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TRIAS PSK p -

Oney
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Etiologi : Asu pan Fet
( put at , splenomegali ,
Kuning ) ( pueat ago ] Riw -

lnfeksi lacing
Tanda : lidahkilat
- Tata Mia
-
Anemia defi Fe
-
Gx : PUEAT → p only .

-
Anemia hemoiitik autoiinune - Anemia peny .
kronik -
Mvddh Klan

- lnkomptabilitas got daran .

-
Anemia def As Facet /
.
-
Pita lmakantdk
Kuku senator
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1312 → nnya ktyrsariawan.li
Pd Anak ? Hung lidah
-
Anemia aplasia
-
Lab : Mi krositikhipokrotn → Mtv t ,
Mttltt , Mutt

1 Beti 49 beredardidaiam
Eritrogjt
6-old stand ar serum Iron t daran,
IN d @ ✗
- :

serum Ferittint lead besi ) .

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Nor mositik =
80-100 ↳ Mormon rom : Normal > 30
TIBET lkapasitastubuhmengikat best)

Mikrositik < 80 Hipokrom :< 30 Tatalaksana Fe 3- 5mg 1kg BB 1hr

-
= -
:

Marro sitik > 100 Gauda hiperkrom Hb Isi Ferritin

'

Hb : 8- to ←

Kontrol 1 bulan ,
minimal diberikan 3 Bulan .

Trans Fasi PRE , Tk Hb 46 mg 1dL

Tmlh PRC = 4 Hb ✗ 4 ✗ BB .

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ltlb target - Hbsaatini )

Di Indonesia ada 3 Tenis best :

1. Ferrous Fumarate
I.
Ferrous 6W Korat

3. Ferrous 8111 Fat → paling Moran

1 (SF) ↳ 300 -

325mg Hat → Fe : 60 -65 mg / tab .

* suasanaasamlbhba.lk Y penyerapanbesi
→ tbh baik Sblm Makan

* supayapeiryerapan best baik ④ Vit C--

* j-anganminumteh-tanin-menghambatpenyerapanbe.si
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Makroiltik → Mev P -

Petty genetic autosomal remit .

pybb -
def Vlt B12 → Siano cobalamin -
Puiatihepatosplenomegali ikterik ,

( def Bg khat
folate
:
as .

F- Keiko : -
pd Anak : vegetarian → Def Vit Bla
.

Defisit neurologist kebas , Kele Maham → t Def . Vit 1312

↳ -

Def . Asam Folate

* Vit B12 SB9 diserapolehtubuh dg bantu an Fdktor intrinsic → dihasilkan

gaster →
Orang ? post op Gaiter risiko def Vit 1312 , Bg

-
Obat anti konvlllsan risiko def Vit 1312,139
⑧
terapi penyakit ygmendasari Facies Coty / rat face
-
Terapi :
rodent face

Vit B12 suntik Hemolitik

→ → SST → hiperplasia → Talang menontolsmemoesar
As Folat
.
→ suplemen
-
RIW .

transfusi berulang
-
Gold stand ar : Hbelektroforesa / Analisis Hb

AAnneemmiiaaN-tppllaassttiikklsplenektomil.tl/pemetahan
-
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Thala semi Alfa Hbf , HBA Hb Az Itt

twang PANSITOPENIA !!!
:
kelainan { Thalasemia
-

,
-
sum sum →

(
↳ pd panjang beta : HBA to ,HbAz THE
anak tulang pipits . Pd dewasatulang Normal atau meningeal
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eliologi - autoimune s Ada :
mayor : simptomatik
( virus = sltomegalovirus Minor : Asim ptomaine

-
Gold stand ar : Bone marrow puncture → sepi , Koning ,
set lemar * thalassemia alfa mayor → meñinggal dlmkandungan
↳ hiposellllaritas
* thalassemia beta
↳ hidrofetalit
mayor
-
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Transplantaii sumsum Thang lterapidéfinitif )

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splenomegali -
. I - -
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ikterik ,

Bento 't telex transfusi tdk took

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-

Hbdinancyrkan ? ↳ cross match Ga wook

Fung si tidak baik -

Tes comb + / DAT + → aoltoimun

thalassemia C autosomal Terapi kortikosteooid

KAPA bennet Hbtelekl
:
f. Internal
-
-
-

Fvngsitdk hair ?
( F. eksternal - antibodi Ibu
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send in

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crest
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hepar spleen
↳ lnkomptabilitas .

