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TEACHING
Patient Identity
2
Name : Tn. R
Genre : Male
Age : 1-7-1987 ( 27 years old)
Address : Konawe
Occupation : wiraswasta
Marital status : not married
Religion : Islam
Medical record : 681447
Addmission date : 24-09-2014
Anamnesis
3
Main complain
: Black spot
Anamnesis Terpimpin : since 20 days
ago before admitted to RSWS. Originally
appeared in the form of black spot on
the thigh area then spread to the the
under of stomach and all of body. The
black spot is getting widening became
black patches.
Anamnesis Cont..
7
Current status
8
Conciousness :
GCS : E4M6V5
Compos Mentis
Nutritional Value :
Vital Sign :
Physical Examination
9
Dermatologic status
10
Location
Before Treatment
11
After Treatment
12
Laboratorium
13
1.
2.
3.
4.
5.
6.
RBC
HCT
PLT
Hb
WBC
NEUT
: 4,091x 10/mm3
: 36,7%
: 388x 10/uL
: 12,7 g/dl
: 12,6 x 10 /mm3
: 9,76 H
Diagnose
14
Treatment :
Miconazole cream 20 gr + AAV1
15
Tinea Corporis
et Cruris
T.Korporis
I
ETIOLOGY
17
18
19
Differential
Diagnose
20
DIAGNOSIS
History Taking
TREATMENT
21
Systemic :
Griseofulvin :
- Curling efect Cell wall
~ 10-15 mg/kgbb/hr
~ Adult 500-1000 dosis tunggal
Ketokonazole : 1x200 mg/3 weak
Itrakonazole : 1x100 mg/2 weak
Terbinafin : 1x250 mg/2 weak
Topikal :
(destruction of wall cell offended
yeast respon)
Principle :
Acute + damp compress
Sub acute antifungi cream
Hiperkeratosis keratolitik
22
Topical drugs
Tolsiklat 1% lotion, cream
Haloprogin
Imidazole group mikonazole
cream, clotrimazol 1%,
ketokonazole, sertakonazole
Allilamin
butenafine
23
groupterbinafine,
24
THANK YOU