SKDI DIAGNOSIS KETERANGAN TATALAKSANA

INFEKSI TROPIS
Ringan Doksisiklin 2 x 100 mg
Ampisilin 4x 500 mg
Amoksisilin 4 x 500 mg
Leptospirosis Berat Penicilin G 1.5 jt unit/6 jam IV
Ampisilin 1gr/6 jam IV
Ceftriaxon 1gr/hari IV
Profilaksis Doksisiklin 200 mg/minggu
Kloramfenikol 4x500 mg 10 hari
Ampisillin 2 gr/hr 10 hari (ACC bumil)
Demam Tifoid
Ciprofloxacin 2x500 mg 7 hari (X anak)
Carier/Rawat inap Ceftriaxon 1gr/hari IV
ARV (2 NRTI + 1 NNRTI) ~TEL/TNL
*NNRTI : Efavirenz, Nevirapine
*NRTI : Zinofudine, Lamifudine, Stavudine
HIV
Profilaksis Dewasa : Kotrimoksazol 960 mg u/AIDS, CD <200
tanpa komplikasi
Anak : Kotrimoksazol 4-6 mg/kgBB
Profilaksis bayi ASI : Zidovudin + Nevirapin 6 minggu
dari Bumil HIV + Tanpa ASI : Zidovudin 6 minggu
Ascaris Lumbricoides
1. A : Albendazol 400 mg SD
Ankylostoma
2. M : Mebendazol 500 mg SD/2x100 3hr
3. P: Pirantel Pamoat 3x10 mg/kgbb u/< 1 thn & bumil
Enterobius Vermicularis P-M-A
Trichuris Trichura M-A
Strongyloides Albendazol 400 mg 3 Hr
Helminthiasis Praziquantel 10mg/kgBB SD
Taeniasis Albendazol 400 mg 3 Hr
Mebendazol 3x100 mg 2-4 minggu
Taeniasis + Kesmen
4 Albendazol 2 x 400 mg 8-30 Hr + steroid
(Neurosistercosis)
Scistosomiasis J Praziquantel 3x20 mg/kgBB/hr (60 mg)
Scistosomiasis M-H Praziquantel 2x20 mg/kgBB/hr (40 mg)
4

Akut DEC (DietilCarbamazin) 6 mg/kgbb (3x100 mg) 12 hari

ko infeksi loa loa tambah Ivermectin 150µg/kgbb SD
Filariasis
Albendazol 400 mg SD + DEC/Ivermektin
Kronik/Profilasis massal
per tahun selama 5 thn
Falciparum Lini 1: ACT 3 Hr + Primakuin 1 Hr
Lini 2: KINA+Doksi/Tetra 7 Hr + Primakuin 1 Hr
Vivax/Ovale Lini 1: ACT 3 Hr + Primakuin 14 Hr
Lini 2: KINA+Doksi/Tetra 7 Hr + Primakuin 14 Hr
Malaria
Malareae Lini 1: ACT 3 Hr
Lini 2: KINA+Doksi/Tetra 7 Hr
ACT (Combine) Artesunat + Amodiakuin
Dihidroartemisin + Piperakuin
Artesunat IV
Malaria Berat Hari 1: 2.4 mg/BB pada jam 0,12,24.
Lanjut 2.4 mg/24 jam sampai pasien sadar
Artemeter IM
tdk bisa infus/
Hari 1: 3.2 mg/BB dlm 2 dosis (1.6mg/BB/12 jam)
di RS perifer/puskesmas
Lanjut 1.6 mg/BB/24 jam selama 4 hari
KINA HCL 10 mg/kgBB dalam 500cc D5% 8 jam
Doksisiklin 100mg/hr
Max. 3 bulan
(2 hr sblm - 4 minggu setelah)
Malaria Profilaksis Klorokuin 500mg/minggu
Bumil/Anak
(1 minggu sblm - 4 minggu setelah)
Resisten Klorokuin Meflokuin 250 mg
Derajat 1 3-5 ml/kgBB/jam
Derajat 2 6-7 ml/kgBB/jam
DBD
Derajat 3 10-20ml/kgBB dalam 30 menit
Derajat 4 20-30 ml/kgBB bolus!
RHEUMA
Akut < 3hr Kolkisin 0.6-1.2 mg/jam (Maks 8 mg)
> 3hr Indometasin 150-200 mg/hr
4 Gout Arthritis
Kronik Allopurinol 3 x 100 mg
Probenesid
Grade 1 NSAID
3A OA
3A OA Grade 2/3 Inj. Kortiko + As. Hyaluronat intraarticular
Grade 4 Total Knee Arthroplasty
Awal NSAID (Meloksikam, Na.Dic)
3A RA
Tepat DMARDS (Metotreksat/Klorokuin/Sulfasalazin)
Awal/Induksi Metilprednisolon 8 mg (High dose)
3A SLE
Tepat DMARDS (Metotreksat/Klorokuin)
Polimyalgia
1 Kortikosteroid dosis rendah (Prednison 15 mg/hr)
rheumatoid
GINJAL
Sistitis Non (Wanita + tdk hamil only) Cotrimoxazole 2x960 / Ciprofloxacin 2x250 mg 3hr
Komplikata Amoksiklav 2x625 mg 7 Hr
Ciprofloxacin 2x500 7 hr
Sistitis Komplikata Anak Kotrimoksasol 10mg/kgBB
4
Bumil Nitrofurantoin 2x100, Amoksisilin 3 x 500 mg 3 hari
IV 10-14 Hr Fluorokuinolon: Ciprofloxacin/Levofloxacin
Pyenonefritis TMP-SMX : Cotrimoxazole
Bumil Cefadroxil 2 x 500 mg 7 hari

3A Sindrom Nefrotik Continous Day Prednison 2 mg/kgBB (Maks. 60 mg )

(1 bln)->Alternating dose 1.5 mg/BB (Selang-seling 1 bln)
3A AKI Ur>200 Uremic Syndrome Rehidrasi, koreksi elektrolit + HD Cito!
