Abdominal Pain

A man 40 years old came with his family with stomach complaints such as pain stabbed in the right hand nails since 6 hours ago after eating jengkol. Patients do not feel sick, can defecate, no fever, urine smoothly. From the examination of known weight 65 kg, blood pressure 110 / 60 mmHg, respiration rate is 22x, 88X pulse, temperature 35.8 C, the physical examination, we obtained data: decreased bowel sounds, abdominal tenderness in the left top to bottom.
treatment and explanation. with some data that we get the diagnosis of this patient's disease is abdominal pain, with other diagnoses were bacterial enteritis, gastritis, and renal colic. although did not rule out other diseases. therefore we give a drug:
1. 2X 1 ampoule ketorolac as analgesic
2. 3X butyrate hyosin M 1 couplet as spasmolitic
3. peptin kaolin 1 spoon 3X

We advise this man to not eat spicy foods, fatty foods, soda. Appeals to our patients to the control 3 days later.

cataract

A man aged 58 years complained of vision disturbed since 6 days ago, that the longer the more severe. Obstructed vision feels like a spider's nest, every evening and morning. From the results of the examination, we obtained data: blood pressure 120/80 mm Hg, pulse 78, temperature 36.6, 20 respiration, body weight 60 kg, with the results of laboratory blood sugar 350.
treatment and the explanation
with some data that we acquired the disease may be diagnosed this patient is cataract, although not close the possibility of other diseases. Because the new few days, this disease is still to enter the initial phase so that we give drugs:
1. 2X 2.5 mg glibenclamide as anti diabetic
2. pirenoxine 4X 0.005% as anticataract
after that we gave to the men about the disease and give suggestions for the control of each drug up

gastroenteritis acute

a child aged 8 years old came with his mother with the complaint liquid feces, with the lees, without mucus, without blood, more than 15 times in 1 day with stomach pain on the top right of the area, normal functions of the other, since 3 days ago after eating a snack in schools. Examination of the body weight 15 kg, blood pressure 70 / 50 mm Hg, respiration rate of 22X, 88X pulse, temperature 37.8 C, the physical examination, we obtained data: noisy increased bowel, stomach pain and press on the top right.
treatment and the explanation
with some data that we may obtain the patients diagnosis illness Gastroenteritis is acute, although not close the possibility of other diseases. therefore we give drugs:
1. cotrimoxazole 2X 480mg as antibiotic
2. kaolin 3X 1 spoon peck
3. oralit 3X 1 wrap
We provide advice to the mother of the child's food consumption to maintain the child, with the snack, and keep the children good sanitation and the control 3 days later.

tonsilopharingitis

a child aged 10 years came with his mother with complaints of fever accompanied by painful swallow, cough, and nasal congestion, the other normal functions, since 2 days ago after drinking the ice. There is no similar history of disease in the past. Examination of the body weight 15 kg, temperature 38.8 C, shown in the mucosa faring reddish color, while the visible marks on tonsil inflammation and enlargement T3.
treatment and the explanation
with some data that we acquired the disease may be diagnosed this patient is tonsilo pharingitis, although not close the possibility of other diseases. therefore we give drugs:
1. paracetamol 3X 150mg as antipiretic
2. dexametason 3X 0.3 mg of anti-inflammation
3. 3X 300mg amoxicillin antibiotic as (double dose)
we make all drugs in the form of puyer in order to more easily use them, unless we give amoxicillin in the day to two days because of the likelihood that bacteria will multiply comensalis the mucosa cause damage to the nose and made to be used for 7 days.
after that we give advice to the mother of the child's food consumption to maintain the child, with the snack, water, ice, and keep the children good sanitation. Control after 3 days later the patient is cured.