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Iron Deficiency B1

Iron Deficiency B1

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Published by pkpmipalembang

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Published by: pkpmipalembang on Nov 07, 2009
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11/15/2011

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Scenario AScenario A
By : group 1Tutor : Dr. Norman
Group members :
Tami,lesti,asillia,nining,meyta,sanggita,alfian,riefki,yuda,fathan,rendy, harvinder,kevin,
 
ScenarioScenario
A 60 years old male came to the clinic with chief complaint of weakness.He had prolonged symptoms of epigastric pain and need antacid forrelieving it. He has suffered from rheumatoid arthritis since five yearsago and always taken Non Steroidal Anti Inflammatory Drugs.
Physical Examination :
General appearance : pale, fatiqueHR : 94 X/minute, RR:24 X/minute, Temperature: 36,8
o
C, BP : 110/60mmHgCheilitis positiveKoilonychias positive
 Laboratory :
Hemoglobin is 5,0 g/dl, mean corpuscular volume (MCV) is 70 fL, MCH25, MCHC 30%, RDW: 17, blood smear : anisocytosis, hypochromemicrocyter, poikilocytosis.Fecal Occult Blood : positive
Others
Fe serum 8 µg/dL ( normal 50-150µg/dL )TIBC 450µg/dL ( normal 250-370µg/dL )Saturation 1,7% ( normal 20-45% )Ferritin 10µg/dL ( normal 15-400µg/dL ) 
 
Term ClarificationTerm Clarification
1. Weakness : kehabisan tenaga atau lelah yang berlebihan2. antacid : obat yang digunakan untuk menetralisir asam lambung3. Rheumatoid arthritis: Peradangan kronis pada sendi karena autoimun4. NSAID : Obat-obat anti inflamasi non steroid5.Upper GI Symptoms : Gejala-gejala pada penyakit GIT bagian atas,meliputi dyspepsia, dysfagia, mual dan muntah6. Pale : Pucat7. Fatique : Lelah8. Lymphadenopathy : Pembesaran kelenjar getah bening9. epigastric pain:Nyeri pada daerah epigastrik10. chelitis : Inflamasi pada bibir (sariawan)11. koilonychias : Kuku yang berbentuk seperti sendok12. Liver and spleen non palpable : Hati dan limpa yang tidak teraba 

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