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  Skenario AMr. B a 30 year old scavenger, was admitted to hospital because of massive hemoptoe. e complained that 3 hours before admision, he had severe cough with bloody sputum about ! glasses. e also said that in the previous month he had productive cough with a lot of phlegm, mild fever, loss of appetite, loss of body weight and shortness of breath. Since a week ago, he felt his symptoms were worsening. e also complaint of two palpable mass,which mobile, painless, with the si e of a peanut in the left side of the neck. e felt the mass since two months before admtted to the hospital. e never consumption any drug before.#hysical e$amination%&eneral apperance% he looked severely sick and pale. Body height% '(0 cm, Body weight% )* kg, B#% '00+(0 mmg, % ''- $+minute, % 3- $+menit, tempt 3(,- deraat celcius./here was lymadenopathy of the neck.n chest auscultation there was an increase of vesicular sound at the right upper lung with moderate rales.Additional information% 1given only when asked by the students2 aboratory%b% 4,- g5 , 6B7% *000+mikro iter, 8S (0 mm+hr, 9iff count% 0+3+!+(*+'*+*, Acid :ast Bacilli% 1;!+;!+;32, < test 1=2adiology%7hest% radiograph showed infiltrate at right upper lung.#A% Showed giant cell langhans, caseosa necrotic tissue, lymphocte cell, epitheloid cell.. >larifikasi stilaha. Massive emoptoe% batuk berdarah sebnyak !00=-00 m dengan angka waktu !) am atau kurang 1medical dictionary2  b. Severe cough% batuk berat yang teradi akibat otot=otot pernapasan bekerac. Bloody Sputum1emoptisis2% 8kspetorasi darah akibat perdarahan pada salurannafas di bawah tenggorokan.d. #hlegm% mukus kental yang diekskresikan dari saluran pernafasan dalam  umlah abnormal 1dorland2e. ymphadenopathy% penyakit pada kelenar lymph biasanya ditandai dengan  pembengkakan 1dorland2f. <esicular sound% bunyi pada paru normal dimana suara inspirasi lebih keras dan lebih tinggi dari ekspirasi g. Acid :ast Bacilli% suatu enis bakteri yang bereaksi dengan cara tertentu ketika diobati dengan larutan asam 1medical dictionary2h. < test% test untuk mendeteksi antibodi terhadap virus < 1medicine.med.com2i. giant cell langhans% sel besar yang terbentuk dari gabungan sel=sel epiteloid.   . lymphocte cell% leukosit mononuklear non granular yang intinya berwarna gelap, somatinnya padat dan mempunyai sitoplasma yang berwarna biru pucat 1dorland2k. epitheloid cell% sel fagosit mononuklear yang ditemukan di granuloma.. dentifikasi Masalah>eluhan ?tama%Mr. B a 30 year old scavenger, was admitted to hospital because of massive hemoptoe. e complained that 3 hours before admision, he had severe cough with bloody sputum about ! glasses. >eluhan /ambahan%e also said that in the previous month he had productive cough with a lot of  phlegm, mild fever, loss of appetite, loss of body weight and shortness of breath.iwayat #eralanan #enyakit%Since a week ago, he felt his symptoms were worsening. e also complaint of two palpable mass,which mobile, painless, with the si e of a peanut in the left side of the neck. e felt the mass since two months before admtted to the hospital. e never consumption any drug before.#hysical e$amination%&eneral apperance% he looked severely sick and pale. Body height% '(0 cm, Body weight% )* kg, B#% '00+(0 mmg, % ''- $+minute, % 3- $+menit, tempt 3(,- deraat celcius./here was lymadenopathy of the neck.n chest auscultation there was an increase of vesicular sound at the right upper lung with moderate rales.Additional information% 1given only when asked by the students2 aboratory%b% 4,- g5 , 6B7% *000+mikro iter, 8S (0 mm+hr, 9iff count% 0+3+!+(*+'*+*, Acid :ast Bacilli% 1;!+;!+;32, < test 1=2adiology%7hest% radiograph showed infiltrate at right upper lung.