Dermatovenerologi 1

dr. Dea Yulia Lubis

Presented By dr. Rian .
 oops 9B$ BEA •aq

anatomy

Dermis ←
superficial

Dermis ←
profunna -

Subkuian .
/

✗ Struble war
EPIDERMIS
.

1. Stratum Korneum

1.
:

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2. Stratum 1- 451dam

J J J
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"
" " " "" spinosum
Kareena

==== §¥
1- Usi ↳ miliaria .

Basal e
Inti {upTrEaru
5. stratum

Dalam
DERMIS .
 EFLORESENSI
( UKR )
Lest primer :( esiyg Perfumes Kali
Muncy -

1. Perubahan wanna knit

→ Hitam / Mer
* Makuta < 1cm ltiperpigmentusi.ch
* Patch 71cm Hipopigmentasi
↳ Putih .

2. penonjolankvl.it ( Pad at)

* papule 20,5cm → real .

* Plat 712cm
* NO DUI 71cm

3. Penonjol an KU lit ( Caira n )

* vest Kel < 0,5cm → hrecil
.

* B V19 70,5 CM

* Kista ( Cai ran semisolid ) / hahah ( pus ) /Pustules .

→ isi
-

Putih
warn
a
.

↳ massa
histlh Lest Sek under = lesiygmuncil
shh lesi primer
* skvama
pengelvpasan stratum korneum
epidermis
* Eros i s . spinosum
Kervsakankvlit (trauma)
Bmtikperdarahan 1-1 bernini
Hnpo Dermis /
→
* virus →
Subhntan
t
. *
pars-papilariskervsakankul.it
Ekskoriasi
(trauma)
Binti K perdarahan (t )
Saraf E) .

* Krista → hero Peng .

Tvmpukancairan yang mongering

 Venerologi (3-4) .

I
IMS
Kenan Cavan
→
Dari aint ke lamin
UIKUS
.
.

Duh Tub uh I
lvtra
melanin .

Kutil
Kelamin
8060 I
Biniil ? .

melanin
( pemb KGB )
. Berio Ian
Dag ing trmbuh .

Benjolan dikpatpaha .
 Duh Tubuh
/ / sieringasimptomatis
SKDI 4 Urethra Serviks Vagina
.

(Prin) .
(Wanita) .

Urethritis / Servisitis 60 Urethritis / Servis itis Non -

60

Etiologi :
Neisseria gonorrhoeae chlamydia trachomatis
lnkubasi 2-7 hari lnkubasi : 2- 3 minggu

5s : HAAT
G' ejala nucleic acid
:
sekretmukopulrulen fiekret mukoid ( amplification
Disuria ( Nyeri BAR ) Disuria ( Nyeri BAR) Test)-

Penunjang : Pewarnaan Gram Pewarnaan Giemsa

Diplococcus
" "

gram f) Badan lnkiusi

" "

Eiji Kopi 00 00

G-S : Kultur Thayer

Martin .

Terapi : GO 1- Non 60

=*•*m•?↳:D IT I Smart Way Terapi :

Non 60

G.am
Setiksim 400mg oral ,

•••••*i.•±.÷i?ñj , , ,
Smart Way

¥
Seftriakson 250mg ( IN ) Azitromisin tar ( SD)
oral .

( Eritromisin 4 ✗ 500mg (7hr1

Alternatif Iain :
Tiamfenikol 3,59hr 15177
 Duh tubuh Vagina
tritromoniasis
f- Bacterial vaginosis
KVL

1. Trikomoniasis SKDI 3A
Etiologi : Trichomonas vaginalis
-

F. Risiko : Free sicks

6- ejala :
Sekretwarna Kuning kehijavan , berbusa

,g%☒¥¥É••É )
Mal odors ( Bau busuk ) Terapi :

/ PerDara? Inan
Binti hr

) ) )
"

Strawberry Serviks
"
D. Fisik :
Smart Way
Penuniang :
sediaanbasahcnac.io - X

¥÷÷¥¥
Parasitmotil bergerakcepat
,
Metronidazole Zgr (SD)
Berinti 1- denganzpasangflagel
Metronidazole 211500mg 7h12
4 moat , month .

4,5
NPH
>

→brat 59di Basa .

