Master Lbm 6 Repro Sgd 11

8/16/2019 Master Lbm 6 Repro Sgd 11

1/16

LBM 6

STEP 1

- Fishy odor: the discharge smells like a fsh ( amis )- Taer stage : de!elo"met stagig #or $reast si%e &

"'$erty stage di "'$ish oleh Marshal ad Taer &

eimiatio #or eertal geitalia ($reast de!elo"met

"'$ic hair height)

STEP *

1& Metio the clasifcatio o# !agial discharge +

*& ,hy the oma com"lai o# the !agial discharge ithfshy odor o!er * eeks +

.& ,hy sho'ld the doctor "al"ate the thyroid +/& ,hy the !agial discharge a""ear a#ter iterco'se +0& ,hat is relatio $etee the com"lai ith the oral

cotace"tio +6& ,hat are sig ad symtom o# i#ectio o# #emale

re"rod'ctio system +& ,hat are 2iagose ad 2i3eret 2iagose +4& Etiologi ad risk #actor #rom !agial discharge +5& Metio T'er stage 17& E"lai the $asic ad additioal eamiitio #or the

"atiet ith !agial discharge 11& E"lai the "rici"le maagemet #or "atiet ith

"atholgy !agial discharge

STEP .


Ty"e o# discarge ,hat might mea Sym"tomsBloody8$ro 9reg'lar mestr'al

cycles cer!ical or

edometrial cacer

$ormal !agial

$leedig "el!ic

"ai

;lo'dy8yello goorheae Bleedig $etee


2/16

"eriod"el!ic

"aidis'ria


3/16

.& E"lai "atho"hysiology a$o't !agial discharge

/& ,hy sho'ld the doctor "al"ate the thyroid +

0& ,hy the !agial discharge a""ear a#ter iterco'se +

area meigkatka kosetrasi $asa dalam !agia

Bakteri $erkem$ag discharge kel'ar

6& ,hat is relatio $etee the com"lai ith the oral

cotace"tio +

area "egg'aa kotrase"si oral kom$iasimegad'g estroge da "rogestero dimaa

estroge meye$a$ka discharge !agia le$ih ecer

meg'$ah "? me>adi $asa meye$a$ka $akteri le$ih

m'dah $erkem$ag

& ,hat are sig ad symtom o# i#ectio o# #emale

re"rod'ctio system +

B= Trichomoiasis ='l!o!agial ;adidiasis

=C9A9T9S

- 2isharge : Fishy "? 6- ara "'tih a$'* ( $akterial ) Fishy "h 6- ara hi>a'-k'ig ( "arasit )

,ara "'tih $er$'sa "h D /0 ( yeast8 >am'r)P'tih $er$'sa "h /0 ( other ca'ses)

Sym"tom BV :

- Fishy odor- Mild @ moderate icrease !agial discharge- ='l!a irritatio ( >arag )- 2is'ria- 2is"are'ia

riteria diagosis B= ( msel ) . dari / :- 2'h homoge ecerr ara "'tih a$' a$'- Ph /0- da fshy odor


4/16

- 2ari caira !agia ditetesi 17 G? am"ak adaya

;LHE ;ELL "emeriksaa mikros

9AFES9 TI9;?GMGAS

- 2ischarge yello 8 gree- Pr'ritis- 2is'ria- Pada PF : !'l!a da !agia iritasi- Cam$ara Stra$erry cer!i

4& ,hat are 2iagose ad 2i3eret 2iagose +



Sym"tom B= : DIAGNOSE!- Fishy odor- Mild @ moderate icrease !agial discharge- ='l!a irritatio ( >arag )

- 2is'ria- 2is"are'ia

riteria diagosis B= ( msel ) . dari / :- 2'h homoge ecerr ara "'tih a$' a$'- Ph /0- da fshy odor- 2ari caira !agia ditetesi 17 G? am"ak adaya


9AFES9 TI9;?GMGAS- 2ischarge yello 8 gree- Pr'ritis- 2is'ria- Pada PF : !'l!a da !agia iritasi- Cam$ara Stra$erry cer!i

