L.? Flashcards
ascariasis
ascaris lumbricoides cacing besar??
epidemiologi
tropis, sanitasi jelek ??
patogenesis dipengaruhi (4)
host immunity response
migrasi larva
mechanic effect adult worms
defisiensi nutrisi karena cacing dewasa
kepala ascaris
punya 3 bibir
migrasi larva ke paru nyebabin
nyebabin haemorrhagic pnuemonia
ke intestine
abdominal discomport, nausea, colic
migrasi ekstraintestine
bile duct, appendiks
sign n symptom appendicitis
pertamanya asimptomatic terutama di daerah endemik
migrasi ke paru nyebabin .. sign
Loffler’s sign
ciri loffler sign
reaksi alergi hipersensitif, seperti serangan asama, infiltrasi paru, gatal, edema bibir, demam + or-
adult worm in intestine
tergantung worm uden
nyebabin malnutrisi
menyumbat usus pada infeksi berat (obati dgn surgery)
migrasi caccing keluar usus karena
respons terhadap antihelmintic drug
migrasi caccing keluar usus nyebabin
jaundice krn blocking bile duct
appendicitis, peritonitis
vomited cacing dari hidung
diagnosis ascariasis
fecal exam denagn cari telur
2 jeis feacl exam
direct indeirect
direct
fecal smear+ idoin/eosin /lugo
indirect
qualitatif wauntitatig
qualitati
mallory bryne floatation
quantitative
kato katz method
treatment
mebendazol
levaisol
piperaine
…
meendazole
cure 76-95%, 400 mg 1.1,3 day
piperazine
nyebabin jalan ke nose
harus dieri pencahar
prevention ascariasis
jangan pake feses sg soil fertilizer, harus pake kapur ..?
good sanitary, jamban standar
goo dersoanl dan enci hygiene
trichuriasis
disebabin trichuris trichuia (human whipworm)
epidemiologi
anak laki-laki llh sering dari pr
anak pas maen tanah, masuk mulut
partial potective immunity
poor hygiene
pathogenesis
gaada migrasi= asymotomatic
heavy infectopn: anemia
sign n symptom
disentru retal prolaps symptms anemia adoinal discifort stunted growth
diagnisosis
faacl exam cari telur
adul worm di rectal mukosa (anoscopy
treatment
mebendazole
hookworm epidemiology
walking barefoot in soil (sandy) kontam fesef (larva)
larva masuk di kulit sela sela jari
tropis lemab
necator americanus
hisap 0.3 ml/day
ankylostoma duodenale (mulut gmn?)
0.5 ml/day
neybabin anemia
…..jenis anemia
komplikasi lbh berat pada
anak, pregnant wiman yg udah low iron reserve
komplikasi batuh
ada tp lh jarang dari ascaris lumbricoides
sign n symptoms
asymptomatic
early symptom
fever migrasi larva ke pari penetrasi kulit oleh larva filariform nebabi pulmonary ground itchh low grade infalammatory response wheezing
late symptom
rasa ga nyaman di pencernaan hookworm anemia abdominal tenderness (mild) pallor pale conjunctive takikardi tidak semua punya anemia
early diagnosis larval migration)
eosinophilia
normal stool
harada mori culture
netesin egg jadi filariform larvae (riset)
sterngoloides??
??
established infection (GI phase)
egg di stool exam
egg not seen-slinically insignifacant
didukung orpn deficiency anemia di lab test
treatment di kulit
cryotherapy kalo masih di kulit
alendazole
decrease atp
meendaole
locking uptake glukosa worm selektif, irreverisble a Cacing dewasa
pyrantel pamoate
paralisis cacing
prevention
di rural area, kontam feses
skin contact dgn fecal cont soil
shoes pake kl di endemic area
family ember harus screening cari mana yg terinfeksi tp asymptomatic
strongyloides stercoralis
tropical region (afrika asia, sout ame (brail, columbia) enteric helminths opportunistik
2 form
filariform infective
freeliving rhabditiform
autoinfeksi
infeksi erulang di immunocopromised host, hyperinfection hasilnya
sign symptom
??
hyperinfection syndrome
- bacteremia meningitis gram negative sepsis
- intestinal flora nempel di larva, kebawa
- fever
faktor risiko
??
diagnosis
cari lrva di tinja
telur neted di usus, yg di feses larva
larav di sputum, urin, semen, skin biopsy csf
ELISA- cari IgG
treatment
ivermectin-cacing dewasa
albendazole -?
enterobiasis epidemiologi
cacing kremi/human pinworm
pada anak
ga nemus usu, ga ke aliran darah, etetp di usus
disoriented pinworm ditemuin di mana
vagina, uterus, falopian tube, liver, peritoneum, ag survive lama disini
sleep distubance krn
cacing beina migrasi ke perianal buat bertelur, sekresi substansi yg bikin gatal
infeksi berat ningkatin risiko
appendicitis
cacing dewasa salah jalannurunin zinc level
sign symptom
aymptomatic
iritasi di perianal
telur nempel di awah kuku, masuk mulu-autoinfeksi eksternal
girls- vaginal itching kalo cacing ke depan
loss of appetite n weight loss
diagnosis
anal swab di malam atau early morning seelum mandi
observe perianal region at night
transmisi
inhalasi (telur di udara)
retrofection
direct egg hands mouth
prevention
ganti cd 2x sehari cuci panas saun
anal area washed frequently
fingernails cut cose