2. Bakterial Vaginosis ( BV ) SKDI 4

Etiologi : Gardnerella vaginalis
F. Risk : Tlrlawsieringmembersihkan vagina
6-ejala :
Sekretputihkeabuan Fishy odors
,

lamislterutamapas-casenggamap.FI
Sekretkeabuanlengket
menempelpdserviksP@nuniangit.W
sik :

him test / Amin test

✗ tetesi KOH 10%

8auamis.I.pt
Terapi : →

•d!¥¥
-

await
) ) ) )
Smart Way 2. Pewarnaan gram →
( epiteivaginadikelilinai 6.
"

Clue cell
vaginalis )
"

¥÷-÷¥¥
Metronidazole Zgr 15177 Tepat .

Metronidazole 2×500 mg 7hr

Klindamisin 2 ✗ 300mg 7h12
 3. Candidiasis vaginalis SKDI 4 Candidiasis Volvo Vaginalis ( KW) .

Etiologi : Candida albicans

F. Risk : Higenitasburuk
6- eiala : Sekret Putih bergumpal gumpal -

Spt Susu Basi

"
Sangat 6-atal
"
cottage cheese
D. Fisik :
Tanda radang ( t )
Penunjang :
KOH 10% → pseudohit-alhifase.mu ,

set ragi / yeast dan

blastospora

Terapi :

\ '
I
-0.0
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-

Smart Way
←,•N

÷ ¥¥
\
3rd goral .

1st Klotrimazole kit Flllkonatolettstbewm

m¥ {
150mg ( SD) menikah
SUPP 200mg 13hr71
KOKOFING
-
-

Itraconazole
FAF
-
4th .

'"
2nd Klotrimazole 200mg XD)
-
-
→ oral
.

supp 500mg / SD ) 5th Nistatin

.
100.000 14
17hr7
-
- -
JUPP -
-

l
IVAG .

1.) Perempvan , Newnan Lt) , Sudan mention / hub sensual .

KOKO Fin .

Fcutrorazol
2.) perscmpvan ,
Kennan 4 ,
Baum mtniwah →
Oral ( itrawonazoi .

3) " i
"
I ibu Hamil →
Io Io I
 ☐ ✗= Ur tritrigv
gonore

It ☐ ✗= Ur tritrigv
2×100 my G- hr )
Johore
'

e-

to
-

← 90 + non -

go
sirs
↳ ADE -
 DX = Bacterial
vaginosis .

2×300^9 '

Bacterial
1µg
☐ ✗=

vaginosis .

I
✓
Me nap Wii
 Ulkus Genitalia
1. Herpes simplex et vagina
SKDI 4 Htivtipet Hsvtipez
H H
AF Tosa
← H Labialis
. H Genitals
.

Herpeti Form
lmulut ) ( kelamin )
.

FR :
1145

Tanda :
Vesikelbergerombol → pecah -7 lllkusdangkalbergerombol
dasareritema

Penunjang : Cytopathic effect

Tzank test
( seldatiaberintibanyak ) /
" cell )

-=§i•¥µ ? Smart
( Multinucleated giant
Terapi
I J I
:
Way
••÷

==_=== 楥
15+5✗ 200mg """" Primer : zn,
ASIK asiklovirzndzxqoomg
[ Valak
:
1000 -
an .
← Berulang : 5h12
:
Valasiklovir 211500mg

2. UIKUS Mole ( chancroid ) SKDI 4

G)
etiologi :
Haemophilus ducreyi → gram
Bsa sit .

F. Risk : IMS I 1 /

sign esymp :
lllkus multiple nyeri 1+7 Kotor
Bergaungltl tepitidak
, .

rata (t) ltÉ•¥•÷¥J J J J

Smart Way

¥÷-÷¥¥
,

indvrasi c-7
\

Penunjang : Pewarnaan gram 5 iprofloksasin 2×500 mg 3h12

Bakteri batang borjejersptrel Kereta / Eritromisin 4×500 mg 7h12
School OF Fish "
"
Ikan .
A zitromisin lgr ( 5171

MON yet T 5 eftriakson 250mg ( IN ) (SD)

 3. UIKUS Durum / sifilis-std.li ( chancre ) SKDI 4
Etiologi :
Treponema pallidum → spiral
F. Risk : IMS
Stadium sit-ins :

Std I lllkus durum ( primer)

-

.
:

Std . II : Kulitlbercakmerah ) & Kondiloma Lata

Roam ↳ reseller h tuba
indvrasi
-
pembesarar
.

