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TropMed > Infeksi Cacing > Flashcards

Infeksi Cacing Flashcards

1
Q

Infeksi Cacing (4)

A

Schistosomiasis
Taeniasis
Nematoda
Fasciolopsis

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2
Q

Schistosomiasis

A

= Cacing Darah

4S
Sistosoma → Cacing
Serkaria → Stadium infektif
Sulawesi → Lokasi → Lindu
Siput → Vektor

Lihat telur cacing → feses rutin

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3
Q

Schistosomiasis (3)

A

Mansoni
Hematobium
Japonicum

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4
Q

Schistosomiasis Mansoni

A

Oval, spina di lateral/samping

M L
Mansoni Lateral

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5
Q

Schistosomiasis Hematobium

A

Oval, spina di medial/tengah

Hemato → Jarum suntik → tengah

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6
Q

Schistosomiasis Japonicum

A

Bulat, spina (-)

🇯🇵

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7
Q

Tx Schistosomiasis

A
  • Mansoni, Hematobium: Prazikuantel 40 mg/kgBB 2x1
  • Japonicum: Prazikuantel 60 mg/kgBB 3x1
  • Alternatif: Prazikuantel 10 mg/kgBB DT
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8
Q

FR Taeniasis

A

Makan daging sapi/babi kurang matang

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9
Q

Klasifikasi Taeniasis (2)

A

Taenia Saginata
Taenia Solium

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10
Q

Taenia Saginata

A

Sistiserkus bovis → stadium infektif
Proglotid (segmen gravid) 15-30 cabang (besar & banyak)
Rostellum (-)

Saginata Sapi

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11
Q

Taenia Solium

A

Sistiserkus selulosa → stadium infektif
Proglotid (segmen gravid) 5-10 cabang
Rostellum (+) → capit/gigi di kapala

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12
Q

Komplikasi Taenia Solium

A

Neurosistiserkosis
Gejala → kejang, penkes, defisit neurologis

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13
Q

Tx Neurosistiserkosis

A

Albendazole 2x400 mg (8-30 hari) + steroid

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14
Q

PP Taeniasis

A

Feses rutin
→
Telur bulat dengan striae radier/roda pedati → dinding tebal, tidak bergerigi
Onkosfer dan embriofor

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15
Q

Tx Taeniasis

A

Prazikuantel 10 mg/kgBB DT

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16
Q

Nematoda (6)

A

EAT
Stadium infektif → metaserkaria
Transmisi → fekal-oral (makanan)
- Enterobius Vermicularis
- Ascaris Lumbricoides
- Trichuris Trichiura

SAN
Stadium infektif → larva filariform
Transmisi → menembus kulit
FR: Tidak menggunakan alas kaki
- Strongyloides stercoralis
- Ancylostoma duodenale
- Necator americanus

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17
Q

Enterobius Vermicularis

A

= Oxyuris Vermicularis = Cacing Kremi
Cacing seperti parutan kelapa

GADUMARI
GA tal
DU bur
MA lam
HA ri

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18
Q

PP Enterobius Vermicularis

A

Anal swab/graham scotch adhesive tape
→

Telur oval, pipih pada 1 sisi asimetris, plankonveks (spt D)

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19
Q

Tx Enterobius Vermicularis

A

Pirantel Pamoat 10 mg/kgBB DT
Mebendazole 500 mg DT atau 2x100 mg 3 hari
Albendazole 400 mg DT

Pi M A

20
Q

Gejala Ascaris Lumbricoides

A

BAB keluar cacing seperti mie
Sindrom Loeffler → cacing masuk ke saluran napas → batuk/sesak
Ileus obstruksi → o/k terlalu banyak

21
Q

PP Ascaris Lumbricoides

A

Feses rutin
→

Mirip Taenia, bedanya lapisan luar bergelombang
Corticated (sudah dibuahi) → Telur dinding 3 lapis, albuminoid (+), lapisan luar bergelombang
Decorticated (belum dibuahi) → albumnioid (-)

22
Q

Tx Ascaris Lumbricoides

A

Albendazole 400 mg DT
Mebendazole 2x100 mg 3 hari
Pirantel Pamoat 10 mg/kgBB DT

A M Pi

23
Q

Trichuris Trichiura

A

= Cacing Cambuk

3T
Trichuriasis → Dx
Tong/Tempayan → Telur Double Knob
Turun → Komplikasi → Prolaps Rekti

24
Q

PP Trichuris Trichiura

A

Feses rutin

25
Q

Tx Trichuris Trichiura

A

Mebendazole 2x100 mg 3 hari
Albendazole 400 mg DT

M A

26
Q

Strongyloides stercoralis

A

= Cacing Benang
Cacing dengan ekor huruf W

27
Q

Tx Strongyloides stercoralis

A

Albendazole 400 mg 3 hari
Mebendazole 3x100 mg 2-4 minggu

A M

28
Q

Ancylostoma duodenale
Necator americanus

A

= Cacing Tambang
Anemia (5L) → o/k microbleeding di usus

29
Q

PP
Ancylostoma duodenale
Necator americanus

A

Feses rutin/Harada Mori test
→

Telur ovale, dinding transparan, segmented ovum

30
Q

Tx
Ancylostoma duodenale
Necator americanus

A

Albendazole 400 mg DT
Mebendazole 2x100 mg 3 hari
Pirantel Pamoat 10 mg/kgBB DT

A M Pi

31
Q

Etio Fasciolopsis

A
  • Fasciola hepatika
    makan hepar sapi/kambing
    target organ hepar
  • Fasciola busci
    makan tanaman air mentah
    target organ usus
32
Q

Stadium Fasciolopsis (2)

A

Infeksius
Diagnosis

33
Q

Stadium Infeksius Fasciolopsis

A

Metaserkaria

34
Q

Stadium Diagnosis Fasciolopsis

A

Telur dalam feses

35
Q

Dx Fasciolopsis

A

RUQ pain, gang GIT
Diare, demam, anemia
Berat → gangguan fungsi hati

36
Q

PP Fasciolopsis

A

Feses rutin

→ telur lonjong berdinding tipis dengan operculum
→ cacing pipih seperti daun

37
Q

Tx Fasciolopsis hepatica

A
  1. Praziquantel 40 mg/kgBB DT
  2. Albendazole 2x400 mg PO 3 hari
38
Q

Tx Fasciolopsis busci

A

Triclabendazole 10 mg/kg/dosis 12 hari

39
Q

Tx Cacingan

A
  • Schistosoma
    Praziquantel
  • Taenia
    Praziquantel
  • Nematoda
    • Ascaris/Ancolystoma/Necator/Strong
      A M Pi
    • Enterobius
      Pi M A
    • Trichuris
      M A
  • Fasciolopsis hepatica
    P A
  • Fasciolopsis busci
    Triclabendazole
40
Q

Cara Kerja Obat Cacingan: Mebendazol

A

Hambat polimerisasi tubulin → kehilangan microtubule

41
Q

Cara Kerja Obat Cacingan: Pirantel Pimoat

A

Lumpuhkan otot cacing

Pirantel pamoat
Paralisis

42
Q

Cara Kerja Obat Cacingan: Albendazol

A

Cegah cacing serap glukosa → kehilangan energi → pingsan → gone

43
Q

Cara Kerja Obat Cacingan: Praziquantel

A

Meningkatkan aktivitas otot o/k hilang Ca2+ intrasel → kontraksi & paralisis spastik → cacing lepas dari tempatnya

44
Q

Ascaris Lumbricoides

A

= Cacing Gelang

45
Q

Taeniasis

A

= Cacing Pita

TropMed (10 decks)

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