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20 years old male with fever Helvi Ramadhani…
20 years old male with fever
Helvi Ramadhani 1908260083
type of fever
septic fever
intermittent fever
cyclic fever
continue fever
remittent fever
fever definition
a form of nonspecific defense system that causes changes in the body's temperature regulation mechanism causing the body temperature to increase
morphology of the Aedes agypti mosquito
how to diagnose DHF
Supporting investigation
Examination of Blood Clotting Physiology
prolonged prothrombin time,
activated partial thromboplastin time is prolonged,
serological test
IgG
chronic
IgM
acute
check ns1
complete blood:
trombositopenia (<100.000)
hematocrit ≥20%
relative lymphocytosis (>45% total leukocytes)
anamnesis
Fever?
Additional symptoms?
Nauseous vomit
Diarrhea
skin rash
Headache, retro-orbital pain
Muscle and joint pain
Does anyone in your neighborhood suffer from DHF?
the life cycle of the Aedes aegypti mosquito
DHF
definition
infectious disease caused by dengue virus with clinical manifestations of fever, muscle aches, joint pain, leukopenia, rash, lymphadenopathy, thrombocytopenia and hemorrhagic diathesis
risk factors
vector density
sufferers in the environment or family
environtment
epidemiology
Southeast Asia, western Pacific and the Caribbean. DHF incidence in Indonesia is 6 to 15 per 100,000 population
pathophysiology of dhf
The immune response that plays a role is the humoral immune response
T-helper (CD4) and T-cytotoxin (CD8) also play a role in the cellular immune response against dengue virus
The T-helper will activate the T-cytotoxic cells which will
lyse macrophages that have phagocytosed viruses.
Macrophage infection by dengue virus causes
activation of T-helper and T-cytotoxic so that lymphokines and interferon gamma are produced
differential diagnosis of DHF
typhoid fever
DF
malaria
dhf complications
encephalopathy
CNS disorders
liver damage
prognosis DHF
conditions of dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS), mortality becomes worse.
treatment
Patients suffering from DHF without spontaneous and massive bleeding and without
In the presence of shock, a crystalloid infusion is given
education and prevention
eradicate against
Dengue Fever (Aedes aegypti) 3 M mosquito larvae
Fold clothes/cloths hanging in the room so that mosquitoes don't
perched on the clothes.