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hepatosplenomegali .

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2. Anti oodimenyerang antigen * lnkomptaoilitas ABO

3. puny a antigen .
↳ pd Anak Ket .
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l, Ada 3 f. intrinsic TF VII → IT prothrombin time 4

/ F- Ekstrinsik
aedes aegypti
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ve Kfor
↳
-
:

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.

-
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limfosit TX : kemoterapi
TMN ↳
-

Leukosit Mono sit

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↳ Necrotic .

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-

Terapi : supoitit-oslmptomal.ir

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Rose spot : Bintik Merah di dadas pung gang atas ↳ vitamin ga botch Vit c- .

pradikardi relatif : Nadi ga naik tpi Nhut

In f- f ks I [A [ Ing
-

Normal : Sanu naik 1°C , HR naik 8-10×1 mint

-
px : Tes wid al

↳ Psa dilakukan Saat bergeJala 3 I - 2 minggu pasta

Kalo fid Penang Katan → +

IgG IgM Salmonella .

-
Gold stand ar : Kultur daran → minggu I -2

- Tx : -
Kloramfenikol 100mg 1kg881 Ur dibagi dim 4 dons -

Ma 10 -
14 hr .

I ES : Anemia aplattik .

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pendek
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pagi hari ada c- acing sprti parutan Kelapa .

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Manuel getala ileus obstruktif .

* Scarlet Faver → strawberry tongue ,

Merah Full Sandpaper - SINDROM LOEFLR :
Bank sprti keluar makanan + sesak .

* Eritemainfectiosum → Merah di Ppi Kin' S Kanan

* Roseola → Nagayama spot → oipalatum

* Varicella → tatar air ,

* HFMD Chand -

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ga th SD
:
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-
diareberdarah
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Ketuali * Enterobiasis : lini ke -1 : piranteipatnoat
1 - .
.
. sterioraiis * tricuriasit : line Fe -3 buran pirantelpamoat →
larva menem.b.us Kill it → diam di Usat halas Oks ante pamoat .

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Anemia def besi .

Gang . pertumbuhan .

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:
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KLA 811--1 KASI

1. Remisi / sembllh → proteinuria -

berturut ? 3hr dim Imgg

lsensitif steroids

2. Relapse / kambllh : proteinuria 32 +3hr bertllrut ?

→ Tarang 12 ✗ dlm 6 bln

↳ Serino 72 ✗ dim 661h

3. Dependent steroid :
Relapsaxbenerutan SHH steroid ditunntan
Rodier Neurologist
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: t
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↳ Psa nidup di Usui atoll vesitaurinaria R= Red blood cell Cest

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KLASIFIKASI
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3. hiperlipidemia ( Kole sterol > 200 mgldl ) → oval fat bodies

Amoxicillin
→
.

pasien dating dggejala bengkak Setu run tllbllh → AEEI

loop diuretic Furosemid

→
=

minimal change nephropathy → Tenis sindrom nefrotikterbanyak

Terapi : prednison → imunosupresaii
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attending
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Plgbanyak scr

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-

pd Neonates to -28hr) -

↳ ga spesifik → neonates demon → Kultur urine -

* 15K → Atas lpielonefritis)

↳ demam I smenggigil
4 Flank pain
is
Pawan Csistitis)

↳ Nyeri tekan v4

* pmx : urinal isis : leukosit Urine > 5 Ipb

leukosit esterase

nitrile +

Gold standar → Kultur urine

2- in c- dilauettandg 1 Sendak air

→ fret ASI 8-loxlur .

73 bln .

Atar
t -
-

kftriaxone 1-
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f.
lefotaxlime ① kotrimoxatole
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-

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Gastroenterologi
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-

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1215mg / KGBB dlm 4

+ ✗ FORM dons dlm 3hr .

→ mirip <☒µ : Eritromiin

intolerant -125 mg / KGBB dim 4
glukosa Diane berleonak don't SIM 3hr .

Clue E. coli
1. Kultur Mi -

Conkey (t) → wanna Merah bata Hoa

2. Fermentasi laktosa (t ) → warnahijau .

3. Tes Indot (t ) → warn a Merah

E.to/iDiseNtrIDiareiendirdaran
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Krithia Krithia Umar > 1- th Umar ath

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travelled
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Pakteri

laying diare
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giardia lamoia .

demam < 38 diane "0

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AIERGI SUSU SAPI INTOLERANSI GLVKOSA
protein Susu sapi → reaksi 6A bsamenyeraplaktosa →

etio enzim lactase to

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.

reaksi 112 ,
as -
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.