Laton wgy
.

(t) .

✗ Std II Janning Otaki 94mA

:

gifilis
.
,

Sign & sump: lllkustunggal -0 Nyeri bersih tepirata

,
Lepfo
, .

Penunjang : direct → Mikroskoplapanganpandanggelap

to
( Dark Field microscope ) cholera

await
Indirect → screening : VDRLI if Terapi :

lserologi )

larjutun/
Konfirmasi
:TPHA•%•%¥J J J J
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Benzatih 3rd
tepui 1st ga Penisilin Doksisiklin
2,4 It UM) ( SD) 2×100 mg 30hr

i.
yn, µ
Prokain .

600.00011M) 10hr 4×500 mg 30hr

4. Granuloma Inguinal 1 Donovan osis

↳ if -
tartan .

Etiologi : Klebsiella granuloma tis

Sian & sump : lllkus Merah mudahberdarah -0 nyeri -0 pemb KGB
. , ,
.

Beefy red appearance

" "

Penunjang :
Biopsi → Donovan body

"
÷←•Éo•↳•?¥• ,J
j T.TT
Smart Way

Terapi
bulin
:

3 Az .
Dos
/ lgrlmg ) 12×100 Mg) 12×500 Mg)
3mg
-

DX : Herpes Simplex
genital .

DX : Herpes Simplex
ldbidlis .

Boru long.
→ DX : ulhns

Durum .

444 I
Du Eri
3300 Ba por

DX :
granuloma irgvlraky
(Bohannon)
I
3 As dos Duan .
 Bubo Inguinal
↳ pem KOB .

1-imfoaranvlomavenerum ( LGV ) SKDI 2

Etiologi : chlamydia trachomatis ( Li La ↳) , .

( Sarovar 12 b) -

Sign & Jump : Awal : Vesikel -0 nyeri

,
, hiking sendiri
t
Pembesaran KGB inguinal
} Limfanenins
,
.

Sangat nyeri , demam (t)

D. Fisik : Sign of Groove
GS
Penvnjang NAAT →
.
:

( Nucleic Acid Amplification Test )

\
Terapi :L .

o**o→•E:?*• J T.TT
Smart Way

¥
14 Do Er Tetra
-
pv
LigamentUM ,

'
14 hari 12×100 Mg ) 14 ✗ 500mg) 14 ✗ 500m91

16418 Ca cervix poupart

Kutil Kelamin Kondiloma Akuminata
→SF
SKDI 3A
I
( Genital
St
warts ) =/ Kondiloma Lata 8.
-

Etiologi : HPV 6211

Sign & sump Papal ?
: vcrukosa
Plate hiperkeratosis pa Er
.

o "
Bunga Kol
" "

Teenager ayam
"

ang : Asam as etat → Aceto white 1+1

-

ist line
160 hamil

terapi.MG#H%eaq-.d.J J # ¥2m it →
J J
Smart Way 2nd .

Boku cryosurgery )
""" ⇐" sina.pe, ,
Lilia TICA bertoksin listriklelektrocauter)
Tingtura
Podofilin 10 -25% ltrichloroacetat) 0,5%
 0

0
DX : lgv -

TH
/ 14 Do Er Tetra .

Hpv 6,11
 Dermatologi resin.

Penyakit Kulit Virus SKDI 4

1- . Varicella Zoster ( chicken pox) / Cacar air
Etiologi : VZV ( Varicella Zoster Virus) "
gentrifies
skin contact / droplet y
sign & symp : Vesikel seluruhtubuh ( Awal wajah → sieluruhtubuh )
papal Krista
-
,
-
. Deman Lt)
-
i
9atat_
Vesikel spttetesanembvn ( dew drops petal)
on rose
Tear Drop App .

Penuniang : Tzank test

( set datiaberinti banyan /
Multinucleated giant cell ) 3000 -

,•••••H•¥•:÷J
]

y y (
-

y
Smart Way 4000cm .

trap
Aslklovir
0
b- ✗ 800mg 7h12
AS 1k Valasiklovir 3×1000 mg 7hr
.

