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FAKULTAS KEDOKTERAN

UNIVERSITAS MUSLIM INDONESIA Makassar, 09 November 2018

LAPORAN PBL MODUL DEMAM


BLOK KEDOKTERAN TROPIS

Tutor : dr. Zulfamidah

Disusun oleh :

ILVA SUKARDI 11020160007


HERIKA LAKSMI SAFITRI K. 11020160015
INDRA APRIANTO 11020160029
ROZA LINDA DUARSA 11020160041
ANASTASIA NUGRAHA PRATIWI 11021060056
ST. HALIMA ASRAH 11020160067
SUCI RAMADHANI 11020160083
NABILA SAID AMRI 11020160097
TAUFIK HIDAYAT NUR 11020160101
DESY NURDIANTY 11020160176

FAKULTAS KEDOKTERAN
UNIVERSITAS MUSLIM INDONESIA
MAKASSAR
2018
KATA PENGANTAR

Puji syukur kami panjatkan atas limpahan rahmat, taufik, dan hidayah-Nya
sehingga laporan hasil Tutorial dari kelompok 1 ini dapat terselesaikan dengan baik.
Tak lupa kami kirimkan salam dan shalawat kepada junjungan kita, yakni Nabi
Muhammad SAW. yang telah membawa kita dari alam yang penuh kebodohan
menuju ke alam yang penuh dengan ilmu.

Kami juga mengucapkan terima kasih kepada setiap pihak yang telah
membantu dalam pembuatan laporan ini dan khususnya kepada tutor kami yang
telah banyak membantu selama proses Tutorial. Dan kami juga mengucapkan
permohonan maaf kepada setiap pihak jika dalam proses Tutorial kami telah
berbuat salah, baik disengaja maupun tidak disengaja.

Semoga laporan hasil PBL ini dapat bermanfaat bagi setiap pihak yang telah
membaca laporan ini dan khusunya bagi tim penyusun sendiri. Diharapkan setelah
membaca laporan ini dapat memperluas pengetahuan pembaca mengenai
kedokteran tropis.

Makassar, 09 November 2018

Kelompok 15
PREFACE
Firstly, thanks to Allah SWT for plenty of grace, taufik, and his guidance
so that reports the results of a group Tutorial 15 this can be resolved properly. Do
not forget we send greetings and blessings to our Lord, namely, the Islamic prophet
Muhammad. that has brought us from nature which is full of ignorance towards to
nature full of knowledge. We also say thank you to every party that has helped in
the creation of this report and in particular to our Tutor has a lot of help during the
Tutorial. And we also say apology to each of the parties if it is in the process of our
Tutorials have been doing wrong, either intentional or unintentional.
May report the results of these PBL can be beneficial to each of the parties
who have read this report and especially for the team of his own constituents.
Expected after reading this report could expand the knowledge of readers about
tropical medicine.

Makassar, 09 November 2018

Group 15

A. SCENARIO
Scenario 3

A 6-year-old girl came to the clinic with complaints of fever since 2 days
ago follow with pain while swallowing, shortness of breath and enlargement of
the right in the neck, the patient feels limp and listless.

7 JUMP STEP TO FIX THE PROBLEM

1. Clarify terms that are unclear in the scenario above, then specify a key
word/sentence of the above scenarios
2. Identify basic problem the above scenarios by making some important
questions
3. Do analysis by clarifying all information obtained synthesis information
accumulated
4. Student learning objectives to be achieved by a group of students over cases
when the information is not enough.
5. Steps 1 to 5 are performed in the discussion and the discussion of the first
joint
6. Student tutors are looking for additional information information on cases
outside the group face-to-face
7. Students reported the results of the discussion and synthesis of new
information found step 7 done in groups with a tutor.

B. KEYWORDS
 Girl 6-year
 Fever since 2 days ago
 Pain swallowing
 Shortness of breath
 Enlargement of right neck
 Weaknes and inert

C. PROBLEM IDENTIFICATION
QUESTION
1.
D. ANSWER

The International Union of Physiological Sciences for Thermal Physiology


defines febrile as a state of increased core temperature, which is often (but not
supposed to) be part of the defense response of multicellular (host) organisms to
invasion of microorganisms or inanimate objects that are pathogenic . El-Rahdi and
friends define fever (pireksia) in terms of pathophysiological and clinical aspects.
Pathophysiologically, fever is an increase in thermoregulatory set point from the
hypothalamic center mediated by interleukin 1 (IL-1). While clinically a fever is an
increase in body temperature of 1 ° C or greater above the average normal
temperature at the place of recording. In response to changes in the set point, an
active process occurs to reach the new set point. This is achieved physiologically
by minimizing heat release and producing heat. 1,2

Place of Temparature Fever


termometer
Measurement Normal (oC) (oC)

Aksila Mercury, elektronik 34,7 – 37,3; 36,4 37,4


Sublingual Mercury, elektronik 35,5 – 37,5; 36,6 37,6
Rektal Mercury, elektronik 36,6 – 37,9; 37 38
Ear Emisi infra Red 35,7 – 37,5; 36,6 37,6

Classification of Fever

types of fever that we might encounter, including :

1. Septic fever; In the type of septic fever, the body temperature


gradually rises to a very high level at night and falls back to levels
above normal in the morning. Often accompanied by complaints of
shivering sweating. If the high fever drops to a normal level, it is
also called heictic fever
2. Remiten fever: In the type of remittent fever, body temperature can
go down every day but never reaches normal body temperature.
Possible temperature differences can reach two degrees and not as
big as the temperature difference recorded in septic fever.
3. Intermittent fever: In the type of intermittent fever, body
temperature drops to a normal level for several hours in one day. If
a fever like this happens every two days is called tersiana and if there
are two days of fever free between two fever attacks called quartana
4. Continuous fever: In a type of continuous fever, temperature
variations throughout the day do not differ by more than one degree.
At a very high rate of fever called hyperpyrexia
5. Cyclic fever: In the type of cyclic fever there is a rise in body
temperature for several days followed by a fever-free period for
several days which then increases in temperature as before.3