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typhoid fever - Coggle Diagram

- - - - IgM
      - widal
- - - - malaise
      - abdo pain
      - diarrhea
      - headache
      - konstipasi -> mengejan yg berlebih
      - intermittent fever -> 40 C
  - - - delieium -> gangguan kognitif
      - persistent -> 40 C
      - bradicardia -> jantung berdetak lebih lambat
      - hepatomegaly -> perbesaran organ hati
      - splenomegaly
      - constipation
      - diarrhea
      - rose spot -> bintik
  - - - complication
- - - - fluid restriction
      - acid-base & electrolyte correct
      - dexametason -> 3-5 d
  - - - pararental antibiotic
      - surgery
      - blood transfusion
- - - - 1st line
        
        amoxicillin
        
        cotrimoxale
        
        chloramphenicol
      - 2nd line /multidrug resistant
        
        ceftriaxone -> 5 d
        
        cefixime -> 10 d
        
        azithromycin
        
        fluroquinolone -> not recom <14 y
        
        carier -> 6-12 w
        
        surgery : perforation