Beruflich Dokumente
Kultur Dokumente
TIBI 2015
Pre-diagnosis
Coughing for 2 weeks; fever x1/52, loose
stool x1/12, visit to KK Miri on 6/1/15,
Referred to MGH on 6/1/15 and admitted
for infective AGE and hyponatremia
HIV NR
? body weight
BCG scar unknown
Mantoux test not done
SAFB +4 (scanty)
sputum TB CS NG
CXR moderately advanced
VDRL negative
Diagnosis: PTB smear positive new case & extra
PTB - TB ileocaecal
TBIS
CONCLUSION
Pesakit TIDAK lewat datang mendapatkan
rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
suboptimal
Pesakit PATUH rawatan tibi
Pre-diagnosis
30.1.15 coughing for one week; SAFB done
3.2.15 noted SAFB 3+x1; called up pts relative;
promised to come cm
4.2.15 noted lethargic and POI, ; pale, BP 90/60
PR 108 weak pulse, T afebrile RR 20 SPO2 99%
under RA; wear mask; IVF 1 pint over one hour
S/T Physician : for admission through A&E
On admission on 4.2.15, coughing for 1 month
LOA, LOW, night sweats
No TB Contact
Loose stool for one week
TBIS
CONCLUSION
Pesakit TIDAK lewat datang mendapatkan
rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
suboptimal
Pesakit PATUH rawatan tibi
Pre-diagnosis
Patient was found alive 1day before. Her
friend called her and she complained of
chest pain.
Her brother found out that patient was
dead in living room
noted there was a poison bottle and beer
can.
TBIS
CONCLUSION
Pesakit TIDAK lewat datang mendapatkan
rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
suboptimal
Pesakit PATUH rawatan tibi
Pre-diagnosis
Productive cough x1/12, worsening SOB
x3/7, night sweat, nocturnal fever
Admitted to Hospital Marudi on 17/1/15
and then transferred to MGH on 19/1/15
for septic shock secondary to PTB
H/o PTB contact (mother)
was diagnosed TRO TB lymphadenitis in
2011 but defaulted f/up in SGH
TBIS
CONCLUSION
Pesakit LEWAT datang mendapatkan
rawatan
Pesakit LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
suboptimal
Pesakit PATUH rawatan tibi
Pre-diagnosis
Abdominal distended x1/12, SOB x1/12,
fever on and off x1/12, no cough
No altered bowel habit
No PTB contact
TBIS
CONCLUSION
Pesakit LEWAT datang mendapatkan
rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
suboptimal
Pesakit PATUH rawatan tibi
Pre-diagnosis
cough x1/52, no hemoptysis, LOW, LOA
History from relative (son)
Patient c/o hemoptysis at night before he
died.
unable to sought any medical treatment
TBIS
CONCLUSION
Pesakit TIDAK LEWAT datang
mendapatkan rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
suboptimal
Pesakit PATUH rawatan tibi
Name: Sahlan
Passport No: A 3821626
No daftar TB: 130425/14/15
46-year-old Indonesian male staying at
Samling Plywood Sdn Bhd, Tebanyl
Veneer Mill, Ulu Baram
Pre-diagnosis
Abdominal pain x1/52, altered bowel habit
x1/12.
POI x5/7, LOA,LOW x2/52, feverx1/7
went to KK Tudan on 11/5/15 and referred
to MGH
DM, HIV NR
EBW: 52kg
BCG scar unknown
Mantoux test not done
SAFB +3
CXR moderate advanced
sputum TB CS NG
VDRL negative
Diagnosis: Intrabdominal TB with
enterocutaneous fistula, PTB smear positive new
case
TBIS
CONCLUSION
Pesakit LEWAT datang mendapatkan
rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
subptimal
Pesakit PATUH rawatan tibi
Diagnosis: TB lymphadenitis
started forecox on 22/5/15
died on 17/6/15 at home
cause of death: unknown
CONCLUSION
Pesakit TIDAK LEWAT datang
mendapatkan rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
suboptimal
Pesakit PATUH rawatan tibi
Pre- diagnosis
Body weakness x2/52, vomiting x2/52, ~5
episodes/day, a/w loose stool x2/52
Abd pain, RIF, burning sensation, x1/52
cough x3/52, LOW x1/12, no night sweat
No PTB contact
TBIS
CONCLUSION
Pesakit LEWAT datang mendapatkan
rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
suboptimal
Pesakit PATUH rawatan tibi
Pre-diagnosis
Productive cough x1/12, fever on and off
x1/12, worsening SOB x1/7, cough with
yellowish sputum and haemoptysis x1/7,
pleuritic chest pain, night sweat x1/12
TBIS
CONCLUSION
Pesakit LEWAT datang mendapatkan
rawatan
Pesakit bukan kontak tibi
Pesakit TIDAK LEWAT dilakukan diagnosa
Pesakit TIDAK mendapat rawatan
subptimal
Pesakit PATUH rawatan tibi
Pre-diagnosis
Sign and Symptom:
-Coughing more than one month
-low of appitite
-lose of weight
- no hemoptysis
Body weight: 49kg
No BCG scar
Mantoux test not done
SAFB positive
TB CS pending
Borang TBIS
Pre-diagnosis
Sign and Symptom:
-Coughing for two weeks
-giddness (on& off)
-Generalised bodyweakness
26.12.14 :Admit male medical ward hospital sri
aman
28.12.14 pt discharges from hospital.
Relative pt request follow up at tbcp miri
Folder pt sent to miri and tbcp miri received on
27 januari 2015
Treatment
A) intensive phase
-started on forecox 3 tablets OD
-Pyridoxine 20mg OD
-Tab multivitamin 1 tablet OD
-Complete intensive phase @26.2.15(60 days)
B) Maintainance phase
27.2.15 @ started on :
-Tab INH 200mg OD
- Cap. Rifampicin 450mg OD
- Tab. Pyridoxin 20mg OD
-Tab multivitamin 1 tablet OD
- 115 days on maintainance phase
Borang TBIS