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mud

Muntari .
nyeri pent

DX Uti eliminate Provo Kasi Clint test ( Fesesadalaktosa ?)

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HENTIKAN SUSU FORMULA ! ! !

sapi Pate Susu Free lactose

terapi -
Ibo diet elemi nasi -
Asl latent

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-

cegahdehidrasi .

seinpurna / hipoalergeisik

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serologi hepatitis
I KEJANG DEMAN SEDERHANA
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Yet ang < 15 Mnt

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General seizure ( tetany seluruhtubuh )

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lama tejano > 15 Mnt
HAV

IgG Peru long dlm 24 Jam

anti HAV Samoan lsdhpernah / -

vafsin -
Focal seizure / total Td General .

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-
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serologi hepatitis B
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Arnot KNDIS Tnfetsius seinboh Perman vaksin .

Window Tanda that UUB Menonto

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Period

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survey

Kill Maul Rehidrasi NaCl bolen 12412A

↳ nafas ,
-
.

Fetal oral target : motor neuron perifer

Gx : flu illness yndrom Natas bauaseton 10-20 CCIKGBBDIM 1 jam
.

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-

GDS > 200mg / di .

-
Insulin Rapid acting
0105-011 U / KGBB / jam
coma bsadicegah dgvaksin PH 27.3 18 ikarbonat 215 mga ,
↳
Poliomyelitis ketone Mia danatau ketonuria tgnlupacekkalivm
TAHAP Aoortif
.

: 1
Karen a insulin tvkalivm .

pacier anti vafsin -

Koreksielektrolit .

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HIPOGLIKEMIA
-

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Rigid Has Natal Cgabsalihat

( Rigidities spinal cgabisa miring

Kanan Kiri )
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3 Poliomyelitis Paralitik Tx → Hipoglikemia rinyanrsedang :

↳ Pentti spinal : keleinahanototdiafragmake ( ↳ Glukosa oral

ataf .
Hipoglikemia berat

↳ Dextrose 10% dgdosis

Penne bulbar : Patrese n . cranial-5 , ditfunggi
Iv 2mL / kg BB

tespirasialausijk.ee/agj hint .
Glukagon 10-30 Mcg 1kg BB

*
terapi Tirah bating Suportif :

Hii
: -
, .
.

.IR?0OEL1irr.00Hedl.-FIsioierapi
a-nausea.
-

.
.

. .

- piasanyadisebabkankarenaibukonsumsiobatantitira.cl .

Eerie ☒*☒ HIPAA:$# Gang perturbations

- Per Kembangan .

' 1
"

store > 4 Curig a

parties
. i :

Kon genital
✓
Penyebab : karenahipoksiasaat hipotiroid
①
-

-
Khas : gangguan moturik → spasme ,
①
✓
kalif Kering .

ekstremitas kayak gutting

Ganggvankognitif ✓

-
Terapi : Rehab medik .

PERIKSA TSH
Algorithm

Endokrinotogir
{ 20m14 /L 720 MIU / L 550 MIU / L

Perla pm✗ tbh 1-4 teratoma

☒MY
tangut Free Ty .

t
PAST IKAN DOW DM / TDK ! ! ! ↳
-
geiala
Klinik Polidipsi
gi
DM + → min 2 kriteria +
-
tirotsin → seumur
hid UP
-
Gds 7200mg Idl Gejala + slab + / lab t dan labt

Gizieitumbuhkembang
-
Gdp 7126
Mgldl BEDAKAN DMTIPE 1 912 .

-
9d2pp 7200 mgldl .
↳ klinisnya Sama .

-
hbA1c >
6,5% .

{5th : WHO .

C
peptide analog insulin !
Penilaian
titi status > 5th :( DE

seamier hid up
.

→
 Atasihipoglikemi !
* semua Pasion gitiburvk dianggapnipogli Kemi !

↳ Kalin minim tahltan 1310% / gula 10%

Jk Sadar : soot

↳ JK ga Sadar / ga bsamlnvm : 1310% SZEIKGBB bolus IV

↳ JK 140K : D 10% 541kg BB → tangut TNFUS 12105%1541

KGBBIJAM .

tlafal !!

