MAKALAH CASE V

AMEBIASIS

Disusun oleh :

Tutorial C1

Yuli Setyo Budi

207.311.085

Cynthia Oktarisza207.311.013

Rizka fitriana

207.311.050

Donna Christin

207.311.120

M.Oktiyas

207.311.053

Putri Ayu Puspasari207.311.086

Rachmawaty

207.311.150

Mutiana Melati

207.311.081

Maria Risky

207.311.031

M.Aditya

207.311.104

Desi Nataria

207.311.124

FAKULTAS KEDOKTERAN

UNIVERSITAS PEMBANGUNAN NASIONAL VETERAN

JAKARTA, 2010

Page 1You are a fort year medical student in ER department. Mrs. Bia, 28 years old present to you diarrhea and fever. She suffered from diarrhea since 3 days before admission and fever for 2 days. She also has naussea, vomitting, abdominal pain and tenesmus.Questions :

1. Identify the problems!

2. Generate a list of hypothesis!

Page 2

Mrs. Bia has about eight to ten stooling per day with bloody and mucus laden, equal to glass. She has vomiting about 4 times per day. She works as a vegetable trader and comes from a family with low socioeconomic status. They live in crowded condition and poor sanitation are. The other family members who have diarrhea are not known. General condition : alert, looked pale and ill. Her temperatuure is 38.5 derajat Celcius, with dehydration sign without circulatory disturbance.Abdominal examination revealed abdominal pain, increased bowel sound, no sign for acute peritonitis. Other examinations are within normal limit.

1. Do you want to change your hypothesis ?

2. What is your opinion about her family condition?

Page 3

Laboratory investigation showed Hb coontent 10,8 g%, Hematocrit 28%, MCV 78 f, MCH 25 pg, MCHC 32 gr/dl, white blood cell and platelet cont eithin norma limit. Fresh stool examination revealed bloody stool, some mucus, fully bad odor, no bacteria, a few of fecal leukocytes, and some trophozoites as shown in figure below.SLIDES FROM PARASITOLOGY DEPARTMENT

(Figure of trophozoite of E histolytica)

Mrs. Bia had treated with metrinodazole per oral three times in a day. She also had supprotive treatment and rehydration, and she have to come again 3 days from now.

Question :

1. What is your diagnosis now?

2. What is the etiology of amebiasis?

3. Can you describe about the epidemiology of amebiasis?

4. What is the pathophysiology of amebiasis?

5. What is property management?

6. What is the course or prognosis of amebiasis?

Epilogue

Mrs. Bia was diagnosed as mild amebic without complication. After she had medication with metronidazole and other supportive treatment.