Cr Kelompok 1
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Transcript of Cr Kelompok 1
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8/19/2019 Cr Kelompok 1
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BAGIAN ILMU PENYAKIT DALAM
FAKULTAS KEDOKTERAN UNILA
RSU JENDRAL AHMAD YANI METRO
PRESENTASI KASUS
ANEMIA APLASTIK, FEBRILE NEUTROPENI, DHF,
HT URGENCY
Jumat, 1 Oktobe !"1#
O$e%
• A&u Le'ta( N 1#1)"1!1!" ,
• Gu$bu**(+ %(kmat&a 1#1)"1!1!,
• Na(ta Eka+a+*a 1#1)"1!1!-,
•Re't( Ram*a+( 1#1)"1!1!.,
• Sat(a D%ama S 1#1)"1!11.
Pemb(mb(+/ 0 * Ro+a$* Da2(* Matua, S3 PD
Pendahuluan
Me$a3oka+ 'eoa+/ 4a+(ta &a+/ *ata+/ *e+/a+ ke$u%a+ $ema% ba*a+ *a+ *(buat *(a/+o'a
a+em(a a3$a't(k, 5eb($e +euto3e+(a, *e+/ue %emoa/(6 5e2e, 3o$a3' ute(, *a+ HT u/e+6& Sebe$um
ma'uk RSUD Je+*a$ A%ma* Ya+( 3e+*e(ta 'u*a% me+7a$a+( 3e+/obata+ *( K$(+(k *a+ 3e+*e(ta
t(*ak me+/a$am( 3eba(ka+, 3e+*e(ta *(*(a/+o'a *e+/a+ a+em(a *a+ 2(a$ (+5e6t(o+ Pe'e+ta'( ka'u'(+( aka+ me+7e$a'ka+ te+ta+/ a$u 3e+e/aka+ *(a/+o'a *a+ 3e+ata$ak'a+aa++&a
Lapoan !a"u"
Pe+*e(ta a*a$a% 'eoa+/ 4a+(ta beu'(a -. ta%u+, te$a% me+(ka% *a+ mem3u+&a( 8 oa+/
a+ak *a+ t(*ak a*a (4a&at ke/u/ua+ 'ebe$um+&a Pe+*e(ta *ata+/ ke UGD RSUD A%ma* Ya+(
3a*a ta+//a$ !9 A/u'tu' !"1# *e+/a+ ke$u%a+ utama $ema% ba*a+ 'e7ak 1 %a( SMRS Lema% ba*a+
3a'(e+ %(+//a t(*ak b('a u+tuk be7a$a+ ke kama ma+*( 'e+*((a+ *a+ %au' a*a &a+/ me+*am3(+/(
Ke$u%a+ 'emak(+ %a( 'emak(+ membeat Demam &a+/ *(a'aka+ 'e7ak 1 %a( SMRS, 'u%u
me+(+/kat 3a*a 'oe %(+//a ma$am %a( Da+ 'u%u me+6a3a( 'u%u +oma$ 3a*a 3a/( %a( %(+//a '(a+/
%a( Ket(ka *emam t(+//( 3e+*e(ta me+/e$u%ka+ me+//(/($ *a+ *('eta( ke(+/at *(+/(+ Da+
3e+*e(ta me+/a$am( +&e( 3a*a ba/(a+ ab*ome+ *a+ 3e+*e(ta t(*ak *a3at me+//ambaka+ $oka'(
+&e( ab*ome+, 'emak(+ membeat 'e7ak 1 m(+//u teak%(, +&e( ab*ome+ t(*ak *(3e+/au%( *e+/a+
4aktu maka+ Mua$ mu+ta% *(a'aka+ 3a'(e+ 'e7ak 'ebe$um ma'uk uma% 'ak(t, mu+ta% a( *('eta(
am3a' maka+a+ Pa'(e+ mea'a 'e'ak 'e7ak 'b$m ma'uk uma% 'ak(t, 3a'(e+ $eb(% 'e(+/ *a+ $eb(%
+&ama+ b($a t(*u m((+/ ke ka+a+ BAB *a+ BAK t(*ak a*a ke$u%a+ Pe+*e(ta mem3u+&a( (4a&at
%(3ete+'( *a+ *(abete' m($(tu' Pa'(e+ t(*ak mem3u+&a( m(+um obat atau 7amu:7amua+ ut(+
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Kea*aa+ umum 0 tam3ak 'ak(t 'e*a+/
Statu' /(;( 0 kua+/, BMI 0 !! 1"" mmH/, +a*( )" ?>me+(t e/u$a e@ua$ ('( 6uku3, 3e+a5a'a+ !