ENDOKRIN
Sulfonilurea : Glibenklamid/Glimepirid 1x2 mg/
DM Sekretegague
Gliclazide/Glipizide/Gliquidone (Ginjal aman)
Non Sulfonilurea : Glinid
Biguanid Metformin 3x500 mg
Thiazolidinedion Pioglitazon
Alfa glukosidase inh. Acarbose
4 SGLT 2 Inh. Canagliflozin
Agonis GLP-1 Liraglutide
DPP4 Inhibitor Sitagliptin
Sesuai Indikasi Insulin 0.5 IU/KgBB 60% prandial-40% basal
KAD/HONK Insulin drips 0.1 IU/KgBB
 Prandial (Analog) Novorapid (Aspart) / Apidra (Glulisin)
Basal (Analog) Lantus (Glagrin) / Levemir (Detemir)
Neuropati Diabetik Awal/simptomatik Pregabalin (Lyrica) 2x75 mg PO naik bertahap
Tepat Mecobalamin (Vit B12)
4 Hipoglikemia Ringan Larutan gula 15-20 gr dalam 15 menit (2-3 sdm)
Bolus D40% 1 flakon (25 cc) / D10% 150 cc
3B
Berat Lanjut D10% 100cc/jam
u/ Hiperkolesteromia Statin (Malam hari)
4 Dislipidemia Ada TG >500 Gemfibrozil 2 x 600 mg/ Fenofibrat 300 mg
u/ HDL <40 only Asam Nikotinat (Niasin) 500-750 mg
Defisit kalori 500-1000 kkal/hari
Non farmako
Aktivitas fisik (sesuai kondisi pasien)
4 Obesitas
Farmako Orlistat
Bedah Restrictive/Hybrid Bariatric Surgeries u/ IMT > 35
Mild Metimazol 3 x 5 mg/hr
Moderate Metimazol 3 x 10 mg/hr
Severe Metimazol 3 x 20 mg/hr
Bumil Trimester I PTU 3x100-200 mg (300-600 mg/hr)
3A Hipertiroid PTU 600-1000 mg / Metimazol 6x20 mg
Krisis Tiroid
+ loading cairan !
Lugol/iodide 6-8 tetes/jam
Propanolol IV / 60 mg oral
Radioterapi (Pre-Op) Radioaktif : I 131
Levotiroksin 1x25-50 mcg/hr
3A Hipotiroid Levotiroksin 1x200-500 mcg IV, lanjut 100 mcg/hr sampai
Koma Mixedem
stabil
2 Hipoparatiroid Ca Glukonas 1000 mg + Vit D
Addison Disease Hidrokortison 10-25 mg
1
Hipoadrenal Krisis Adrenal Awal : Infus Nacl
3B
Hidrokortison 100 mg bolus -> 100mg/4-6jm
GEH
Step Up Antasida/Ranitidin --> PPI
Epigastric Pain PPI (ROLE-P)
Robeplazole 10 mg

Dispepsia
 Omeprazole 20 mg
Lansoprazole 30 mg
Dispepsia
Esomeprazole 40 mg
Pantoprazole 40 mg
Post Prandial Fullness Prokinetik : Domperidone/Metoklopramid 3x10 mg
Bumil Antasida/Rani only
Up Faktor Defensif Sucralfat, Misoprostol
4
Untuk PPI Test PPI dosis ganda 1-2 mg
GERD
Step down PPI dosis tunggal 4 mg--> Antasida/Ranitidin
Ulkus Gaster/
Step down PPI --> Antasida/Ranitidin
Peptik/Duodenal
1st Line: O-K-A
Triple Therapy
(Ome 2x20 +Klaritromisin 2x500+Amox 2x1000)
2nd Line: Ter Bom
Gastritis (H.Pylori) Quadripel
(Tetra 4x250 +Bismuth 2x2 + Ome+ Metro)
3rd Line: M-OKA
(Metro 3x500 +OKA)
Ulkus Gaster/
3A Step down PPI --> Antasida/Ranitidin
Peptik/Duodenal
Tipe Diare Loperamid (Agonis opioid)
(+infeksi/berdarah) Atapulgit 600 mg (New Diatabs)
3A IBS Bisacodyl (Dulcolax), Proetilen Glikol (PEG),
Tipe Konstipasi
Sodium biphosphate enema
Tipe Nyeri Perut Papaverin, Hyosine Butylbromide
Giardiasis Metronidazol 3x250 mg 5 hari
Tertrasilklin 3x500 mg 2 hari/
Doksi 300 mg SD/ Azitro 1 gr SD
Diare Kolera
Anak: Azitro 15 mg/kgbb hari 1, 2-5 hari berikutnya
7.5/kgbb
ETEC/EPEC Ciprofloksasin 2x500 5 hr
4 EHEC/EIEC/Shigellosis Ciprofloksasin 2x500 5 hr
Amoebiasis Metronidazol 4x500 mg 5 hari
Disentri
Balantidiasis Tetrasiklin 4x500 mg
Metronidazol 3x500 mg 5 hari
 C. Botulinum Human Botulism Ig 50mg/kg SD
C. Perfringens Penicilin G 2-4 jt unit/6 jam IV
3B Inf. Clostridium
C. Dificille/ Stop Antibiotik
colitis pseudomembran Metronidazol 4 x 250-500mg 7-14 hr
HEPATOBILIER
2 Kolelitiasis Ursodiaxy Colic Acid (Urdafalk) 250 mg
Hepatoprotektor Curcuma
4 Hep A Simptomatik
Hepatitis
3A Hep B ARV : Lamivudin
Hep c ARV : Ribavirin+Interferon
Piogenik Penicillin
3A Abses Hepar Aspirasi abses jika > 5cm
Amobeik Metronidazol 3x750 mg
Hematemesis/melena Somatostatin
Profilaksis Ensefalopati Lactulosa (u/turunkan kadar amonia)
2 Serosis hepatis
Profilaksis
ruptur varises esofagus Propanolol
HOM
Def. FE Fe Elemental 3 x 60 mg
Ferro glukonat 4 x 1 tab (12% elemntal)
4
Ferro sulfat 3 x 1 tab (20% elemntal)
Anemia Mikrositik Ferro Susinat 3 x 1 tab (22% elemntal)
Ferro fumarat 2 x 1 tab (33% elemntal)
3A
Thalasemia PRC : Hb target-Hb skrng x 3 x BB
Deferoxamin (u/kelasi besi)
3A Anemia Normositik Hemolitik Steroid
Anemia Def. B12 Vit B12 (Cyanocobalamin) IM
3A
Megaloblastik Def. Asam Folat B9 (As. Folat) 1 mg/hari
Flebotomi (Target Ht < 45%)
Polisitemia Vera/
2 Aspirin 40-80 mg/hr
Kriptogenik
Hidroksiurea 2x500 mg
Von Willebrand Desmopressin 0.3 mcg/kgIV
1
Disease konsentrat vWF, kriopresipitat
SKDI DIAGNOSIS KETERANGAN TATALAKSANA
RESPIRASI
Eritromisin 40-50mg/kgBB dalam 4 dosis (4 dd 12.5mg)
4 Pertusis or Azitromisin 10 mg/kgBB 5 hari
Alternatif : TMP 8-SMX 40 mg/kgBB dalam 2 dosis 14 hari
Simptomatik : Oksigen, paracetamol, dsb
4 Bronchiolitis
Profilaksis Kotrimoksasol 4 mg/BB/kali 2x1 or Amoxicillin 25mg/BB
4 Pnemonia Ampi 50 mg/bb/6 jam + Genta 7.5 mg/bb/24 jam
