6RSUD KANJURUHAN KEPANJEN 1. Stadium HIV 2. Penegakan diagnosis HIV pada bayi 3. Tatalaksana mulai dari profilaksis HIV biasa, sampai kalau dia ada komplikasi dengan penyakit yang lain (TB pelajari) 4. Malnutrisi pada HIV , malnutrisi (dari etiologic sampai tatalaksana 10 langkah) 5. Reflex primitive pada bayi 6. Syok cardiogenic sampai syok anafilaktik (semua jenis syok), belajar etiologic sampai tatalaksana (Tatalaksana syok nafilaktik pelajari guideline lama dan baru, kalau baru adrenalinya IM kalau guideline lama adrenalinya IV) CMIIW Obat yang dianjurkan diberikan dalam kondisi ini adalah adrenalin dengan konsentrasi 1:1000 dengan dosis 0.01 mL/kg maksimal 0.5 ml per kali disuntikkan subkutan atau intramuskular. Dosis yang sama dapat diulangi dengan jarak 15-20 menit sampai 2–3 kali. (sumber; ppds anak fk unair)bac abaca lagi yiups Catatan : Konsentrasi epinefrin maksimum dalam plasma lebih cepat tercapai pada penyuntikan secara intramuskular dibandingkan subkutan. Jika masih hipotensi , pemberian epinefrin bisa dilakuin lewat IV atau pakai obat vasopressor lainnya (sumber: FK UI) 7. DHF 8. Epispadi, hipospadi, 9. Asma dari etiologic sampai tatalaksana (Derajat asma pelajari dikonsensus IDAI dan buku respiratory FK UI) - Di soal plilihanya ada ringan, sedang, berat dan mengancam henti nafas (respiratory anak fk ui - Di buku medicomini note adanya ringan sedang, berat dan mengancam henti nafas 10. Diagram hormone pertumbuhan 11. Gastroenteritis (jenis-jenis bakteri sampai tatalaksananya) 12. Rehidrasi dan dehidrasi 13. Kurva kurva pertumbuhan (semua kurva pertumbuhan) indikasi stunting, wasting dan kelaianan kelainan lainnya. 14. Resusitasi anak dan resusistasi neonatus 15. PJB . TOF 16. Penegakan dx ISK, cystitis 17. Kejang status epilepticus intracranial, meningitis 18. Distress nafas : HMD. Meconeal aspiration . neonatal pneumonia 19. Kejadian ikutan pasca Imunisasi KIPI Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Sumber : pedoman pelayanan medik IDAI jilid 1
Sumber : pedoman pelayanan medik IDAI jilid 1
Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Sumber : Nelson edisi 21
Sumber : pedoman pelayanan medik IDAI jilid 1
Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Sumber : PMK no2 Tahun 2020 Antropometri anak
Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Sumber : Respirologi anak IDAI 2008
Sumber : Pedoman asma pada anak IDAI 2016
Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Reflek Primitif
Refleks How Initiated Respone Gambar
Asymmetrical With infant on flat Arm and leg extend tonic neck surface turn head 90 on degrees to surface same side infant is turned toward, arm and leg on opposite
Moro Support infant at 30- Arms extend and
degree angle above flat abduct, surface with examiner’s hands open, fingers hand; allow head fan out, thumb and and trunk to drop back forefinger form a C; to surface then arms flex and supported by adduct, knees clench, examiner’s hand; or hips flex, eyes open, pull infant may cry infant up by hands to 30-degree angle above examining table; gently drop infant back to surface quickly and release arms
Palmar grasp With infant’s head Fingers clasp
midline, touch palm of examiner’s infant’s hand on ulnar thumb surface with examiner’s thumb
Placing Hold infant upright Flexion of knees/hips,
under arms over edge foot of lifts as if stepping up table; touch dorsal on table surface of foot to table edge Plantar grasp Touch infant on plantar Toes curl downward surface of foot at base of toes Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Rooting Touch or stroke cheek Infant’s head turns
toward stimulus and mouth should open
Stepping Hold infant upright Stepping-like motion
under the arms above with exam table; palmar alternate flexion and surface of feet should extension of legs be allowed to just touch table surface
Sucking Gently stroke the lips Infant’s mouth opens,
sucking begins; gloved finger inserted into mouth evaluates strength of suck reflex
Truncal Hold infant firmly Hips and buttocks
incurvation suspended in prone curve/turn toward or Galant position with stimulus side reflex examiner’s hand supporting chest; with opposite hand, stroke along spine lightly with fingernail just adjacent to vertebrae from shoulders to coccyx Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Refleks postural
Reflex How Initiated Respon Gambar
Neck Infant’s head is turned to Rotation of the trunk in righting the right or the direction in which left from the midline 90 the head of thesupine degrees to infant is turned; this the examination table reflex is absent or decreased in infants with spasticity Landau Hold infant firmly Infant should lift head, suspended in prone extend position with examiner’s spine/lower extremities hand supporting abdomen and head; legs should extend over hand
Lateral Assessed at 5–7 months Observe symmetry of
parachute of age in term hand opening; infant infant. Hold infant prone should try to protect self and by extending arms/legs firmly supported; slowly lower infant toward flat surface Forward Assessed at 7–9 months Observe symmetry of parachute of age in term hand opening; infant infant. Suspend infant in will lift head and extend prone spine along horizontal position with arms/legs plane extended, support with both hands over flat surface Positive Hold infant upright and Infant should extend support firmly legs and bear supported under arms some weight while over exam table; touch infant’s feet to surface
Sumber : pediatric physical examination Karen G.Duderstadt, edisi 3 2019
Tertanda
Puja, Syauki, hikmah, Indira dan ulfa
Sumber : https://www.ncbi.nlm.nih.gov/books/NBK279024/
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