Diare

Question 1

Diare (4)

Answer 1

Lendir Darah
Berlemak/Berminyak
Keruh/Cucian Beras
E. Coli

Question 2

Diare Lendir Darah (3)

Answer 2

Shigellosis/Disentri Basiler/Lying Disentri
Amoebiasis/Disentri Amoeba
Balantidiasis/Sindroma Disentri

Question 3

Etio Shigellosis/Disentri Basiler/Lying Disentri

Answer 3

Shigella dysenteriae

Question 4

Gejala Shigellosis/Disentri Basiler/Lying Disentri

Answer 4

Diare lendir darah >10x/hari
Dehidrasi, tenesmus
BAB bau amis

Question 5

PP Shigellosis/Disentri Basiler/Lying Disentri

Answer 5

Feses rutin = Shigella (basil gram negatif tunggal tanpa flagel) + PMN

Gold Standard: Kultur feses

Question 6

Tx Shigellosis/Disentri Basiler/Lying Disentri

Answer 6

• Dewasa
  💡 Ci Ko
  Ciprofloxacin 2x500 mg 3 hari
  Kotrimoxazole 2x960 mg 5 hari
• Anak
  Kotrimoxazole 10 mg/kgBB/hari dibagi 2 dosis 5 hari

Question 7

Komplikasi Shigellosis/Disentri Basiler/Lying Disentri

Answer 7

Sepsis

Question 8

Etio Amoebiasis/Disentri Amoeba

Answer 8

Entamoeba histolytica
Entamoeba coli

Question 9

Gejala Amoebiasis/Disentri Amoeba

Answer 9

Diare lendir darah <10x/hari
BAB bau busuk

Question 10

PP Amoebiasis/Disentri Amoeba

Answer 10

Feses rutin

• Entamoeba histolytica
  Kista bulan inti 1-4, cerutu (+)
  Amoeboid memakan eritrosit (Ingested RBC)
  Pecahan eosinofil (Charcot Leyden)
  Kariosom sentral, butir kromatin pada selaput inti halus dan rata
• Entamoeba coli
  Kista inti 8

Question 11

Etio Balantidiasis/Sindroma Disentri

Answer 11

Balantidium Coli

Question 12

Gejala Balantidiasis/Sindroma Disentri

Answer 12

= Amoebiasis

Question 13

PP Balantidiasis/Sindroma Disentri

Answer 13

Feses rutin
→

Kista inti 2
Makro & mikronukleus
Amoeba bersilia

Question 14

Tx Balantidiasis/Sindroma Disentri

Answer 14

💡 Te Me
Tetrasiklin 4x500 mg 7-10 hari
Metronidazole 3x500 mg 5-10 hari

Question 15

Diare Berlemak/Berminyak

Answer 15

= Giardiasis

Question 16

Etio Giardiasis

Answer 16

Giardia Lamblia

Question 17

PP Giardiasis

Answer 17

Feses rutin
→

Parasit bentuk pir/layang-layang/axostyle
Inti 2, flagel

Question 18

Tx Giardiasis

Answer 18

💡 1/2 Me Me

• Dewasa: Metronidazole 3x250 mg
• Anak: Metronidazole 3x15 mg/kgBB

Question 19

Diare Keruh/Cucian Beras

Answer 19

= Kolera

Question 20

Etio Kolera

Answer 20

Vibrio cholera

Question 21

Gejala Kolera

Answer 21

Dehidrasi berat → o/k s/d diare >20x
Washer woman hand

Question 22

PP Kolera

Answer 22

Kultur feses
→

Bakteri bentuk seperti coma;/cambuk

Question 23

Tx Kolera

Answer 23

💡
Dok Ter
Er A

• Dewasa
  Doksisiklin 300 mg DT
  Tetrasiklin 4x500 mg
• Anak
  Eritromisin 40 mg/kgBB
  Azitromisin 20 mg/kgBB DT

Question 24

Diare E. Coli (5)

Answer 24

Non Inflamasi
Darah (-) DAN Lendir (-)
Enterotoxigenic E. Coli (ETEC)

Inflamasi
Darah (+) ATAU Lendir (+)
Enteroinvasive E. Coli (EIEC)
Enteropathogenic E. Coli (EPEC)
Enteroaggregative E. Coli (EAEC)
Enterohemorrhagic E. Coli (EHEC)

Question 25

Enterotoxigenic E. Coli (ETEC)

Answer 25

Traveller diarrhea → watery diarrhea

Question 26

Enteroinvasive E. Coli (EIEC)

Answer 26

Diare lendir darah, demam, kram perut

Question 27

Enteropathogenic E. Coli (EPEC)

Answer 27

Diare anak <2 tahun, demam, lendir/mukus ## Footnote P athogenic P ediatric

Question 28

Enteroaggregative E. Coli (EAEC)

Answer 28

Diare ≥14 hari, lendir/mukus, +/- darah

Question 29

Enterohemorrhagic E. Coli (EHEC)

Answer 29

→ *Hemolytic Uremic Syndrome* (HUS) 1. *Microangiopathic hemolytic anemia* → sumbatan di PD → pecah PD→ schistosit 2. Trombositopenia 3. *Renal insufficiency*

Question 30

Tx Amoebiasis/Disentri Amoeba

Answer 30

💡 Me Me - Dewasa: Metronidazole 3 x 500 mg 5-10 hari - Anak: Metronidazole 30 mg/kgBB/hari dibagi 3 dosis 5-10 hari

Question 31

Komplikasi Amoebiasis/Disentri Amoeba

Answer 31

Abses Hepar