Topi Kal : Bedale as Sali silat 2%

.
+ me nth alak Famsiklovir 311250mg 7hr
DO51-5 Anak ?
4×20 mg 1kg881 HR
L '
tEE#
( Max : 800m97 } Shari
2. Herpes Zoster SKDI 4
Etiologi : VZV (dorman di root ganglion → Reattivasi )
sign & symp :
Vesikelberkelompokdasareritema
Unilateral sesvai dermatome ,
nyeri (t)

H 2- Otikus
ves-ikelseki-tartelinaaH.ZOT-talmiki.is
. →

Vesikel -
→ sekitar Mata → HUTCHINSON
SIEN
Sind roma Ramsay Hunt → Hit Otikus -
+ Paralisisototwajah
N V -

, N V11 I
. IV.V11

Terapi : Sama dengan Varisela Gabapentin

" ✗ 300m91 -73 bulan
Komplikasi : PHN ( Post Herpetic Neuralgia )
Sembuh 21 tnn nyeri Arbat diarea Herpes Amitriptilin
11×100 Mg ) → 4- 6 mgg
.

,
?⃝
 Flu singapur SKDI 3A
3. Hand Foot and Mouth Disease LHFMD )
,

Etiologi : Coxsakie Virus ( A 1. 6)

Sign & Sump :
Demam , malaise ,
15pA Anak ?
Vesikelditelapaktangan ,

① ryeni
t-elapakkaki.MU/UtTerapi:simptomatik
Stomatitis →
(+7

Cegahmakananlminvman a 5am

4. Mollis Kum Kontaaiosum SKDI 3A

Etiologi : Pox virus
ME
skin to skin contact
sign & Symp :
Papal berbentuk Kuban ( dome shaped )
Lekvkanditengah ( umbilicated / central indentation )
Massa Putih spt nasi ( delle / keratin caseous plug)
Wal
→a
.

Giemsa
( lhklusimoluskvm di Sitoplasma)
Penunjang H E ( Hematoksin Eosin)
.

( Cup shaped nodule )

Biopsi Histopatologi
t "

Badan MOIUSKVM /
"

TEPUT/
95 .
Henderson Paterson Bodies

Terapi :

Topikal Cantharidin 0,7%10,4 %

:

atwal .
Adapelen 011%
Podofilin 10-25 %
Bedah :
kuretase
t ⑦
Enukleasi
tapas
 5. Veruca / Skin warts / Kutilkulit SKDI 3A

ulgaris : HPV 2,4

Veruca Plana Juvenil's

( flat warts )
: HPV 3,10128

Patman's -

& Plantaris : HPV 1

Akuminata genitals HPV 6,11 :

Sign & Symp : Papal ? vcrukosa

Platehiperkeratosis
"
Bunga Kol
"

Penunjang :
Histopatologi → pupil ?

Epidermal akantos-isdanpapilomatos.is
4 Penebalan

Terapi As salisilat 1090,20% 40% → 2-at lreratolltih

÷Éw•Ñ•!y
: . ,

atau

y y y
Smart Way
••o
, Bekir (cryosurgery )

Lilia TICA bertoksin

Bedah Eksisi ( scalpel )
listriklelektrocauter)
Podofilinlo -25% ltrichloroacetat) 0,5%
 -

- -

DX : varicella .

dyn infewsi
sewn der .

o -
I part → Mtr .

☒ 3×250 Ms

}
Herpes
.

+ h" " ☐✗ = tonter

✗ 5×8
oomg
offal mint

DX : varicella .

dyn infewsi
sewn der .

→
@ → salep AB

D. ✗ = Moushumi trontargiosum .
 Penyakit Kulit Bakteri
¥09B ¥••⑧¥••⑧ ¥09B ÷o%É¥••⑧¥••☒¥•%②
SBHA ( Streptococcus Bttaemolyticus Arup A)
Etiologi
Staphylococcus aureus

=É¥F••÷J J J J Smart Way > Impetigo krustosa

•

- D Ektima
e) Semitics
Hr E S E N • 7 Erisipelas
>
• Flegm ON

¥÷÷ genoa "krEgEN

"
.
eti0109 ima ""

sisanya S . aureus

→ impetigo
non bvksu
-

/ hontarcsiosa .