2 RHZ + 4 RH (Tanpa Etambutol)
Dosis FDC
5-9 kg 1 FDC
10-14 kg 2 FDC
4 TB
15-19 kg 3 FDC
20-32 kg 4 FDC
Profilaksis INH 10 mg/kgBB 6 bulan
(kontak + <5 thn/HIV) INH 10 mg/kgBB 9 bulan (Mantoux +)
Step 1. Intermitten ICS low dose
Step 2. Persisten ringan ICS low dose
4 Asma (6-11 thn)
Step 3. Persisten sedang ICS low dose + LABA / ICS Medium dose
Step 4. Persisten berat ICS Medium dose + LABA
NEURO
Pre hospital Diazepam rectal 5 mg (<12 kg)/10 mg (>12 kg) bisa ulang 2 kali
Hospital Diazepam IV 0.2-0.5 mg/BB or Midazolam 0.2/BB IM/Buccal
Kejang Demam Fenitoin + Nacl / Fenobarbital 20 mg/BB
4 Fenobarbital / Fenitoin + Nacl 20 mg/BB
ICU Midazolam, Fenobarbital
Rumatan Asam valproat 15-40 mg, Fenobarbital 3-4 mg/BB
Profilaksis Kejang Demam
Intermitten (tiap demam) Diazepam oral 0.3 mg/bb or Diazepam rectal 0.5 mg/bb
KARDIO
Simptomatik, rujuk ! Oksigen, infus, morfin
2 Penyakit Jantung Bawaan
PDA Indometasin 0.1-0.2 mg/kg
DIGESTIF
Tanpa Dehidrasi <1 thn : 50-100 ml oralit/bab
>1thn : 100 ml oralit/bab

4 Diare
 Dehidrasi Ringan-Sedang Oralit 75 ml/kgBB/ 3 jam
< 6 bln : Zink 10 mg
4 Diare > 6 bln : Zink 20 mg
Dehidrasi Berat < 1 thn : 30 ml/kgBB (u/ 1 jam) + 70 ml/kgBB (u/ 5 jam)
> 1 thn : 30 ml/kgBB (u/ 30 menit) +70 ml/kgBB (u/ 2.5 jam)
tdk bisa infus : Rujuk + NGT 20 cc/BB/jam selama 6 jam
Syok Hipovolemi Guyur RL 20 cc/kgBB secepatnya
GINJAL
Sindrom Nefritik Eritromisin 30mg/kgBB dalam 3 dosis (3 dd 10mg)
Awal : Diuretik !
3A
Continous Day Prednison 2 mg/kgBB (Maks. 60 mg )
Sindrom Nefrotik
(1 bln)->Alternating dose 1.5 mg/BB (Selang-seling 1 bln)
ENDOKRIN
Sadar Larutan Gula oral (D10% 50 cc)
Tidak sadar Bolus Dextrose 2 cc/kgBB (selain gizi buruk)
4
Hipoglikemia <2 thn D10%
/3B
2-12 thn D25%
>12 thn D50%
GIZI
Atasi Hipoglikemia Sadar : Dextrose Oral (D10% 50cc)
Tdk sadar : NGT + Bolus D10% 5cc/BB
4 Gizi Buruk Atasi Hipotermia Lampu 40w jarak 50 cm, Perawatan Metode Kanguru
ReSoMal 5 cc/BB/30 menit selama 2 jam
Atasi Dehidrasi
Rehidration Solution for Malnutrition
Alergi susu sapi Susu terhidrolisat sempurna ekstensif, susu asam amino
4 Masalah Susu Formula Profilaksis alergi Susu terhidrolisat parsial
Intoleransi laktosa Susu bebas laktosa
INFEKSI
Simptomatik + Vit A
<6 bulan : 50.000 IU Vit A
4 Campak
<1 thn : 100.000 IU Vit A
>1 thn : 200.000 IU Vit A
Aspirin 30 mg/kg/hari bagi 4 dosis
3A Kawasaki Disease
IVIG
2 Scarlet Fever Penicillin, eritromisin
NICU
HDN Prematur Injeksi surfaktan
TTN SC elektif laringoskopi direct, suction intratracheal
MAS Mekonium Meropenem
Pneumonia kongenital Ampi 50 mg/bb/6 jam + Genta 7.5 mg/bb/24 jam
SKDI DIAGNOSIS KETERANGAN FARMAKO
SVT (HR >150) Stabil Manuver vagal (10 min) 1 a. carotis (Cek KI dulu!)
Adenosin 6 mg IV -> 12 mg IV
or CCB (Verapamil 80-120mg/Diltiazem 10 mg)
or BB (Bisoprolol 5-10 mg PO/bolus IV 2 mnt)
tidak stabil Kardioversi 50-100J (narrow regular)
Sinus bradikardi (HR <60) Reguler Observasi (Stabil)/Atropin 1 mg IV (tdk stabil)
PEA (Tanpa nadi) RJP + epinefrin
AV Blok AV Blok I-IIa Observasi (Stabil)/Atropin 1 mg IV (tdk stabil)
AV Blok IIb-III Pacemaker
Sinus Takikardi (HR >100) Stabil Amiodarone 300 mg/IV 10-20 menit -> 150 mg
(Atasi penyakit Dasar !!) tidak stabil Kardioversi 50-100J (narrow regular)
Atrial Fibrilasi Stabil BB -> CCB -> Digoxin ~ABCD
~Pulsus defisit AF + CHF langsung Digoxin 0.125-0.5 mg
tidak stabil Kardioversi 120-200J (narrow Irregular)
Profilaksis Emboli Ada gang. katub/mitral stenosis : Warfarin (AVK)
(u/ cegah stroke iskemik, Tanpa : Rivaroxaban, dabigartan, apixaban
CHAD2 score) (AKB/Anti koagulan oral baru)
Atrial Flutter Stabil BB selektif : Bisoprolol 5-10mg PO/atenolol 25-50mg
PO/Metoprolol 2x50-100mg PO
CCB : Verapamil 2x40/Diltiazem 3x30
tidak stabil Kardioversi 50-100J (narrow regular)
VT Stabil Amiodaron 300 mg/Prokainamid 20-50mg
tdk stabil + nadi kardioversi 100J (Wide regular)
Torsade stabil MgSO4 20% 1-2g/IV
tanpa nadi/polimorfik Defibrilasi 200J (Bifasik)/360J (Mono)
Defibrilasi 200J (Bifasik)/360J (Mono) tiap sblm RJP
VF/VT tanpa nadi Epi (baru mulai di RJP kedua) -> [RJP+Amiodaron
Shockable 300] -> [RJP+Epi] -> [RJP + Ami 150] -> [RJP+Epi] ->
Cardiac Arrest
3B [RJP+o] -> [RJP+o] -> dst
Asitol/PEA RJP + epinefrin 1mg (segera)-> [RJP+o]
Non Shockable -> [RJP+Epi]-> [RJP+o]-> [RJP+Epi]-> [RJP+o] dst
Premature Complex PVC/VES, PAC BB, CCB non DHP (Verapamil)
3B

Hipokalemia
KCL IV 20 mEq/jam
(Gel. U, K <3.5)
Hiperkalemia Ca Glukonas 10% 20 ml IV 10 menit /
Gang. Elektrolit
(T Tall, K >5.5) Insulin 10 IU dlm 50 ml D40 (Jika EKG msh normal)
Hipokalsemia
Ca Glukonas 10% 20 ml IV 10 menit
(Long QT interval)
Tatalaksana awal Oksigen (sO2 <95%)
Aspirin 160 -320 mg
Nitrat sublingual 5 mg maks 3 kali, (Cek KI dulu!)