5& Etiologi ad risk #actor #rom !agial discharge +

Iisk Factor B=


5/16

- Lo social ecoomic stat's- =agial do'cig ( mem$ersihka !agia )- Smokig- ;otrace"tio

- Ae 8 m'lti"el se "arter- H"rotecti!e se'al iterco'se- ?omose'al- ?9=- Jarag gati celaa dalam- area megg'aka celaa ketat

Iisk #actor ='l!o!agialis adidiasis- Iesiko diet tiggi g'la

- Hkotrol 2M- ?9=

17& Metio Taer stage

Boys

eteral

geital

Cirls Breast

2e!elo"met

Boys K

girls "'$ic

hair

Boys

height

Cirls

height

9 :

"re"'$ertal D11 th

9: Pre"'$ertal 9:

"re"'$ical

0-6 0-6

99 :

elargmet

scrot'm

testis

99 : ele!atio o#

$reast ad

"a"illaelargmet

o# areola

99 : s"arse

groth o#

log

"igmetal

hair

0-6 -4

999 :

elargmeto# "eis

999 :

darkermore

c'rled

hair

-4 4

9= : icreased

si%e o# "eis

glads testis

scrot'm

999 :

elargmet o#

$reast ad

areola

9= : hair

ad'lt i

ty"e $'t

ce!eria

smallerarea

17


6/16


7/16

1.& Tidaka "re!eti#

MPP9AC

STEP


Ty"e o# discarge ,hat might mea Sym"toms


8/16

Bloody8$ro 9reg'lar mestr'al

cycles cer!ical or

edometrial cacer

$ormal !agial

$leedig "el!ic

"ai;lo'dy8yello goorheae Bleedig $etee

"eriod"el!ic

"aidis'ria


9/16

*& ,hy the oma com"lai o# the !agial discharge ith

fshy odor o!er * eeks +- da s'at' #aktor yg meye$a$ka lacto$asil's t'r'

"eigkta "ert'm$'ha $akteri aeoro$cotohyagaderella !agialismere"lace lacto$acil's

meta$olisme as&amiomeggatika as&amio >adi

amie($asa)&

- Setelah $erh'$'ga semegel'arka caira

sememer'$ah "h !agia >adi le$ih $asa

- etidakseim$aga atara ora ormal da k'maaaero$ "ada !agia&Bakteri garderela !agialis meghsilka asam amio

seyaa ami me>adika P? >d $asa $a' me>adi

amis 8 fshy odor

.& E"lai "atho"hysiology a$o't !agial discharge

- =agia discharge m'c'l saat o!'lasi se$el'm dases'dah mestr'asi $ayi $ar' lahir ses'dah melak'ka

h'$'ga

- fsiologis e $or i#at ( karea estroge aik )

saat se$el'm mestr'asi saat o!'lasi;iri : ecer sticky clear hite tdk $er$a' thi tidak

ada tada "atologis &=agial discharge yag fsiologi megel'arka k'ma

"atoge & da "egar'hi hormo estroge mestim'lasi

lags'g !agial 't'k megel'arka !agia discharge=agia discharge Fisiologi mem$at' keseim$aga

ora ormal !agia me>aga !agia "? yg ormal

/& ,hy sho'ld the doctor "al"ate the thyroid +- Estroge meigkatka rese"tor dr TI? mesekresi

hormo tiroid

hi"ertiroid

estroge t'r'- adar hormo tiroid mem"ergar'hi hormo estroge


10/16

- Tiroid tiggi estroge redah hi"ertiroid- Tiroid redah estroge tiggi hi"otiroid

0& ,hy the !agial discharge a""ear a#ter iterco'se +

- area se$el'm coit's teragsag kel'ar discharge

se$agai l'$rikasiarea meigkatka kosetrasi $asa dalam !agia

Bakteri $erkem$ag discharge kel'ar

6& ,hat is relatio $etee the com"lai ith the oral

cotace"tio +- Gral kotrase"si ada yag "rogestero da kom$iasi

( "rogestero da estroge )

