poster mini - morbili

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Fadiah Gazzani Rahman(C 111 10 809)Dzulfikar Waspada(110 208 040)

MORBILLI(MEASLES)Patient Identity...Name: Mr. YLGender: maleAge: 52 years oldMarital status: marriedReligion: christianAddress: jl. Singa Occupation: government officer (PNS)Addmission date: October 10, 2013Medical record no: 379352

History TakingMain Complaint : red rash on all parts of the body (face, arms, legs, chest, back, stomach)

Brief Anamnesis :Occur since 2 days ago before hospitalizedItchy (-), pain (-)Drugs allergy (-), food allergy (-)History of complaint with the same symptoms (-)Medication for the symptoms (-)Family with the same symptoms (-)

Previous Medical History :The patient suffer from chronic heart failure (CHF) NYHA II and consume Lasix and Alprazolam

Current StatusConsciousness : compos mentisGeneral Condition: moderateHygiene: moderateNutrition: normalVital signBP: 130/90 mmHgPulse: 80x/minutesRR: 28x/minutesTemperature: 380C

Physical ExaminationAnemic (-), icterus (-), cyanoses (-)Cor: chronic heart failure NYHA IIThorax: symmetrical : ronchi (-), wheezing (-)Abdomen: normal, peristaltic (+)Extremities: edema (-)Lymph nodes: enlargement (-)Facial Region

Thoracoabdominal regionPosterior trunk region

Arms Region

Legs Region

Dermatovenerology StatusRegion: generalizedEfflorescence: erythematous maculeResume A man 52 years old entered the hospital with main complaint red rash on all parts of the body (face, arms, legs, chest, back, stomach) that occured since 2 days ago before hospitalized. The rash are not itch and the patient doesnt feel pain.The patient has no allergic to food neither drugs. He never felt the same complaint before and no family suffer the same complaint.Previous medical history :The patient suffer from chronic heart failure (CHF) NYHA II and consume Lasix and AlprazolamDiagnosis MORBILLITreatment & Managementmenthol + oxid zincii + talk venetum (powder) used in the morning and afternoonDiscussion Morbilli, also known as rubeola or measles, is one of the most contagious infectious diseases that caused by measles virus.Morbilli is marked by prodromal fever, cough, coryza, conjunctivitis, and pathognomonic enanthem (ie, Koplik spots), followed by an erythematous maculopapular rash on the third to seventh day. Infection confers life-long immunity. Etiology The cause of morbilli is the measles virus, a single-stranded, negative-sense enveloped RNA virus of the genus Morbillivirus within the family Paramyxoviridae. Humans are the natural hosts of the virus; no animal reservoirs are known to exist. This highly contagious virus is spread by coughing and sneezing via close personal contact or direct contact with secretions.

Recommended ExaminationSerologic testing for IgG and IgM antibodiesViral cultureReverse-transcriptase polymerase chain reaction (RT-PCR) evaluationComplete blood count (CBC)Liver function test

Treatment & ManagementAdequate food intakeSkin hygieneAntiviral agent RibavirinSymptomaticAntipyretic, e.g. Paracetamol Antitussive, e.g. Codeine Dekongestant, e.g. Efedrin Prophylaxis Measles virus vaccineAntibiotic (treat and prevent secondary infection)

Prognosis Bonam (good)