Professional Documents
Culture Documents
1. Acute bronchitis
productive cough
upper respiratory tract symptoms
general symptoms (in 10 - 50%)
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Pneumococci ( in 2 - 30%)?
Haemophilus ( in 2 - 8%)?
Mycoplasma (in 0.5 - 11%)
Chlamydia (in 0 -18%)
(Pertussis (in 0 - 7%))
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(Differential) diagnosis
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First choice:
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Other choices:
probable mycoplasma or chlamydia infection:
doxycycline 100-150 mg daily for 5 7 days
a macrolide:
macrolide erythromycin 500mg 3 - 4
times daily, roxithromycin 150 mg twice
daily, klarithromycin 250mg twice daily or
azithromycin 250 mg daily for 5 7 days
underlying chronic lung disease:
amoxicillin, sulphatrimethoprim
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TKS
2. Bersambung Aspirasi
pnmnia
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2. Aspirasi Pneumonia
Pada anak Bayi sering ter
sedak, masuk susu / ASI
atau benda asing (corpus
aliena) kedalam Alveoli.
edema, cairan Radang
3.1.Chronic bronchitis
3.2.Emphysema
3.3. Asthma
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Chronic Bronchitis
Pathophysiology
Chronic
inflammation
Hypertrophy &
hyperplasia of
bronchial glands
that secrete mucus
Increase number of
goblet cells
Cilia are destroyed
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Chronic Bronchitis
Pathophysiology ..
Bronchospasm often occurs
End result
Hypoxemia
Hypercapnea
Polycythemia (increase RBCs)
Cyanosis
Cor pulmonale (enlargement of right side of
heart)
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Chronic Bronchitis
Pathophysiology ..
Narrowing of airway
Starting w/ bronchi
smaller airways
airflow resistance
work of breathing
Hypoventilation & CO2
retention hypoxemia
& hypercapnea
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Chronic Bronchitis:
Diagnostic Tests
Hct
3.2.Emphysema: Pathophysiology
Structural changes
Hyperinflation of
alveoli
Destruction of alveolar
& alveolar-capillary
walls
Small airways narrow
Lung elasticity
decreases
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Emphysema: Pathophysiology
Abnormal distension
of air spaces
Actual cause is
unknown
Mungkin ok ada
Pores of Kohn (ada
hubungan dari alv
ke alv yg lain)
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3.3. Asthma
Asthma
Triggers
Allergens
Exercise
Respiratory infections
Drugs and food additives
Nose and sinus problems
GERD [Gastro Esophageal Reflux Disorder
Emotional stress
Asthma: Pathophysiology
1. Swelling of mucus
membranes
(edema)
2. Spasm of smooth
muscle in
bronchioles
Increased airway
resistance
3. Increased mucus
gland secretion
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Pencetus Asthma
TKSS
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