- area "egg'aa kotrase"si oral kom$iasi

megad'g estroge da "rogestero dimaa

estroge meye$a$ka discharge !agia le$ih ecer

meg'$ah "? !agia me>adi $asa meye$a$ka

$akteri le$ih m'dah $erkem$ag ter>adiya i#eksi

"ada !agia

& ,hat are sig ad symtom o# i#ectio o# #emale

re"rod'ctio system +B= Trichomoiasis ='l!o!agial ;adidiasis =C9A9T9S



Sym"tom BV :- Fishy odor- Mild @ moderate icrease !agial discharge- ='l!a irritatio ( >arag )- 2is'ria- 2is"are'ia

Kriteria diagnosis BV ( Amsel ) 3 dari 4

- 2'h homoge ecerr ara "'tih a$' a$'- Ph /0


11/16

- da fshy odor- 2ari caira !agia ditetesi 17 G? am"ak adaya


9AFES9 TI9;?GMGAS =agialis- Peyakit Trichomoiasis- Masa ik'$asi 0-*4 hari- 2ischarge yello 8 gree er"sa $a' se"erti tel'r

$'s'k- Pr'ritis- 2is'ria dis"are'ia yeri "er't $agia $aah- Pada PF : !'l!a da !agia iritasi- Cam$ara Stra$erry a""eareace "d cer!i da !agia

9AFES9 ;A292

- Peyakit ;adidiasis- 2ischarge : "'tih se"erti s's' ke>' $er$a' asam- 2isertai "r'rit's rasa "aas yeri $'ag air kecil- ='l!a da =agia $isa edem eritem ada

"se'domem$ra

BTEI9L =C9AGS9S

- 2ischrage : ara "'tih melekat "ada !agia- Fishy odor a#ter se'al iterco'se- Sekret homoge- Mikrosko"is : am"ak cl'e cell- =agia da cer!i tdk ada tada* a$ormal- Ph /0

4& ,hat are 2iagose ad 2i3eret 2iagose +



Sym"tom B= : DIAGNOSE!- Fishy odor- Mild @ moderate icrease !agial discharge- ='l!a irritatio ( >arag )

- 2is'ria- 2is"are'ia


12/16

riteria diagosis B= ( msel ) . dari / :- 2'h homoge ecerr ara "'tih a$' a$'- Ph /0

- da fshy odor- 2ari caira !agia ditetesi 17 G? am"ak adaya


9AFES9 TI9;?GMGAS- 2ischarge yello 8 gree- Pr'ritis- 2is'ria- Pada PF : !'l!a da !agia iritasi

- Cam$ara Stra$erry cer!i

9AFES9 TI9;?GMGAS =agialis

- Peyakit Trichomoiasis- Masa ik'$asi 0-*4 hari- 2ischarge yello 8 gree er"sa $a' se"erti tel'r

$'s'k- Pr'ritis- 2is'ria dis"are'ia yeri "er't $agia $aah- Pada PF : !'l!a da !agia iritasi- Cam$ara Stra$erry a""eareace "d cer!i da !agia

9AFES9 ;A292

- Peyakit ;adidiasis- 2ischarge : "'tih se"erti s's' ke>' $er$a' asam- 2isertai "r'rit's rasa "aas yeri $'ag air kecil- ='l!a da =agia $isa edem eritem ada

"se'domem$ra

BTEI9L =C9AGS9S ( diagosis )

- 2ischrage : ara "'tih melekat "ada !agia- Fishy odor a#ter se'al iterco'se- Sekret homoge- Mikrosko"is : am"ak cl'e cell- =agia da cer!i tdk ada tada* a$ormal- Ph /0


13/16

5& Etiologi ad risk #actor #rom !agial discharge +

Iisk Factor B=- Lo social ecoomic stat's- =agial do'cig ( mem$ersihka !agia )- Smokig- ;otrace"tio 9tra Hteri ( 9H2 )- Ae 8 m'lti"el se "arter- H"rotecti!e se'al iterco'se- ?omose'al- ?9=- Jarag gati celaa dalam- area megg'aka celaa ketat