Clopidogrel 300 mg
Morfin (injeksi 2-4 mg/oral 5-10 mg) (?)
< 12 jam : Primary PCI
Definitif STEMI Jika jarak rujuk u/PCI >2 jam + Fibrinolitik dulu
Fibrinolitik: Streptokinase 1.5 jt 30-60min
ACS
or Altaplase 15 mg IV bolus (KI: Riw. Stroke < 6 bln)
>12 jam : Antikoagulan
Definitif NSTEMI/UAP Antikoagulan LMWH 5 hari
- Fondaparinux (Arixtra) 2.5 mg SC) KI: CKD
- Enoxaparin (Lovenox) 1 mg/kg 2x1 Ada babi
NSTEMI + HF bisa primary PCI
Angina Prinzmetal CCB (u/kontroller)
Profilaksis Aspirin 80 mg
Oksigen / Intubasi
Nitrat sublingual / Nitrogliserin
Edema Paru
Furosemid IV 0.5-1 mg/kgbb
Morfin IV 2-4 mg
Sesak/udem Furosemid IV 0.5-1 mg/kgbb
A : ace-i/ARB
B : Beta bloker
3A CHF S : Spironolakton
D : stop semua ganti Digoksin
AF + CHF Digoxin 0.125-0.5 mg PO
Intoksikasi digoksin Charcoal,kolestiramin,anti aritmia
 HCT (Tiazid 12.5-50 mg)
Primer/Esensial ACE/ARB (Captopril 2x25/Candesartan 8 mg)
BB (Bisoprolol/ Propanolol)
4 Hipertensi CCB (Amlodipin 5-10 mg/Verapamil/Diltiazem)
Urgency Captopril sublingual
Emergency Nicardipin IV 0.5 mcg (Perpidin)
or Diltiazem IV 5-15 mcg (Herbesser)
Penyakit Jantung Rematik Penisilin -> eritromisin jika alergi
Profilaksis Penisilin 1x/bulan selama 5 tahun
selama 10 tahun (jika ada tanda karditis)
PAD ->TO/ALI/CLI Awal Cilostazol 2x100 mg PO
3A
Definitif Revaskularisasi (Stent)
CVI (Insufisiensi vena kronis) Awal Stocking compresion/Inj. skelroterapi
Definitif Striping vena
DVT Heparin 5.000 U IV
>100 Nitrogliserin 10-20 mcg/menit IV
>70-100, Hangat Dobutamin 2-20 mcg/kg/min IV
>70-100, Dingin Dopamin 5-15 mcg/kg/min IV
3B Syok Kardiogenik <70 Norepinefrin 0.5-30 mcg/kg/min IV
<90, Hangat Dobutamin 2-20 mcg/kg/min IV
<90, N<50 kali Dopamin 5-15 mcg/kg/min IV
<90, N>50 kali Norepinefrin 0.5-30 mcg/kg/min IV
SKDI DIAGNOSIS KETERANGAN TATALAKSANA
Terkontrol*
Intermitten step 1: ICS 200-400 mcg + LABA or SABA jika dibutuhkan
Persisten ringan step 2: ICS 200-400 mcg + LABA jika dibutuhkan
Persisten sedang step 3: ICS 200-400 mcg + LABA dialy
Persisten berat step 3: ICS 400-800 mcg + LABA dialy
step 5: ICS >800 mcg+LAMA+kortiko oral
+Teofilin+Antileukotrin
*Naik step kalau terkontrol sebagian/tdk terkontrol
Serangan
Awal Oksigen 2-4 lpm, nebul SABA (Ventolyn 2.5 mg)
4 Asma (Jika tdk ada nebu: SC Terbutalin (SABA) 0.3-0.5mg/
Aminofilin/Epinefrin 1:1000 0.3 )
Ringan Respon baik-> Obat pulang SABA + kortiko oral 3-5 hr
Sedang SABA + SAMA = Combivent --> rawat inap jika 3x gagal
Berat ICU : Kortiko sistemik oral/IV, dll
Controller ICS (Kortikosteroid inhalasi) : Budesonide, Pulmicort
B2 Agonis long acting (LABA): Folmoterol
Symbicort = Budesonide + Folmoterol
Reliefer B2 Agonis short acting inhalasi : Salbutamol, ventolyn
Kortikosteroid oral/IV
Anti kolinergik : Combivent
CURB 65 : 0-1 Level 1/2
.+ komorbid/riwayat antibiotik
3 bln Level 1+2 /Level 3 (Oral)
CURB 65 : >2 Level 1+2 /Level 3 (IV)
CURB 65 : >2 + Sepsis non pseudomonas : Level 3 or Level 4
Pneumonia pseudomonas : Level 5
4
komunitas LEVEL 1. Beta laktam + beta laktamase (Skip?)
