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Premiazione 2016 I.C.- S.M.S. - Scuole Elementari - Istituti Superiori
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Dasar diagnosis malaria

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Dasar diagnosis malaria

  1. 1. DD,DB,DK jr
  2. 2. Laki-laki,32thn ,tentara  KU:  Demam tinggi sejak sore (GK)  2hr sblmnya pasien mengalami keluhan serupa dan hilang sendiri stlh 6 jam (GK)  Saat demam pasien merasa pegal-pegal dan lemas (GK)  RPD : pernah demam,tetapi tidak tinggi dan mengigil seperti skrg  R sosial dan pekerjaan : bertugas dari papua 1 minggu yl (FR)  Pemfis :  Keadaan umum: sakit sedang  TV : TD: 120/70 mmhg N :100x/m R:22x/m T:39,2C(GK)  Kepala leher:  Konjungtiva anemis +/+ (GK)  Thorax:  Jantung takikardi (GK)  Abdomen:  Lien :tidak teraba, ruang traube terisi (GK)
  3. 3. • Pemeriksaan lab : • Hb : 10,5g/dl • Ht : 32% • Leukosit : 5000/mm3 • Trombosit : 97.000
  4. 4. Dasar Diagnosis Anamnesis • Paroxysmal febris • Pola rigoris kaloris sudoris • Mual, myalgia/athralgia dan lethargia saat febris • Febris intermitent berjarak 2 hari • Bepergian ke daerah endemik malaria Pemfis/pemlab • Anemia, trombositopenia • Splenomegali
  5. 5. Diagnosis Banding • Malaria tertiana ec Plasmodium vivax • Malaria tertiana ec Plasmodium ovale
  6. 6. Plasmodium vivax Plasmodium ovale Ring form Trophozoit
  7. 7. Plasmodium vivax Plasmodium ovale Skizon Gametosit
  8. 8. Hasil PP • Sel eritrosit berisi: – Cincin kebiruan bermata satu merah  stad ring form – Sebagian berisi bentuk amoeboid dg eritrosit membesar  stad trofozoit – Tak disebut adanya bentuk eritrosit yg menjadi oval atau berfimbriae  x DD ec P. ovale
  9. 9. Diagnosis Kerja • Malaria tertiana ec Plasmodium vivax

malaria

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