# data[].attributes.headline
CC: shortness of breath since 6 days before admission

# data[].attributes.subject
CC: shortness of breath since 6 days before admission

# data[].attributes.headline
lost 4 kg of body weight in the last 2 months

# data[].attributes.subject
lost 4 kg of body weight in the last 2 months

# data[].attributes.headline
stopped taking TB treatment three years ago

# data[].attributes.subject
stopped taking TB treatment three years ago

# data[].attributes.body
1. pengobatan TB itu 6 bulan
2. obat TB itu 4-drugs therapy : INH, RIF, dkk
2. kalau ga tuntas, jadi resisten. Ada kemungkinan pasien akan mengalami secondary tuberculosis

# data[].attributes.headline
productive cough since two months before (occasionally accompanied by bloody sputum), no wheezing

# data[].attributes.subject
productive cough since two months before (occasionally accompanied by bloody sputum), no wheezing

# data[].attributes.body
1. hemoptysis
2. Tanda/hallmark dari adanya gangguan di sistem pulmonary. bisa dari pulmonary atau bronchial vessel
3. kenapa jadi tanda ?
4. kalau sputum ada darah itu dari lower respiratory tract
5. Q: apakah mungkin kalau ada defek di bronchus jadi ada batuk berdarah ?
-> lihat lapisan airway. di bronchus, apakah kalau teriritasi jadi batuk berdarah ?
-> curiganya ke lung parenkim

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Palpitation of Neck : Three lymph nodes, as large as marble, rubbery, unmoved, located at the anterior of sternocleidomastoid muscle

# data[].attributes.subject
Palpitation of Neck : Three lymph nodes, as large as marble, rubbery, unmoved, located at the anterior of sternocleidomastoid muscle

# data[].attributes.body
normal lymph nodes : 12 mm, pea sized --> marble
infection caused by bacteria/virus (+rarely caused by cancer) --> swollen lymph nodes --> often more rubber --> biasanya diikuti sama systemic inflammation --> night sweat, fever
unmoveable --> blm ketemu (loading)

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Chest inspection : shape ad movement symmetric

# data[].attributes.subject
Chest inspection : shape ad movement symmetric

# data[].attributes.body
1. Sonor = Ressonance. Suara Normal. Berisi udara
2. Lawannya sonor ? Dull (redup). Berisi cairan, misal pada efusi pleura

# data[].attributes.body
1. Ada cairan (?)

# data[].attributes.headline
In percussion : upper limit of liver at ICS V

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In percussion : upper limit of liver at ICS V

# data[].attributes.body
Normal. Hipotesis : Paru-parunya bisa berekpansi dengan normal

# data[].attributes.body
1. Hb, WBC, ESR
2. Microbiology
3. GeneXpert test result : M. tb DNA detected. Rifampicin susceptible
4. Chest X-ray showed infiltrate at the apex of the right lung withcavity (0.5 cm in diamter)
- kenapa bakteri Tb seneng di apex?
5. histopatological fidings of cervical lymph nodes by FNAB (fine-needle biopsy) showed there were giant cells "Datia Langhans"

# data[].attributes.headline
Pasien menderita gangguan metabolik akibat keganasan (kanker paru)

# data[].attributes.subject
Pasien menderita gangguan metabolik akibat keganasan (kanker paru)

# data[].attributes.body
1. Infeksinya di bagian mana?
2. Karakteristik tidak bisa digerakkan karena apa ?

# data[].attributes.body
1. Inspeksi, Perkusi, Auskultasi
+ Jenis2 crackles & coarse crackles
2. Sputum examination

# data[].attributes.body
1. dari etiologi, patfis, sign symptoms
2. Jenis2 TB dan cara penyebarannya. Kapan orang TB bisa menularkan?
3. regimen terapi (tergantung jenis dan stage TB-nya)

# data[].attributes.body
micobacterium tb
TB suka ke daerah mana, bedanya sama leprae

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1. Obat untuk terapi TB
2. resistensi obat jika pengulangan?
3. DOT

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1. bagaimana treat keluarga dan pekerjaannya
2. Surat keterangan sehat
3. Aspek bioetgical : tidak diperiksa sputum -> beneficence