2. Makrolid
3. Fluorokuinolone
4. Cephalosporin Gen 3
5. Karbapenem
Curiga MRSA Linezolid / Vankomisin
 Kat 1 2 RHZE + 4 (RH)3
Kat 2 2 RHZES + 1 RHZE + 5 (RHE)3
Anak 2 RHZ + 4 RH
Dosis KDT
<37 kg 2 tab 4 FDC - Streptomisin 500 mg
37-55 3 tab 4 FDC - Streptomisin 750 mg
55-70 4 tab 4 FDC - Streptomisin 1000 mg
TB Paru tanpa >70 5 tab 4 FDC - Streptomisin 1000 mg
4
komplikasi Drug Induced Hepatitis
Ikterus Stop obat
Non ikterus
x RHZ 18-24 ES
x RZ 2 HES + 10 HE
xH 6-9 RZE
Neuritis Perifer Vit B6 (Piridoksin) 50-100 mg/hr
TB Milier (Ekstra paru) 2 RHZE + 4 RH + kortikosteroid bila perlu
Bronkhitis akut, Antitusif/Ekspektoran, Antipiretik
4 Simptomatik
Bronkiolitis akut Antibiotik, bronkodilator bila perlu
Grup A. GOLD I: FEV1 >80 Vaksin influenza + SAMA/BA
Grup B. GOLD II: FEV1 50-80 LABA/MA
3B PPOK
Grup C. GOLD III: FEV1 30-50 LAMA + ICS
Grup D. GOLD IV: FEV <30 LAMA + ICS + Oksigen
Oseltamivir 2 x 75 mg 5 hari
Probable & Confirmed
3B Flu Burung Zanamivir 2x2 puff 5 hari/ 2x4 puff 3 hr
Profilaksis/suspek Oseltamivir 1 x 75 mg 7 hari
3B Abses Paru Klindamisin 600 mg IV/8jam atau oral / Metronidazol
Pneumonitis
2 Prednison
hipertensif
SKDI DIAGNOSIS KLASIFIKASI FARMAKO
Abortif Non spesifik Ibuprofen, dsb.
Abortif Clasic (aura) Sumatriptan 2 x 50-100 mg
Abortif Common Ergotamin 2 x 1 mg
Migran
Profilaksis Propanolol 40-240 mg
Amitriptilin
4 Asam valproat 500-1000 mg
Tension Type Headache Abortif PCT 1000 mg
NSAID : Ibuprofen 1-2 x 400 mg,
Asam mefenamat 3 x 500 mg
Mucle relaxant
Profilaksis Amitriptilin 30-75 mg
Cluster Abortif O2 100% sungkup 10-12 lpm 15-20 menit
Triptan / Ergotamin
Profilaksis CCB : Verapamil, diltiazem
Litium / Kortikosteroid / Amitriptilin
3A
Neuralgia Trigeminal Carbamazepin 2 x 100 mg, max 600-1200
Gabapentin, Amitriptilin
Neuralgia Post Herpetik Gabapentin 300 mg, ditingkatkan 600 mg
Asam valproat / Amitriptilin / Carbamazepin
Kejang Parsial Carbamazepin 2 x 100 mg,
maintenance 800-1200 mg
Fenitoin
Petit Mal Etosuksimid 1-2 x 250 mg
maintenance 20-30 mg/kg
3A
Asam valproate
Grand Mal / Mioklonik / Asam valproate 15 mg/kg/hari 2-3 kali,
Atonik max 60 mg/kg
Fenitoin 300-400 mg
Kejang ibu hamil Lamotrigin/Gabapentin/fenitoin
Status Epileptikus Stage II Diazepam 0.15-0.2 mg/kg, max 10 mg
3B Stage III Fenitoin 20 mg/kg, max 1500 mg
Stage IV Midazolam
Rabies Tatalaksana awal Cuci air mengalir + sabun 10-15 menit
3A
 (Hewan tdk ditangkap) Resiko Minimal VAR 0,5 ml 4 dosis : hari 0 (2x), 7 (1x), 21 (1x)
3A
Resiko Tinggi VAR + SAR heterolog 40 IU/kgBB,
homolog 20 IU/kgBB
Tetanus Kejang Diazepam IV 0,1-0,3 mg/kg/kali tiap 2-4 jam
Antibiotik Penisilin Prokain 50.000 IU/kg/kali tiap 12 jam
Metronidazole loading 15mg/kg/jam
3B
lanjut 7,5mg/kg/6 jam 7-10 hari
ATS (skin test!) 50.000-100.000 IU dibagi 3 dosis 0-7-21
HTIG 3000-6000 IU IM
Meningitis Bakteri Ceftriaxone + Vankomisin + Deksametasone
Bayi < 3 bulan Ampisilin + Cefotaxime
3B
TB OAT Kat 1 selama 9-12 bulan + Prednison
Criptococcus (jamur) Amfoteresin B + Flukonazol ~ tinta india
2 Cerebral toxoplasmosis Multiple ring enhacment Primetamin + sulfadiazin/klindamisin
2 Abses cerebri Soliter Ring enhacment Metro 500mg/8 jam IV + ceftriaxone IV
Guillain Barre Syndrome Plasmafaresis (200-250 ml plasma/kg 7-14 hari)
3A
IVIG / Kortikosteroid
Acetilcolin Esterase Inhibitor 'stigmin'
pyridostigmin , neostigmine
3A Myasthenia Gravis + Timektomi (bila perlu)
Krisis Myastenik Ventilator + KS dosis tinggi + plasmafaresis/IVIG
Krisis Kolinergik Ventilator + atropin
Prednisone 60 mg/hari selama 5 hari
4 Bell's Palsy tapp off 5 mg/hari (selama 2 minggu)
+ Eye patch/artificial tear
Demensia Donepezil 5 mg
2 Acetilcolin Esterase Inhibitor
Galantamine
Sindrom Parkinson < 50 Amantadin
50 - 59 Bromokriptin
3A
>60 Levodopa
Ter sedikit side effect Pramipeksol u/muda
Stroke Iskemik < 3 jam rTPA: Altaplase 0.6-0.9 mg/kg
> 3 jam Aspirin 80 mg, Clopidogrel 75 mg

3B
 Stroke Hemoragik Intraserebral Anti fibrinolitik : Asam traneksamat
Subarachnoid CCB : Nimodipin 15 mg/kg/jam, naik 30 mg
Primary Survey (ABCD)
3B Mannitol 20% loading 0,5-1 gr/kg/20 menit,
Awal
lanjut 0,25-0,5 gr/kg/4-6 jam or NaCL 3%
+ Posisi semi fowler!
