PATHOLOGI ANATOMI IISISTEM KARDIOVASKULER DAN SISTEM PERNAPASAN

Makmuri Yusuf, dr.,SpPA

Singkatan :CHD= Congenital Heart DiseaseASD = Atrial Septal DefectVSD = Ventricular Septal DefectPDA = Patent Ductus ArteriosusCA = Coarctatio AortaeIHD = Ischemic Heart DiseaseAP = Angina PectorisMI = Myocardial InfarctionCIHD = Cronic Ischemic Heart DiseaseSCD = Sudden Cardiac DeathCHF = Congestive Heart DiseaseHHD = Hepertensive Heart DiseaseRHD = Rheumatic Heart DiseaseIE = Infective EndocarditisCP = Cor Pulmonale

JANTUNG1. CHDASD :1. Ostium Primum2. Ostium Secundum 90%3. Sinus VenosusVSDPDACA :1. Preductal2. PostductalTetralogy Fallot

JANTUNG2. IHDAP :1. Stable2. Prinzmentals3. UnstableMI :1. Subendocardial2. Transmural3. CHID4. SCD5. CHF :1. Left Sided Heart Failure2. Right Sided Heart Failure6. HHD

ISCHEMIC HEART DISEASE

MIKROSKOPIS MYOCARDIAL INFARCTION

JANTUNG7. RHD : 1. Fase Exudative2. Fase Lesi Pathognomonic3. Fase Fibrosis Progresive8. IE : a. Acuteb. Subacute9. CP :a. Acuteb. Chronic10. Pericarditis :Acute :1. Serosa2. Serofibrinosa3. Purulenta (supurativa)4. HemorrhagicaChronic: 1. Adhesive Mediastino (Healed) 2. Constrictive

11. Tumor jantung :Jinak: 1. Myxoma 2. RhabdomyomaGanas : 1. Angiosarcoma 2. Rhabdomyosarcoma 3. Mesothelioma 4. Lymphoma

PEMBULUH DARAHArteri :a. Arteriosclerosis1. Atherosclerosis2. Monckebergs Medial Calcificsclerosis3. Arterioloscerosisa. Hyalineb. Hyperplastic

PEMBULUH DARAHArteri :b. Vasculitis :1. Polyarateritis Nodosa2. Wageners Granulomatosis3. Buergers Disease4. Raynauds Diseasec. Aortic Aneurysma :1. Arteriosclerosis An2. Ayphilitic An3. Dissecting Ana. Type A (I + II)b. Type B (III)

Venna: a. Varicose Veins b. Thrombophlebitis1. Plegmasia Alba Dolens2. Migratory ThrombophlebitisLymphatic : a. Lymphangitis b. Lymphedema1. Lymphedema Praecox2. Milroys

TUMORA. Jinak: 1. Hemangioma Capillare 2. Hemangioma Covernosum 3. Granuloma Pyogenicum 4. Glomus Tumor 5. Telangiectasisa. Nevvus Flammeusb. Spider Telangiectasisc. Hereditary Hemorrhagic TelangiectasisB. Borderline : HemangioendotheliomaC. Ganas: 1. Hemangiosarcoma 2. Hemangiopericytoma 3. KaposisSarcoma

TUMOR LYMPHATICA. Jinak :1. Lymphangioma Capillare (simplex)2. Liyphangioma Cavernosum (Cystic Hygroma)B. Ganas : Lymphangiosarcoma

SISTEM PERNAPASAN A. Rongga Hidung dan Sinus :Rhinitis dan Sinusitis :PolypRhinitis SiccaMucocele

SISTEM PERNAPASAN B. Tumor :Nasopharyngeal AngiofibromaInverted PapillomaEpidermoid CarcinomaIsolated PlasmacytomaOlvactory Neuroblastoma (Esthesioneuroblastoma)Nasopharynx CarcinomaKeratinizing EpidermoidNonkeratinizing EpidermoidUndifferentiated

SISTEM PERNAPASAN LARYNX :a. Radang: Laryngitisb. Tumor:1. Polyp larynx: Singer Node2. Papilloma3. Epidermoid Carcinoma

PARUANATOMIBronchus Bronchioles Terminalbronchioles Terminal Respiratory Unit (Acinus)Terdiri dari :1. Respiratory Broncioles2. Alveolar Duct3. Alveolar SacPenyakit Asal Pembuluh Darah :Bendungan Edema paruEmboli - Pendarahan - Infark ParuHipertensi Pulmonal

PARUANATOMIPenyakit Asal Pembuluh Darah :Centro Acinar (Centrolobular)PanacinarParaseptalIrregularJenis Lain (Compensatory, Senile, Bullous, Interstitial)Chronic Bronchitis : Polusi Udara, Batuk > 3 Bulan

Infeksi Paru :1. Bacterial Pneumonia :a. Bronchopneumonia (Lobular Pneumonia)b. Lobar Pneumonia2. Prmary Atypical Pneumonia3. Abses Paru4. Tuberculosis Paru :a. TBC Primerb. TBC Sekunderc. TBC Late Progressive

Penyakit Paru Jenis Lain Lipid PneumoniaPneumoconiosisAnthracosisSilicosisAsbestosis

Tumor :1. Bronchogenic Carcinomaa. Epidermoid carcinoma (35 - 50%)b. Adenocarcinoma :Bronchial Adeno ca.Bronchoalveolar ca.c. Small Cell Ca. :Oat Cell (Lymphocyte Like)Spindle (Polygonal Cell)d. Large Cell Carcinoma2. Bronchial Carcinoid

PLEURAPleura EffusionRadang , klasifikasi berdasarkan sifat exudate :Pleuritis SerofibrinosaPleuritis Suppurativa (Empyema)Pleuritis Hemorrhagica

PLEURAPneumothorax :Spontaneus pn.Traumatic pnTheurapeutic pnSpontaneus Idiopathic pnTension pnTumor :Benign Mesothelioma (Pleural Fibroma)Mallignant Mesothelioma :Type SarccomatoidType Epithelial