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EPILEPSY
The etiology
Elektrolit
Diffrential Diagnostic
Post traumatic seizure
Benign Childhood Epilepsy
Head injury
Phychogenic nonepileptic seizure
Treatment
IV phenytoin and sodium valproate are the
antiepileptic drugs (AEDs) of choice and are
usually effective in stopping the seizure,
along with IV benzodiazepine.
Surgical treatment is an option for PTE
refractory to medication
Pneumonia
Pneumonia is defined as an inflammation of
lung tissue due to an infectious agent.
Commonly used clinical World Health
Organization operational definition is based
solely on clinical symptoms (cough or
difficulties in breathing and tachypnoea).
Epidemiology
5 19 years old
16-20 / 100
children
classification
Etiology
Haemophilus
BACTERIA
Haemophilus
Maraxella
BACTERIA
Maraxella
Pathophysiology
Diagnosis
Clinical findings
Treatment
CASE REPORT
AS,
History of disease:
Patient experienced a seizure on that day, seizures 3 times, duration
10-15 minutes, Seizures experienced throughout the body, after the
seizure the patient was unconscious, seizures without fever. Last
seizures 2 weeks ago.
History of vomiting (+) since two days ago, the frequency was
3x /day. Vomiting was not projectil, volume 1/4 cup aqua what its
contents in the meal.
Status localized:
Test
Result
Unit
Referral
Hemoglobin
11.10
g%
12.0-14.4
Erythrocyte
4.23
106/mm3
4.40-4.48
Leucocyte
7.4
103/mm3
4.5-13.5
Thrombocyte
405
103/mm3
150-450
Hematocrite
34.2
37-41
Eosinophil
10
1-6
Basophil
0.4
0-1
Neutrophil
25
37-80
Lymphocyte
54.3
20-40
Monocyte
10.3
2-8
Neutrophil absolute
1.85
103/L
2.4-7.3
Lymphocyte absolute
4.02
103/L
1.7-5.1
Monocyte absolute
0.76
103/L
0.2-0.6
Eosinophyl absolute
0.74
103/L
0.10-0.30
Basophyl absolute
0.03
103/L
,0-0.1
MCV
80.9
fL
81-95
MCH
26.2
Pg
25-29
MCHC
32.5
g%
29-31
RDW
17.1
11.6-14.8
Morphology:
Erythrocyte:
hipokromic
micrositer
Leukocyte : normal
Trombocyte :
normal
Clinical Chemistry
Test
Resul
Unit
Referral
t
Hepar
Fosfatase alkali (ALP)
176
U/L
<462
AST/SGOT
37
U/L
<38
ALT/SGPT
24
U/L
<41
Renal
Ureum
Creatinin
Carbohydrate Metabolism
Blood Glucose
79.7
mg/dL
< 200
Natrium
137
mEq/L
135-155
Kalium
4.9
mEq/L
3.6-5.5
Cloride
105
mEq/L
96-106
Other Test
Electrolite
Hemostatic function
Ferritin : 1852.00 mg/mL
(Normal: Adult=15- 300;
Child=15-240)
Fe/Iron : 36 mg/dL
(Normal:
61-157)
TIBC : 104 g/dL
(Normal:
112-346)
Follow Up
June 14th2015
S
Eye : light refleks (+/+), isochoric pupil, pale was found in inferior conjunctiva palpebral(+/+)
Extremities : pulse 125 bpm, reguler, p/v adequate, warm acral, CRT < 3
Thorax Photo:
June 15th2015
S
Eye : light refleks (+/+), isochoric pupil, pale was found in inferior conjunctiva palpebral(+/+)
Extremities : pulse 124 bpm, reguler, p/v adequate, warm acral, CRT < 3
Head CT:
June 16th2015
S
Eye : light refleks (+/+), isochoric pupil, pale was found in inferior conjunctiva palpebral(+/+)
Extremities : pulse 124 bpm, reguler, p/v adequate, warm acral, CRT < 3
EEG :
June 17th2015
S
Eye : light refleks (+/+), isochoric pupil, pale was found in inferior conjunctiva palpebral(+/+)
Extremities : pulse 115 bpm, reguler, p/v adequate, warm acral, CRT < 3