gejala, penyebab, dan penatalaksanaan demam tifoid

7/26/2019 Gejala, Penyebab, Dan Penatalaksanaan Demam Tifoid

1/26

Nevy Olianovi

102013101

B2

GEJALA,

PENYEBAB, DANPENATALAKSANAA

N DEMAM TIFOID


2/26

Kel!an "a#a$

Kel!an %e#a# &e'a( 1 #in)) yan) lal*

De#a# %i+a&a(an &ean'an) !a+i %an le-i! "in))i

#en'elan) &o+e !a+i*Kel!an "a#-a!an$

De#a# %i&e+"ai &in), nye+i e+", #al, %an#n"a!*

Bel# BAB &e'a( . !a+i yan) lal*

ANAMNESIS


3/26

1* Se'a( (aan #n/l %e#a#

2* Ba)ai#ana in"en&i"a& %e#a#nya

3* De#a#nya &aa" (aan &a'a Sean'an) !a+i %anle-i! "in))i #en'elan) &o+e !a+i

.* A%a(a! e+%a+a!an &ee+"i #i#i&an

* A%a(a! (el!an lain yan) %i+a&a(an

* Aa(a! &e-el#nya a%a (e)ia"an -e+e+)ian (e&a" "e#a"

* Aa(a! &e-el#nya a%a #a(an &e#-a+an)an4* Ba)ai#ana &ani"a&i lin)(n)an %i &e(i"a+ "e#a"

"in))al Aa(a! -e+&i! a"a "i%a(

5* 6i7aya" enya(i" %a!l

10*6i7aya" enya(i" (ela+)a

11*6i7aya" +i-a%i

ANAMNESIS


4/26

Tan%a "an%a vi"al $

S! "-! $ 3,489 :no+#al $ 3,4 ; 0,.89#eni" :no+#al$ 0?

100=>#eni"< F+e(en&i e+na@a&an $14=>#eni" :no+#al$ 1.?

20=>#eni"40##) :no+#al$ 50?120>0?40##)%L :No+#al$ 7ani"a 12?1 )+>%L, +ia$1.?14 )+>%L, ana( 10?1 )+>%LL :No+#al$ .*000?11*000>L+ein@e(&i>%ae+a! en%e#i(*

PEME6IKSAAN PENNJANG


11/26

g. &ultur Empedu

a&il o&i"i@$ %ia)no&i& n"( %e#a# "i@oi%*

a&il ne)a"i@$ -el# "en" -(an %e#a# "i@oi%,(a+ena !a&il -ia(an ne)a"i@ al& %aa"

%i&e-a-(an ole! -e-e+aa @a("o+, yai" an"a+a lain'#la! %a+a! "e+lal &e%i(i", %a+a! "i%a( &e)e+a%i#a&(an (e %ala# #e%ial Gall*

-. Pemeriksaan kuman se!ara molekuler

Men%e"e(&i DNA :a&a# n(lea"< )en a)ellin-a("e+i S.typhi%ala# %a+a! %en)an "e(ni(!i-+i%i&a&i a&a# n(lea" a"a a#li(a&i DNA%en)an /a+a oly#e+a&e /!ain +ea/"ion :P96


12/26

Pen%e+i"a %e#a# "i@oi% a%a ##nya %e#a##enin)(a" lal #ene"a -e+an)&+?-e+an)&+*

De#a# "e+& #ene+& %an -ia&anya "in))i a%a&o+e !a+i*

Ke&a%a+an a&ien -ia&anya &a%a+ &een!nya*Di&e+"ai %en)an &in), nye+i e+", #al, %an

#n"a!*

Di#n)(in(an "e+'a%i e#-e&a+an li#@a %an !a"i

&e!in))a #enye-a-(an nye+i "e(an %i +e)ioei)a&"+i#*

Pa%a "e& 7i%al, 'i(a !a&ilnya 1>320 #a(a o+an)"e+&e-" #en%e+i"a %e#a# "i@oi%*

DIAGNOSIS KE6JA


13/26

DIAGNOSIS BANDING


14/26

9!i(n)nya$ %e#a# yan) %i&e-a-(an al!avi+& yan)%i&e-a+(an ole! )i)i"an nya#( %a+i &e&ie& Aedesaegypti. Ge'ala yan) (!a& a%ala! "i#-l +a&a &a(i" a%a"lan)?"lan) :%e#a# "lan)> "lan)


15/26

Penye-a- %e#a# "i@oi%$ Sal#onella "y!i :)+a# ?,"i%a( -e+(a&l, #e#nyai a)ella!a+i &ela#a 1. !a+i

Si+oo&a(&in$ 2=00 #)>!a+i &ela#a !a+i Oo&a(&in$ 2=.00 #)>!a+i &ela#a !a+i

Peo&a(&in$ .00 #)>!a+i &ela#a !a+i

Fle+o(&a&in$ .00 #)>!a+i &ela#a !a+i

(*itromisin

PENATALAKSANAAN


21/26

Pa%a 7ani"a !a#il, "i%a( %ian'+(an e#-e+ian$

Klo+a#@eni(ol$ a+"& +e#a"&, (e#a"ian @e"&in"+a"e+ine, %an )+ey &yn%+o#e a%a neona"e&*

Tia#@eni(ol$ e@e( "e+a"o)eni(

Flo+o(inon

Ko"+i#o(&aol

O-a" yan) %ian'+(an$ a#i&ilin, a#o(&ilin, %an&e@"+ia(&on*

PENATALAKSANAAN


22/26

1* Ko#li(a&i In"e&"inal Pe+%a+a!an in"e&"inal

Pe+@o+a&i &&

Ile& a+ali"i(

2* Ko#li(a&i E(&"a?In"e&"inalKo#li(a&i Ka+%iova&(le+$ (e)a)alan &i+(la&i e+i@e+

Ko#li(a&i %a+a!$ ane#ia

Ko#li(a&i a+$ ne#onia, le+i"i&Ko#li(a&i ea+ %an Kan%n) E#e%$ !ea"i"i&

Ko#li(a&i Gin'al$ )lo#e+lone@+i"i&

Ko#li(a&i Tlan)$ a+"!+i"i&

Ko#li(a&i Ne+o&i(ia"+i($ %eli+i#

KOMPLIKASI


23/26

Pen%e+i"a /ea" -e+o-a", #o+"ali"a& a%a en%e+i"ayan) %i+a7a" iala! C

P+o)no&i& -+( -ila "e+%aa" )e'ala (lini& yan)&an)a" -e+a", &ee+"i$

Pana& "in))i*Ke&a%a+an #en+n &e(ali*

Ko#li(a&i yan) -e+a"$ %e!i%+a&i, e+i"oni"i&,-+on(one#onia*

Kea%aan )ii en%e+i"a yan) -+( :#aln"+i&iene+)i +o"ein


24/26

1* &a!a "e+!a%a lin)(n)an !i%

Pe+-ai(an !i)iene %an &ani"a&i lin)(n)an

Penye%iaan ai+ #in# %an #a(anan yan)#e#en!i &ya+a"

Pe#-an)an (o"o+an #an&ia yan) !i)ieni&

Pe#-e+an"a&an lala"

Pen)a7a&an "e+!a%a +#a! #a(an %an en'al#a(anan

2* &a!a "e+!a%a #an&ia

I#ni&a&i va(&in o+al %an va(&in &n"i(an

Ty21a

Hi9PS :Hi+len/e oly&a//!a+i%e an"i)en

gejala, penyebab, dan penatalaksanaan demam tifoid

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