Teaching Bangsal -Banget
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Transcript of Teaching Bangsal -Banget
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TE CHING B NGS LSC BIES
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Group NameYarianti
Nur Insani
Imiey Eleena
Efrem
Dwi Putri Mentari
Dian Fahmi
Uka
FitrianiFani Yusnita
Nur Asti
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PATIENT IDENTITY
Name : Musa HLGender : Male
Age : 46 years old
Marital Status : Married
Religion : Muslim
Address : Kel.Apeea Kec.Abuki
Kab.Konawe,Unaha
Job : -Admission Date : 30thMay 2014
Medical Record Number : 670163
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History TakingAnamnesis : autoanamnesis
Chief complaint : papule all over the body
Further Anamnesis :
papule all over the body, especially in the groin area,
accompanied by itching since 1 year ago. Initially thepapule appeared only in the groin area then appears
on the neck, head and then entire body. The itching
was perceived continuosly, especially at night.
Initially the papule was red then become blackish
spots.
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Current Status
Consciousness : Conscious (E4M6V5)
General Condition : Medium
Hygiene : MediumNutrition : Medium
Vital Sign
BP : 140.80mmHgPR : 83x/minutes
RR : 24x/minutes
T : 36,9 C
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Physical examination
Anemic (-), icterus (-), cyanoses (-)
Cor/ Pulmonal: S1 S2 normal, reguler,
Rh-/- Wh-/-
Abdomen: Normal, peristaltic (+)
Extremities: Edema (-)
Lymph nodes: Enlargement (-)
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DERMATOLOGY STATUS
Location : Regio Generalisata
Efflorescence :Papule
hyperpigmented scale.
Location : Dorsum pedis dextra
Efflorescence :Lichenification,crust,
Papule hyperpigmented, scale
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Before treatment
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After treatment
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Laboratory Result
RBC : 3,20 (106 /uL)
WBC : 6.34 (103 /uL)
HB : 8,9 (g/dL)
HCT : 29,3 (%)
PLT : 272 (103 /uL)
Ureum : 57 mg/dl
Creatine : 1,25 mg/dlSGOT : 23 U/I
SGPT : 62 U/I
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Resume
Patients 46 years complain there was
papule. papule all over the body,
especially in the groin area,accompanied by itching since 1 year
ago. Initially the papule appeared only
in the groin area then appears on theneck, head and then entire body.
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The itching was perceived continuosly,
especially at night. Initially the papule was
red then become blackish spots.
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Effects itching diminished but reappeared
later.
Family at home are also experiencing the
same complaints. Initially only daughter wholived in the dorm, complained of itching all
over the body and then spreads to the other
family
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DERMATOLOGY STATUS
Location : Regio Generalisata
Efflorescence :Papule
hyperpigmented scale.
Location :Dorsum pedis dextra
Efflorescence :Lichenification,crust,
Papule hyperpigmented, scale
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DIAGNOSIS
- Skabies
DIFFERENTIAL DIAGNOSIS
- Prurigo
- Pedikulosis korporis
- Dermatitis
PROGNOSIS
- Dubia
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R/ -Cetrizine 0-0-1
-as. Salisil 3%
-menthol 0,15-LCD 3%
-Lanolin 10%
-Diflucortolone valerate 20gr-Vaselin alb as 40 gr
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DISCUSSION
Scabies is a skin infestation caused by
penetration of the human parasite Sarcoptes
scabiei var. hominis into the epidermis.
Many factors that support the developmentof this disease, among others: the low
socioeconomic, poor hygiene, sexual
promiscuity that is its nature, fault diagnosis,and the development and ecologic
dermografik
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Crusted scabies (formerly called Norwegian
scabies) is found in individuals with
immunocompromised systems are
vulnerable (eg older people, people infectedwith HIV, and transplant patients) and those
with decreased sensory functions (such as
patients with leprosy or paraplegia).
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Skin disorders can be caused not only by
the scabies mite, but also by patients
themselves due to scratching. Itching is
caused by secretory and excretory.sensitization against mites which takes
about a month after infestation. At the time
of skin disorders dermatitis resembles thediscovery of papules, vesicles, Urtica, and
others
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Allergic reactions are sensitive to the mite
and its products showed an important role in
the development of the lesion and the onset
of itching. Allergic sensitivity to dust mites ortheir products seem to play an important role
in determining the development of lesions in
addition to the tunnel, and itching
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However, the immunological sequence of
events is unclear and requires further
explanation. Evidence suggests that both
immediate hypersensitivity and delayed typeinvolved.
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- Scratching may arise erosion, eskoriasis,
crusting, and secondary infections.
- Clinical symptoms of nocturnal pruritus,
attack humans as a group, there is a tunnel(kunikulus), and found mites.
- Eliminate the predisposing factors of this
disease can be eradicated and give a goodprognosis.
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MANAGEMENT
Topical1. Sulfur creep (Sulfur Presipitatum) of 4-20%ointment or cream 3 times a day
2. Emulsion Benzyl-benzoas (20-25%) is givenevery night three days3. Gama Benzene Chloride Hex (1%) in acream or lotion is given only once
4. Krotamiton (10%) in a cream or lotion5. Permethrin (5%) in the form of a cream givenonly once
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REFERENCE
Handoko, Ronny P. 2010. Ilmu Penyakit Kulit dan Kelamin.Jakarta : FK UI. pp 122-125
Wolf, Goldsmith, Katz, Gilchrest, Paller, Leffel. 2010.Fitzpatrick's Dermatology in General Medicine. EighthEdition. The McGraw-Hili Companies, United States of
America. pp 2029-2032Bolognia, Jorizzo, Rapini. 2008. Dermatology2nd ed.
Habif, Thomas P. 2004. Clinical Dermatology, 4th ed.Mosby, Inc. pp 498-505
Burns DA. Diseases caused by arthropods and other noxiousanimals. In: Rooks textbook of dermatology. 8th ed. Unitedkingdom. Willey-blackwell; 2010. p. 38.36 38.38.
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Thank You