Professional Documents
Culture Documents
OSCE Blok 20 - PDF
OSCE Blok 20 - PDF
OSCE Blok 20
Copyright
© © All Rights Reserved
! Save
Share this document
Facebook Twitter
$
Email
Learn more
Edfmkmr smjtuy md jome, dcmp md jn `mtmtmj.
Pcdjmrnh
Pdhrmjo neu, wmjntm, usnm 44 tgmuj, adjodfug jydrn futut emonmj cmjmj.
=. Fmcucmj mjmajdsns jydrn fdjocmp (sdsumn idjomj snjocmtmj PH@UMYDP) ! ujtuc
cdfugmj jydrn.
5. Kdfmscmj pmthlnsnhfhon imj dtnhfhon pdjymcnt cmsus tdrsdeut! (HM, UM, hstdhphrhsns, OM).
Adcmjnsad
=. Pdfmamt pmon neu, snfmcmj iuiuc. (kmemt tmjomj imj insnfmcmj iuiuc
edrsdedrmjomj/edrgmimpmj).
5. Rdrcdjmfcmj smym ir. Mnom ymjo adjkmom phfncfnjnc pmim gmrn njn.
0. Idjomj neu snmpm8 Taur edrmpm8 Rdcdrkmmjjym mpm8 Ydapmt tnjoomf inamjm8 ! ehfdg
in-scnp cmfh uimg mim in scdjmrnh.
9. Emnc eu pmim gmrn njn cntm mcmj adfmcucmj mjmajdsns ujtuc adaemjtu adjdomccmj
inmojhsns pmim amsmfmg neu.
4. Aujocnj mcmj sdincnt adaeucm prnvmsn pmim smmt tmjym-kmwme, mpmcmg neu edrsdinm8
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions!
Jymjynmj
=. Cdfugmjjym mpm neu8
5. Cdfugmjjym inamjm ym eu8 Ensm intujkuccmj sdcmfnmj eu.
0. Cdfugmjjym in smtu snsn smkm mtmu ium snsn eu8
9. Puimg sdkmc edrmpm fmam neu8
4. Edrmpm fmam eu cdfugmjjym tnaeuf8 Gmjym sdsmmt, ededrmpm kma8
<. Mpmcmg cdfugmj gnfmjo-tnaeuf, tdrus-adjdrus, sucm cmaeug mtmu emomnamjm neu8
?. Mpmcmg cdfugmj neu adjkmfmr mtmu edrpnjimg-pnjimg8
7. Mpmcmg mim sdjsmsn fmnj smmt cdfugmj edrfmjosujo eu8 Ansmf sdpdrtn tdremcmr, edridjyut,
mtmu ymjo fmnjjym8
>. Mpm ymjo neu fmcucmj ujtuc adrdim cdfugmjjym8
=2. Mpm ymjo adaeumt cdfugmjjym adapdrpmrmg8 Ynjocmt cdpmrmgmjjym onamjm ym eu
cmfmu imrn =’=28
==. Mpmcmg sdedfuajym pdrjmg adjomfman cdfugmj sdrupm8
=5. Mpmcmg mim cdfugmj/odkmfm fmnj ymjo adjydrtmn eu8
=0. Mpmcmg neu pujym rnwmymt pdjymcnt sdedfuajym8 Puimg sdkmc cmpmj8
=9. Mpmcmg pdrjmg edrhemt sdedfuajym eu8
=4. Mpmcmg sdimjo adjohjsuasn hemt sdsumtu eu8
=<. Mpmcmg neu sdimjo adjohjsuasn hemt8 Cmfmu ehfdg tmu hemt mpm ym eu8
=?. Mpmcmg mim rnwmymt cd`dfmcmmj mtmu trmuam eu8
=7. Mpmcmg cdfumrom adanfncn cdfugmj sdrupm8
=>. Mpmcmg tdtmjoomj imj hrmjo sdcntmr adanfncn cdfugmj ymjo sdrupm8
52. Pdedfuajym mpmcmg neu sdhrmjo pujooujo cdfumrom8
5=. Edrmpm fmam neu edcdrkm8
55. Emomnamjm phfm amcmj neu8 Mpmcmg sdrnjo adjohjsuasn kdrhmj (insdsumncd ed)8
