Case 4 - Pneumonia by HANA KAMILAH https://padlet.com/hana20017/case4 26/11/2021 en-us 2021-11-26 02:56:43 UTC 2021-11-29 03:29:56 UTC hello@padlet.com Mr. Dodi, 42 years old intanintan1002 https://padlet.com/hana20017/case4/wish/1913579663 2021-11-26 03:00:33 UTC https://padlet.com/hana20017/case4/wish/1913579663 productive cough since two months before (occasionally accompanied by bloody sputum), no wheezing masulhan01 https://padlet.com/hana20017/case4/wish/1913579999 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]]> 2021-11-26 03:00:47 UTC https://padlet.com/hana20017/case4/wish/1913579999 Factory Worker hana20017 https://padlet.com/hana20017/case4/wish/1913580167 2021-11-26 03:00:55 UTC https://padlet.com/hana20017/case4/wish/1913580167 nightsweats sofia20006 https://padlet.com/hana20017/case4/wish/1913580343 2021-11-26 03:01:03 UTC https://padlet.com/hana20017/case4/wish/1913580343 stopped taking TB treatment three years ago intanintan1002 https://padlet.com/hana20017/case4/wish/1913580482 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]]> 2021-11-26 03:01:10 UTC https://padlet.com/hana20017/case4/wish/1913580482 body weakness sofia20006 https://padlet.com/hana20017/case4/wish/1913580637 2021-11-26 03:01:16 UTC https://padlet.com/hana20017/case4/wish/1913580637 RR 22x / min https://padlet.com/hana20017/case4/wish/1913580933 2021-11-26 03:01:28 UTC https://padlet.com/hana20017/case4/wish/1913580933 loss of appetite sofia20006 https://padlet.com/hana20017/case4/wish/1913581000 2021-11-26 03:01:31 UTC https://padlet.com/hana20017/case4/wish/1913581000 mild fever sofia20006 https://padlet.com/hana20017/case4/wish/1913581197 2021-11-26 03:01:40 UTC https://padlet.com/hana20017/case4/wish/1913581197 BP 110/70 https://padlet.com/hana20017/case4/wish/1913581366 2021-11-26 03:01:47 UTC https://padlet.com/hana20017/case4/wish/1913581366 Temperature 37.6 C hana20017 https://padlet.com/hana20017/case4/wish/1913581851 2021-11-26 03:02:07 UTC https://padlet.com/hana20017/case4/wish/1913581851 lost 4 kg of body weight in the last 2 months masulhan01 https://padlet.com/hana20017/case4/wish/1913582128 2021-11-26 03:02:19 UTC https://padlet.com/hana20017/case4/wish/1913582128 H: 172 cm W:45kg https://padlet.com/hana20017/case4/wish/1913582699 2021-11-26 03:02:43 UTC https://padlet.com/hana20017/case4/wish/1913582699 rubbery marble sized lump, hard to move diandrahafizhah https://padlet.com/hana20017/case4/wish/1913582881 2021-11-26 03:02:50 UTC https://padlet.com/hana20017/case4/wish/1913582881 anemic conjunctiva diandrahafizhah https://padlet.com/hana20017/case4/wish/1913583613 2021-11-26 03:03:18 UTC https://padlet.com/hana20017/case4/wish/1913583613 CC: shortness of breath since 6 days before admission intanintan1002 https://padlet.com/hana20017/case4/wish/1913583912 2021-11-26 03:03:29 UTC https://padlet.com/hana20017/case4/wish/1913583912 BMI Low --> Underweight https://padlet.com/hana20017/case4/wish/1913584304 2021-11-26 03:03:46 UTC https://padlet.com/hana20017/case4/wish/1913584304 coarse crackles diandrahafizhah https://padlet.com/hana20017/case4/wish/1913584840 1. Ada cairan (?)]]> 2021-11-26 03:04:10 UTC https://padlet.com/hana20017/case4/wish/1913584840 Palpitation of Neck : Three lymph nodes, as large as marble, rubbery, unmoved, located at the anterior of sternocleidomastoid muscle hana20017 https://padlet.com/hana20017/case4/wish/1913585369 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)]]> 2021-11-26 03:04:33 UTC https://padlet.com/hana20017/case4/wish/1913585369 PR 84 / min https://padlet.com/hana20017/case4/wish/1913587001 2021-11-26 03:05:43 UTC https://padlet.com/hana20017/case4/wish/1913587001 taking several kinds of antibiotics intanintan1002 https://padlet.com/hana20017/case4/wish/1913587595 2021-11-26 03:06:10 UTC https://padlet.com/hana20017/case4/wish/1913587595 Chest inspection : shape ad movement symmetric hana20017 https://padlet.com/hana20017/case4/wish/1913587608 2021-11-26 03:06:11 UTC https://padlet.com/hana20017/case4/wish/1913587608 In percussion : upper limit of liver at ICS V hana20017 https://padlet.com/hana20017/case4/wish/1913588374 Normal. Hipotesis : Paru-parunya bisa berekpansi dengan normal]]> 2021-11-26 03:06:46 UTC https://padlet.com/hana20017/case4/wish/1913588374 Lung percussion : Sonor hana20017 https://padlet.com/hana20017/case4/wish/1913591503 1. Sonor = Ressonance. Suara Normal. Berisi udara
2. Lawannya sonor ? Dull (redup). Berisi cairan, misal pada efusi pleura]]> 2021-11-26 03:09:13 UTC https://padlet.com/hana20017/case4/wish/1913591503 Pasien menderita gangguan metabolik akibat keganasan (kanker paru) hana20017 https://padlet.com/hana20017/case4/wish/1913611077 2021-11-26 03:24:07 UTC https://padlet.com/hana20017/case4/wish/1913611077 gangguan metabolik akibat infeksi hana20017 https://padlet.com/hana20017/case4/wish/1913612448 1. Infeksinya di bagian mana?