Iisk #actor ='l!o!agialis adidiasis- Iesiko diet tiggi g'la- Hkotrol 2M- ?9=- Pegg'aa ati$iotik sistemik

Iisk Factor Trichomoiasis- Hse cotrace"tio- M'lti"el se "arter

Etiologi B=- Carderela =agialis aka $eriteraksi dega

Mo$ic'l's homiis Bacteroides Pe"rostre"tococc's

( $akteri aaero$) me'r'ka laktat s'$silat asetat- Bakteri gram egati# o motil o ka"s'l

17& Metio Taer stage

Boys

eteral

geital

Cirls Breast

2e!elo"met

Boys K

girls "'$ic

hair

Boys

height

Cirls

height

9 :

"re"'$ertal D11 th

9: Pre"'$ertal 9:

"re"'$ical

0-6 0-6


14/16

99 :

elargmet

scrot'm

testis

99 : ele!atio o#

$reast ad

"a"illaelargmet

o# areola

99 : s"arse

groth o#

log

"igmetal

hair

0-6 -4

999 :

elargmet

o# "eis

999 :

darker

more

c'rled

hair

-4 4

9= : icreased

si%e o# "eis

glads testis

scrot'm

999 :

elargmet o#

$reast ad

areola

9= : hair

ad'lt i

ty"e $'t

ce!eria

smaller

area

17

= : d'lt

geitalia

9= : areola ad

"a"ila #rom a

secodary

mo'd a$o!e

le!el o# $reast

= : ad'lt

i ty"e

Ao

#'rter

height

icrea

sea#ter

1

years

old

#ter

16

years

old

= : "ro>ectio

o# "a"illary

oly related to

recessio o#areola

11& E"lai the $asic ad additioal eamiitio #or the

"atiet ith !agial discharge disertai gold stadart

## BV


15/16

- P#: d'h t'$'h ara a$'* homoge$r$a'- Pemeriksaa sediaa $asah secret !agia: am"ak

sel e"itel $yk$asil $erkelom"okdili"'ti coco $acil&- ,?9FF test 8 Si3 Test dida"atka cl'e cell &

- Ph !agia- 'lt'r secret dg medi'm agar dida"atka

Carderela !agialis- Tes $iokimia reaksi oksidasi da tes hidrolisis hi"'rat

da ka>i

#ada $ri%&omoniasis - "d hi3 test tdk ditem'ka cl'e cell - ada "emeriksaa mikros ter>adi "eigkata sel

PMA - k'lt'r di da"atka Trichomoas !agialis

Kandidiasis- Pegecata gram : ditem'ka gam$ara khas

!agial tr'sh ( $ercak "'tih $er'"a g'm"ala >am'r )

1*& E"lai the "rici"le maagemet #or "atiet ith

"atholgy !agial discharge

Medikametosa Trichomoiasis

- Metroida%ol 077mg selama hari- Metroi%adol *gr oral sigel dose 1 hari a"a$ila resiste

metroida%ol dila>'tka -1/ hari

- Aimira%ole *gr oral dosis t'ggal- Tiida%ol *gr sigle dose oral

adidosis ='l!o!agial- Elimiiasi #aktor "redis"osisi- ti>am'r- 2ik'lt'r >am'r

Bakterial =agial

- Metroida%ol 077mg 8oral & *1 hari selama hari- Metroida%ol *1 hari selama 0 hari "er!agiam


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- lidamisi * "er!agiam 11 selama hari1& tera"i sistemik

- ati$iotik : metroida%ol */778077 mg selama

hari GATI dega aita hamil

"a$ila gagal : di$eri am"icili 8 amoyli &- lidamyci .77mg *1 hari- Tetracycli *07 /1 0 hari- Tiida%ol *077mg selama 0 hari

1.& Tidaka "re!eti# - Jaga $erh'$'ga s'ami istri selama "ego$ata- Me>aga ke$ersiha !agia- Tidak $ergati gati "asaga

- Megg'aka "egama saat coit's

Master Lbm 6 Repro Sgd 11

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Transcript of Master Lbm 6 Repro Sgd 11