?>me+(t t(*ak *a$am, 'u%u 9),!"
Ke3a$a 0 +omo6%e3a$, 3e+&ebaa+ ambut +oma$, ambut t(3(' *a+ t(*ak mu*a% o+tok a7a%
'(met(', ko+7u+/t(2a a+em(', t(*ak a*a (kte(k, t(*ak a*a 3e+a5a'a+ 6u3(+/ %(*u+/ Pu3($ *(amete 9
mm bu$at ('ok%o, e5$ek' 6a%a&a
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A$bum(+ !,#8
IDAL
!.>)
Sa$mo+e$$a t&3%( O Ne/at(5
Sa$mo+e$$a t&3%( H 1>1-"
Sa$mo+e$$a 3aat&3%( AO 1>)"
Sa$mo+e$$a 3aat&3%( BO Ne/at(5
Sa$mo+e$$a 3aat&3%( O Ne/at(5
Sa$mo+e$$a 3aat&3%( AH Ne/at(5
Sa$mo+e$$a 3aat&3%( BH Ne/at(5
Sa$mo+e$$a 3aat&3%( H 1>)"
A+t( De+/ue I/M, I/G!.>)
A+t( De+/ue I/M Po'(t(5
A+t( De+/ue I/G Po'(t(5
!>)>!"1#
Foto 3o$o' Ab*ome+ AP 2(e4
• Meteo('mu'
• Le'( o3ak bu$at *(3o&ek'( 3aa2etebae *e?ta 'et(+//( L ! 'u'3e6t +e5o$(t(a'(' *e?ta
• Tak tam3ak 3+eumo3e(to+eum
• S3o+*%&$oat%o'(' $umba$e'
!)>)>!"1#
USG ab*ome+
• E5u'( 3$eua *e?ta
• Tak tam3ak ke$a(+a+ 3a*a %e3a, F, $(e+, 3a+6ea'
>8>!"1#
BMP
• Ga+//ua+ %(3e'e$u$e kae+a akt(2(ta' e(to3o(e'(' 'a+/at me+(+/kat et 6au'a *e5('(e+'(
be'(>%emo$(t(k>ek'a'eba'( akut> 3a'6a *e5('e+'( be'(> (+5ek'( akut> beat
D$a&no"a !e%a dan d$a&no"a 4and$n&
Be*a'aka+ *ata:*ata *(ata' 3e+*e(ta *(buat *(a/+o'a 'eba/a( be(kut0
D(a/+o'a ke7a 0 A+em(a A3$a't(k, Feb($e Neuto3e+(a, DHF, H(3ete+'( U/e+'(
D(a/+o'(' ba+*(+/ 0 A+em(a *e5('(e+'( be'(, $eukem(a, t%&3o(*, ma$a(a
Pena'ala!"anaan
Pe+*e(ta me+*a3atka+ tea3( +ut('( *(et $u+ak 1!"" kka$>%a( , *e+/a+ ka*u+/a+ 3ote(+ 1
/am>k/BB t(+//( ka$(um, (+5u' RL 1""" 66> ! 7am, KSR tab$et !?-"" m/ 3o, 'e$a+7ut+&a 3e+*e(ta
*($akuka+ 3eme(k'aa+ e$ekto$(t 3o't koek'( Me+*a3at koek'( Ma/+e'(um *e+/a+ M/SO *(3 !
