Morbili
Morbili
Morbili
MORBILI
SKDI: 4A
ICD X: B05.9
SUPERVISOR:
Etiology
Caused by Morbili Virus in Nasopharygeal and blood secretion during prodormal period up
to 24 hours after spotting
Viruses infect lymph Viruses replicate and Multinucleus giant cells are
formed and prone T
node spread into organs lymphocytes actively replicate
Clinical Manifestation
Healing Complication
• Pheriperal Blood
Anamnesis Test (Limfositosis
and Leukopenia)
• Sitologic test
(Giant cell in
bucalis or
rhinose)
• Serologic test
(spesific IgM)
Treatment
Prognosis
Fever
since 6 days before admission
Anamnesis
Blood routines:
Eosinophil: 0,1 %
Haemoglobin : 14,1 g/dl Basophil : 0,1 %
Hematocrite : 38,3 % Neutrophil: 88,7 %
Leucosit : 9.130 /ul Monocyte : 2,4 %
Platelet : 224.000 /ul Lymphocyte: 8,7 %
Eritrosite : 6.180.000
Diagnosis
Non-Pharmacology :
Isolation room.
Bed rest
Nutritional needs : 1800 kkal/day
Pharmacology :
IVFD D5 ½ NS 1760 ml/day, 18 dpm macro
Vitamin A 200.000 IU p.o. (single dose)
Ambroxol syrup 15mg/5ml 3x1cth
Paracetamol 120mg/5ml 3x3cth (fever)
Follow Up
Day / Date Subjective Objective Assesment Therapy
Tuesday, Fever (+), General appearance Morbili eruption • IVFD D5 ½ NS 21 tpm
/6/2018 Malaise (+), : moderate illness stadium makro
cough (+), Awareness : • Paracetamol syr 3x 2 cth
composmentis prn
Blood pressure : • Ambroxol 3x1 cth
120/70 mmHg • Vitamin A 200.000 IU
Pulse : 100 x/min • Daily meal 1840
Respiratory rate : 24 kkal/day
x/min
Temperature :
37,8oC
Fotofobia (+)
Rash on the whole
body surface
Day / Date Subjective Objective Assesment Therapy
Wednesd Fever (-), General appearance : Morbili • IVFD D5 ½ NS 21 tpm
ay , Malaise (+), moderate illness eruption makro
6/6/2018 cough (+), Awareness : stadium • Paracetamol syr 3x 2 cth
composmentis prn
Blood pressure : • Ambroxol 3x1 cth
120/70 mmHg • Daily meal 1840
Pulse : 92 x/min kkal/day
Respiratory rate : 22
x/min
Temperature : 37,0 oC
Fotofobia (+)
Rash on the whole
body surface
Day / Date Subjective Objective Assesment Therapy
Thursday, Fever (-), General appearance Morbili • IVFD D5 ½ NS 21 tpm
7/6/2018 Malaise (-), : moderate illness convalesen makro
cough Awareness : stadium • Paracetamol syr 3x 2 cth
(+)minimal composmentis prn
Blood pressure : • Ambroxol 3x1 cth
120/70 mmHg • Daily meal 1840 kkal/day
Pulse : 94 x/min
Respiratory rate : 21
x/min
Temperature : 36,8
o
C
Fotofobia (-)
Hiperpigmentation
(+)
Day / Date Subjective Objective Assesment Therapy
Friday, Fever (-), General appearance Morbili Patient : go home
8/6/2018 Malaise (-), : moderate illness convalesen Advice : Control to Peditric
cough (-) Awareness : stadium Policlinic and to Surgeon
composmentis Doctor for UDT.
Blood pressure :
110/70 mmHg
Pulse : 94 x/min
Respiratory rate : 21
x/min
Temperature :
36,5oC
Fotofobia (-)
Hiperpigmentation
(+)
Prognosis