50. Mpmcmg mim mfdron eu8
Rdaemgmsmj
Riwayatperialananpenyakit
Inflammatoryvsnoninflammatory
lEpatura
Inflammatory Ioninhameron
Duration
IPain(when?) Yes(AM) Yes(PM)
sweline Softtissue Bony
Prominent Minor(<30)
Duration
Erithema Somelmes Aheant
Warmth Sometimes
Akut 6mingqu
Systemicfeatures Frequent Angent
Gejalaspesifikmuskuloskeletal
Chiefcomplaint
aNyeri(pain)
aKekakuan(stiffness)
aBenakak(swelling) -Keluhansendi
aDeformitas(deformity)
aKelemahan(weakness)
aGangquanberjalan(lambat,ketidakseimbangan,jatuh,kelemahan
handgrip)
aGejalasistemik:demam,fatigue,BBturn,nafsumakenkurang
Omaam 52=7 HP@D Efhc 52
Gejalaspesifikmuskuloskeletal Gejalaspesifikmuskuloskeletal
Course
Kekakuan(stiffness)
Berapalamaterutamamorningstiffness
Intermitten :adaepisodesembuhkemudiankambuhlagi Bengkak(swelling)
Migratory :berpindaah-pindahdarisatusendikesendi Localizedalaudiffuse
laintetapisendiyangterkenasebelumya Deformitas(deformity)
sudahsembuh.
Additive Dikaitkandenganlamanyapenyakit
:bertambahbanyakjumlahsendiyangterkena
dimanasendisebelumnyabelumsembuh Kelemahan(weakness)
Akibatnyeritaukelemahanotot
Riwayatperialananpenyakit
ArticularvsNonarticular
Clinicalaahurr IMonarichlar
capsule ligament,muscA
Painfulsite Diffuse,deen Done
Painonmovemel Focal'point"
Active,infewplanes
Swelling
(common Uncommon
Edfmkmr smjtuy md jome, dcmp md jn `mtmtmj.
Inmojhsns Emjinjo
12 RiwavatPenvakitKeluarga
kIwava
JANGANLUPADITANYA
Pengobatan
Alergicotrimoxazole
Merokok
Riwayat Aktivitasberulang Alkohol Merokok
Kebiasaan
Krepitasi
aversaat Banguntidur, jointdestruction,
Khas saatistirahathilang sakit predileksirerseringd
Heberden's›DIP
-ImoD)isas) NSAID
VAS<3Acetaminofen
-KasihES,bukan @lbuprofen3y600
600-1000mgatau2
tablet hangat ansokortikkoo
-NSAID -Prednison75ma
Terapi VAS>4>NSAID
-Colchicine1x0.5 hari
VAS5-6>NSAIDCOX2
DMARD
(Diclotenac)3x50mg
VAS8->ODiON -Allupurinol1x )Methotrexate7.5
300mg1-3hari
Pcdjmrnh
Pdhrmjo wmjntm, usnm 02 tmguj, adjodfug jydrn pmim tmjomj.
=. Fmcucmj pdadrncsmmj UDAP pmim wrnst khnj, instmf njtdrpgmfmjodmf (INR) inontn \ cmjmj,
imj prhxnamf njtdrpgmfmjodmf (RNR) khnjt inontn N\ cmjmj.
Njodt!
=. Trutmj mjmthan scdfdtmf tmjomj (imrn ukujo kmrn) ! instmf pgmfmjodmf, njtdradinmtd
pgmfmjodmf, prhxnamf pgmfmjodmf, adtm`mrpmf, `mrpmf.
5. _rnst khnjt ! sdjin pdrodfmjomj tmjomj.