9
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/ 3a*a %a( 3ea4ata+ ke :1" Pe+*e(ta kemu*(a+ *(3a'a+/ P 3a*a %a( 3ea4ata+ ke:9 u+tuk
me+($a( 'tatu' %(*a'( kae+a te*a3at 3o$(u(
Pe+*e(ta me+*a3atka+ tea3( 6a$o' tab$et 9?1, 2(5eo+ 1?1, *a+ 'em3at me+*a3at tea3(
'teo(*, 3e*+('o+ *a( %a( 3ea4ata+ ke*e$a3a+ 'am3a( e+am be$a' u+tuk meete+'( Na *a+ a(, *a+
me+*a3at obat B kom3$ek' 9?1, 3e+*e(ta 7u/a *($akuka+ 3eme(k'aa+ e$ekto$(t 3o't koek'(, u(+e
ut(+, e$ekto$(t u(+e, EKG *a+ USG /(+7a$
Kon"ul'a"$
Se$a+7ut+&a 3e+*e(ta *(ko+'u$ka+ ke 'ub:ba/(a+ ob'tet( *a+ /(+eko$o/( u+tuk *(a/+o'a *a+
3e+ata$ak'a+aa+ 3o$a3' ute(
Follo5 Up
Ha$ pea5a'an pe'a#a
Ke$u%a+ $ema% ba*a+ *(a'aka+ 'emak(+ membeat, *emam +a(k tuu+ teta3 *(a'aka+ *('eta(
*e+/a+ ke$u%a+ mua$ mu+ta% *a+ te*a3at 3embe+/kaka+ 3a*a 'e$uu% ek'tem(ta' Pe+*e(ta 'aat
(+( te$a% me+*a3at e%(*a'( RL !""" 66>%a(, 6e5o3oa;o+e !?1, 'o%ob(o+ 9?1, ome3a;o$e 1?1,
o+*a+'e+to+ !?1, 3aa6etamo$ 9?1 *a+ meto+(*a;o$ 9?1
Ha$ pea5a'an !e(*
Ke$u%a+ $ema% $ema% ba*a+ teta3 *(a'aka+, *emam ma'(% +a(k tuu+, te*a3at ke$u%a+ 'u'a% 'aatBAK Pe+*e(ta ma'(% me+*a3at tea3( 3e+/obata+ &a+/ 'ama 3a*a %au 3etama
Ha$ pea5a'an !e( .(/
Pe+*e(ta teta3 mea'aka+ $ema% ba*a+ *a+ *emam *('eta( mua$ mu+ta%, te*a3at 3embe+/kaka+
3a*a 'e$uu% ek'tem(ta' *a+ *('eta( *e+/a+ ke$u%a+ 'ak(t 'aat BAK, 3e+*e(ta 'e(+/ 'e'ak 'aat
me+/a$am( *emam 3a+a' t(+//( Peut tea'a 'ak(t 3a*a 'e$uu% ba/(a+ *a+ 'ak(t betamba% 3a*a 'aat
*(teka+ Ta+*a:ta+*a 2(ta$ 3a*a 3e+*e(ta 'tab($ 3a*a 'aat 3eme(k'aa+ 3a/( %a( Pe+*e(ta
*(3a'a+/ka+ katete u+tuk memba+tu 3e+/e$uaa+ u(+e Pa*a %a( ke:- 3e+*e(ta *(be(ka+ tea3(
Am(+o5$u(* 1#"" 66>%a(
Ha$ pea5a'an !e( 0 ( 3
Pe+*e(ta me+/a$am( $ema% ba*a+ &a+/ 'emak(+ membuuk *a+ *emam 'amak(+ me+(+//( 'aat
ma$am %a( &a+/ 'eta( ke(+/at *(+/(+, me+//(/($ *('eta( 'e'ak +a3a'
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Ha$ pea5a'an !e )2()*
Ke$u%a+ $ema% ba*a+ *(a'aka+ 'u*a% bekua+/, *emam ma$am %a( 'emak(+ memba(k 'e'ak 'u*a%
bekua+/, *a+ BAK 'u*a% $a+6a kemba$( *a+ *($akuka+ 3e+6abuta+ katete
Re"u#e
Seoa+/ 4a+(ta u'(a -. ta%u+ *ata+/ ke uma% 'ak(t *e+/a+ ke$u%a+ $eta/( *a+ *emam
ko+(', ke$u%a+ t(*ak 3e+a% *(a'aka+ 'ebe$um+&a N&e( 'e$uu% $a3a+/ ab*ome+ 2om(t(+/,
+au''ea, *('3+ea *a+ tak te*a3at ke$u%a+ 3a*a BAB *a+ BAK Pe+*e(ta 'u*a% 3e+a% *(a4at