Antiplatelet (Aspirin)
TIA
akibat emboli: antikoagulan (warfarin)
<3 jam: Metilprednisolone IV bolus 30 mg/ 15 menit,
45 menit istirahat, LANJUT 23 jam berikutnya 5.4
Trauma Medula Spinalis Bulbocavernosus (+) mg/kg/jam
3B
3-8 jam: LANJUT 47 jam berikutnya 5.4 mg/kg/jam
DD Syok spinal Bulbocavernosus (-) Vasopressor
Wrist splint 3-4 minggu
3A CTS Injeksi Cortico
Analgetik: Na Diklofena, Gabapentin
3A HNP NSAID
Periodik Paralisis KSR 3 x 1
Chorea Huntington Haloperidol
Syndenham Chorea Penisilin (demam rematik) + Haloperidol
Tremor Propanolol 60-80 mg
SK
DI DIAGNOSIS KETERANGAN FARMAKO
Intoksikasi Obat Depresan Opioid Intoksikasi Naloxone 0.4-0.8 mg, bisa 2 mg, maks 10
Opioid Withdrawl Metadone 20-30 mg, maks 50 / Klonidin
Alkohol Intoksikasi Thiamin (B1) / Etanol-metanol/Fomipezol
Alkohol Withdrawl Benzodiazepin 5-20 mg 4-6 jam
Benzo Intoksikasi Flumazenil 0.2 mg IV
Benzo Withdrawl Fenobarbital
Intoksikasi Obat Stimulan Intoksikasi Simtomatik
2 (Amfe/MDMA, kokain, Withdrawl Bromokriptin
ketamin)
Intoksikasi Obat Halusinogen (Ganja, LSD) Simtomatik
Buspiron, Bupropion 2x150 mg/
Kecanduan Rokok
Vareniklin Tartat 2x1 mg 12 minggu
Sianida Natrium Thiosulfat
Jengkolat Natrium Bikarbonat
Organofosfat Sulfa atropin 2 mg IV
Haloperidol HCL (Butyrohenon) 5-15 mg IM/4 -6
Psikosis AP 1/Tipikal jam Maks 20 mg/hari!
Clorpromazin (Phenotiazin) 150-600 mg, atau 50-
4 100 mg IM, tiap 4-6 jam
AP 2/Atipikal Risperidon 2x2 mg
Clozapin 1-2 x 12,5 mg u/skizo refrakter
Olanzapin 10-20 mg
Organik (Delirium) Haloperidol tab 0.5-1.5 mg
Ekstrapiramidal Syndrome Umum Trihexyphenidyl 2x2 mg
Akatisia only Propanolol (Beta bloker)
Distonia Akut only Sulfas atropin (Benztropine), difenhidramin
Distonia, Akatisia Clonazepam, lorazepam
4 Parkinsonism,
Difenhidramin, Amatadine
rabbit syndrome
Awal : Stop Anti psikotik !!
Neuroleptic Malignant
Dantrolen/Bromokriptin/
Syndrome
levodopa/karbidopa/Benzodiazepin
 Depresi ringan sedang SSRI Fluoxetine 1 x 20 mg
4 Setraline 1 x 25-50 mg
Trisiklik Amitriptilin 2 x 25-50 mg
Gangguan Afektif Bipolar Tipe 1/kini mania Mood Stabilizer + Anti psikotik
Tipe 2/kini depresi Mood Stabilizer + anti depresan
Mood Stabilizer Litium 250-500 mg
3A
Lamotrigrin 1x25 mg
Asam valproat 3 x 250 mg
Carbamazepin 2-3 x 400-600 mg
Gangguan Cemas Benzodiazepine Short : Alprazolam 3 x 0.25-0.5 mg
Long : Diazepam 2-3 x 2-5 mg / Estazolam
3A Chlordiazepoxide 2-3 x 5-10 mg,
Lorazepam 2-3 x 1 mg,
Clobazom 2-3 10 mg
Gangguan Tidur Short/Early/Sleep onset Short benzodiazepine: Triamzolam, Midazolam
insomnia Intermediet benzodiazepine : Alprazolam
2 Long benzodiazepine :
Middle/Maintenance
Diazepam/Estazolam/Fenobarnital
Late/Terminal Anti depresant: Amitriptilin/SSRI
2 Narkolepsi, Hipersomnia Metilfenidat/Modafinil
2 Gang. Somatoform SSRI/Amitriptilin
2 Gang. Kebiasaan & impuls Trikotilomania, dkk SSRI
Bulimia, binge eating, dll. SSRI
3A
Gang. Makan & body dismorfik Anoreksia Nervosa Stabilkan Kondisi umum, Amitriptilin
Stimulan Metilfenidat 0.3-0.7 mg/kgbb/hr
2 ADHD
Non stimulan Atomoksetine 10 mg
2 ASD AP 2 (Risperidon/Aripriprazole) + SSRI
1 Gang. Motorik: Tic/Tourette AP 1 (Haloperidol)
Gang. Post partum Baby blues konseling
3A Depresi SSRI
Psikotik AP 1
Benzodiazepin (Alprazolam, Diazepam 3x5 mg)
2 Fobia Spesifik
Akut Desensitasi, Exposure therapy
3B PTSD Stabil/kausal SSRI
SKDI DIAGNOSIS
4 Blefaritis
4 Trikiasis, Distrikiasis
2 Entropion, Ectropion
4 Konjungtivitis Infeksi
4 Konjungtivitis Alergi
Konjungtivitis Sicca
4 Artificial Tear (Karboksimetilselulosa, sodium hialuronat)
(Dry Eye Syndrome)
4 Episkleritis
3A Skleritis
3A Pterygium
2 Pinguekula
3A Keratitis
3A Xeroftalmia
KETERANGAN TATALAKSANA
MATA MERAH + VISUS NORMAL
Anterior (Seboroik) Cuci sampo bayi, kompres hangat + Ab topikal
Anterior (Ulseratif) Cuci sampo bayi, kompres hangat + Ab topikal + Ab oral
Posterior Eyelid massage arah vertikal + Ab topikal + Ab oral
Epilasi
Rujuk Rekonstruksi Palpebra
Virus Adenovirus : Artificial Tear
Varicella Zoster virus : Asyclovir Salep 3% 5x1 (10 hr)
Bakteri Ab topikal (Kloramfenikol 4 dd 1 selama 7 hr)
Chlamidia (Trakoma) Ab topikal (Eritromisin 0.5%/Tertrasiklin 1%)
Ab oral (Eritromisin 50 mg/BB/hr, Doksisiklin 2x100 mg 21hr)
Irigasi Nacl 4x/hr + Ab topikal (Kloramfenikol)
GO + Ceftriaxon IM SD. Bisa tambah Azitromisin 1 gr IM
Neonatus : Irigiasi + Cefotaxim 100mg/kgBB IM SD
Hindari Alergen
Mast cell stabilizer (Sodium Cromoglikat 2%)
+ Antihistamin topikal + Steroid topikal
Kortikosteroid topikal + kompres dingin
Kortikosteroid sistemik + NSAID
Awal Artificial Tear (Karboksimetilselulosa, sodium hialuronat)
Definitif Ekstirpasi + conjungtival graft
Rujuk Eksisi
MATA MERAH + VISUS TURUN
Bakteri Ab topikal (Polygran) + oral
GO : Ceftriaxone 1gr IV/12 jam 3 hari (rawat inap)
Virus Topikal Asyclovir ED 3% + Asyclovir 5x800mg 7-14 hr PO
Jamur Candida Albican : ampoterecin B 1.5% ~ Alam
Aspergillus : Natamycin 5%
Acanthamoeba Amoebisida (Poly Hexa Methylen Biguanide) 0.02%
Vit A 30.000 unit/hr selama 1 minggu
Dosis <6 bulan : 50.000 IU Vit A
 <1 thn : 100.000 IU Vit A
3A Xeroftalmia
>1 thn : 200.000 IU Vit A
Xn - X1A 1 kali pemberian
X1A + Campak/ > X1A Hari 1, 2 dan 15 / Hari 0,1 dan 14
Anterior (Iridosiklitis) Steroid topikal
3A Uveitis Sulfas atropine: Siklopentolat 1% (u/midriasis + sikloplegik)
Posterior (Koroiditis) Steroid topikal + sistemik
Stop produksi cairan :
Acetazolamid HCL 500mg PO, lanjutkan 4x250 mg/hr (Akut!)