0. Inontn \ ! kmrn cdfnjocnjo.
9. Inontn N\ ! kmrn amjns.
Adcmjnsad
=. Pdfmamt pmon neu, snfmcmj iuiuc. (kmemt tmjomj imj insnfmcmj iuiuc
edrsdedrmjomj/edrgmimpmj).
5. Rdrcdjmfcmj smym ir. Mnom ymjo adjkmom phfncfnjnc pmim gmrn njn.
0. Idjomj neu snmpm8 Taur edrmpm8 Rdcdrkmmjjym mpm8 Ydapmt tnjoomf inamjm8 ! ehfdg
in-scnp cmfh uimg mim in s`djmrnh.
9. Emnc neu sdtdfmg adfmcucmj mjmajdsns, emgwm neu adjomfman jydrn pmim tmjomj neu.
Cntm mcmj adfmcucmj pdadrncsmmj lnsnc fmjkut idjomj adthid UDAP (Udonhjmf
Dxmanjmtnhj hl Aus`ufhscdfdtmf Pystda) . Rdadrncsmmj njn adrupmcmj pdadrncsmmj
fmjkut infmcucmj fdeng chaprdgdjsnl imj rnj`n pmim rdonh-rdonh idjomj prnjsnp ‗fhhc-lddf-
ahvd-luj`tnhj„ pmim sdjin mejhramf.
4. Rmim gmrn njn cntm adfmcucmj pmim dcstrdantms mtms emonmj idxtrm (cmjmj) pmim rdonh
amjus (tmjomj) neu.
<. Aujocnj mcmj tdrmsm sdincnt tnimc jymamj, mpmcmg neu edrsdinm8
?. Emnc neu, sdedfua ntu smym adj`u`un tmjomj tdrfdeng imgufu. (? fmjocmg `u`n tmjomj)
7. Fmcucmj jymjynmj.
>. Pdfdsmn, `u`n tmjomj.
=2. Emnc eu, cntm suimg adfmcsmjcmj pdadrncsmmj adthid UDAP. Edrimsmrcmj gmsnf ymjo
inimpmtcmj … (snapufcmj gmsnf njtdrprdtmsn)… Tjtuc adjdomccmj inmojhsns fdeng fmjkut,
ensm infmcucmj pdadrncsmmj pdjujkmjo fmnjjym sdpdrtn rhjodj, W-rmy, mtmu AUN.
==. Pmapmn in snjn mpm mim ymjo njonj intmjymcmj eu8 Mpm mim ymjo njonj insmapmncmj fmon8
=5. Kncm tnimc mim tdrnam cmsng ym eu. (kmemt tmjomj)
Jymjynmj
=. Rmsndj edrmim insdedrmjo/edrgmimpmj idjomj ihctdr.
5. Pmrmj; fmcucmj imgufu pmim emonmj ymjo sdgmt momr adjodtmgun pdremjinjomj jhramf
imj mejhramf.
0. Fmcucmj fhhc (adfngmt) ! hptnhjmf ehfdg inpnfng, tnimc gmrus sdaumjym chc.
m. Mpmcmg tdrimpmt scmr8
e. Mpmcmg tdrimpmt edjocmc (swdffnjo)8
`. Mpmcmg tdrimpmt cdadrmgmj (rmsg)8
i. Mpmcmg tdrimpmt mtrhln htht8
9. Fmcucmj lddf (rmem) ! hptnhjmf ehfdg inpnfng, tnimc gmrus sdaumjym chc.
m. Emomnamjm sugu pmsndj8 Gmjomt mtmu injonj.
e. Mpmcmg tdrmem edjocmc (swdffnjo)8 Mim ymjo adjhjkhf.
`. Emomnamjm pdjdemfmj tdjihj8
i. Emomnamjm pufsmsn mrtdrn rminmfns8
d. Emomnamjm fdjocujo htht tgdjmr imj gyphtgdjmr8
l. Emomnamjm sdjsmsn smrml adinmjus, ufjmrns, imj rminmfns8
o. Emomnamjm jydrn pmim pdrmemmj (tdjidrjdss)8
! Oujmcmj tdcjnc lhur phnj `haprdssnhj td`gjnqud pmim INR/RNR ! INR, RNR,
tguae NR, NR khnjt pmim cmcn.
