Infeksi Virus Flashcards

1
Q

Demam. Ulser Multiple. di Mukosa Keratin dan Non Keratin. Pertama Kali.

Dx?

A

PHG

(Primary Herpetic Gingivostomatitis)

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2
Q

Demam. Ulser Multiple. di Mukosa Keratin dan Non Keratin. Pertama Kali.

Etiologi?

A

Infeksi HSV-1

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3
Q

Demam. Ulser Multiple. di Mukosa Keratin dan Non Keratin. Pertama Kali.

Tx?

A

R/ Acyclovir 400mg tab No. XXI
S 3 dd 1
R/ Benzydamine HCl 0,2% garg 60ml fl. No. II
S 2 dd 10ml coll or
R/ Multivitamin B Complex 500mg tab No. X
S 1 dd 1

+ Diet TKTP
+ instruksi obat kumur : kumur 15-20 detik, buang. jangan makan minum 1 jam setelahnya

Tx PHG 7 - 10 hari (masih ada vesikel = antivirus)

Opsi Antivirus:
R/ Acyclovir 200mg tab No. XXV
S 5 dd 1
ATAU
R/ Valacyclovir 1000mg tab No. XXI
S 3 dd 1

Opsi Obat Kumur:
R/ Chlorhexidine Glukonat 0,2% garg 60ml fl. No. II
S 2 dd 10 ml coll. or

Jika masih demam = paracetamol
R/ Paracetamol 500mg tab No. X
S 3 dd 1 prn.

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4
Q

Demam. Ulser Multiple. di Mukosa Keratin dan Non Kertain. Pernah terjadi sebelumnya

Dx?

A

RIH/Stomatitis Herpetika

Recurrent Intraoral Herpes

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5
Q

Demam. Ulser Multiple. di Mukosa Keratin dan Non Kertain. Pernah terjadi sebelumnya

Etiologi?

A

Infeksi HSV-1

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6
Q

Demam. Ulser Multiple. di Mukosa Keratin dan Non Kertain. Pernah terjadi sebelumnya

Tx?

A

R/ Acyclovir 400mg tab No. XV
S 3 dd 1
R/ Benzydamine HCl 0,2% garg 60ml fl. No. II
S 2 dd 10ml coll or
R/ Multivitamin B Complex 500mg tab No. X
S 1 dd 1

+ Diet TKTP
+ instruksi obat kumur : kumur 15-20 detik, buang. jangan makan minum 1 jam setelahnya

Tx RIH 5 hari (masih ada vesikel)

Opsi Antivirus:
R/ Acyclovir 200mg tab No. XXV
S 5 dd 1
ATAU
R/ Valacyclovir 1000mg tab No. XV
S 3 dd 1

Opsi Obat Kumur:
R/ Chlorhexidine Glukonat 0,2% garg 60ml fl. No. II
S 2 dd 10 ml coll. or

Jika masih demam = paracetamol
R/ Paracetamol 500mg tab No. X
S 3 dd 1 prn.

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7
Q

sebelumnya bibir gatal panas. ada lentingan.
IO = Krusta kuning di bibir. Pertama kali.

Dx?

A

Herpes Labialis

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8
Q

sebelumnya bibir gatal panas. ada lentingan.
IO = Krusta kuning di bibir. Pertama kali.

Etiologi?

A

Infeksi Sekunder HSV-1

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9
Q

sebelumnya bibir gatal panas. ada lentingan.
IO = Krusta kuning di bibir. Sebelumnya pernah terjadi

Dx?

A

RHL

Recurrent Herpes Labialis

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10
Q

sebelumnya bibir gatal panas. ada lentingan.
IO = Krusta kuning di bibir. Sebelumnya pernah terjadi

Etiologi?

A

Infeksi Sekunder HSV-1

Recurrent Herpes Labialis

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11
Q

sebelumnya bibir gatal panas. ada lentingan.
IO = Krusta kuning di bibir. Pertama kali.

Tx?

A

R/ Acyclovir 5% crem tube No. I
S 5 dd 1 lit part dol
R/ Vitamin B Kompleks 500mg tab No. X
S 1 dd 1

+Diet TKTP

Tx Herpes Labialis (4 hari)

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12
Q

sebelumnya bibir gatal panas. ada lentingan.
IO = Krusta kuning di bibir. Pernah terjadi sebelumnya

Tx?

