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.

Thypoid fever

A man aged 35 years complained fever since 6 days ago, lost arise each morning and evening, along with sense of nausea, vomiting but does not want to vomit, and stomach aches on top. Patient movement is not smooth, about 2 days ago until now has not been void. From the results of the examination, we obtained data: blood pressure 130/80 mm Hg, pulse 68, temperature 37.8, 20 respiration, body weight 60 kg, with a physical examination sign thypoid the tongue, stomach pain and press on the top, while the other normal.
treatment and the explanation
with some data that we acquired the disease may be diagnosed this patient is thypoid fever, although not close the possibility of other diseases. because of fever in this disease has not been entered until the day-to-7, therefore we provide the medicine:
1. paracetamol 3X 500mg as antipiretic
2. dexametason 3X 0.5 mg of anti-inflammation
3. ciprofloxacin 2X 500mg as antibiotic
4. ranitidin 2X 150mg
all the drugs we give to the lapse of time 3 days ..
after that we give advice to men is to maintain food consumption, eating fiber abstinence until smooth movement (about day 10) and we hope to control the day-to-3. After control 3X, then the patient is cured.

ren: nephritis

A man aged 23 years complained of fever since 3 days ago with a stomach illness at the top, and the feeling of nausea, vomiting want. Not found cough, urinate and defecate smoothly. On examination we get blood pressure 130/80 mm Hg, pulse 84, temperature 37.7, 20 respiration, body weight 40 kilograms. Pain in the right kidney. Examination did not find the difference or we are all normal.
treatment and the explanation
with at least some data that we acquired the disease may be diagnosed this patient is nephritis, although not close the possibility of other diseases. therefore we give drugs:
1. amoxicillin 3X 500mg
2. dexametason 3X 0.5 mg
we do not give antipiretic because summer is not too high and the potential can be derived with a warm compress. After that we give advice to men is to maintain food consumption, keep the good sanitation. Control after 2 days later, the patient is cured.

Fever Unknown Origin

a woman aged 23 years with complaints of fever since 4 days ago without a reason that is not known. This woman felt the fever on day 3 but to feel the heat back to 4 days. swallow without pain, without a cough. history does not have convulsions, and other functions normally. examination of the blood pressure 130/80 mmHg, pulse 84, temperature 36.7, 20 respiration, body weight 35 kg. mucosa faring seen in the normal color, whereas in the tonsil is not visible sign of inflammation, normal urine and feces as usual. Drugs that patients take paracetamol, but the heat down just a little. We suspect this disease is likely due to the virus. But may be due to parasites or because of drugs.
treatment and the explanation
with at least some data that we acquired the disease may be diagnosed this patient is FUO, although not close the possibility that other diseases such as influenza and malaria. Therefore, we give drugs:
1. paracetamol 3X 250mg as antipiretic
2. dexametason 3X 0.5 mg of anti-inflammation
3. 3X 500mg amoxicillin antibiotic as (to keep the possibility of infection)
all the drugs we use to create a 3-day, in the hope that, if properly because of virus in 7 days to recover will own.
after that we give advice to women is to maintain food consumption, keep the good sanitation. Control after 3 days later, the patient is cured.

telusuri

cancer: cancer mamae

A woman aged 45 years complained the right breast feel have mass of the tennis ball first only marbles. Patients feel mass this increase only during the 8 weeks. In the family history the patient has a known descendant of the mother, who has the same disease. Patients also felt the pain when pressed on mass. No other complaints. On physical examination we found mass with 10 centimeters diameter, reddish color similar to orange peel with the pus out of the hilt breast patients. Blood pressure 130/80 mmHg, pulse 84, temperature 36.7, 20 respiration, body weight 40 kg,
with at least some data that we may get the disease diagnosed cancer patients is mamae dektra, although not close the possibility of other diseases. therefore we give the medicine to treat pain complaints and refer patients to surgery. After 4 weeks, patients have come back to breast surgery, but the patient does not continue the therapy from the doctor surgery, so visible on the right breast cancer that is damaged because that has been spreading in the pulmo dextra. Patients come with complaints of feeling very painful, that require analgetic drugs. We only provide:
1. mefenamat 3X acid 500mg
2. diazepam 1X 5mg
3. ranitidin 2X 150mg
4. amoxicllin 3X 500mg
5. rivanol, injury to withhold cancer 3X a day.
We recommend that patients have to buy a cancer drug, but there is no cost so that the patient choose from our therapy. We also advise the patient to the family for the patient, patients age because it is likely to stay small. The possibility to live 3 more months. Patient control over 3X (about 2 weeks) and then the news that the patient has died.