- Adjooujmcmj ukujo neu kmrn imj tdfujkuc pmim cdium tmjomj idjomj tdcjnc
adjynfmjo sdgnjoom adaedjtuc 9 tntnc pdjdcmjmj.
- Ydcmj-tdcmj fdaeut pmim sdjin ymjo intujkuccmj.
- Ymjymcmj rmsm jydrn pmsndj imj fngmt dcsprdsn (pdjnfmnmj \MP).
! Oujmcmj \MP.
- Adfngmt dcsprdsn pmsndj idjomj rdjtmjo jnfmn =’=2.
4. Fmcucmj ahvd (odrmc) ! hptnhjmf ehfdg inpnfng, tnimc gmrus sdaumjym chc.
m. Rdadrncsm adalfdcsncmj imj adjodcstdjsncmj kmrn-kmrn tmjomj pmsndj
(adjoodjooma imj adaeucm) ! adfmcucmj lfdcsn dcstdjsn fnjocup odrmc sdjin
(FOP)
e. Fmcucmj meiucsn, miiucsn, dcstdjsn, lfdcsn, hphsnsn, rdphsnsn.
`. Jnfmn odrmcmj sdjin sd`mrm mctnl (inodrmccmj pmsndj sdjinrn) imj pmsnl (inodrmccmj
pdadrncsm) ! tmjymcmj/rmsmcmj cdcmcumj, thjus htht (tmgmjmj rnjomj, sdimjo, imj
edrmt).
i. Jnfmn cdcumtmj smrml adinmjus (kmrn inedjochccmj), rminmfns (kmrn infuruscmj), ufjmrns
(kmrn inedjochccmj).
@mrm;
- Ymjomj inidvnmsncmj cd mrmg ufjmr ! neu kmrn infnpmt cd imfma.
- Umem prhsdsus styfhnidus.
Njtdrprdtmsn ;
Rhsntnl kncm tdrimpmt jydrn sdpmjkmjo DRE (dxtdjshr phfn`ns erdvns) imj MRF (meiu`thr
phfn`ns fhjous).
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions!
@mrm;
- Ymjomj infdamscmj.
- Amcsnamf lfdcsn pdrodfmjomj tmjomj sdgnjoom cdium pujoou tmjomj edrchjtmc.
- Rdrtmgmjcmj sdfmam = adjnt.
Njtdrprdtmsn;
Rhsntnl kncm tdrimpmt cdsdautmj imj pdomf sdpmjkmjo jdrvus adinmjus.
Pcdjmrnh
Njodt!
=. Pdjin emgu ! tufmjo guadrus (fdjomj mtms), tufmjo s`mpufm (edfncmt), imj tufmjo
`fmvn`ufm (sdfmjocm).
5. Uhtmthr `ull ! amjsdt rhtmthr ! tdapmt edromeujo 9 am`ma tdjihj htht adaedjtuc
pdjutup emonmj mtms tufmjo fdjomj mtms) ! htht suprmspnjmtus, htht njlrmspnjmtus, htht
tdrds anjhr, imj htht sues`mpufmrns).
0. En`dps tdjihj ! tdjihij erm`gnn emonmj instmf tueug.
Adcmjnsad
=. Pdfmamt pmon empmc, snfmcmj iuiuc. (kmemt tmjomj imj insnfmcmj iuiuc
edrsdedrmjomj/edrgmimpmj).
5. Rdrcdjmfcmj smym ir. Mnom ymjo adjkmom phfncfnjnc pmim gmrn njn.
0. Idjomj empmc snmpm8 Taur edrmpm8 Rdcdrkmmjjym mpm8 Ydapmt tnjoomf inamjm8 ! ehfdg
in-scnp cmfh uimg mim in s`djmrnh.
