BLOK THT

SKENARIO 1

Step 1
1. Acute malaise : feeling of general discomfort,
symptom of wide ranging. Less than 2 week
2. Pharynx
: a back of fibromuscular that
make a cone shape, back mouth and nose from
cranium till 6th cervical
3. T3-T3
: enlrage till the middle line
4. Shivering
: menggigil (fever)
5. Lymphadenopathy : enlage of the lymph because
of inflamed respons
6. Tonsils
: kumpulan dari jaringan
limfoid/getah bening di jaringan rongga mulut,
consist of 4
tonsils,1.Pharyngeal,2.palatina,3.lingua,4.tubaria
close to phorus tubarius. This tonsils make a ring
waldeyer
7. Detritus
: in dead particular organic
material
8. Bucal mucose
: soft tissue , cover inside
cheek,
9. Crypt
: one of the deep recesses that
extend into the tonsils

STEP 2

1. What is the relation of acute malaise and shivering

with sore throat?
2. What cause of lymphadenopathy?
3. Whats the function of T3 T4?
4. Hows the clinical indication for T1-T4?
5. What is the correlation between age and gender with
this diagnose?
6. What is the correlation of immunity with this case?
How s the responses?
7. What is the indication of tonsilektomy?
8. Anatomy of throat
9. Tonsilitis in pathology anatomy
10.
The level of enlarge tonsils, is it can be only in
the same level or not? How?
11.
What is the etiology of tonsilitis?
12.
Is it a sign of o disease? What disease?
13.
How to do throat swab? And the functions?
14.
What is the other examination exept the throat
swab?
15.
Is the tonsilitis always followed by cervical
lymphadenopathy?

STEP 3
1. What is the relation of acute malaise and shivering
with sore throat?
2. What cause of lymphadenopathy?
Enlargemend of lymph occur when pathological
bacterial or viral spread to the blood and direct to the
closest lymph tissue
3. Whats the function of T3 T4?
4. Hows the clinical indication for T1-T4?
From pilar anterior dex - sin
T0 : located in fossa tonsils
T1 : <25%
T2 : 25%-50%
T3 : 50% -75%
T4 : 75%-100%
5. What is the correlation between age and gender with
this diagnose?
Children 2 years old
Tonsilitis streptococcus 5-15 years old
Tonsil is one of the immune barrier, oral phase,
sering terpapar benda asing
6. What is the correlation of immunity with this case?
How s the responses?
7. What is the indication of tonsilektomy?
a. Enlargement of tonsils recurent 3 times in a year
b. Stinky mouth that cannot be treated
c. Obstruction of respiratory
d. Tonsils that cause of fever seizure
e. 5 episode of streptococcal pharyngitis in 2 years
f. Hypertrophy tonsils that cause of maloclusion
teeth
8. Anatomy of throat

Puspo : consist of 3, they re nasopharynx,

oropharynx, and laryngopharynx
The length of throat 35cm, upper throat :
nasopharynx, connect with nasus, tonsil : pharyngeal
Oropharynx, connect to mouth, tonsils : palatina, and
lyngua
Laryngopharynx : batas from pharynx and larynx,
larynx will continued to trachea, pharynx
oesophagus. Between pharynx larynx : elastic tissue
named epiglotis. This function : to set if you eat or
respirasi, to prevent tersedak
9. Tonsilitis in pathology anatomy
10.
The level of enlarge tonsils, is it can be only in
the same level or not? How?
11.

What is the etiology of tonsilitis?

Streptococcus beta haemoliticus(usually),
Streptococcus viridans, Streptococcus
pyogenes(usually), influenza viral, droplet
infections
12.
Is it a sign of o disease? What disease?
13.
How to do throat swab? And the functions?
14.
What is the other examination except the throat
swab?
Leucocyte, haemoglobin, test shick, and
audiometry
15.
Is the tonsilitis always followed by cervical
lymphadenopathy?

LO
1. What is the correlation of immunity with this case? How s the
responses?
2. Tonsillitis in pathology anatomy
3. The level of enlarge tonsils, is it can be only in the same level or
not? How?
4. Is the tonsillitis always followed by cervical lymphadenopathy?
5. Anatomy, physiology of throat
6. Histology of throat
7. Etiology, epidemiology tonsillitis
8. Pathogenesis, pathophysiology
9. Sign and symptom of tonsillitis
10.
Differential diagnosis of tonsillitis
11.
How to diagnose tonsillitis
12.
Treatment of tonsillitis
13.
Examination for tonsillitis
14.
Indikasi dan komplikasi dari operasi tonsilitis
15.
Prognosis dan komplikasi tonsilitis
16.
Referensi Islam
17.
Bedakan akut dan kronis tonsilitis

REPORT
1st SCENARIO

TONSILLITIS
TUTORIAL 11

MEMBER :
1. PUSPO ARI W
2. ALBAN RAMADHAN
3. PRATAMA RAHMAT W
4. MAHENDRA BUDI A S
5. LIGAR HERVIAN
6. FAHRIZAL ARRIO S
7. YUDRIK MAULANA
8. NAUFAL FARUQ P
9. NANDA DWI M
10.
AGUNG MUKHTAR

MEDICAL FACULTY OF
MUHAMMADIYAH UNIVERSITY OF SURAKARTA