'e$ama 1 m(+//u *( k$(+(k 'etem3at *a+ t(*ak te*a3at 3eba(ka+ 'e%(+//a *(u7uk ke uma% 'ak(t
Leta/( *(a'aka+ 'emak(+ $ama 'emak(+ membuuk *a+ 5eb(' t(*ak memba(k T(*ak te*a3at (4a&at
ko+'um'( obat:obata+ 'ebe$um+&a Pa*a 3eme(k'aa+ 5('(k *(*a3atka+ teka+a+ *aa% &a+/
me+(+/kat, 'u%u tubu% me+(+/kat, te*a3at ko+7u+/t(2a a+em(', a*a+&a 3ebe'aa+ %e3a *a+ +&e(
teka+ 3a*a ba/(a+ ab*ome+ Pa*a ek'tem(ta' te*a3at 3(tt(+/ oe*ema
Peme(k'aa+ $aboato(um *aa% ut(+ me+u+7ukka+ 3e+uu+a+ 3a*a 7um$a% $euko'(t ",--
(bu>uL, e(to'(t !,8) 7uta>uL, tombo'(t #. (bu>uL *a+ %emo/$ob(+ ),1 />m$, +euto5($ 'e/me+ ",
+euto5($ bata+/ ", a$bum(+ !,#8, 3eme(k'aa+ IDAL me+u+7ukka+ %a'($ +e/at(5, 3eme(k'aa+ I/G
*a+ I/M a+t( *e+/ue %a'($ 3o'(t(5, 3eme(k'aa+ 5oto 3o$o' ab*ome+ *(*a3atka+ %a'($ meteo('mu',
USG ab*ome+ me+u+7ukka+ e5u'( 3$eua *e?ta t(*ak tam3ak ke$a(+a+ 3a*a %e3a, F, $(e+, 3a+kea',
'e$a+7ut+&a 3a*a 3a'(e+ *($akuka+ 3eme(k'aa+ BMP *a+ *(*a3atka+ %a'($ /a+//ua+ %(3e'e$u$e
kae+a akt(2(ta' e(to3o(e'(' 'a+/at me+(+/kat e6 *e5('(e+'( be'(>%emo$(t(k>ek'a'eba'( akut>3a'6a
*e5('(e+'( be'(> (+5ek'( akut atau beat Sete$a% *emam me+uu+ 'e$ama ! %a( kea*aa+ umum
memba(k, t(*ak te*a3at ta+*a:ta+*a 3e*aa%a+, kea*aa+ umum memba(k, 'e'ak t(*ak *(a'aka+,
+a5'u maka+ memba(k 3a*a %a( ke 1! 3a'(e+ *(3ebo$e%ka+ u+tuk 3u$a+/
Pe#4aha"an dan d$"!u"$
Pema'a$a%a+ 3a*a 3e+*e(ta (+( a*a$a% 0
• A3a *(a/+o'a ba+*(+/ $ema% ba*a+ *a+ *emam 3a*a 3e+*e(ta (+(
• Ba/a(ma+a me+e/akka+ *(a/+o'a 3a*a 3e+*e(ta (+(
Apa d$a&no"a 4and$n& le#ah 4adan dan de#a# pada pende$'a $n$6
Pe+*e(ta a*a$a% 'eoa+/ 4a+(ta beu'(a -. ta%u+, te$a% me+(ka% *a+ mem3u+&a( 8 oa+/
a+ak *a+ t(*ak a*a (4a&at ke/u/ua+ 'ebe$um+&a Pe+*e(ta *ata+/ ke UGD RSUD A%ma* Ya+(
3a*a ta+//a$ !9 A/u'tu' !"1# *e+/a+ ke$u%a+ utama $ema% ba*a+ 'e7ak 1 %a( SMRS Lema% ba*a+
3a'(e+ %(+//a t(*ak b('a u+tuk be7a$a+ ke kama ma+*( 'e+*((a+ *a+ %au' a*a &a+/ me+*am3(+/(
#
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Ke$u%a+ 'emak(+ %a( 'emak(+ membeat Demam &a+/ *(a'aka+ 'e7ak 1 %a( SMRS, 'u%u
me+(+/kat 3a*a 'oe %(+//a ma$am %a( Da+ 'u%u me+6a3a( 'u%u +oma$ 3a*a 3a/( %a( %(+//a '(a+/
%a( Ket(ka *emam t(+//( 3e+*e(ta me+/e$u%ka+ me+//(/($ *a+ *('eta( ke(+/at *(+/(+ Da+
3e+*e(ta me+/a$am( +&e( 3a*a ba/(a+ ab*ome+, 'emak(+ membeat 'e7ak 1 m(+//u teak%(
Pe+*e(ta mem3u+&a( (4a&at %(3ete+'( *a+ 3e+*e(ta be$um 3e+a% me+/a$am( /e7a$a:/e7a$a