9. Emnc empmc sdtdfmg adfmcucmj mjmajdsns, emgwm empmc adjomfman jydrn pmim emgu
empmc. Cntm mcmj adfmcucmj pdadrncsmmj lnsnc fmjkut idjomj adthid UDAP (Udonhjmf
Dxmanjmtnhj hl Aus`ufhscdfdtmf Pystda) . Rdadrncsmmj njn adrupmcmj pdadrncsmmj
fmjkut infmcucmj fdeng chaprdgdjsnl imj rnj`n pmim rdonh-rdonh idjomj prnjsnp ‗fhhc-lddf-
ahvd-luj`tnhj„ pmim sdjin mejhramf.
4. Rmim gmrn njn cntm adfmcucmj pmim dcstrdantms mtms pmim rdonh idfthnidus (emgu)
empmc.
<. Aujocnj mcmj tdrmsm sdincnt tnimc jymamj, mpmcmg empmc edrsdinm8
?. Emnc empmc, sdedfua ntu smym adj`u`un tmjomj tdrfdeng imgufu. (? fmjocmg `u`n tmjomj)
7. Fmcucmj jymjynmj.
>. Pdfdsmn, `u`n tmjomj.
=2. Pdfdsmn, `u`n tmjomj.
==. Emnc pmc, cntm suimg adfmcsmjcmj pdadrncsmmj adthid UDAP. Edrimsmrcmj gmsnf ymjo
inimpmtcmj … (snapufcmj gmsnf njtdrprdtmsn)… Tjtuc adjdomccmj inmojhsns fdeng fmjkut,
ensm infmcucmj pdadrncsmmj pdjujkmjo fmnjjym sdpdrtn rhjodj, W-rmy, mtmu AUN.
=5. Pmapmn in snjn mpm mim ymjo njonj intmjymcmj pmc8 Mpm mim ymjo njonj insmapmncmj fmon8
=0. Kncm tnimc mim tdrnam cmsng ym pmc. (kmemt tmjomj)
Jymjynmj
=. Ihctdr edrmim in snsn cmjmj pmsndj, pmsndj imfma phsnsn edrinrn imj tdomp furus.
5. Pmrmj; fmcucmj imgufu pmim emonmj ymjo sdgmt momr adjodtmgun pdremjinjomj jhramf
imj mejhramf.
0. Fmcucmj fhhc (adfngmt) ! hptnhjmf ehfdg inpnfng, tnimc gmrus sdaumjym chc.
m. Rdrgmtncmj pmim snsn idpmj, smapnjo, imj edfmcmjo.
e. Mpmcmg tdrimpmt scmr8
`. Mpmcmg tdrimpmt edjocmc (swdffnjo)8
i. Mpmcmg tdrimpmt cdadrmgmj (rmsg)8
d. Mpmcmg tdrimpmt mtrhln htht8
l. Mpmcmg mim pdruemgmj wmrjm cufnt8
o. Emomnamjm chjinsn m`rhanh`fmvn`ufmr khnjt, ofdjhguadrmf khnjt, imj stdrjh`fmvn`ufmr
khnjt8
9. Fmcucmj lddf (rmem) ! hptnhjmf ehfdg inpnfng, tnimc gmrus sdaumjym chc.
m. Emomnamjm sugu pmsndj8 Gmjomt mtmu injonj.
e. Mpmcmg tdrmem edjocmc (swdffnjo)8 Mim ymjo adjhjkhf.
`. Emomnamjm pdjdemfmj tdjihj8
i. Emomnamjm rmemmj tufmjo (m`rhanhj, `fmvn`ufm, suem`rhanmf spm`d)8
d. Emomnamjm rmemmj htht (idfthnidus, en`dps erm`gnn, en`npntmf orhhvd)8
l. Emomnamjm rmemmj m`rhanh`fmvn`ufmr khnjt, ofdjhguadrmf khnjt, imj stdrjh`fmvn`ufmr
khnjt8
o. Mpmcmg tdrimpmt jydrn8
! Oujmcmj tdcjnc lhur lnjodr td`gjnqud pmim sghufidr khnjt ! enmsmjym cjdd
khnjt.
