Tutorial Skenario c Blok 17 (Fix)

TUTORIAL SKENARIO SKENARIO C BLOK 17 Skenario Amir, a boy, 13 month, wa ho!ita"i#e$ $%e to $iarrhea& 'o%r $ay be(ore a$miion, the  !atient ha$ non !ro)e*ti"e +omitin - time a $ay& .e +omite$ what he ate& Three $ay be(ore a$mion the !atient ot $iarrhea 1/ time a $ay aro%n$ ha"( "a in e+ery $e(e*ation, there wa no b"oo$ an$ m%*o%0 !% in it& The (re%en*y o( +omitin $e*reae$& A"on thoe 2 $ay, he $rank eaer" y an$ wa i+en !"ain water& .e a"o ot mi" (e+er& (e +er& eter$ay eter$ay,, he "ooke$ worenin, "ethary, $i$n4t want to $rink, ti"" ha$ $iarrhea b%t no +omitin& The amo%nt o(  %rination 5 ho%r ao wa " than %%a"& Amir4 (ami"y "i+e in "%m area& Physical Examination

6atient "ook e+ere"y i"", *om!o menti b%t weak "ethari*8, B6 7/09/ mm., RR 35:0m, .R 122:0m re%"ar b%t weak, bo$y tem!erat%re te m!erat%re 35,7 /

K"ari(ikai Iti"ah 1& >& 3& 2& 9& -&

;iarrhea< ;iarrhea< !ene"%a !ene"%aran ran tin)a tin)a berair berair berka"i=ka"i berka"i=ka"i yan ti$ak norma" Non Non !ro) !ro)e*t e*ti"e i"e +om +omiti itin n < ;e(e*ati ;e(e*ation on < !emb !emb%an %anan an tin) tin)aa $ari re*t% re*t%m m Lethary Lethary < !en%r%nan !en%r%nan tinkat tinkat kea$aran kea$aran $itan$a $itan$aii $enan "e%, "e%, menant%k menant%k,, $an a!ati S%nken S%nken (ront (rontane ane""a ""a < %b%n=% %b%n=%b%n b%n yan yan *ek%n *ek%n  Bowe" Bowe" o%n o%n$ $ < %ar %araa %% %%

I$enti(ikai ?aa"ah 1& Amir, Amir, a boy, boy, 13 month, month, wa ho!ita"i#e$ ho!ita"i#e$ $%e $%e to $iarrhe $iarrheaa >& 'o%r $ay $ay be(ore be(ore a$miion a$miion,, the !atient !atient ha$ non non !ro)e*ti"e !ro)e*ti"e +omitin +omitin - time a $ay& $ay& .e +omite$ what he ate& The (re%en*y o( +omitin $e*reae$& 3& Three $ay $ay be(ore a$mion a$mion the !atient !atient ot $iarrhea $iarrhea 1/ time a $ay aro%n$ aro%n$ ha"( "a "a in e+ery $e(e*ation, there wa no b"oo$ an$ m%*o%0 !% in it& 2& A"on thoe thoe 2 $ay, $ay, he $rank eaer"y eaer"y an$ wa wa i+en !"ain !"ain water& water& .e a"o ot ot mi$" (e+er& (e+er& 9& eter$ay, eter$ay, he "ooke$ worenin, "ethary, "ethary, $i$n4t $i$n4t want to $rink, ti"" ha$ $iarrhea b%t b%t no +omitin& The amo%nt o( %rination 5 ho%r ao wa " than %%a"& -& Amir4 Amir4 (ami"y (ami"y "i+e "i+e in in "%m "%m area& area& 7& 6hyi* 6hyi*a" a" e:am e:amin inat atio ion n 5& Labo Laborat ratory ory e:am e:amin inat atio ion n

Ana"ii ?aa"ah 1& Amir, Amir, a boy boy,, 13 month, month, wa ho!ita" ho!ita"i#e$ i#e$ $%e $%e to $iarrhea $iarrhea a& Baaimana Baaimana keterkai keterkaitan tan %ia %ia $an $an )eni )eni ke"amin ke"amin terha$a! terha$a! ka%@ ka%@ 1 1>  b& Anatomi oran yan terkait@ > 11 *& Baaim Baaimana ana !ato( !ato(iio iio"o "oii ter)a$i ter)a$iny nyaa $iare@ $iare@ 3 1/

