CASE 2

LACTOSE
INTOLERANCE
 Case Review

Baby, Boy, 3 month old

History Taking (Alloanamnesis) Physical Examination Lab examination

- Given exclusive breastfeeding - Look irritable - Only contained of watery

until last 2 week stop and - Look thirsty diarrhea
change to formula milk - Teardrop +
- Diarrhea - Eyelid sunken
- Change the formula milk - Skin turgor
brand but no changes of - Anal rash +
diarrhea
- 1 day ago, breastfeed again,
condition got better.

Diagnosis : Lactose
intolerance

Treatment : (NON
PHARMACOLOGY) Advise the
mother to continue breastfeed

Prognosis : Dubia Ad
Bonam
 Baby
Etiolog
y
Enzyme breastfeed
-definition &
Genetic doesnt
classification contained of lactase
- characteristic content &
- structure compariso production
- affecting Contain of n of
factors formula & Taking formula milk
- function breast
- mechanism milk Lactose
- kinetics
Lactose + Lactase Intoleranc
No lactase e
Normal
Treatment, BHP,
Milk contain lactose PHOP, CRP
cannot been

Food for bacteria

Cannot been absorb by
body
Bacteria
Osmotic pressure

Acid Gas Production

H20 in L. Intestine moving
out from the cell
Lactic H2
Acid
H2O in H20 in Body
Bloat intestine

Anal Rash Watery Abdomen pain

Look
+ Diarrhea
thirsty
Turgor

Eyelid sunken
Learning Objectives:
1. Explain the definition and classification on enzyme
2. Describe the basic structure of enzyme
3. Explain the characteristics and kinetics of enzyme
4. Explain the mechanism of of action
5. Explain enzyme activator and inhibitor
6. Explain factors affecting enzyme activity
7. Explain the function of enzyme
8. Describe the clinical implication of enzyme assessment
9. BHP: patients rights, including to receive info about lab
assessment implications
10. PHOP: education on detecting the disease