te'ebut 'ebe$um+&a
Lema% ba*a+ &a+/ *(a'aka+ 'e'eoa+/ *a3at *('ebabka+ o$e% a+em(a, %(3o/$(kem(a, %(3et(o(*, *a+
*e%(*a'( Pa*a a+em(a $ema% ba*a+ *('ebabka+ o$e% ku(a+/+&a 7um$a% %emo/$ob(+ *a$am *aa%
'e%(+//a a'u3a+ ok'(/e+ *a$am tubu% bekua+/, ok'(/e+ u+tuk *(3e$uka+ u+tuk 3embakaa+ e+e/(
7a*( 3a*a a+em(a e+e/( &a+/ *(butu%ka+ o$e% otot bekua+/ 'e%(+//a ba*a+ tea'a $ema% A+em(a
teba/( ata' bebea3a 7e+(', 'a$a% 'atu+&a *a$a% a+em(a a3$a't(k
A+em(a a3$a't(k a*a$a% 'uatu /a+//ua+ 3a*a 'e$:'e$ (+*uk *( 'um'um tu$a+/ &a+/ *a3at
me+(mbu$ka+ kemat(a+, 3a*a kea*aa+ (+( 7um$a% 'e$:'e$ *aa% mea% &a+/ *(%a'($ka+ t(*ak mema*a(
Pe+*e(ta me+/a$am( 3a+'(to3e+(a &a(tu kekua+/a+ 'e$ *aa% mea%, *a+ tombo'(t
A+em(a a3$a't(k 7u/a b('a *(at(ka+ 'eba/a( 'uatu ke/a/a$a+ a+atom( *a+ 5('(o$o/( *a(
'um'um tu$a+/ &a+/ me+/aa% 3a*a 'uatu 3e+uu+a+ +&ata atau t(*ak a*a+&a u+'u
3embe+tuk *aa% *a$am 'um'um Ha$ (+( k%a' *e+/a+ 3e+uu+a+ 3o*uk'( e(to'(t ak(bat
3e/a+t(a+ *a( u+'u 3o*uk'( e(to'(t *a$am 'um'um o$e% 7a(+/a+ $emak %(3o'e$u$e, 7u/a
*a3at mem3e+/au%( me/aka&o'(t me+/aa% 3a*a +euto3e+(a
Se6aa mo5o$o/( 'e$:'e$ *aa% mea% te$(%at +omo'(t(k *a+ +omokom, %(tu+/ et(ku$o'(t e+*a%
atau %($a+/, *a+ b(o3'( 'um'u+/ tu$a+/ me+u+7ukka+ 'uatu kea*aa+ &a+/ *('ebut 3u+/'( ke(+/
*e+/a+ %(3$a'(a &a+/ +&ata *a+ te7a*( 3e+//a+t(a+ *e+/a+ 7a(+/a+ $emak
Pe+&ebab:3e+&ebab a+em(a a3$a't(k 0
1 Fakto ko+/e+(ta$
S(+*om 5a+6o+( &a+/ b(a'a+&a *('eta( ke$a(+a+ ba4aa+ $a(+ 'e3et( m(ko'e5a$(, 'tab('mu',
a+oma$( 7a(, ke$a(+a+ /(+7a$ *a+ 'eba/a(+&a
! Fakto *(*a3at0
a Ba%a+ k(m(a, be+;e+e, (+'ekt('(*a, 'e+&a4a A', Au, Pb
b Obat 0 K$oam5e+(ko$, Me'a+to(+
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e I+5ek'(, ke/a+a'a+, /a+//ua+ e+*ok(+
5 La(+$a(+ 0 3e+&ak(t /(+7a$
/ I*(o3at(k 0 meu3aka+ 3e+&ebab &a+/ 3a$(+/ 'e(+/, ak%(ak%( (+( 5akto (mu+o$o/('
te$a% *a3at me+ea+/ka+ et(o$o/( /o$o+/a+ (*(o3at(k
Ma+(5e'ta'( K$(+(k
1 Pu6at
! Ke$ema%a+
9 Se'ak +a5a'
Ruam
# Mu*a% $ebam
- H(*u+/ be*aa%
. Gu'( be*aa%
) A+oek'(a8 D('3+ea
1" Sak(t te+//ooka+
11 U$'ea'( mu$ut *a+ 5a(+/
1! Pe*aa%a+ ke *a$am te+/koak, /u'(, u'u' atau /(+7a$
D(a/+o'a ba+*(+/ *emam 3a*a 3a'(e+ (+( a*a$a% *emam *e+/ue Demam *e+/ue a*a$a%
3e+&ak(t &a+/ *('ebabka+ o$e% 2(u' *e+/ue 'e7e+(' 2(u' &a+/ te/o$o+/ arbovirus
