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Meningitis Kesane Afra lraniat < Ensen INFERSI SIMPLES (05) (FOE) Kompcets ANG ment > 45 meme 4y/24 3am 2/04 jam Kejang Umum Fouul Sadar Corenanss ) # Sadar Pe Penunjang + “7 Wenyinglirlan 09 Keane lainnyn + Duar lerguag & ele oie + LCS (09/ meanings & ensetulitrs ) + EEG (00/ Epileps: —> Seue ) +X Rawy (00/ Trauma , OSE Rewwlogys ) AK Bayan Now: Ine cest 3 Kajeng beralang + Démaun erwers; fxatee = bel onibe Seiad, Ce a y Partiat Umar 1 Simplens = 4 sisi Abul 4 Absance (Lena) / Pent mal ay Bengong 9 alent bia t. Komplels = 15isi Abul Automasene. (engecapt ) ‘Tome plead Cmenolela ) £4B th Sampai Dew sa t sabac 5 Bingung wmendu dale perlahan Cepat » Cenemlisata Seunder Y Paral > Selunh tubal 2. Gran@ mal = Saar 9 + Sa%ar + sagar , Tonk tlomle air iat 3. Mio Honk > Hott Sesaat [Riasi puss €piegss bedarar Ebians | mendadale To ldtopaBh + holo) 4. Monk + Lemas , Pingsan Co Crp trgenile Ehdlay eo), femenk saan (-) 99 / Stnkoe S7 yng tomatic Etoloy (, Pemente saan (+) K STATUS EPLEPTIKUS Kejang ? Po mek , Bilas fose + SBar eu €EG= Gelombany spe v cu | Iwubasy 9 NV k moniter. Th/ Efilepsi [Rematan | Liw 3 Lin ff Lo Paral :-Fentein, atau = Cacawrecrepin t Lamotigg n Umum AS valproat: a efosuks > ES: memicu SIS Dosis : Dewasa %/d bebas kejang S th 4 5, 3 Anak I bebas kejang 2 a lappenng Off 1-2 bulan fel. Samging (ainnya = Fenivin > mua , ganggan GIT, binaung , iRsomnia, Sluit kepala anemia def. As flat, ~ Fenobachital > Kecanbuan, menganrk, Wipecalerg < Ehosulecioa9e = proses autvimun (ste) = Carhamarepin = Gargguan Keseimbongan, verge, nistagass, edaleig = AS-valproat ~ Gongqvan GIT & tno; hepar , rambut mate. TATALAKSANA K EJANG Supoctsy « fepnertan pebeinn, m rected | wax 2x 2 Maha = toma, ) Fay Smenit [Biateei] DF RS (Polus Lambat ) = 10 0,5 -0,5 ma Meg mane 2/¢ rent | Artem bah [Eenitin } 5 torg7egnor 20 ma/igGB enceckan NS (t0my/ImL NS) we? tax S ge. l chi tumba ly Ti 510m Mug 88/1 Fenobar' 20 may) bo 88 Vols lamba 1 1 = 0 T Neonates 23 hans max Goma /le 6G Fenobarhital \ Fenstoin iiea en = Prvpanolol + Wo pentat Midazolam INDVKAS! RAWAT INAP —9 KDE & EOS pe tama Lele JL Tes Inkemitir «© - POT 3-4 1O- AS meg /Mey OG Jas. Max Sx ~~] - Orarepam oral/rectal « %¥0, 3-015 ma /tey GS haw | Fe, Pemam 298" ©) 7s 2 BLPL + fumatan. 2 AS Valpmat 45 Goma “eg 88 / 2-4 dosis Rumatan —_ + Fenobachital 3-4ma /kg 8B / 1-2 Bosis Selama 4 th bebas ke jane = Tappering oH 2 hs TETANUS e¢ efano isin | — el ee kan Seringan Fetane Spesmin} o(Fpesme ott tenga us el Be 766305 Sao mt ayes abdow “Demet Pagan, busie panch nis Suam , cahaye , ~o, “Kesang Rangsan Th/+Anbbiokk anaeab > makwhide + Wsis anak * + Tetanus lune globulin Clostr8ivmn Tetani, gram (+), anaerob, dumsticle Teun = © Okot Elestremi tas, Otot nagar & laring = ia Fegan exenge pu Otol ameta = rensi uni ¢ Mi facialis ott mastkator > Tasmus rilas Senbvhan JA kalo Hsentvh / Lihat cahrayn / ada svarn langsueg Metrows ba ATS (skin test Puls) 50.000 - 100 000 14 anes Psa asuer shape asplsva & Sfanosis uno Kupuik alr (ga bie leanan Vin) Epistotonus spontan kejang wle eso mel b90/ hax WV i Vv. \oane (ye pertu skin fest ) foo - 300 \U/4y 6B IM + Simp rrmahle 9 darepam Th/ Prplaucs 7 Tefonas Toyoid (TT) a bevian + fam, fennel Luka > Goss inssi, bersihkan, ben AG _— [ex | [Kotor + : Galea operas = Konfannina 5« e Fross bite, (ake Seen 2 usu © Avulsi - Gigitan ewan — (teekmpa) | = Dark /tive —- Objele teebung C) \nunigas. +7 (mvnisess Lenghap (3%) a : Teli an Lesley planus ax) £ sg a mee x * Took afar v 25th - lupe a Benkan « ie No achon mesh BETO am | \ : Tdelwid ) Noaction needét Werkan: Serkan Th osec 1m OS ce im ster hee ) . Sedan: TTT sce * Tetanus Neonatorum ¢/ Boma ¢ TT Af -Wolass Lanie ® Pelun /# hypienis “ATS JHE Gk - mulut mencucar = AB (malerotide ) + Kejany ran sang - Simptomatle + * Fenobar bital = Ke Jang Sfontan “ATS 1 at am) “Hue 250 Ww (im) LMN 6BS MIASTENIA PoLtomieL {TIS GRANS eb Oleg; ) autvimun autoimun angele sé toe | Demielinisasy Ant bob menemfat kan Desteulsss Cornu anttnor mebula Sarat pen ter Feseptor Oseb\koUin Spinais NM) CK “Ascenging * “Descendin Unilateral © “Shanets " * Bilateral” “Raking Seving kale i * Bilateral” * emumcul Saad alekvitos” | “Demam” “Gloves Seeking” \ (Boat tale tergan’) Lompol 2 leat" “umgun > tengan™ Tehaplegsa \ Lumpul oft nafs *Hilang bila isteahat ” Urveversible) “Mata ptosis “(wn ) Suara seca /afoni " “Tangan dul, ven We vali * “leceversi ble” “7 Wnwanisas ake lengap po ex Pungs: Lumbat Test Matern bees (4) Protein Liat tee atas C ENMG « L wralein ptosis Demielinisas: (S) Test Tensilon @) Endrophoniam W |, ofot 500 normal Test ont bai L ant reseptor asebl- ) lolin T/ a Ringa n Penegahan v Rujyrle - WIG 9 Dopnidt Clntrovena ‘muna cbutin) = Plasma paresis 9 Def - ~ Kolinesferase inhsbitor Ceinoskomin atau Neoskamnin ) Sean, + Seite Berat, ~ Aratropine Sangat borat —Timatctonai Wmmuanisas’ potio 0,2, 3, 4 UMN STROKE > Hemiparese 224 jum ——— < Norte +) Wsicenne ~y Tia: hilang £24 30m (Keahat Onset Rinp = bilang 24-92 34" @ Safar a TTS Prolong ef RIND <200 To wileing 792 Jam 940 Hipolabur) CT Sean Hi per (uth) <3 aes, SCORING 4 SIRIRAD 3 <4 + Iokemik , >1: Hemoragik G GAIA MADA => nyen kepala(d) atau Sadar § = HEMoRAGIK ¥ STROKE (sHEMIE Yo fervoulunGarah ofae \ Th/ awal - - Twambosis Anh agreyss: tombosit CAspitee Zaspiein) (CPE) - Emboli (wargann , Heparin , Fondaforinox ) < onset > Kusia > TW/ Peprint ? Fibanolitle “TPA (streptokinase , ateplase ) Anh WT yika TO 2220 /120 mma Y twrunkan 75% dou [MAE/—9 Sisbl + 20:51 H STROKE HEMOrAGIE ee een FR: -Aneunsma (ec. 