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Curriculum Vitae

Nama Lahir Alamat Istri Anak/Mantu/Cucu Pendidikan : : : : : : I Gede Arinton Singaraja, 1 Januari 1950 Jl. Pramuka 249 Purwokerto 1 5/3/3 1. dr. umum FK. UNUD 1977 2. dr. SpPD FK. UNDIP 1987 3. MKom STIBBi Jkt 1999 4. MMR UNSUD 2005 5. KGEH FK. UI 2007 6. Doktor Ilmu Kedokteran UNDIP 2008 : Bag. Penyakit. Dalam RSUD. Margono Soekarjo/FKIK Unsud Purwokerto Pelatihan Endoscopy di RSU dr. : 1. Hasan Sadikin Bandung. 2. International Endoscopy Workshop 2007, Jakarta 5 7 April 2007. 3. Training Endoscopy Showa University Yokohama 2009

Pekerjaan Pendidikan Tambahan

Anamnesis diarrhea & vomiting


Dr.dr. I Gede Arinton,SpPD-KGEH The Internal Medicine of FKIK Unoed Purwokerto 2012

Remember
1. CHIEF COMPLAINT :
a pain a symptom of discomfort a loss of usual function troublesome bodily change a psychiatric symptom Yes - ressucitation No --- :
HISTORY OF PRESENT ILLNESS PAST MEDICAL HISTORY FAMILY HISTORY

2. Emergency :

Remember

Remember

Diarrhea and/or vomiting --- emergency :


Vital sign Level of dehydration

World Gastroenterology Organisation practice guideline:Acute diarrhea 2008

Daldijono Score
No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Klinis Rasa haus Tekanan darah sistolik 60-90 mm Hg Tekanan darah sistolik <60 mm Hg Frekuensi nadi > 120 x/menit Kesadaran apatis Kesadaran somnolen, soporus, komatus Frekuensi nafas >30x/menit Facies cholerica Fox cholerica Turgor kulit menurun Washer women hand Ekstremitas dingin Sianosis Umur 50-60 tahun Umur >60 tahun 1 1 2 1 1 2 1 2 2 1 1 1 2 -1 -2 Skor

Definition: abnormal increase in stool liquidity, stool frequency, and stool weight (more than 200 grams per day). Diarrhea : < 4 weeks: acute infection > 4 weeks: chronic:
Osmotic, secretory, exudative, motility

IO 9

HISTORY OF PRESENT ILLNESS


1. Episodes of diarrhea - 3 categories :

World Gastroenterology Organisation practice guideline:Acute diarrhea 2008

HISTORY OF PRESENT ILLNESS


2. Linking the main symptoms to the causes of acute diarrhea

World Gastroenterology Organisation practice guideline:Acute diarrhea 2008

HISTORY OF PRESENT ILLNESS


3. Clinical features of infection with selected diarrheal pathogens

World Gastroenterology Organisation practice guideline:Acute diarrhea 2008

PAST MEDICAL HISTORY

World Gastroenterology Organisation practice guideline:Acute diarrhea 2008

http://uwgi.org/guidelines/ch_01/ch 01.htm

Gastroenteritis & Colitis

Introduction
Gastroenteritis & Colitis - diarrhea Most :
Brief & self-limited Managed by patients alone.

Do present to clinicians :
Small intestin disease Ileocolonic disease

Newton & Surawicz, 2011

Newton & Surawicz, 2011

Dx. EVALUATION
Fecal Leukocytes & the
Lactoferrin Assay Stool Culture

Th/.
Rehydration, Nutrition, Electrolytes ANTI DIARRHEALS :
Bismuth subsalicylate Loperamide

ANTIMICROBIALS