Pathopshiology

PATHOPSHYSIOLOGY
Water / food contaminated by germs

Some killed in gastric

The other escapes to the intestine

The immune response << germs

will get through epithelial cells( M
cells)
get through lamina propria
phagocyted by macrophages

Carried by macrophages to
Payers patches

Spread to KGB mesentrika

Through duktus torasikus

sistemic blood flow (bakteriemia
I = asimptomatic)
Spread to entire systems RES (liver & spleen)

Grow and maturate in liver and spleen

Go through the blood flow (bakteriemia II

=simptomatic ) systemic clinical symptoms

Liver Bile some be taken out with feces, some be

reabsorb ( repeat process )
BUKU AJAR ILMU PENYAKIT DALAM edisi VI jilid
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