Timolol Maleat 0.5% 2x1 tetes/hr (Kronik!)
3B Glaukoma Awal Keluarkan cairan :
Pilocarpin 2% (u/miosis)
Latanoprost (diuretik)
Anti mual-muntah + Analgetik + KCL
2 Endoftalmitis Rujuk In. Ab Intravitreal (Vancomysin), Eviserasi
2 Panoftalmitis Rujuk Enuklease
MATA TENANG + VISUS TURUN MENDADAK
2 Ablasio Retina Rujuk Retinospeksi pneumatik, scleral buckling
2 CRVO, BRVO Rujuk Fotokoagulasi, atasi sebab dasar, O2, turunkan TIO
2 Neuritis Optik Rujuk Steroid
MATA TENANG + VISUS TURUN PERLAHAN
Miopia Lensa sferis terkecil
4 Kelainan Refraksi Hipermetropia Lensa sferis terbesar
Astigmatism Lensa silinder
40 thn Lensa +1.00 D
4 Presbiopia 50 thn Lensa +2.00 D
60 thn Lensa +3.00 D
2 Katarak Rujuk Ekstraksi Katarak (ECCE, ICCE, Fakoemulsifikasi)
AMD (Age-related Macular
2 Rujuk Fotokoagulasi, Anti VEGF
Degeneration)
ADNEKSA
Dakrioadenitis (virus),
3A Kompres hangat + Ab sistemik + Insisi bila abses
Dakriosistitis (bakteri)
Kompres hangat + Ab topikal + Insisi
4 Hordeolum
4 Hordeolum H. Eksterna Insisi horizontal
H. Interna Insisi vertikal
3A Kalazion Kompres hangat + Inj. steroid + Insisi kuretase
2 Epikantus Rujuk Koreksi bedah
2 Xantelasma Rujuk Diet rendah lemak + Eksisi
TRAUMA
4 Perdarahan Subkonjungtiva Tidak perlu (Sembuh spontan 1-3 minggu)
4 Benda Asing Konjungtiva Anestesi topical + ekstraksi dgn lidi kapas + Ab topikal
Trauma tajam/penetrasi Ab sistemik
2 Benda Asing Kornea Rujuk
Awal Bedrest, posisi semifowler
3A sikloplegik topikal + turunkan TIO
Hifema
Asam traneksamat
Bedah Parasintesis, trabeculectomy
Irigasi secepatnya 15-30 menit 2L Nacl 0.9% per mata
3B Trauma Asam/Basa Sikloplegia, antinbiotik
EDTA u/trauma basa
SKDI DIAGNOSIS KLASIFIKASI FARMAKO
TELINGA (Kronik >2 bln)
Perikondritis/kondritis Aspirasi : Pus + riw. Infeksi Salep gentamisin + Ciprofloksasin 2 x 500
Hematom auricula
Aspirasi : Darah + riw. Trauma Kompres dingin + bebat tekan 5 hari
(Othematom)
3A Definitif : Aspirasi
3B Aspirasi : Cairan kuning +
Pseudokista auricula Insisi Drainase
idopatik, tdk nyeri
Fistula preauricular Bersihkan antiseptik
Komplikasi abses : Insisi Drainase
Otitis Eksterna Sirkumskripta Ab topikal (Basitracin, neomisin, Polymixin B)
Definitif : Insisi drainasi jika furunkel blm pecah
Berat : Ampisilin 4 x 250mg
Difusa Tampon antibiotik (Ofloxacin) / burowi
Berat : Ampisilin 4 x 250mg
4
Maligna (+ parese N.VII) Ciprofloxacin
Otomikosis As. Asetat 2% (Ear/aural toilet) + Antijamur
Aspergillus Miconazole
Candida Nystatin
Serumen Obturans Jika keras Carbol gliserin 10% / H2O2 3% 3 hari
Miringitis Bullosa u/cegah infeksi sekunder! Antibiotik (Amoksisilin)
3A
Antinyeri + dekongestan
3A Herpes Zoster Otika Asiklovir 5x800 / Valak 3x1000 7-10 hr
1. Oklusi Dekongestan
Otitis Media Supuratif Akut (Tetes efedrin 0.5-1%/ oksimetazolin)
2. Hiperemis Analgetik + Antibiotik oral
4 3. Supuratif Miringotomi (Rujuk) + Antibiotik oral
4. Perforasi H2O2 3% 3-5 hr (Ear Toilet)
+ Ab topikal (Ofloxacin)
5. Resolusi Observasi
Otitis Media Supuratif Benigna/tenang/Aman/
Miringoplasty
Kronik tubotimpani/mukosa
3A Maligna/ganas/atikoantral Mastoidektomi, timpanoplasty
3A
Otitis Media Awal Dekongestan + anti histamin (jika riw.alergi)
Serosa/Efusi
Definitif Grommet/Pipa telinga (watchfull waiting 3 bln)
3A Trauma Akustik, NIHL Neuroprotektor (Vit. B complex)
Betahistine 3x6 mg
4 BPPV dirumah Brandt daroff
by dokter Manuver Epley
Motion sickness Scopalamine (Hyoscine butylbromide)
4
Antihistamine, dimenhidrinate
Diazepam, betahistine u/akut!