(Arthropod-borne viruses) at(+&a 2(u' &a+/ *( tu$aka+ me$a$u( /(/(ta+ arthropoda m('a$+&a
+&amuk aedes aegypti
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D(a/+o'a ba+*(+/ $a(+ 3a*a *emam &a+/ *(a$am( 3a'(e+ a*a$a% *emam t%&3o(* &a+/
meu3aka+ *emam kae+a (+5ek'( bakte( !almonella thypii, !almonella para typhi A, "
*a+ # A*a *ua 'umbe 3e+u$aa+ !almonella thypii &a(tu 3a'(e+ *e+/a+ *emam t&3%o(*
*a+ 3a'(e+ *e+/a+ 6a(e #arier a*a$a% oa+/ &a+/ 'embu% *a( *emam t&3%o(* *a+
ma'(% teu' me+/eke'( !almonella thypii *a$am t(+7a *a+ a( kem(% 'e$ama $eb(% *a( 1
ta%u+
!almonella $hyposa meu3aka+ ba'($ /am +e/at(5 &a+/ be/eak *e+/a+ bu$u /eta, t(*ak
be'3oa
Ma'a (+kuba'( t&3%o(* 1":!" %a( K$(e+ b(a'a+&a me+/e$u% +&e( ke3a$a *a+ te$(%at $ema%
*a+ $e'u *('eta( *emam &a+/ t(*ak te$a$u t(+//( *a+ be$a+/'u+/ 'e$ama 9 m(+//u
M(+//u 3etama 3e+(+/kata+ 'u%u tubu% +a(k tuu+ B(a'a+&a 'u%u tubu% me+(+/kat 3a*a
ma$am %a( *a+ me+uu+ 3a*a 3a/( %a( Pa*a m(+//u ke*ua 'u%u tubu% teu' me+(+/kat *a+
3a*a m(+//u ket(/a 'u%u bea+/'u:a+/'u tuu+ *a+ kemba$( +oma$
Pa*a /a+//ua+ *( 'a$ua+ 3e+6e+aa+, te*a3at +a3a' bebau t(*ak 'e*a3, b(b( ke(+/ *a+ 3e6a%:3e6a%
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Ga#4a ) alu d$a&no"'$!
Lema% ba*a+
H(3et(o(* A+em(a
De5('(e+'( e+e/(
metabo$(k
Pe(o*(k
Paa$&'('
H(3oka$em(aH(3eka$em(a
Ko+/e+(ta$Loo'(+/ taktu'
Ga'to(+te't(+a$
Loo'(+/ taktu'
u(+a(u'E+*ok(+
8
DEMAM
Demam
Ko+t(+&u
Demam
Rem(te+
Demam
I+tem(te+
Demam
Se3t(k> He3t(k Demam
uot(*(a+
Demam
Doub$euot(*(a+
t(5o(* (u' *a+ bakte(
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D(a/+o'a ba+*(+/ $a(+ 'eba/a( 3e+&ebab %(3oka$em(a 3a*a 3e+*e(ta (+( a*a$a% ak(bat *a(
ke%($a+/a+ ka$(um me$a$u( 'a$ua+ 6e+a Be*a'aka+ $(teatu ke7a*(a+ %(3oka$em( teutama b($a
te*a3at ke%($a+/a+ me$a$u( 'a$ua+ 6e+a ba/(a+ ba4a% %a(, t(*ak a*a *(ae Namu+ 3a*a 3eme(k'aa+ ka$(um
u(+e *(*a3atka+ ka*a ka$(um u(+e &a+/ t(+//(, 'e%(+//a kemu+/k(+a+ ke%($a+/a+ ka$(um me$a$u(
'a$ua+ maka+ *a3at *('(+/k(ka+
Ke%($a+/a+ ka$(um me$a$u( 'a$ua+ u(+e *a3at *(3a%am( me$a$u( a$u *(a/+o't(k 'eba/a(
be(kut 0
Gamba ! Pe+*ekata+ H(3oka$em(a
1"
b(5a'(k ekue+ Re$a3'(+/ 5e2e*a+ *emam
3e(o*(k
Po$o+/e
5e2e U+*u2u$a+t
5e2e
DBD ma$a(a
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Pe+*e(ta (+( te$a% *($akuka+ 3eme(k'aa+ ka*a ka$(um u(+e *a+ *(*a3atka+ %a'($ 'ebe'a
18" $a$u *(3e(k'a TTKG