¥•%② Impetigo Krustosa SKDI 4

Sign & sump Krista Kuning sptmadu
:

( Honey colored crust )

Dasar Krista → erosi
Predileksi :
Wajah lmuhit & hiding ) Anak ? .

Krista diarybut → Eros i

Umg .

→
SKDI 4
¥1298T
: Ektima ( Impetigo llkeratif)
sign & liymp :
lllkusdangkal dengan
thruster diary hat krustatebaldiatasnya ,

TVLNY . tepimeninggi ( punched out

lesion )
F. Risk : Trauma
Predileksi : Ekstremitas '
¥9%②÷ Selulitis SKDI 3A
s
lnfeksi di lapisan sub Rutan
sign & Sump : makuta / plate eritema Batas tidaktegas ( dials)
Nyeri 1+7 , Demam It)

Predileksi : Tung Kai ,

Ekstromitas

Penunjang : Lab → Leukositosis

ko m p r e s - d i n g E 1 e v a s - i t u n g k a i F 3 E @ H . q
Terapi Non Farmakologi :

Erislpelas SKDI 4
lnfeksi di lapis an dermis
-

sign & Symp : makuta / plakeritema Batas Tegas

" "
Warna Merah terang Gooseflesh
Nyeri (t) Demam I-11 .

Predileksi : Tung Kai ,

Ekstromitas

Penunjang : Lab → Leukositosis

Terapi Non Farmakologi : Kompresoling in
Elevasi tungKai

¥¥K%É¥ Freamon

Selulitis + Pus
 Asboe Hansen
Staphylococcus aureus

¥☒•%÷, Impetigo Bulosa / cacar

.
monyet SKDI 4

sign & symp : Bula hlpopion (Kondor) , dasareritema

Nikol sky sign t) pergewpajan
-
Epidermis .

Nyeri 1+1 , Denham (t)

Predileksi :
Daerah intertriginosa ( lipatan )

→ Tepihremerahan .

→
45mm .

SKDI 4
¥¥*0%É¥ .
Folikulitis d L 0,5cm
InFeksipadafolikel ram but Nyeri (t ) ,

Pustuldengan Folikelrambutditengahnya

Superficial Prof Unda

( Impetigo Bouchard / ( Sikosis Barbae)
Foti cuter )

Dagu.bibiratasTungKaibawahFH3A0@E.g
"

→ > 5mm
Furunkel
.

.
d > 0,5cm SKDI 4
1nF@ Ksi Pada Folikel jari naan sekitarnya
ram but dan
Pustuldengan Folikelrambutditengahnya
Eritema HI disekitarnya . Nyeri 1+1

SKDI 4 ¥¥¥A•%É¥ Furan ketosis

.

Furunkel > t dan terse bar

diskret
%B5-EI.E #g. KarbunkelFurunkel 71
SKDI 4
dan berkonfluens (menyatu )

1>-50
mm .

dy 5am

Th : Insist drain are

÷¥¥*o%¥÷¥ Paronikia
Servian
SKDI 4
→
InFeksi KUKU Ygdiawali trauma
-
o
sign I
Symp : Radang Pus sekitar KUKU
.

Nyeri (t) , Dem am

%⑨¥#¥0%¥•÷ Hidradenitis Supuratif ( Acne Inversa) SKDI 3A

Peradangan Pada Keleniar Apokrin .
→ Axilla .

F. Risk Trauma ( CUKUR deodorant banyak Keringat )

: ,
,

Sign & Symp Nyeri 1+7 Merah 1+1 bengkak (t) Demam It )
:
, , , .

Nodus , A6505 , Fistula , Fisu ra

Terapi : -
Insist drain ase
-
AB > Rifam plan ④ Kinda mish .

1st I

2ndTerapiAbygdiBHawan@
 TATALAKSANA PIODERMA
awal .

i-j.mt-opikal-1-es-i→
Kompres
kecil-MBHBq.BY
Banyak Krista
3✗ 1h12 30-60 merit
:
••o
1st
J J J
Smart Way

3rd
Mau
-

permanaanaskaiikus -
1PM " 500° Bagi
-
Rivanol 1% Aja 2nd
Kotor 4th
Hallo,g%
.