A

R/ Acyclovir 5% crem tube No. I
S 5 dd lit part dol
R/ Vitamin B Kompleks tab No. X
S 1 dd 1

+Diet TKTP

Tx RHL (4 hari)

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13
Q

Vesikel bergerombol. gatal panas. di ujung jari drg yang handscoon sobek

Dx?

A

Herpetic Whitlow

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14
Q

Vesikel bergerombol. gatal panas. di ujung jari drg yang handscoon sobek

Tx?

A

Acyclovir Cream 5%

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15
Q

Wajah nyeri. ada riwayat infeksi Herpes

DX?

A

Post Herpetic Neuralgia

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16
Q

Sering pusing. Wajah sakit. ada riwayat infeksi Herpes

TX?

A

Rujuk Sp. Saraf

Tx Post Herpetic Neuralgia = Gabapentin

Dosis Gabapentin u/ PHN
Hari 1 = 300mg 1x1
Hari 2 = 300mg 2x1
Hari 3 = 300mg 3x1
Maintenance 600mg 3x1

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17
Q

Riwayat demam.
EO = vesikel multiple menyebar
IO = ulser multipel

Dx?

A

Varicella

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18
Q

Riwayat demam.
EO = vesikel multiple menyebar
IO = ulser multipel

Etiologi?

A

Infeksi Varicella Zoster Virus

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19
Q

Riwayat demam.
EO = vesikel multiple menyebar
IO = ulser multipel

Tx?

A

R/ Acyclovir 800mg tab No. XXXV
S 5 dd 1
R/ Chlorhexidine Glukonat 0,2% garg 60ml fl. No. II
S 2 dd 10 ml coll or.
R/ Calamin Lotion fl. 30ml No. I
S 4 dd applic part dol

Isolasi 5-7 hari
Diet TKTP + Multivitamin

Tx Varicella (Chicken Pox) 7 hari

Opsi Gatal :
R/ Acyclovir 5% crem tube No. I
S 5 dd 1 lit part dol.

20
Q

Riwayat Demam.
EO = Krusta di unilateral wajah

Etiologi?

A

Infeksi VZV

21
Q

Riwayat Demam.
EO = Krusta di unilateral wajah

Dx?

A

Herpes Zoster

22
Q

Riwayat Herpes Zoster.
Lesi di ujung telinga dan hidung.
Ada penurunan pendengaran
Ada Facial Paralysis

Dx?

A

Ramsay Hunt syndrome/ Herpes Zoster Oticus

23
Q

Riwayat Herpes Zoster.
Lesi di ujung telinga dan hidung.
Ada penurunan pendengaran
Ada Facial Paralysis

Tx?

A

Rujuk Sp. KK

Tx Ramsay Hunt Syndrome/ Herpes Zoster Oticus

24
Q

Lesi di Telapak tangan, kaki, Mulut
EO = Vesikel/Makula
IO = Vesikel/Ulser

Dx?

A

HFMD/ Flu singapura

25
Q

Lesi di Telapak tangan, kaki, Mulut
EO = Vesikel/Makula
IO = Vesikel/Ulser

Etiologi?

A

Infeksi Virus
Coxsackie A16/ Tipe 71

HFMD

Coxsackie = enterovirus

26
Q

Lesi di Telapak tangan, kaki, Mulut
EO = Vesikel/Makula
IO = Vesikel/Ulser

Tx?

A

R/ Benzydamine HCL 0,2% garg 60ml fl. No. II
S 2 dd 10ml
R/ Multivitamin B Kompleks 500mg tab No. X
S 1 dd 1
R/ Calamin Lotion fl. 30ml No. I
S 4 dd applic part dol
Diet TKTP
Rujuk Sp. PM

Tx HFMD

Opsi Obat Kumur
R/ Dipenhydramine HCL

27
Q

Riwayat Demam.
Ulser Multiple di RM bagian belakang
(palatum mole, tonsil, orofaring)

Dx?

