a dindin2 Barin2
4a#ah ,/o!anBarin2 dan po!terior hipere,i!
lateral 4and hiperpla!i - 2ranl 89
- */o!a dindin2 po!terior tida/
rata dan 4er2ranl
- ton!il hipere,i!

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3ia2no!i!
3IAGNOSIS KERA 3IAGNOSIS 6AN3ING

Farin2iti! /roni! 
 Ton!iliti! a/t
Pada ana,ne!i! ,,n"a pa!ie Pada ana,ne!i! pa!ien a/an
,en2elh/an ra!a /erin2 dan ,en2elh/an n"eri pada
ten22oro/oan dan n"eri #a/t
2atal di en22oro/an$ di!ertai ,enelan$ de,a, den2an !h t
den2an 4at/ dan /adan2 t4h "an2 tin22i$ tida/ naB!
dite,/an de,a, apa4ila ,a/an dan ra!a n"eri di telin2a.
di!e4a4/an oleh 4a/teri
Pada pe,eri/!aan >!i/ ton!iliti! a/t
a/an ta,pa/ ton!il hipere,i!$
Pada pe,eri/!aan >!i/ ,e,4e!ar$ dite,/ann"a adan"a
dite,/an adan"a ,/o!a detrit! dan /ripta "an2 ,ele4ar.
"an2 hipere,i! pada dindin2
po!terior Barin2 dan 4er2ranl$ Pada pa!ien tida/ dite,/an adan"a
/adan2 dapat dite,/an 2e0ala dan tanda ter!e4t !ehin22a
/eterli4atan ton!il. dia2no!i! 4andin2 to!iliti! a/t
dapat di!in2/ir/an.
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 Terapi
Ce><i,e + < % ta4

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3aBtar P!ta/a

Ferrara L$ Nai2lio 3$ Car!o AA. Approach Under the Form of Semiquantitative Cytological Evaluation For
Chronic Pharyngitis. Eropean Scienti>c ornal. +'%5. Dol 5: +%&-+%

R!,ar0ono$ Her,ani 6. OdinoBa2ia. Soepardi EA. 6/ A0ar Il, Ke!ehatan Telin2a Hidn2 Ten22oro/ Kepala
3an Leher. Edi!i . a/arta. FK I. +''. p +%+-+%
 Soe!anto 6A. Fa/tor Re!i/o Farin2iti! /roni/ the!i!J. Se,aran2: Fa/lta! Kedo/teran nier!ita! 3ipone2oro
+''$ +'%
 Acerra R.+'%). Pharyngitis. Aaila4le Bro,: http:==e,edicine.,ed!cape.co,-  3ia/!e! + 3e!e,4er +'%(J

Geor2e . LA$ 3i!ea!e! oB the Na!ophar"n< and Oropharin"n<$ ,! 55+- 6oie! Fnda,ental! oB Otolar"n2olo2"
th Edition %&

Soepardi EA$ 6/ A0ar Il, Ke!ehatanTelin2a Hidn2 Ten22oro/ Kepala dan Leher Edi!i /e ena, Fa/lta!
Kedo/teran nier!ita! Indone!ia tahn +''&
 Lal#ani AK$ Crrent 3ia2no!i!  Treat,ent Otolar"n2olo2" Head and Nec/ +nd Edition$ The *cGra#-Hill

Co,panie! +''
 Alan L. 6i!no$ *.3.$ +'%%. Acte Phar"n2iti!: Pri,ar" Care. In: The Ne# En2land ornal oB *edicine +'%%

5)):+'(-+%%. Aaila4le Fro,: http:==###.ne0,.or2=doi=Bll=%'.%'(=NE*+''%'%%&5))'5'&

  ohn L. 6oone$ *3.$ +''5. Etiolo2" oB InBectio! 3i!ea!e! oB the pper Re!pirator" Tract. In: 6allen2er!
Otorhinolar"n2olo2" Head and Ne</ Sr2er". %th Edition. +''5 6C 3ec/er Inc. Chapter 5'. P: 5(-.

*ar" T. Ca!erta and Anthon" R. Flore!$ +'%5. Phar"n2iti! In: *andell: *andell$ 3o2la!$ and 6ennett!
Principle! and Practice oB InBectio! 3i!ea!e!$ th ed.Dol,e %$ Part II$ Section 6$ Chapter ()$ p: &%(-&+%.
Aaila4le Fro,: http:==###.,dcon!lt.co,=4oo/!=pa2e.doMeid)-%.'-6&-'-))5-'&5- 5..'''()-'--
!''%(i!4n&-'-))5-'&5-5niId)%++'+-%)()- %.'-6&-'-))5-'&5-5..'''()-'--!''%(
 Alan L. 6i!no$ *.3.$ +'%%. Acte Phar"n2iti!: Pri,ar" Care. In: The Ne# En2land ornal oB *edicine +'%%
5)):+'(-+%%. Aaila4le Fro,: http:==###.ne0,.or2=doi=Bll=%'.%'(=NE*+''%'%%&5))'5'&

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