-
Povidone Iodine 1% As Fusidat 2%
.
Kloramfenikol 2%

As Salisilat 0,1%
.

-
.
=
Perooswi
Tpt C- Tdktertutupkrusta : Antibiotic Topikal -

1) Kluttsahhh / 411250mg -

Sistemik → test was / Tdkrespontopikal bihrwhrsasin-ooms.hr

1st 601 Blaktam 2ndAmoksisilin 3 ✗ 500mg
gq
.

.
: + as clavulanat
-

( Anak ? 50mg / KGBB / HR) g-

Amoksiclav
TAS
amor
. Claw

3rd .
7- 10h12 .

I.
3×625

g.
2nd Eritromisin : 4×500 Mg
-

4th Atrtrumisin . I ✗
500mg ( anak ? 20 -50mg 1kg881 hr)
.

5th . trlmdamispin >✗

300ms .

E RI T RA S MA SKDI 3A

Etioloqi :
Corynebacterium minutissimum
PredileksiArea lipatan :

Sign & sump Makuta / plakeritema , batastegas ,

:

① gatal , -0 demam ⑦ nyeri •

Penunjang Lampa wood → Merah bata / Coral Red

:

Kerokankulit → Organism@ batang ponder ,

.it#qi*gha1us-.ber)cabangT0pi
) kal)
, gram GD .

)
Smart Way
•••r

¥÷-÷¥¥
:

A- 5. Fusidat 2%
Co co Eri
Corynebacterium coral Eritromisin
minutis-s-iml.im Red 411500mg 7h12
 DX : FotiMutis .

Bula

@
.

O
o

DX : Fohhvlitis .

o ou ou
3- 5 mm . →

t
45mm .
 Penyakit Kulit Jamur FIFI ④ test v1
sate lit
.

1. Candidiasis SKDI 4 Rw④lesisal "

nqpmn E-czema .

Etiologi
Klasifikasi
:

:
Candida albicans
C. Kutis ¥
C-
c. Oral lntertriginos-ayarealipat.am
Napkin Eczema ( Ruam POPOK )
sign & Symp makuta / Ptak eritema bas ah 4) erosi (t)
•
-
: ,
, •

Lesi sate lit / Korimbiformis / Hen

" "
& Chicken •
•
•
•

Penunjang : KOH 10%

( Hifasemulpseudohifa , set Ragi /
blastosporal
yeast .

Terapi C. Oral :
drops 100.00014 17h12 )
Nistatin
↳ Ptak Putih ronggamulut dapatdikerok ,

2. Dermatofitosis ( Tinea ) SKDI 4

Etiologi : T E M
Trichophyton , Epidermophyton , Microsporum
Tinea unquium
µ y
Tinea Manus

T corporis
.
→ Badan
Tcruris → lipatpaha
T Fasialis → wajah
Boggs
.

:
0 -
sign & Symp :
- .

central healing tepiaktiflmeninggi

-

Papvtovcsihrcl .

f f Penunjang :

Tinea Barbae Tinea pedis KOH :

Hita panjang sejatidgn
(athlete 's Foot ) .
siekat ( arthrospores)
 Tinea Kapiti's
Tipefavusi
→ Tipe Black dots
Krusta Kuning
tebal Binti Khitan
Bautikus

T.tonsurans-t-ndotrixviolaceum.EE
( mousy odour)

→ P¥Fi
Eoiinrular
.

Tlpekeriont 1. Wood :
↳ Tipe Gray patch
lnflamasi Ladang gandum
" "
kuningkehijavah
Skuamakeabuan Ektotrix
" "
Sarang lebah
Tin ya
Canis
µ gypseum
- -

Tinea Hijau
'

→ Parul tinea versicolor .

3. Pitirias.is Versicolor ( PVC ) SKDI 4

Etiologi : Malassezia Furfur

sign I Symp : Makuta hipolhiperpigmentasi skuamahalus ,
"
"
Makin gatalketikaberkeringat

Penunjanqg : HOH Hifapendek sporabulatbergerombol

:
,

( spaghetti & meatball appearance )

1. Wood Kuning keemasan
: I
mie Ayam
Bangor
Peti Kemas
Pitiriasis Kuning Keemasan
 TATALAKSANA PENY . JAMUR

lesilohrul lesiluas
g)
.
.

f.
Topikal Sistemik
1st
t.gr/hRIinea
Terbinafin 1% 1st Griseofulvin 500mg
-
-

601 Azole : Ketokoncttole 2% 1×500 MG

2×250 mg
.

