This document describes the case of a 5-year-old boy who was admitted to the hospital with fever. He developed red eyes, mucus discharge from the eyes, and a rash on his neck that progressed to blisters and erosions. He was treated at a provincial hospital but did not improve, so he was transferred. The document discusses Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN), including causes, classification based on skin detachment percentage, diagnostic criteria, complications, differential diagnosis, and treatment approaches including supportive care, fluid/electrolyte management, nutrition, and adjunctive pharmacologic therapies like cyclosporine, IVIG, and corticosteroids.
- The document provides guidance on the initial management of newly diagnosed immune thrombocytopenia (ITP) in children.
- It recommends treatment based on symptom severity rather than platelet count alone, with the goal of achieving a platelet level sufficient for adequate hemostasis rather than a normal platelet count.
- For children with newly diagnosed ITP and mild bleeding or platelet counts above 20x109/L, outpatient management is preferred over hospitalization provided close follow-up can be ensured.
8. H畛c thuy畉t tb 達 ph叩t bi畛u r畉ng
M畛i sinh v畉t 動畛c
c畉u t畉o t畛 m畛t
ho畉c nhi畛u t畉 bo,
trong 坦 x畉y ra c叩c
qu叩 tr狸nh chuy畛n
h坦a v畉t ch畉t v t畛n
t畉i t鱈nh di truy畛n.
T畉 bo l v畉t s畛ng
nh畛 nh畉t, l 董n v畛
t畛 ch畛c c董 b畉n c畛a
m畛i c董 th畛 .
T畉 bo c坦 th畛 t畛
sinh s畉n v m畛i t畉
bo ch畛 c坦 th畛
動畛c sinh ra nh畛
qu叩 tr狸nh ph但n chia
c畛a t畉 bo t畛n t畉i
tr動畛c 坦
9. Li畛u c坦 ph畉i m畛i c董 th畛 sinh v畉t
畛u c坦 c畉u t畉o t畛 t畉 bo ?
Sv ch動a c坦 c畉u t畉o
t畉 bo : virus,th畛
n khu畉n.
SV c坦 c畉u t畉o Tb:
Prokaryote &
Eukaryote.
10. Ph但n lo畉i sinh v畉t c坦 c畉u t畉o t畉
bo:
SV c坦 c畉u t畉o
TB
Eukaryote
董n bo( V
nguy棚n sinh)
a bo (n畉m
,V,TV)
Prokaryote Vi khu畉n,t畉o..
11. C畉u t畉o c董 b畉n c畛a m畛t TB
Mng sinh ch畉t
Nh但n ho畉c nguy棚n
li畛u ch畛a th担ng tin di
truy畛n
Tb ch畉t
12. 1. TB
Prokaryote
Sinh v畉t nh但n
s董 hay sinh v畉t ti畛n
nh但n ho畉c sinh v畉t
nh但n nguy棚n
th畛y (Prokaryote)
l nh坦m sinh v畉t m
t畉 bo kh担ng
c坦 mng nh但n.
13. 1. TB Prokaryote
Prokaryotes c坦 nhi畛u
h狸nh d畉ng kh叩c nhau:
-H狸nh c畉u (cocci),
-H狸nh que (bacilli),
-H狸nh ph畉y
-H狸nh xo畉n (helice) bao
g畛m xo畉n khu畉n (Spirilla)
v Spirochettes
K鱈ch th動畛c t畉 bo t畛 1-5
m. Tuy nhi棚n
Prokaryotes l畛n nh畉t c坦
h狸nh roi di 0.5 mm (t畉
bo Eukaryote 10-100
m).
14. 1.TB prokaryote
C坦 3 v湛ng c畉u tr炭c ch鱈nh
l:- Ti棚n
mao (flagella), ti棚m mao,
hay l担ng nhung (pili) - l
c叩c protein bm tr棚n b畛
m畉t t畉 bo;
-V畛 t畉 bo bao
g畛m capsule, thnh t畉
bo v mng sinh ch畉t
-V湛ng t畉 bo ch畉t c坦
ch畛a ADN genome,
c叩c ribosome v c叩c th畛
v畉n (inclusion body).
15. H狸nh th畛c sinh s畉n : Tr畛c ph但n (
th畛i gian sinh s畉n nhanh)
16. 2. TB Eukaryote
Sinh v畉t nh但n
chu畉n, c嘆n g畛i
l sinh v畉t nh但n
th畛c, sinh v畉t nh但n
i畛n h狸nh ho畉c sinh
v畉t c坦 nh但n ch鱈nh
th畛c
g畛m c叩c t畉 bo ph畛c
t畉p, trong 坦 v畉t
li畛u di truy畛n 動畛c
s畉p 畉t trong nh但n c坦
mng bao b畛
17. T畉 bo sinh v畉t nh但n chu畉n th動畛ng c坦 nh畛ng c畉u tr炭c
chuy棚n bi畛t 畛 ti畉n hnh c叩c ch畛c nng nh畉t 畛nh, g畛i l
c叩c bo quan. C叩c 畉c tr動ng g畛m:
T畉 bo ch畉t c畛a sinh v畉t nh但n chu畉n th動畛ng
kh担ng nh狸n th畉y nh畛ng th畛 h畉t nh動 畛 sinh
v畉t ti畛n nh但n v狸 r畉ng ph畉n l畛n ribosome c畛a
ch炭ng 動畛c b叩m tr棚n m畉ng l動畛i n畛i ch畉t.
TB ch畉t
Mng t畉 bo c滴ng c坦 c畉u tr炭c t動董ng t畛 nh動 畛
sinh v畉t ti畛n nh但n tuy nhi棚n thnh ph畉n c畉u t畉o
chi ti畉t l畉i kh叩c nhau m畛t vi i畛m nh畛. Ch畛 m畛t
s畛 t畉 bo sinh v畉t nh但n chu畉n c坦 thnh t畉 bo.
Mng TB
ch畉t
V畉t ch畉t di truy畛n : DNA m畉ch th畉ng, 動畛c c担
畉c b畛i c叩c proteinhistone t畉o n棚n c畉u
tr炭c nhi畛m s畉c th畛. M畛i ph但n t畛 DNA 動畛c l動u
gi畛 trong nh但n t畉 bo v畛i m畛t l畛p mng nh但n bao
b畛c.
V畉t ch畉t di
truy畛n