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Ba&a$#ana #ene&a!!an d$a&no"a le#ah 4adan dan de#a# pada pende$'a $n$ 7
Peme(k'aa+ $aboato(um u+tuk a+em(a a3$a't(k
1 H(tu+/ *aa% $e+/ka3 *('eta( *(5ee+'(a$ a+em(a mako'(t(k, 3e+uu+a+
/a+u$o'(t, mo+o'(t *a+ $(m5o'(t! Jum$a% tombo'(t me+uu+
9 Jum$a% et(ku$o'(t me+uu+
A'3(a'( *a+ b(o3'& 'um'um tu$a+/ %(3o'e$u$e
# E$ekto5oe'(' %emo/$ob(+:ka*a %emo/$ob(+ 7a+(+ me+(+/kat
- T(te a+t(/e+ 'e$ *aa% mea% +a(k
. Ka*a 5o$at *a+ B1! 'eum +oma$ atau me+(+/kat
Pa*a t%&3o(* te*a3at 0
a= Ke$u%a+ utama0 3ea'aa+ t(*ak e+ak ba*a+, $e'u, +&e( ke3a$a, 3u'(+/, *a+ kua+/
be'ema+/at 'eta +a5'u maka+ bekua+/
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t(*ak a*a kom3$(ka'( atau (+5ek'( 'eku+*e O$e% kae+a (tu 3eme(k'aa+ 7um$a%
$euko'(t t(*ak be/u+a u+tuk *(a/+o'a *emam t&3%o(*
! Peme(k'aa+ SGOT DAN SGPT
SGOT *a+ SGPT 3a*a *emam t&3%o(* 'e(+/ka$( me+(+/kat teta3( *a3at kemba$(
+oma$ 'ete$a% 'embu%+&a t&3%o(*9 B(aka+ *aa%
B($a b(aka+ *aa% 3o'(t(5 %a$ (tu me+a+*aka+ *emam t&3%o(*, teta3( b($a b(aka+ *aa%
+e/at(5 t(*ak me+utu3 kemu+/k(+a+ aka+ te7a*( *emam t&3%o(* Ha$ (+( *(kae+aka+
%a'($ b(aka+ *aa% te/a+tu+/ *a( bebea3a 5akto0
a Tek+(k 3eme(k'aa+ Laboato(um
Ha'($ 3eme(k'aa+ 'atu $aboato(um bebe*a *e+/a+ $aboato(um &a+/ $a(+, %a$
(+( *('ebabka+ o$e% 3ebe*aa+ tek+(k *a+ me*(a b(aka+ &a+/ *(/u+aka+ aktu
3e+/amb($a+ *aa% &a+/ ba(k a*a$a% 3a*a 'aat *emam t(+//( &a(tu 3a*a 'aat
bakteem(a be$a+/'u+/
b Saat 3eme(k'aa+ 'e$ama 3e7a$a+a+ 3e+&ak(t
B(aka+ *aa% te%a*a3 !almonella thypii teutama 3o'(t(5 3a*a m(+//u 3etama
*a+ bekua+/ 3a*a m(+//u:m(+//u be(kut+&a Pa*a 4aktu kambu% b(aka+ *aa%
*a3at 3o'(t(5 kemba$(
6 ak'(+a'( *( ma'a $am3au
ak'(+a'( te%a*a3 *emam t&3%o(* *( ma'a $am3au *a3at me+(mbu$ka+ a+t(bo*(
*a$am *aa% k$(e+, a+t(bo*( (+( *a3at me+eka+ bakteem(a 'e%(+//a b(aka+ *aa%
+e/at(5* Pe+/obata+ *e+/a+ obat a+t( m(koba
B($a k$(e+ 'ebe$um 3emb(aka+ *aa% 'u*a% me+*a3atka+ obat a+t( m(koba
3etumbu%a+ kuma+ *a$am me*(a b(aka+ te%ambat *a+ %a'($ b(aka+ mu+/k(+
+e/at(5
U7( (*a$
U7( 4(*a$ a*a$a% 'uatu eak'( a/$ut(+a'( a+taa a+t(/e+ *a+ a+t(bo*(
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Be'a t(te a+t(bo*( u+tuk *(a/+o'(' *emam t(5o(* *( $+*o+e'(a be$um te*a3at
ke'e'ua(a+ Da( %a'($ bebea3a 3e+e$(t(a+ me+u+7ukka+ ba%4a ke/u+aa+ u7( (*a$