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Sensonk A.M. Trorskocikal ALS Transtorhleal A. Compuan Trans A. Kontubsy A. Global AL Anyone Vib tt Cea Bt sla |e Pro + > Hrbata - bata CEPHALGIA Ge: fotepba val, muntah, fonofobia Saleh ke pala % TENSION ~ Terkkan, tkat , bilateral Th/ Awal » Ibuprofen 400 ~a, , Acetaminophen 100 men, Prevenst : Arutriph lin B MIGGAIN 7 Gerbengud , Sebelah 1 Th/ Awol Taptan Csumatriptan bme/ SC 1 25-100 my / PO) teyptamin 2m PO ] Frevent > > asam valpoat i Aura /tlusle + mMuncal geala 30 wewit sebelem Sulit hepala | G lalatan Cabana, berkeip-kedip , Suara yo) Sangat Keras L$ Aum /common = Ga ade gejule pendahula 0D/ Arteritis Franial ~ A. Temporalis radang = Vikan bagian temporal salet W/ seid F CLUSTER > yer fechsule -Msule sampal mate, unilateral, keluar air mata/ (MgUs TW/ Awal > 02 + Wotan cesapem ) Preven tie + CLE (nonin pindin » Verapamal /AibAve 90/ Neuralgia TWigeminal / THC pouLourEvx = Myer sefutar ahang . = Myer aloBenia 4 menguayah /Herkena angin / sikat 99° Th/ Oo: 600 - 600 mp, / hav ~baba penn - fregabalin ~ Amiri lin VEKTICO cr Posing, melayang PERiFER SENTRAL masala feling a masalalr Cerebe lum Ge: Twitus, SYHL a aut (mal, montah) Peclahan Hilang - Ambul Fonknyu Nistagaus <—> Nistagmus J Finger 49 Reger (N) Finger 1 Fieger Abnormal Th/ betahis Hin Th/ Flunantin + Atan Rengebab - Vert qo Tiniqus SNHL — Nistagmus, Th/ Bepv G) 2/6) ¢) ve abe Manaver epley OF RS © posisi cix-hallpnd” reintoar Pandt-Davotf % cumah Neusks Gr) (tr) ©) Sad, Stevie (me ) 400 Vestibolar PEAK Tapreningott Sminggu eC virns Labirin this @) ) G) << 8 eC Omsk Menier 's i. +) Ct) & Awol + Mecliaine , atau Disease we c Ora zepam el Freventy > Diurebk Tard enolate ; Wet) + Stewie PARKINSON 5 Degereratiy fC Y Doparnin Ta Tremor 5 rest PM -wolly ® Ra Rigide4ns Cogwheel Phenomenon” , Robot A> Alinesa Cgeralan sportan melambat ) / Brag linesia Pi Postal Instobilit, C64 Seimbans ) To/ Dopawnin ( Levo8opa ) LEST N. vit ( FaciaLis ) PEeRiFeR (Bell's palsy) Q > CYD> at kewtan Pah’, alis jlanottalmus d= ganis Senyum lest LATERAL Eholon: = (orate FR Angin AC, Wflemari Ths. Stemi Selama S han’, foppesng o44 SENTRAL 1CMD*s 4, EY KONTRALATERAL, Prefnisen my 7k 98 Shan atau Coma /haw 10 ma / hawt BE (einfoksin) & G2 (Mewbalumin / sianokebalanin ) Fisio tap Dp/- Ramsay Hunt Synerome eC views 4 tooster Thy Aagclovir 5¥300 mo SOK KS Custemna Maliqna et Bakitn Thy AG Note Pe MMSE */ Demensia £23 > © Demensia 22H > MID Cognitive Impairment Kolinesterase Inhibitor DEMENSIA 2 fertahan , win Ma, 7 Ebslan » To) ere nO nepenit ¥ 0 Alzheimer Scan -) atro4i Tengo Yanetal ramon Mognitit % O Pick Disease CT Stan 9 aby Fronto Temporal Personality — Memon Bavase YD Nastular > 7 HT Stroke , altrosllerosis 7 atass pengebab % D Lewy, Boies > Demensia + Parkinson To/ Vevobopa *Deliviom > onset < bly

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