☒E.☒

:
✓

KPSP : 10 pertanyaan .

normal

°°
g- to
ORANGNA PEGYSMENGAMPANG .

7. o raga
marasmus -
4- ga normal .

Kwashiorkor Global developmental delayed : a domain terganggu .

KWARSHIORKOR .
marasmus

1- murmurs
-

✓ -

10 Tatalaksana Gizi Burak

I. Atari / cegahhipogliremia
0 7- Hari
-
1. Bulan 2 Bulan 3 Bulan 4 Bulan 980 Ian .

2. Ataiilcegahhipotermia Tahapantx giri bunk :

3. Atasilcegah dehidrasi I Stabilisati Chari Fet -

2)

4. Perbaikain gangguanelektrolit 2 Transit ( Inari Fe 3-7 )

f. Ofati lnfetsi 3 Rehabilitasi CM '"99U tea G) -

influential
ppg ,
Haemophilus
6. perbai-tandef.MU trisi Mitro
'
4 Tindak lattjut ( 77 Miinggu )
µ,,
Bogdan( DEF.EE?riiDPT-HBDPT-H Hib2
Hib 1- dan
Hib 3
, Campari
7. Maranan stabilisation trans
Opv -1 dan ( MRS
-

Opv 4
"
8. Maranan 'ÉÑÑbuh Ketan 17 Pesidiberikanpdgizi bunk pdminggo oraitpoiiovap.in
OPV -2 .

OPV -3 dan IPV teasers

' I
ke -2 Inactivated polio Rubella
g. Stimulasi → Kareena a Kant fagositosis klo .

Vats in
Pentavalent Penta bio
.

tappet dioeñkan { 2m99 → DPT ,HbHib OPV

lo.siapr.am tindak
,

kemea.pe, .

qq Gizi bunk galangsung dikasih 1=75 , Karens

•
BMR It > Kato Langsam di Kasik -1-100 Gsa

Jadi metabolism gakuat → MAT! • •

B­
 IMUNISASI U LANGAN / BOOSTER
→ 738,5°C -

10 BULAN SEKOLAH PASAR .

Kela 51 Fela 5 2 Kela 53

DPT HB -
.
Hib Campari
dan IMR)
Td Td
c-ampak dan
.

( NR ) Td_
Tetanus difleri HIV oggetala ⑦ → ✗ Vaksin
Menu Mt IDAI 2020

Bcci bsadioeritan dari tahir

-
1 bulan
*

* anak Uliaksin hep 8 BEL < 20009 r tienda hingga 1 bln Feceeali

Tbu Hbs Ag
-

* Vats in IPV CIM) minimal ax dibeoitan Sam Usia 1 th .

→ 3 OPV ,
a IPV

* Volksin MRI MMR dioeri pd Usia 9 bln itk UMUR 12 bln blmdpt MR

Maka beñkan MMR -

vak sin hid up : PCG , Polio ( OPV) , Campari .

* Varicella → 212th : 2 dosti linterv91 Gmgg - 3 bln )

> 712th 2 dosis ( interval 6 agg)

:
4-

Hbs Agt }

war-tvbetsama n.lokastoedatlbt.gr?4peoiFsaH6sAg
→ ④
|-O
✗

+
Hbtg
1-1619 .

triple eliminate ¥!
f- sifilis -

• semua vaksin Oiberikan SCR 1M ,

tecualiygada hump C .

BEG : lnlracutan .

Campa K : hebcutan .

• semua d05i5 015 Ml , Kecuatt vaksin 49 hlemfnya 3 : 0,05mL .

Prinsip Eaten up - .

* Dari awal blm clapat Hep B → lkhlaskan

* Blm dapat BCG Usia > 12 bln → lkhlasfan

p test tuberkillin
* Blm dapat BCG Via 3- cabin → Test Mantova → + :
gaperlu .