u+tuk *(a/+o'(' *emam t(5o(* be/a+tu+/ 3o'e*u &a+/ *(/u+aka+ *( ma'(+/ ma'(+/
uma% 'ak(t atau $aboato(um Me+uut 3e+e$(t(a+ 4a*%a+( u7( (*a$ *(a+//a3 3o'(t(5
b($a t(te a+t(bo*( 1>1-", ba(k u+tuk a/$ut(+(+ O mau3u+ H Semak(+ t(+//( t(te+&a
'emak(+ be'a kemu+/k(+a+ oa+/ me+*e(ta *emam t(5o(*
K(te(a %a'($ u7( (*a$ *(+($a( 3o'(t(5 a3ab($a meme+u%( kete+tua+ T(te a/$ut(+(+ O
*a+ H 'ebe'a atau 'ama *e+/a+ t(te a/$ut(+(+ &a+/ *(teta3ka+ 'eba/a( t(te *(a/+o't(k
be*a'aka+ bata' ata' +($a( u7uka+ t(te a/$ut(+(+ &a+/ te$a% *(te+tuka+ Set(a3 *aea%
mem($(k( 'ta+*a a+/$ut(+(+ (*a$ &a+/ bebe*a be*a N($a( 'ta+*a a//$ut(+(+ (*a$
u+tuk bebea3a 4($a&a% e+*em(' *( I+*o+e'(a a*a$a% *( Yo/&akata t(te O *a+ H
1>1-", Suaba&a t(te O *a+ H 1>1-", Ma+a*o t(te O *a+ H 1>)", Jakata t(te O
*a+ H 1>)", Maka'a t(te O *a+ H 1>9!"9! aa ke7a eak'( (*a$ u+tuk
me+*etek'( t(te Sa$mo+e$$a &a+/ *(/u+aka+ u+tuk 3e+eta3a+ t(te a+t(bo*( *a$am
'eum 'eba/a( be(kut0
a Pe+/e+6ea+ 1 0 1-", *(buat *e+/a+ 6aa mem(3et 'eum 1" L *(tamba% *e+/a+ 1
tete' 1-"" 1>1-"
b Pe+/e+6ea+ 1 0 9!", *(buat *e+/a+ 6aa mem(3et 'eum 1" L *(tamba% *e+/a+ 1
tete' 1-"" 1>-"
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*(ta+*a( *e+/a+ a*a+&a /a+u$a 'e3et( 3a'( Pa*a t(te 1>1-" 3e$u+&a *($akuka+
3eme(k'aa+ u$a+/ 'ete$a% # %a( *a( 3eme(k'aa+, /u+a me$(%at ke+a(ka+ t(te 3a*a
(+5ek'( &a+/ akt(5 t(te u7( (*a$ aka+ me+(+/kat 3a*a 3eme(k'aa+ u$a+/ &a+/
*($akuka+ 'e$a+/ 4aktu 3a$(+/ 'e*(k(t # %a( T(te 1>9!" me+u+7ukka+ ba%4a 'am3e$
*aaa% 3e+*e(ta &a+/ *(/u+aka+ me+/a$am( (+5ek'( 'e*a+/ atau (+/a+ T(te 1>-"
me+u+7ukka+ ba%4a 'am3e$ 3e+*e(ta me+/a$am( 5a'e ko+(' atau beat *a+ 3e$u+&a
*($akuka+ 3e+a+/a+a+ &a+/ $eb(% $a+7ut Semak(+ t(+//( 'eum &a+/ *(/u+aka+ *a+
te*a3at /a+u$a me+u+7ukka+ t(+/kat (+5ek'( kuma+ Sa$mo+e$$a t&3%(
# Peme(k'aa+ Tube?
Peme(k'aa+ &a+/ *a3at *(7a*(ka+ a$te+at(5 u+tuk me+*etek'( 3e+&ak(t *emam t(5o(*
$eb(% *(+( a*a$a% me+*etek'( a+t(/e+ '3e'(5(k *a( kuma+ !almonella
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O8= me$a$u( 3eme(k'aa+ I/M A+t( Sa$mo+e$$a
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DAFTAR PUSTAKA
1 He$mut G Re++ke, Ba*$e& M De+ke A6(* Ba'e P%&'(o$o/( a+* Metabo$(k A$ka$o'(' I+
Re+a$ Pat%o3%&'(o$o/& T%e E''e+t(a$' L(33(+6ott ($$(am' ($k(+' 7b(o6e$!""#"1""!
1-
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