Download - Dasar diagnosis malaria
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DD,DB,DK
jr
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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)
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• Pemeriksaan lab :• Hb : 10,5g/dl• Ht : 32%• Leukosit : 5000/mm3• Trombosit : 97.000
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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 malariaPemfis/pemlab• Anemia, trombositopenia• Splenomegali
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Diagnosis Banding
• Malaria tertiana ec Plasmodium vivax• Malaria tertiana ec Plasmodium ovale
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Plasmodium vivax Plasmodium ovale
Ring form
Trophozoit
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Plasmodium vivax Plasmodium ovale
Skizon
Gametosit
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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
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Diagnosis Kerja
• Malaria tertiana ec Plasmodium vivax