* Blm dapat pentabiosampai Usia is blu → lkhlasfan

↳ -
: vaksin

* sebelum Usia > ath ,

hrs 2x dpt oampak terse ran bentvknya

Mau MRI MMR

 Neonatologi
Hangatkan
A- tier posisibayi
leap lendir
Keri ongkan
Ponti

Refleks Fisiologis Bayi

Fioz : 21%
A suction MASUK MUIUT → Manton

masvkkehidung-reflekshisap.BA
* suction

'll NORMAL : Mullet → hiding

PAYI MAS : Millat 1am intllbasi

p
o
k
e
WAJIB
T

Epinefrin 1 10 ooo → ETT

-

Bayioamianir
t
ppiiirraa iii.
i
•
"
,

tonus otutltangisan Getalastanda : RR< 60 atautisomnt .

t
dgsatuatau lbngetala :

HAIKP .

-
sianosis Sentral
t
-

Apnea 120 detik )

cek 433
-
Grunting lmerintih)

71000 Retrafsi
CIOOX
-

NTP Os) Fick 21%) Etiologi :

Distress napas Distress napast

CEKIDJ siderosis central
cekpoket CPAP I
< box 760 ✗ 02 .

Vtpt CPR lantut VTP

I :3 VIP 1301 )
Fi 0210040 Fill 21%
i
1 ✓

cek LDJ
,
lanthlt V17 CPR -

box
<
Tambahkanepl 1 10 -000
'

Normal
CPAP
ventilator .
:
:
 (
Masai an Respiratory
Iahiran levkosit
Neo
KPD
Hipoglikemipd Neonates
lihatfaktor infeksi → Demain Saat
> 15k , +
,

ft ) (→

PNEUMONIA NEONATAL Lihat asia Kena Milan

premotor Aterein / postern

HMD St MEKOMIUM
( Hyalite membrane
disease) TTN
I MA
surfaktant (transient
Takipneo
→
neonates)
Kasim 02

=
=
Batas Janning
/
g-etas .

"☒*err'W$☒ee⑧
-
) .
1
,
,
,
) )
1

)
↳• Bilirubin serum total > 5mg / dl .

→ Data tanning tie

-
premature → Dexamethasone / fsetametasone

0
÷=É i

g
i
kumpulan infiltrate
ÉÉ /
-

✗ RAY :
÷
-
Sindrom Aspirasi Mekotiivm ( MAS ) : Retikulo granular Kosar

-
TTN :P corakanoronkovastular > 213
 ☒err#ii.EEerr ⑥$
1 ) ,
✓ ✓ /

Bilirubin encephalopathy =
Bilirubin metietnbut BBB
TIM but get Ula sisteinlk s warning sign
Tata laksa na
Quebeck score >4
:

lkterusfisiologis
observant
* -

terustan ASI

* letters patrol 091-5 -

Fototerapi
( Kern lkterus :
transfusitukar .

1¥00 II. E.$ #④ $ ii. $

.
.
.

→ Muscle relaxant
✓

→ antibody Kuda , Ibn Marah .

• Kato Rejang → Fenooarcoital .

'
soon sat
sepsis neo
Gama
vs Kern Icterus
-
a- .

✓
✓

leutositoiisofo-tallnt-eksi.ca
-

✓
Fern lttenel → Gadda
Iran amped duodenum
a → Fe .

↳ TOREH

Gold standup : intra peratic c- holangiafi

 Respihofogir *④bb.EE#iUU.H00.$It$
'
.
I

WAJIB HA PAL ! !

Iii☒ Fromm .
-
*00.* hrs Sama org
dewasa
* Mama Iain : laringotrakeobronknitis
* etio : virus

Tersumbat sat natas Atas → STRIDOR

Khas : Patuk kayak anting menggonggong

✗ ray : wine bottle sign / steeple sign .

Terapi : Ne but epinefrin , bukan SABA Karena 41 Sal .

nafas bawah .

predni son 1-a mg / KGBB

I
1

B.err#④$115S '
.
.
'

-
Piasanua Pd dntivaksin

Etio : Borda tell a pertusis .

ppti INH pencegahan

-

- Ada 3 Fase : profit aksis Isoniazid

1. Fate tatarrhal → tdk Khas

( Deman ringan bapil Kontungtivitis

yslmabbln
, ,
.
.

2. Ease paroxysmal → Whooping cough → Patek tarik nafas .

→ 10mg 1kg BB .

↳ Diafragma naik keatas → neken lambing

I:÷÷u*
→

Va bleeding
3. Fase konvalesen → penyembuban
-
Tx : Erythromiiin 40 -50mg 1kg BB 4 dos is Sima 10 hr .

temtamagolplattam

* Wheezing tbh domlnan daripada ronfhi → Bron kiolitis

* Ronkhi tbh domitian dñpada Wheezing → Pneumonia .