Mikonatole 2% 2×500 ma
2¥ Klotrimazole 2%
411125mg .

2nd .
601 Azole
.
:

Tinea Kapiti's ketoconazole

}
1×200 mas
8mg, # Ora, Itraconazole
Tinea Barbae 1×100 mg

Tinea Unguium 3rdTerbinafin 1×250 mg

/ Inenyut
.

how ↳ Terapidenyut Itraconazole

&
Tarzan
2. Denyvt

WW
> 2×200 mg
lstirahat 3m99
/ HR Selamat.mg
,
Salama 361h
,

.
hari setelah
14 .
Makan

tram → 3-4 Denyut .

pvc 1st shampoo

selenium sulfide 1,8% 601 Azole
.

'

↳ 7- 10ham
2nd 601 . Azole

itramonatole
candidiasis ④ftH AZOLE f 1×200 my

Fiumara told
SD
.

SD .

/ ✗ 150mg
 0

-
DX : Tinea .

borporis .

→ Candida
→ Pvc .

DX : tinea
Barba E .

I
oral .

DX: Thea wapitis .

Tipp Black DOT -

DX : PVC .
 Penyakit Kulit Parasit
1. Skabies SKDI 4
Etiologi Sarcoptes scabei
:

4 Tanda Kardinal :
1. Pruritus nocturna

Menyerangb@rKelompoK3.Tungau4.Te
2.
↳ pesantren /
-
Asrama .

rowongan / hranalimli

Predileksi : Seta seta

-

jari , lipatan Ketiak ,

genitalia eksterna idk .

Sign & Symp :

papal 1-11 no dull-17 erosi ekskoriasi
,
. ,

Penunjang : Tunga u → Kerokankulit ( skin scrapping )

Terowongan → Burrow ink test / Tinta India
1->
Uji Tetrasittin → ultijav

8 jam t
L2 Bulan 11-8
→ KI
=

Terapi : 1st permetrin 5% → @ Wangi magkemvdian

,
1
list 164 hamill
4th Ben til bentoat 20 -25%
.
→ 3 hari , 24 jam penuh
lsulitditemukan )
OBATI 3rd GameKsan ( Lindane ) 1%
1 KELUARGA ! I KI 164 hamil , anak ? 26th )
.

2nd sulfur Presipitatum 4- 20% ( salep 2- 4)

( 1st bayi 22 bulan ) %
Krotamiton 10% b- Rabies
( anti pruritus )
 2. Pedikulosis SKDI 4

Kapiti's torporis Pubis Pithirus

→
pubis
Et :
pediculus-var.tt ( IMS )
humanus 1 Tarang
Mandi )
re

sign & Symp : Makuta cerulaelkebiruan ) , sky blue spot

-

Teller Kutti 1+7 oral mengkilat

,
.

'

¥••o*•↳↳•÷£J IT I
Tetapi
-

Smart Way "

¥y ¥¥peÑÑ°
08A -11
'

1st Permetrin 1. %
1- KEW AREA ! 2nd Malathion 015%
33rd G. ameksan 1%

Hookworm
3. Cutaneous Larva Mig ran / Creeping Eruption SKDI 4
Etiologi : Anchylostomacaninum
Anchylostoma brazilians
F. Risk : Tdk menggunakan Alas Kaki
Std lnfeksius : Larva Filariform
Sign & Symp : Le si berkelok ? lserpiginosa)
Pa pull-11 ,
eritema (t )
nyeri G)

tep Terapi Albendazole 400mg 13hr7

:

- -

atau
Ivermectin 2×6 mg sa

=
aw④ Topical : Chlorethyl spray
KS Topikallttidrokortison ) ✓
?⃝
 DX :
scabies .

Th
/ Permetrin 1% .

Malathion 015%
gamersan 1%

✓
serpiginosa .

×
→ ✗ 2×6 SD
my .