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PBL CLINIC WEEK 12

DK 1

UNCLEAR TERMS

1. Anamnesis (april)KBBI !e"eran#an ""# !e$i%&pan sese'ran# # %iper'le$ melal&i

aan*araW&lan D'rlan%+ men#in#a" !em,aliAnna D'rlan% men#in#a" !em,ali se-ara$ masa lal& men#enai pasien

%an !e&ar#aKa&"sar In#a"an im&n'l'#iP&*i D'rlan% ,er%asar!an in#a"anpasienKesimp&lan !e"eran#an ""# !e$i%&pan sese'ran# an# %iper'le$ %#

men#in#" !em,ali se-ara$ masa lal& men#enai pasien %an !el&ar#a

,er%asar!an in#a"an pasien mll aan*ara2. Aler#i (/asma$)

(D'rlan%) !ea%aan $ipersens"i0 # %i%apa" mell&i pa-anan "$%p aler#en

"er"en"& %an a-ann &lan# menim,&l!an mani0es"asi a!i,a" !emamp&an

,erea!si an# ,erle,i$an(KBBI) rea!si "&,&$ # %i"an%ai %en#an ,en#!a! %an ,is&l "$% !&man

pena!i"(0'r%) !'n%isi # +mene,a,!an sese'rn# ,era!si ,&r&! a"a& merasa

sa!i" !ei"!a ma!an a"a& ,ersen"&$an %# $al """Kesimp&lan !ea%aan $ipersensi"i0 p% "&,&$ # %i%apa" mell&i pa-anan

"$%p aler#en "er"en"& %an pa-ann &lan# menim,&l!an ,en#!a! %an

merasa sa!i" !e"i!a ma!an a"a& ,ersen"&$an %# $al """3. S&s& 4'rm&la (W&lan)

(Kam&s #i5i) S&s& $ean mamalia n# %i!emas men-a%i "ep&n# %#

!'mp'sisi 5a" #i5i &"ama men%e!a"i !'mp'sisi asi(Kam&s Pan#an %an 6i5i)S&s& sapi an# !'mp'sisina %im'%i7!asi

$in##a menr&pai s&s& man&sia &n"&! mem,eri ma!an ,aiKesimp&lan s&s& sapi # %im'%i7!asi $in##a mener&pai ASI #

%i!emas men-a%i "ep&n#.8. MP ASI (P&*i)

(Kam&s 6i5i) Ma!anan a"a& min&man # men#an%&n# 5a" #i5i #

%i,eri!an !epa%a ,ai a"a& ana! &sia 9:28 ,ln #&na memmn&$i !e, #i5iselain an# %i%apa"!an %ari ASI

CUES

A$li #i5i %i$arap!an mamp& mem,&a" %ie" # "epa" &n"&! ana! A

%en#an !'n%isi aler#i.

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PI

1. Ba#aimana 6am,aran &m&m %ari aler#i; (PES +

0a!"'r resi!'+ mani0es"asi !linis %an -enis aler#i

se*ara &m&m)PAT4ISIL6I

S&!ma+!e"i!a a%a aler#en mas&! !e %alam "&,&$+ "i%a! a%asis"em im&ni"as < resep"'r se%i!i" s$# %apa" mema*& "&,&$ &n"&!

men#el&ar!an "an%a %an #e-ala aler#i.

D5a!+alana %i %alam "&,&$ sese'ran# =memili!i rea#en "$%,,rp aler#en misal+ ma!ann. Sis"em im&n %i sel %ara$ p&"i$ an#

men#el&ar!an $is"amin an# %a'a" menim,&l!an aler#i

P&*i+"er-a%i per&,a$an rea!"i7"as+ "&,&$ $ipersensi"i>i"as %#%i"an%ai resp'n # ,erle,i$an "$% ,en%a asin# !em&%ian "r%p"

me%ia"'r2 primer spr"i an"i,'%i %an ,&!an lim0'si" T. S$# "r-%i T %an

6 aler#i

Nesa+aler#en meran#san# lim0'si" &n"&! mempr'%&!si I# E s,#an"i,'%i. Lal& AB mele!a" pa%a sel+ -i!a ma!anan %i!'ns&msi ma!a

a!an menin#!a"!an $is"amin # memi*& aler#i

ETIL6I Ben%a asin# # mas&! !e %lm "&,&$+

"erpapar %e,&+

5a" aler#en

riaa" pem,erian asi # ,&r&!+ mene,a,!an im&ni"as ,er,e%a %#

n'rmal

!'ns&msi ma!anan s&m,er pr'"ein "in##i

m&"asi #en

SS

#a"al:#a"al %iare

,en#a!

