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Lab:
Trombocyte
960005000036000
14000
Leucocyte 1420
PCV 45,5
AST 310
ALP 97
APTT 54,3 s
Antidengue IgM positif
Antidengue IgG positif
CUE AND CLUE PL IDx PDx PTx PMo
Female/17 yo 2. Tb on AFB at the end Joint care with pulmonology Subj,
-FDC at month 6 treatment of treatment department AFB
-6 months ago months 6th Po : FDC 3 tablets, 3 times per after
diagnosed has TB week end of
(cough with yellowish tx,
sputum, low grade
fever, loss of
bodyweight, and cold
sweating at night for
2 months)
-CXR:
fibrocalcification lung
D/S
Immunocom
Infected Viral
promised
neighborhood virulance
Increase
Dyspepsia vector
syndrome
DHF
Thombocitopenia Rumple
leede +
Risk factor
DHF
Dense population
Chronic infection
Viral virulence
TB
Dense population
Infected neared neighborhood
Management Analysis
Emergency : -
Urgency : DHF gr II
Evaluate VS and bleeding sign
Surface cooling
Rehidration with cristalloid to maintain haemodynamic
stabillity
Non urgency :
Dyspepsia syndrome
Soft diet
Anti emetic and oral PPI
TB on tx : continue tx FDC
Condition this morning
Subj: epigastric pain (+)
BP: 100/70
PR: 108 bpm
RR: 24 tpm
T: 36
Petechiae (+) from rumple leed
Thank you
Fluid therapy