PBL Group 3 Case 1 MBBS Y1 by MUHAMMAD FAHIMY ASYRAFF MOHAMAD FADZLI https://padlet.com/076507/v2rtjnrvhmk4qh3k en-us 2024-01-20 11:13:29 UTC 2024-01-22 04:26:19 UTC hello@padlet.com https://padlet.net/icons/png/1f602.png 076507 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855405617 2024-01-20 11:30:10 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855405617 076507 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855405706 2024-01-20 11:30:25 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855405706 076507 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855406177 2024-01-20 11:31:31 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855406177 076507 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855406428 2024-01-20 11:32:08 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855406428 076507 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855406608 2024-01-20 11:32:40 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855406608 076507 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855406693 2024-01-20 11:32:53 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855406693 Trigger 1 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855753759

  • intravenous drug user : individual who administers drugs directly inject into vein using iv injection

    • inject, direct to brain, rapid effect

    • assume share needle with others

    1. whitish sputum: thick white mucus that indicate infection

    • normal 5

    • whitish: high wbc, can be viral infection, inflammation/ allergy reaction

    1. low grade fever : fever 37c - 38c


    ]]>     2024-01-21 03:01:23 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855753759     Trigger 1 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855756744

  • intravenous drug user :

    • inject, direct to brain, rapid effect


    • assume share needle with others


      1. whitish sputum: thick white mucus that indicate infection


    normal 5


    whitish: high wbc, can be viral infection, inflammation/ allergy reaction


    low grade fever : fever 37c - 38c

    ]]>     2024-01-21 03:13:44 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855756744     Diagnosis https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855757632

  • Tb

  • Lymphoma

  • HIV (AIDS)

  • Lung cancer

  • Hepatitis

  • pneumonia

    • ]]>     2024-01-21 03:17:27 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855757632     Trigger 2 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855760346 1)organomegaly- enlargement of organ

    2)bp normal

    3)pulse rate slightly high

    4)low grade fever - due to infection - can increase the 10 heart beat per minute due to fever

    5) non icteric sclera -yellowing ot the whites of eyes

    6) have needle marks -chronic drug abuse

    7) No lymphadenopathy -no swelling of lymph nodes

    8)Diffuse crackles - sound abnormal when using stethoscope




    ]]>     2024-01-21 03:28:35 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855760346     Trigger 3 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855761903

  • Grocott’s methenamine silver stain

    - Histological stain use of carbohydrates in fungal microorganism

    - in this case no fungal infection since it is negative tested



    • ]]>     2024-01-21 03:35:51 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855761903     Trigger 3 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855765198

  • WBC high due to infection

  • hemoglobin extremely low

  • platelets high (for darah beku)

  • ESR ( for non specific test) ( to identify any disease) ( indicate inflammation)

  • LDH (type of enyzme) ( involve in muscle tissue injury) ( in this case, it is normal so there is no injury on her muscle tissue) (also indicates cancer/stroke)

  • HIV test positive ( indicates she is affected with AIDS) ( low immunity)

  • CD4 count low ( HIV weaken our immune system) ( not able to produce antibodies)

  • viral load high

  • this patient is in the last stage of HIV which is AIDS


    • ]]>     2024-01-21 03:50:12 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855765198     Trigger 4 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855771540 PCP prophylaxis

    • treatment to prevent PCP

    • given due to low CD4 count

    MAC

    • Mycobacterium Avium Complex

    • opportunistic infection

    HAART

    • HiV therapy

    • multiple drugs given to combat HiV

    DNA probe

    • Nucleic acid hybridization

    • refer to samples of bacteria

    • confirming MAC bacteria



    ]]>     2024-01-21 04:15:21 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855771540     Trigger 4 https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855772210 use of azithromycin and rifampin - treatment that is multi drug regime to kill highly resistant MAC

    HAART - improve immune system by blocking functions of infecting virus

    HAART indication - we check wether the medication is effective or not.


    Diagnosis:

    AIDS




    ]]>     2024-01-21 04:18:28 UTC https://padlet.com/076507/v2rtjnrvhmk4qh3k/wish/2855772210