Kalo ada

Dxditegakandarirongen.Note1_pdsaat@kjpirasi.uk
* Nngen ✗ -

ray →

Uran sat .
Natas tbh sempit → Udara feuar
- Proprio titis fan radars → luspirasi pun Sal .
natas udh sempit →

Udara tnasuk .

pal Fase er-spirasitambahcyemp-tlg.org Udara terjeoak

di dalam pan → air trapping → hiperaerasi → hiperventilasi →

hiperlvsen → T Diameter AP → Barrel chest .
Diagnosis TB pd Anak
B°FÑ%"%Fau
"

Rij , no TB : tuberculin +
→ 1Mt profit aksispnmercbbln)

lnfeksi later TB : kontak TB t dan tuberkulint → IN

Sarit TB : Konta KTP ⑦ atau tuberculin ④ ,

getala ④ → OAT 2121-12-14 RH
SIM 6 bln .

Pd anak : tdkdioeri etambutol → Bsa es .

Pula warna .

$mm☒ .

↳ peradangan reversible
.
epitodik-bronkospas.me
↳ wheezing +

> 1×1<4×1614

> 1×17×1

Mlnggv .

✓
✓ ✓

f) Vit 136 :
piridoksiu .
/ tripod position
Isoniazid G)

siano.is/lRi--ampisinCR) Berat Ancaman

hentinafas
1
RRE t
142-1

Pirazinamidcz)

Ethambutol (E)
 DeraTat Kenda Ii Asma
i. Kambllh > 2X 1m99 Terkendali : ✗ dari 4 trifecta
TT⑥F- Tetralogy of Fallot
2. Pereda / reliever > 2×1^99 '

4 Kelainan Pd TOF :
terfeendaiisefagian : i -2

3. Gang guan aktivitasi 1 .

VSD ldarah dari v. Kanan → v - Kiri )

Malam hari
Tidakterfenda" : > 2-
y .
terdapatgetala 2.
pulmonary stenosis → daran yg dipompa Hearten
t
Thorax t Cora Kan bronko put moral
tbh seditiit
→ Ventolin
:
valvular
3. Overriding aorta → aorta agak ke tengah Shg dapet
daran dari vetitrikel Kiri s Kanan

Nebo 2 Neon 3 4- Right vent titular hipertrophy : Kareena hans mompa da -

never.
.

Kiri
Gwatibtantifolinlpratropium ran Fe v. ,
aorta is

Bromide .
a- pulmonate Yg stenosis

Geta la Khas : felt spell → Margit , aktivitas BIRU .

I respon
-
Knee chest position . → t systemic vatoular

resistant
t
-

Clubbing Finger .
avian te pan

I
Pertv Karan 02T

Ruouk .

Reliever : SABA → Kalo Serang an

Obat Asma
( controler : steroid inhalasi dosisrendah
↳ Dudesonide
↳ flutieasone
LABA = Form Otero L .
thorax The Boot Shape heart sign .

✗ ray

Kllhdiofogr ÷÷n¥÷÷ñ
"

PJB
RVH .

)
sianotik Asianotik
Right to left shunt left to right shunt .

Tetralogy of Fa lot CTOF ) Patent Ductus Ateoiosus (PDA )

-

-
Transposition OF Great arteries CTOA) -
Atrial septal defect ( ASD)
- Double outlet right ventrifell DORU -
ventricle septal defect cusps
?⃝
 169^9 .
Perla moonan
Sem Va PJB asionotikgegaia sama lnfeksi
( ↳ searing

( sesak ↳ BB
Gaga , Tanning
he lit T
.
.

$1B
- Bi sing murmur sistolik Sit 3-4

para sternal fin

Ttd + resist ensi para

↳ dpt tid takipneu
-

Lrelraksi -

☒$1B
-

asimptomatik
- murmur sistolik Di les 2

-
murmur did stolik Oi its 314

-
Puny i Jan tung S2 terpisah ,

Melebar dan menetap Saat

inspirasi ataupun ekspirasi
( wide fix splitting )

PPDDAA
-
murmur tontinyu /machinery
di lhfractavioula Kiri atau
subclaviana Kiri / SIE 2

midctavi alla Kiri

✓ e. e

Detisiensi prostaglandin Ea