#A% Showed giant cell langhans, caseosa necrotic tissue, lymphocte cell, epitheloid cell.. Analisis MasalahMr. B a 30 year old scavenger, was admitted to hospital because of massive hemoptoe. e complained that 3 hours before admision, he had severe cough with bloody sputum about ! glasses. a. Adakah hubungan enis kelamin, usia, pekeraan dengan keluhan utama pada kasus ini@ ika ada, bagaimana@   b. Apa arti dari batuk berat dengan darah sebanyak ! sebanyak gelas@ 1>lasifikasi Batuk #?S82c. Apa komposisi dahak berdarah pada kasus ini@d. Apa saa dampak dari batuk berat dengan sputum berdarah sebanyak ! gelas@d. Bagaimana mekanisme batuk normal@e. Bagaimana mekanisme hemoptosis pada kasus@e also said that in the previous month he had productive cough with a lot of  phlegm, mild fever, loss of appetite, loss of body weight and shortness of breath.a. Bagaimana mekanisme dari productive cough with a lot of phlegm pada kasus ini@ b. Bagaimana mekanisme dari mild fever pada kasus ini@c. Bagaimana mekanisme dari loss of appetite pada kasus ini@d. Bagaimana mekanisme dari loss of body weight pada kasus ini@e. Bagaimana mekanisme dari shortness of breath pada kasus ini@f. Bagaimana hubungan keluhan utama dengan keluhan tambahan@iwayat #eralanan #enyakit%Since a week ago, he felt his symptoms were worsening. e also complaint of two palpable mass,which mobile, painless, with the si e of a peanut in the left side of the neck. e felt the mass since two months before admitted to the hospital. e never consumption any drug before.A.Apa yang menyebabkan geala=geala semakin berat dan Bagaimana  patognesisnya@ B.Bagaimana mekanisme terbentuknya massa pada leher Mr. B@ 7.Apa dampak Mr. B tidak mengkonsumsi obat pada kasus ini@#hysical e$amination%&eneral apperance% he looked severely sick and pale. Body height% '(0 cm, Body weight% )* kg, B#% '00+(0 mmg, % ''- $+minute, % 3- $+menit, tempt 3(,- deraat celcius./here was lymadenopathy of the neck.n chest auscultation there was an increase of vesicular sound at the right upper lung with moderate rales.A.Apa interpretasi dari pemeriksaan fisik@B.Bagaimana mekanisme abnormalitas dari hasil pemeriksaan fisik@Additional information% 1given only when asked by the students2 aboratory%b% 4,- g5 , 6B7% *000+mikro iter, 8S (0 mm+hr, 9iff count% 0+3+!+(*+'*+*, Acid :ast Bacilli% 1;!+;!+;32, < test 1=2A.Apa interpretasi dari pemeriksaan laboratorium@B.Bagaimana mekanisme abnormalitas dari hasil pemeriksaan laboratorium@7.Apa hubungan < dengan penyakit pada kasus ini@9.Bagaimana prosedur dari pemeriksaan <@8.Bagaimana prosedur dari pemeriksaan Acid :ast Bacilli@  adiology%7hest% radiograph showed infiltrate at right upper lung.#A% Showed giant cell langhans, caseosa necrotic tissue, lymphocte cell, epitheloid cell.A.Apa interpretasi dari pemeriksaan radiologi dan #A@B.Bagaimana mekanisme abnormalitas dari hasil pemeriksaan radiologi dan #A@Berdasarkan hasil anamnesis, pemeriksaan fisik, pemeriksaan laboratorium,  pemeriksaan penunang maka%a. Bagaimana anatomi dari sistem respirasi@ b. Bagaimana fisiologi dari sistem respirasi@c. Bagaimana langkah anamnesis pada kasus ini@d. Apa saa pemeriksaan fisik yang harus dilakukan terkait diagnois@e. Apa saa pemeriksaan penunang yang harus dilakukan terkait diagnois@f. Bagaimana algoritma penegakkan diagnosis@g. Apa faktor resiko dari penyakit pada kasus ini@h. Apa 9iagnosis pada pasien@i. Apa etiologi dari penyakit pada kasus ini@ . Bagaimana epidemiologi penyakit pada kasus ini@k. Bagaimana patofisiologi dari penyakit pada kasus ini@l. Bagaimana diagnosis banding dari penyakit pada kasus ini@m. Bagaimana tatalaksana dari penyakit pada kasus ini@n. Bagaimana prognosis dari penyakit pada kasus ini@o. Bagaimana edukasi dari penyakit pada kasus ini@ p. Apa S>9 dari penyakit pada kasus ini@<. ipotesisMr, B 30 tahun diduga mengalami /b #aru<. earning ssue  Anatomi dan :isiologi dari sistem respirasi  /b paru 1cari hubungan dengan <2  #emeriksaan fisik dan #emeriksaan tambahan /b #aru
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