- Adjooujmcmj 9 kmrn (inontn 5’4) rmem-rmem imj tdcmj fdaeut sdcntmr emgu.
- Neu kmrn sdemomn pdjhapmjo.
- Ymjymcmj rmsm jydrn imj fngmt dcsprdsn (oujmcmj \MP).
4. Fmcucmj ahvd (odrmc) ! hptnhjmf ehfdg inpnfng, tnimc gmrus sdaumjym chc.
m. Rdadrncsm adjoodrmcmj sdjin emgu sdpdrtn meiucsn-miiucsn imj dfdvmsn.
e. Umsmcmj mimjym tmgmjmj pmim a. idfthnidus.
`. Rdrgmtncmj odrmcmj s`mpufm.
i. Jnfmn odrmcmj sdjin sd`mrm mctnl (inodrmccmj pmsndj sdjinrn) imj pmsnl (inodrmccmj
pdadrncsm) ! tmjymcmj/rmsmcmj cdcmcumj, thjus htht (tmgmjmj rnjomj, sdimjo, imj
edrmt).
d. Jnfmnfmg tmgmjmj tdrsdeut mpmcmg jhramf, adjnjocmt mtmu adjuruj (adjnjocmt kncm
cdsufntmj edrodrmc, gnfmjo kncm tnimc adrmsmcmj tmgmjmj).
@mrm;
Njtdrprdtmsn ;
Rhsntnl kncm tdrimpmt jydrn/cdtdremtmsmj odrmc.
@mrm;
- Rmsndj iuiuc/edrinrn adjogmimp pdadrncsm inamjm fdjomj mtms sdincnt tdreucm
(meiucsn) imj supnjmsn.
- Rdadrncsmj adadomjo emonmj emgu (idfthnidus) imj adjmgmj fdjomj emwmg
(mjtdrerm`gnn) smmt pmsndj adfmcucmj lfdcsn smapmn <2 idrmkmt.
- Mtmu ensm adfmcucmj tmgmjmj smmt lfdcsn pmim phsnsn >2 idrmkmt.
Njtdrprdtmsn;
Rhsntnl kncm tdrimpmt jydrn.
Pcdjmrnh
Pdhrmjo fmcn-fmcn, usnm =7 tmguj, adjomfman cd`dfmcmmj lrmctur ldaur. Rrnamry survdy tdfmg
infmcucmj. Pd`hjimry survdy kuom suimg inimpmtcmj.
=. Pdeutcmj imj kdfmscmj pdadrncsmmj lnsnc hrtghpdin.
5. Pdeutcmj imj kdfmscmj pdadrncsmmj pdjujkmjo pmim cmsus ! pdadrncsmmj rhjtodj (W-
rmy), rminhnamonjo, EAI, ise.
0. Pdeutcmj imj kdfmscmj `mrm tdcjnc pdaenimnmj
9. CND ! diucmsn
Magazines Podcasts
Sheet Music
OSCE Blok 19
Fadhlan Azwin
Pembedahan Skoliosis
Lengkap Buku Panduan bagi
Para Pasien: Melihat Secara…
Kevin Lau dan Tak Memihak ke
Mendalam
dalam Apa yang Diharapkan
Sebelum dan Selama
Pembedahan Skoliosis
Osce Blok 21
Fadhlan Azwin
NEUROPSIKOLOGI: dasar-dasar
masalahnya
Stefano Calicchio
Checklist pemeriksaan obstetri
new revisi
clestine hayley
Checklist Penatalaksanaan
Perdarahan Pascasalin New
HAEMOST
Fadhlan Azwin
Show more
About Support
Press Accessibility
Contact us Publishers
Invite friends
Social
Gi[s
Twitter
Legal
Facebook
Terms Pinterest
Privacy
Copyright
Cookie Preferences
Language: English