,er*a! pa%a !&li"

!&li" !emera$an

sesa! na0as

m&al m&n"a$

,ersin:,ersin

%emam

p&sin#

4AKTR RESIK

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!e"&r&nan

pemili$an BM # !&ran# "epa"

-aran# men#!'ns&msi BM """

lin#!&n#an !&ran# ,ersi$

MANI4ESTASI KLINIS

,en#!a!+ ,ernana$+ %aera$ #a"al men-a%i panas.

Kema"ian+ %apa" "er-a%i !arena ,en#!a! "er%apa" pa%a aliran

perna0asan

Asma

Be!as pa%a !&li"

?ENIS ALER6I

Aler#i Ma!anan

Aler#i De,& Aler#i ,a!"eri+ %in#in+ ',a"+ #as"r'in"es"inal+ la"en+ 7si!+ p'len+

p'li>alen

Aler#i A"'pi

2.Ba#aimana Pa"'7si'l'#i %an E"i'l'#i aler#i

!$&s&s pa%a ,ai;

PAT4ISIL6I

I%em aal

ETIL6I

I%em aal

Karena sis"em pen*ernaan ,el&m ma"an#+ s$# sema!in "in##i

pem,erian s&s& 0'rm&la %apa" memi*& "in##ina resi!' "eer!ena

aler#i

3.Pemeri!saan apa # %i#&na!na &n"&!

men%e"e!si aler#i pa%a ana!; Pemeri!saan Lim0'si" %ara$

Pemeri!saan 7si! !linis

Pemeri!saan men##&na!an "&s&! -ar&m pa%a "an#an %en#an

,er%asar!an ,a#ian aler#en pa%a "an#an

Pemeri!saan men##&na!an *airan %i %alam "a,&n# %an

men##&na!an !aa"+

Pemeri!saan AB I# E

8.Ba#aimana TPS %ie" ,ai (&sia 1 "$) Aler#ima!anan ;

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TU?UAN

Pem,erian %ie" %i#&na!an &n"&! men#&ran#i #e-ala aler#i

Memen&$i !e,&"&$an pasien

Men#$in%ari "er-a%na !epra$an SS

PRINSIP

Die" Aler#i

Pr'"ein ren%a$

Tin##i ener#i

Die" eliminasi+ ana! %i$in%ar!an %ari se#ala ma*am BM #

menim,&l!an aler#i pa%a ana! "s,

Die" Pr'>'!asi+ -i!a "i%a! %i"em&!an BM # menim,&l!an aler#i+

%i,eri!an BM # !em&n#!inan menim,&l!an aler#i &n"&!

S@ARAT

3: $ari per"ama %i,e,as!an %ari BM # ,eresi!' "$% aler#i

Dia"as $ari+ perla$an2 %i,eri!an BM an# memili!i &ns&r BM

an# menim,&l!an aler#i

P'rsi !e*il "api serin#

Di$in%ari s&s& sapi %i#an"i %en#an s&s& !e%elai+ %an s&s& MCT

/in%ari ma!anan pr'"ein "in##i

.Ba#aimana 0ase pem,erian MP ASI # "epa"

ses&ai %# &sia %an -enis ma!ananna;

4ASE

Usia 9 ,ln+ pem,erian ma!anan *air+ misal pisan# %i*air!an

Dia"as 9 ,ln+ pem,erian ma!anan l&na!

Usia : ,ln+ ma!anan l&na!

Usia ,ln+ ma!anan !asar

Usia 11 ,ln+ ma!anan ,iasa

Dia"as 9 ,&lan+ %i,eri 7n#er0''% misal ,is!&i"

9: ,ln+ ASI+ ,&a$ %an ,&,&r s&s&

: ,ln+ ASI+ ,&a$ %an ,&,&r s&s& nasi "im sarin#

9.Apa sa-a BM MP ASI an# "epa" &n"&! ana!

A; W'r"el %en#an pemasa!an re,&s l&na!

Pisan#+ alp&!a"

B&,&r s&s&

Ta$&+ "empe+ !a*an#2n+ !e%elai+ #&la+ "eri#&+ mar#arin (Pr'"ein

na,a"i)

Camp&ran ,eras mera$