L.? Flashcards

1
Q

ascariasis

A

ascaris lumbricoides cacing besar??

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2
Q

epidemiologi

A

tropis, sanitasi jelek ??

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3
Q

patogenesis dipengaruhi (4)

A

host immunity response
migrasi larva
mechanic effect adult worms
defisiensi nutrisi karena cacing dewasa

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4
Q

kepala ascaris

A

punya 3 bibir

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5
Q

migrasi larva ke paru nyebabin

A

nyebabin haemorrhagic pnuemonia

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6
Q

ke intestine

A

abdominal discomport, nausea, colic

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7
Q

migrasi ekstraintestine

A

bile duct, appendiks

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8
Q

sign n symptom appendicitis

A

pertamanya asimptomatic terutama di daerah endemik

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9
Q

migrasi ke paru nyebabin .. sign

A

Loffler’s sign

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10
Q

ciri loffler sign

A

reaksi alergi hipersensitif, seperti serangan asama, infiltrasi paru, gatal, edema bibir, demam + or-

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11
Q

adult worm in intestine

A

tergantung worm uden
nyebabin malnutrisi
menyumbat usus pada infeksi berat (obati dgn surgery)

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12
Q

migrasi caccing keluar usus karena

A

respons terhadap antihelmintic drug

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13
Q

migrasi caccing keluar usus nyebabin

A

jaundice krn blocking bile duct
appendicitis, peritonitis
vomited cacing dari hidung

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14
Q

diagnosis ascariasis

A

fecal exam denagn cari telur

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15
Q

2 jeis feacl exam

A

direct indeirect

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16
Q

direct

A

fecal smear+ idoin/eosin /lugo

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17
Q

indirect

A

qualitatif wauntitatig

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18
Q

qualitati

A

mallory bryne floatation

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19
Q

quantitative

A

kato katz method

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20
Q

treatment

A

mebendazol
levaisol
piperaine

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21
Q

meendazole

A

cure 76-95%, 400 mg 1.1,3 day

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22
Q

piperazine

A

nyebabin jalan ke nose

harus dieri pencahar

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23
Q

prevention ascariasis

A

jangan pake feses sg soil fertilizer, harus pake kapur ..?
good sanitary, jamban standar
goo dersoanl dan enci hygiene

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24
Q

trichuriasis

A

disebabin trichuris trichuia (human whipworm)

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25
Q

epidemiologi

A

anak laki-laki llh sering dari pr
anak pas maen tanah, masuk mulut
partial potective immunity
poor hygiene

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26
Q

pathogenesis

A

gaada migrasi= asymotomatic

heavy infectopn: anemia

27
Q

sign n symptom

A
disentru
retal prolaps
symptms anemia
adoinal discifort
stunted growth
28
Q

diagnisosis

A

faacl exam cari telur

adul worm di rectal mukosa (anoscopy

29
Q

treatment

A

mebendazole

30
Q

hookworm epidemiology

A

walking barefoot in soil (sandy) kontam fesef (larva)
larva masuk di kulit sela sela jari
tropis lemab

31
Q

necator americanus

A

hisap 0.3 ml/day

32
Q

ankylostoma duodenale (mulut gmn?)

A

0.5 ml/day

33
Q

neybabin anemia

A

…..jenis anemia

34
Q

komplikasi lbh berat pada

A

anak, pregnant wiman yg udah low iron reserve

35
Q

komplikasi batuh

A

ada tp lh jarang dari ascaris lumbricoides

36
Q

sign n symptoms

A

asymptomatic

37
Q

early symptom

A
fever
migrasi larva ke pari
penetrasi kulit oleh larva filariform nebabi pulmonary ground itchh
low grade infalammatory response
wheezing
38
Q

late symptom

A
rasa ga nyaman di pencernaan
hookworm anemia
abdominal tenderness (mild)
pallor
pale conjunctive
takikardi
tidak semua punya anemia
39
Q

early diagnosis larval migration)

A

eosinophilia

normal stool

40
Q

harada mori culture

A

netesin egg jadi filariform larvae (riset)

41
Q

sterngoloides??

A

??

42
Q

established infection (GI phase)

A

egg di stool exam
egg not seen-slinically insignifacant
didukung orpn deficiency anemia di lab test

43
Q

treatment di kulit

A

cryotherapy kalo masih di kulit

44
Q

alendazole

A

decrease atp

45
Q

meendaole

A

locking uptake glukosa worm selektif, irreverisble a Cacing dewasa

46
Q

pyrantel pamoate

A

paralisis cacing

47
Q

prevention

A

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

48
Q

strongyloides stercoralis

A
tropical region (afrika asia, sout ame (brail, columbia)
enteric helminths
opportunistik
49
Q

2 form

A

filariform infective

freeliving rhabditiform

50
Q

autoinfeksi

A

infeksi erulang di immunocopromised host, hyperinfection hasilnya

51
Q

sign symptom

A

??

52
Q

hyperinfection syndrome

A
  • bacteremia meningitis gram negative sepsis
  • intestinal flora nempel di larva, kebawa
  • fever
53
Q

faktor risiko

A

??

54
Q

diagnosis

A

cari lrva di tinja
telur neted di usus, yg di feses larva
larav di sputum, urin, semen, skin biopsy csf
ELISA- cari IgG

55
Q

treatment

A

ivermectin-cacing dewasa

albendazole -?

56
Q

enterobiasis epidemiologi

A

cacing kremi/human pinworm
pada anak
ga nemus usu, ga ke aliran darah, etetp di usus

57
Q

disoriented pinworm ditemuin di mana

A

vagina, uterus, falopian tube, liver, peritoneum, ag survive lama disini

58
Q

sleep distubance krn

A

cacing beina migrasi ke perianal buat bertelur, sekresi substansi yg bikin gatal

59
Q

infeksi berat ningkatin risiko

A

appendicitis

cacing dewasa salah jalannurunin zinc level

60
Q

sign symptom

A

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

61
Q

diagnosis

A

anal swab di malam atau early morning seelum mandi

observe perianal region at night

62
Q

transmisi

A

inhalasi (telur di udara)
retrofection
direct egg hands mouth

63
Q

prevention

A

ganti cd 2x sehari cuci panas saun
anal area washed frequently
fingernails cut cose