1. 30 yrsfatigue. Undergo outpatient treatment. Energy requirement: Men: 1700.Women : 1500 2.

45 yrs come to emergency department severe pain LUQ anterior. Fever, tenderness, at mcburney point. Operationno appendix. Where? retrocecal 3. 69 yrs.abdomen discomfort for 2mnthsbecome fullness. Symptoms: ascites, no liver, protein decrease, albumin decrease, globulin normal, ALT decrease, platelets decrease. Condition: cirrhosis. Bedain dgn acute&fulminant hepatitis. Kalo acute hepatitis ada penurunan fungsi hati. 4. Kids diarrhea, die caused of kidney failure after consumption of hamburger hamburger outbreak. Causes: e-coli (O0157) 5. Overweight people eat redbean.loose weight until get malnutrition. Redbean contains amylase inhibitor. Insufficiency where: digestion of oligosaccharide 6. 42yrs business man. Black stools, often take aspirin, ulcer on pylorus greater curvature.vascularization: right gastroepiploica 7. 31th. Stab on back. Hemodynamic stable. Intense pain radiate to back. Free air under diaphragm, no air in peritoneum. Which organ: duodenum. 8. Person take sulfamethoxazole for 3daysjaundice, fever, dark stool. Found heme body. Symptom gone day 9 therapy. What deficiency: G6P deficiency 9. 50 yrs old man. Alcohol cirrhosis, vomit dark blood,abdominal pain, hematemesisupper GI tractgaster organ. 10. 4yrs boy. Puffy eye in the morning,swelling leg, foamy urine, protein +4, serum albumin 1,5. Principle managementprednison 60mg. 11. Urine sample dari +4 ke +1 selama 1 bulan. Patient responsive classification: initial responder 12. Boy, severe diarrhea. Not full alert. Bp 80/60, pulse not palpable, RR 30, temperature 38,4C, sunken fontanele etc (moderate-severe dehydration). Distal tubular susceptible to ischemic injury : loss of polarity re distribution of membrane protein 13. Long history of excess drink, massive hematemesis, nodular liver, jaundice, ascites, steatosisfatty changeearly fibrosis. PA found: colic alcoholism 14. Staging of dehydrationpelajari!!! 15. Tourist from overseas developing country diarrhea+abdominal pain. Eat local food. blood+mucus stoolshigellashiga toxin 16. 37 man travel to mexico. Eat local food+drink water. Abrupt watery diarrhea+cramping abdominal pain. Treatmentciprofloxacin 17. 24 man not eat well2 weeks chronic vomit. Diarrhea watery. Hiv+4, CD4 low. Microscopic finding: 4mm oocyst cryptosporidium. 18. Epigastric&stomach pain. Nauseakinesia dysridgidity (kaku otot). Medicine caused: metochlorpramide extrapyramidal effect cross BBB 19. Female gastroenteritis tourist come to indo. Onset abrupt cramping pain+watery diarrhea. Symptom resolve in 24 hr. kind of causing food : gado2raw veggies 20. 27yrs man history of IV drug use. Liver funct testserologic hepatitis interpretation : chronic low infectivity. 21. Patient CA colon T2N1M1 interpretation: CA to muscularis propria, local lymph node affected, metastasis

22. 48 woman adenocarcinoma. Chemotherapy antiemetic. Betamethasone+dexamethasone. Other drug choiceondancetron 23. 2yrs boy. Paroxysmal colicky pain, straining effort, vomit, stool+red blood mixed with mucus. Mass palpable in mid epigastriumintussuception/invagination