2. Karakteristik tidak bisa digerakkan karena apa ?]]> 2021-11-26 03:25:12 UTC https://padlet.com/hana20017/case4/wish/1913612448 Lymph Circulation of Respiratory System hana20017 https://padlet.com/hana20017/case4/wish/1913620851 2021-11-26 03:31:29 UTC https://padlet.com/hana20017/case4/wish/1913620851 Pasien mengalami secondary TB hana20017 https://padlet.com/hana20017/case4/wish/1913624972 2021-11-26 03:34:40 UTC https://padlet.com/hana20017/case4/wish/1913624972 Lymph Node examination hana20017 https://padlet.com/hana20017/case4/wish/1913628252 2021-11-26 03:37:03 UTC https://padlet.com/hana20017/case4/wish/1913628252 Laboratory Results hana20017 https://padlet.com/hana20017/case4/wish/1913649724 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"]]> 2021-11-26 03:54:17 UTC https://padlet.com/hana20017/case4/wish/1913649724 BHP PHOP https://padlet.com/hana20017/case4/wish/1913651146 1. bagaimana treat keluarga dan pekerjaannya
2. Surat keterangan sehat
3. Aspek bioetgical : tidak diperiksa sputum -> beneficence]]> 2021-11-26 03:55:32 UTC https://padlet.com/hana20017/case4/wish/1913651146 All About TB (referensi dari Kemenkes) https://padlet.com/hana20017/case4/wish/1913652638 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)]]> 2021-11-26 03:56:45 UTC https://padlet.com/hana20017/case4/wish/1913652638 Lung Examination hana20017 https://padlet.com/hana20017/case4/wish/1913658854 1. Inspeksi, Perkusi, Auskultasi
 + Jenis2 crackles & coarse crackles
2. Sputum examination]]> 2021-11-26 04:02:13 UTC https://padlet.com/hana20017/case4/wish/1913658854 Farmako hana20017 https://padlet.com/hana20017/case4/wish/1913660482 1. Obat untuk terapi TB
2. resistensi obat jika pengulangan?
3. DOT ]]> 2021-11-26 04:03:46 UTC https://padlet.com/hana20017/case4/wish/1913660482 microbiology hana20017 https://padlet.com/hana20017/case4/wish/1913666015 micobacterium tb
TB suka ke daerah mana, bedanya sama leprae]]> 2021-11-26 04:08:51 UTC https://padlet.com/hana20017/case4/wish/1913666015 Identity hana20017 https://padlet.com/hana20017/case4/wish/1914519671 2021-11-26 15:21:23 UTC https://padlet.com/hana20017/case4/wish/1914519671 History hana20017 https://padlet.com/hana20017/case4/wish/1914520854 2021-11-26 15:22:10 UTC https://padlet.com/hana20017/case4/wish/1914520854 Sign and Symptoms hana20017 https://padlet.com/hana20017/case4/wish/1914521553 2021-11-26 15:22:39 UTC https://padlet.com/hana20017/case4/wish/1914521553 Physical Examination hana20017 https://padlet.com/hana20017/case4/wish/1914522452 2021-11-26 15:23:17 UTC https://padlet.com/hana20017/case4/wish/1914522452 Hypothesis hana20017 https://padlet.com/hana20017/case4/wish/1914522976 2021-11-26 15:23:42 UTC https://padlet.com/hana20017/case4/wish/1914522976 Don't Know hana20017 https://padlet.com/hana20017/case4/wish/1914523566 2021-11-26 15:24:07 UTC https://padlet.com/hana20017/case4/wish/1914523566 Learning Issue hana20017 https://padlet.com/hana20017/case4/wish/1914525040 2021-11-26 15:24:32 UTC https://padlet.com/hana20017/case4/wish/1914525040