$& e& (& & h&

Baaimana k"ai(ikai $iare !a$a anak@2  A!a a)a (aktor reiko $iare@9 5 Baaimana kriteria $iare !a$a ka%@ - 7 Baaimana tat"akan awa" $iare !a$a ka%@ 7 Etio"oi $iare !a$a ka%@ 5 9

>& 'o%r $ay be(ore a$miion, the !atient ha$ non !ro)e*ti"e +omitin - time a $ay& .e +omite$ what he ate& The (re%en*y o( +omitin $e*reae$& a& Baaimana mekanime ter)a$inya non !ro)e*ti"e +omitin@  2  b& A!a !erbe$aan +omitin yan !ro)e*ti"e $an non@ 1/ 3 *& ?ena!a ketika $iare emakin !arah m%ntahnya berk%ran@11 > $& K"ai(ikai m%ntah@1> 13 3& Three $ay be(ore a$mion the !atient ot $iarrhea 1/ time a $ay aro%n$ ha"( "a in e+ery $e(e*ation, there wa no b"oo$ an$ m%*o%0 !% in it& a& A!a makna ti$ak a$a $arah ata%!%n m%*% !a$a (ee@ 13 1  b& Kena!a (rek%eni $iare emakin meninkat@ 1 1> 2& A"on thoe 2 $ay, he $rank eaer"y an$ wa i+en !"ain water& .e a"o ot mi"$ (e+er& a& A!a makna k"ini $ari kon$ii tereb%t@> 11  b& ?ekanime ter)a$inya mi"$ (e+er@3 1/ *& ?ekanime ter)a$inya raa anat ha% !a$a ka%@2  9& eter$ay, he "ooke$ worenin, "ethary, $i$n4t want to $rink, ti"" ha$ $iarrhea b%t no +omitin& The amo%nt o( %rination 5 ho%r ao wa "e than %%a"& a& ?ekanime ter)a$inya "ethary $an ti$ak ma% min%m@9 5  b& ?ena!a !a$a ka% $iare maih a$a teta!i m%ntah %$ah hi"an@- 7 *& ?akna k"ini $ari kon$ii tereb%t@7 $& Bera!a +o"%me %rin norma" !a$a anak ber%m%r 13 b%"an@5 9 -& Amir4 (ami"y "i+e in "%m area a& Baaiman h%b%nan tem!at tina" yan k%m%h $enan $iare !a$a !aien@ 2  b& Baaimana %at% tem!at tina" $ikateorikan ebaai tem!at yan k%m%h@1/ 3 *& Baaimana e$%kai yan har% $iberikan@11 > 7& 6hyi*a" e:amination a& Baaimana inter!retai@1> 13  b& Baaimana mekanime abnorma"@13 1 *& Baaimana ambaran %nken (rontane""a, %nken eye, $an $ry mo%th@1 1> $& Kena!a !a$a anak %ia $bawah > tah%n he!ar teraba, $an ketika $ewaa ti$ak teraba@> 11 e& Baaimana ambaran eritema nat%m@3 1/ 5& Laboratory e:amination a& Baaimana inter!retai@2   b& Baaimana mekanime abnorma"@9 5 *& 6emerikaan !en%n)an a!a"ai yan $i!er"%kan@- 7

.i!otei Amir eoran anak "aki="aki ber%ia 13 b%"an, tina" $i "ink%nan k%m%h mena"ami $ehi$rai berat akibat $iare ba*teria" ak%t $an m%ntah=m%ntah& a&  b& *& $& e& (& & h& i&  )& k& "& m& n& o&

;e(inii13 > A"oritma !eneakan1 3 ;$> 2 K"ai(ikai3 9 'aktor reiko2 6ato(iio"oi9 7 Etio"oi- 5 E!i$emio"oi 7  e)a"a k"ini 5 1/ ;ianoi ker)a 11 6emerikaan !en%n)an1/ 1> Tata"akana $an e$%kai11 13 Kom!"ikai 1>, 1 6ronoi13 > SK;I 1 3

LEARNIN ISSUES 1& ;iare SE?UANA8 >& Anatomi