A

Herpangina

28
Q

Riwayat Demam.
Ulser Multiple di RM bagian belakang
(palatum mole, tonsil, orofaring)

Etiologi

A

Infeksi Virus
Coxsackie A16/ Tipe 71

Herpangina

Coxsackie = enterovirus

29
Q

Riwayat Demam.
Ulser Multiple di RM bagian belakang
(palatum mole, tonsil, orofaring)

Tx?

A

R/ Benzydamine HCL 0,2% garg 60ml fl. No. II
S 2 dd 10ml
R/ Multivitamin B Kompleks 500mg tab No. X
S 1 dd 1

Diet TKTP
Rujuk Sp. PM

Tx Herpangina

30
Q

Lonte Putih Pinggir Lidah
(Predisposisi HIV)
Tidak bisa dikerok
Orientasi lesi vertikal

Dx?

A

Oral Hairy Leukoplakia

31
Q

Lonte Putih Pinggir Lidah
(Predisposisi HIV)
Tidak bisa dikerok
Orientasi lesi vertikal

Etiologi?

A

EBV

Epstein Bar Virus

32
Q

Lonte Putih Pinggir Lidah
(Predisposisi HIV)
Tidak bisa dikerok
Orientasi lesi vertikal

Tx?

A

OH sedang-buruk :
R/Chlorhexidine Glukonat 0,2 % garg 60ml fl. No. II
S 2 dd 10ml

Rujuk Sp. PM

Tx OHL

33
Q

Lonte Biru di Atas Mulut
Predisposisi HIV
Papula di palatum durum
Tidak sakit

Dx?

A

Kaposi Sarcoma

34
Q

Lonte Biru di Atas Mulut
Predisposisi HIV
Papula di palatum durum
Tidak sakit

Etiologi?

A

Infeksi HHV 8

Kaposi Sarcoma Associated Herpes Virus (KSHV)

35
Q

Lonte Biru di Atas Mulut
Predisposisi HIV
Papula di palatum durum
Tidak sakit

Tx?

A

OH sedang-buruk :
R/Chlorhexidine Glukonat 0,2 % garg 60ml fl. No. II
S 2 dd 10ml

Rujuk Sp. PM

Tx Kaposi Sarcoma

36
Q

Lesi berpapil seperti bunga kol di lidah/ bukal
Predisposisi berganti2 pasangan/HIV

Dx? Tx?

A

Papiloma/Veruca Vulgaris

Tx = Rujuk Sp. PM

37
Q

Lesi berpapil seperti bunga kol di lidah/ bukal
Predisposisi berganti2 pasangan/HIV

Etiologi?

A

HPV

Human Papiloma Virus

38
Q

Riwayat Demam
Bengkak di kel. saliva parotis unilateral/ bilateral (umumnya bilateral)
sakit makan pedas asam
Predileksi anak2

Dx? Tx?

A

Parotitis Epidemica/
MUMPS/
Sialadenitis Virus

Tx MUMPS = rujuk Sp. A (anak) atau Sp. PD (dewasa)

39
Q

Riwayat Demam setelah bengkak.
Bengkak di kel. saliva parotis unilateral/ bilateral (umumnya bilateral)
sakit makan pedas asam
Predileksi anak2

Etiologi?

A

Infeksi Paramyxovirus

40
Q

3 hari sembuh
Koplik Spot
EO = makula eritema
IO = Papula putih

Dx? Tx?

A

Rubella/ Campak Jerman

tx = Rujuk Sp. PM

41
Q

3 hari sembuh
Koplik Spot
EO = makula eritema
IO = Papula putih

Etiologi?

A

Infeksi Rubella Rubivirus

Teratogenik, risiko Cleft pada janin

42
Q

> 3 hari blm sembuh
Koplik Spot
EO = makula eritema
IO = Papula putih
ada konjungtivitis

Dx? Tx?

A

Rubeolla/ Measles/ Campak

tx = Rujuk Sp. PM

43
Q

> 3 hari blm sembuh
Koplik Spot
EO = makula eritema
IO = Papula putih
ada konjungtivitis

Etiologi?

A

Infeksi Morbilivirus

44
Q

Virus Teratogenik?

A

TORCH

Toxoplasma Rubella Cytomegalovirus Herpes

45
Q

Vaksin Rubella, Rubeola?

A

Vaksin MMR
(Mumps, Measles, Rubella)