Alert on HFMD

HFMD da serang sipitang (sabah), malah sudah ada kes outbreak di merapok (pintu masuk sabah-sarawak) tidak lama lagi akan sampai ke kawasan saya. (sebab ikut bentuk geografi, kawasan i yg next memalui jalan raya & kampung. even sudah 2 kes di tmpt i.

minta bantuan rakan2 seperjuangan beri info mengenai HFMD. bukan i x tau pasal penyakit ini, tapi minta pengalaman u all utk Mx wabak ini. cth nya, sign & simptom yg boleh betul2 comfirm HFMD. maklum la, kami ni jr., minta pandangan abang2 senior pulak ye~

thanks kerana membantu. god bless u all.

betul lakan coz HFMD ni outbreak every 3 years. last time was 2005-2006 so this time 2008-2009. mun ada kes jangan lupa rekod dan inform. S/S biasanya fever, rashes + blister kat tangan dan kaki and also ulcer kat mulut. mun kes stable u just give health talk and symptomatic treatment. tp mun kes yang complication have to referlah. u ask la patient punya oral intake, aktif ke sik aktif dia orang, hidration dia orang ok ke tak, if semua ya ok then just discharge la. but patient under 2 have to refer ok. i dont know la banyak sangat tapi ini yang kami praktikkan masa kat A/E last time. even MO do the same thing.

yg i belajar masa student dulu, apa2 yg look like HFMD, even query pun refer. x tau la i setting kat tempat i ni?

ikut theory memang cam tu, tp secara praktikaliti takde pun. tp mun u mau safe u refer aja la. sikda hal sikda orang mok marah. mun mo mok marah, kau lensing jak.

tak salah kalau refer.. bukan kita dapat buat investigation pun klinik... so utk compom diagnosis.. just refer...

apa info u on HFMD oscar?

kat klinik cuma boleh diagnose ikut klinikal simptom ja. kat hospital pun sama. jarang2 MO buat blood ix. kalo S/S dia macam HFMD maka dia orang diagnose HFMD aja. walaupun bukan HFMD.usually kalo dia orang sendiri unsure dia orang admitkan untuk observation.

same idea like Renddy ... asalkan nampak simptom macam HFMD just refer jak.. B 4 that mestilah screen properly, exam properly, document properly.. takut salah diagnos. N thenbila semua nyer... lengkap kita refer tanpa ragu2.. Sida MO tak kan slah kan kita asalkan lengkap kita punya document... setakat tok Klinik kami org belum ada nampak atau kedatangan patient yang ada simptom HFMD.

lengkap jangan tak lengkap, tapi apa yang aku perhatikan selama tok banyak jua MO pun screening tak lengkap. tanya memang tanya tp takde dokumentasi. ada yg tulis diagnosis and terus prescribe ubat. bila MA buat camtu tak boleh pulak. malah saya sendiri pernah tengok discharge summary patient yang amat simple sekali. tulis diagnosis. lepas tu tulis admit for observation, itu aja yang ditulis. apa pendapat kitaorang HFMD secara teori hanya menjangkiti budak umur 10 tahun dan kebawah, macammana kalo ada orang lebih dari umur 10 tahun atau orang dewasa dapat S/S yg sebiji cam HFMD.

rangkai tudah ngeli Ma seli di merapok diak.gasak bakih ya ia.....peluh tungkul idung ia..

kami dotok penyakit pedis pala patung mauh,urti pun bc pedis patong,asthma pun sama,

pedis pala sama gak..mcm2 penyakit, mesti disetakan pedis pala patung....

jai joint orang kmpg tok,,skru longgar kini..

laban sida nadai ngena keta kine, ya mauh pedis pala patung nyak. biasa la nya, pegi umai jalai kaki, pulai ari umai jalai kaki, pegi klinik pun jalai kaki.

sida nadai kedai servis pala patung dien.

ka muka kedai nyual alat kelengkapan pala patung...wawasan aku nyak..

kaya org ditok uuu..bisi kapal ikan..

joint enda manah kelalu mkai seafood...di ungal dik PPP sia..g mauh undang ia di lawas din?

apoo kaban.. anang berbisnes sengapa.. legik datai sida BPR ngetuk pintu

gary sia muka bisnes udang galah ngau tapak sulaiman,...


aku muka spare part pala patung..

baru pulai ari klinik akih... bc kes aku tek

g idup patient,enti ia heart problem sigi tusah ka idup,tambah g CVA ngau High BP.

patient parai... CPR done ngau baging... 30 minit CpR .. aku pun kompem ngau sida iya. Lalu inform Mo on call and then telipon police...

ok,steady d kaban..

Sepanjang tok , maya on call udah 3 org parai maya aku attend. sida staff madah aku tok SOI

conform, aku takat tok sik pernah camya. nang sik mintak lah.

HFMD pernah di ditect di klinik kitarg ada 3 kes last year dlm bulan 8 & 9. Sign simptom ko mesti nangga tangan, kaki & mulut. Mun ada kombinasi 3 ya bersama demam, ko refer jak sbg langkah jaga2 bagus untuk pt dan jua ko sendiri. Pertama, ko polah notifikasi ( ada borang ) & call PPKP bahagian kawalan penyakit berjangkit ( jika ada line telefon, pake emel pun boleh ). Treat seperti biasa, simptomatik. Ko advise parent langkah precaution, takut jadi wabak. Paling penting notifikasi. Penyakit tok ada akta kawalan penyakit berjangkit.
( elek2, jgn panik biasanya siklah teruk gilak pt yang dtg, janji parent mbak ke klinik awal )

Hand, foot, and mouth disease (HFMD) is a common illness of infants and children caused by a virus. It most often occurs in children under 10 years old. It is characterized by fever, sores/ulcers in the mouth, and a rash with blisters. The blisters may appear in the mouth, palms of the hands and soles of the feet. The rashes may also appear on buttocks and on the legs and arms. The ulcers in the mouth usually appear on the tongue, the sides of the cheeks, gums or near the throat.

When and where does HFMD occur?

Individual cases and outbreaks of HFMD occur worldwide, more frequently in summer and early autumn (in temperate countries). In the recent past, major outbreaks of HFMD attributable to enterovirus EV71 have been reported in Malaysia in 1997 and in Taiwan in 1998. HFMD is endemic in Malaysia and occurs every year. In Sarawak, the number of cases of HFMD tends to increase from February to June.

What are the clinical signs and symptoms?

HFMD begins with a mild fever, poor appetite, malaise ("feeling sick"), and frequently a sore throat. One or 2 days after the fever begins, painful sores develop in the mouth. They begin as small red spots that blister and then often become ulcers. They are usually located on the tongue, gums, and inside of the cheeks. The skin rash develops over 1 to 2 days with flat or raised red spots, some with blisters on the palms of the hand and the soles of the feet. A person with HFMD may have only the rash or the mouth ulcers.


Blister on the palms of the hand Blister on the dorsum of the feet


Blister then become ulcer Blister on the soles of the feet
on the inner gums