3A Meniere Disease
Diuretik (HCT), Diet rendah garam
3A Otosklerosis Natrium fluoride, stapedektomi
Hidung (Kronik > 3 bln)
Rhinitis Alergi Definitif Hindari Alergen
Intermitten
(<4X/mg or < 4 bulan) Anti Histamin, Nasal dekongestgan
Topikal : Phenilefrin 0.5%
Sistemik : Pseudoefedrin tab 2 x 60 mg
Persisten sedang berat Kortikosteroid Topikal
Fluticason/mometason spray 1x2 spray
3A Nasal Dekongestan, KS topikal,
Rhinitis Vasomotor
Antihistamin (jika rinore/bersin)
Rhinitis Medikamentosa Stop obat (Phenilefrin/Efedrin/Napazoline)
Kortikosteroid Topikal
Cuci hidung + Antibiotik (Amininoglikosida/cipro) +
Rhinitis Atropi/ozaena/sikka
Vit A
Rhinosinusitis Antibiotik spektrum luas + simptomatik
Kronis FESS (Fungsional endoscopy sinus surgery)
Epistaksis Anterior Awal : bebat tekan (Manuver Trotter)
Tampon anterior/borzalf (2 Hr)
4
Kaustik AgNO3 jika tampak sumber perdarahan
Posterior Tampon Belloq (3 Hr)
Polip Nasal Kortikosteroid intranasal kurangi edema :)
2
Definitif Polipektomi (BSEF/FESS)
 Tenggorokan (Kronik > 2 mg)
Akut Antibiotik spektrum luas 3-5 hr
4 kronik Antibiotik spektrum luas 7-10 hr
Tonsilitis
3A Amoksisilin 3x500 mg/
Cephalexin/Cefadroksil/Azitromisin
ADS (skin test !) + Penicillin/eritromisin
Hidung ADS 20.000 IU
Tonsil/faring/laring ADS 40.000 IU
3B Difteri
Nasofaring ADS 60.000 IU
Ada Bullneck/penyulit
ADS 80-100.000 IU Intravena
/terlambat berobat (>3 hr)
Tonsilitis Fungal Nystatin drop 100.000 U/ml (7-14 hr)
Faringitis Bakteri Antibiotik spektrum luas
Virus Simptomatik (Analgetik/antipiretik)
Jamur Anti-Jamur
4
Kronik Agen Kaustik
3A
Laringitis Istirahat bicara 2-3 hr (Vokal rest)
Simptomatik, stop rokok/obati GERD
Epiglossitis (Pseudocroup) Antibiotik spektrum luas
Obstruksi jalan napas Intubasi/trakeostomi
Ringan/sedang:
Sindroma Croup Dexamethason 0.6 mg/kgBB SD
3B batuk menggongong
(Laringo-trakeo-bronkhitis) Berat: Tambah Epinefrin/adrenalin
(Nebu 20 min 2 ml 1 : 1000 dalam 2-3 cc NaCl)
4 Pertusis batuk melengking Eritromisin 4 x 500 mg (40-50mg/kgBB/hr)
SKDI DIAGNOSIS KETERANGAN TATALAKSANA
PIODERMA
Furunkel Krusta PK 1: 5000
Folikulitis Rivanol 1% / Asam Salisilat 0.1% / Povidon iodine 1%
Furunkulosis Bersih Mupirocin 2%
4
Karbunkel Mau Aja Bagi Kolor Asam Fusidat 2%
Impetigo Krustosa 2-3x selama 7-10 hari Basitrasin 2%
Ektima Kloramfenikol 2%
Selulitis Luas Dewasa : Dikloksasilin/kloksasilin 4x250 mg
Erisipelas Anak : Amoxcilin 3 x 500 mg, Eritromisin 20-50 mg/kg)
3A
Flegmon Erisipelas Penisilin Prokain 600.000 Iu/12 jam (5 hari)
*by Streptococcus Karbunkel Insisi Drainase
Topikal : Tetrasiklin 3%
3A Eritrasma
Sistemik : Eritromisin 4x250 14 hr / 4x500 7 hr
Atasi faktor predisposisi
4 Paronikia Antiseptik + Ab oral (Fluklosasilin 4 x 500 mg)
Pus Incisi Drainase
VIRUS
Asik Valak Asiklovir 5 x 800 mg
7 hari Valasiklovir 3 x 1000 mg
Famsiklovir 3 x 250-500 mg
Topikal Bedak salisil 2%
4 Varicella, Herpes Zoster Anak Asiklovir 4x20 mg/kgBB
<2 thn 4 x 200 mg
2-6 thn 4 x 400 mg
6-12 thn 4 x 800 mg
> 12 thn sama dosis dewasa
Kompres dingin
3A Neuralgia post herpetik
Gabapentin 3x100, Amitriptilin 75 mg, steroid
Asik Valak Asiklovir 5 x 200 mg
Herpes Simpleks
4
tanpa komplikasi Primer : 7 hari Asiklovir 3 x 400 mg
Sekunder : 5 hari Valasiklovir 2 x 500 mg
 Hand, Foot, & Mouth Simptomatik
3A
Disease Cegah makan/minum asam
Farmako Cantharidin 0.7-0.9%, Adapelen 0.1%, Podofilin 10-25%
3A Moluskum Kontagiosum
Non-Farmako Kuretase, Cryosurgery, Enukleasi
Asam salisilat keratolitik >2%
AgNO3 25%
3A Veruka Vulgaris
Hamil TCA 50%
Non-Farmako Cryotherapy, skapel, kauter
JAMUR
Antifungal + Hepatoprotektor (Vit.B com/curcuma)
Topikal Terbinafin 1%
Klotrimazole 1%
Ketokonazole 2%, Mikonazole 2%
4 Tinea
Sistemik (14 hari) Griseofulvin 1-2 x 500 mg (10-25 mg/kgBB/hari)
Capitis/Pedis : 4-8 minggu Terbinafin 250 mg
Corporis/Cruris : 2-4 minggu Ketokonazole 200 mg
Itrakonazole 100 mg
Ketokonazole 2%
Kuku Tangan : 2 pulse (bulan) Terapi denyut : Terbinafin 2 x 250 mg 1 minggu, off 3 minggu
2 Tinea Unguium
Kuku Kaki : 3-4 pulse (bulan) (1 pulse/siklus)
Alt : Itrakonazole 2 x 200 mg
Topikal Shampo selenium sulfida 1.8% (2-4x/minggu)
Gol. Azole : Shampo Ketokonazole 2% (2x, 2-4 minggu)
4 Pitryasis Versikolor
Sistemik (5-7 hari) Ketokonazole 200 mg
Itrakonazole 200 mg
Topikal Ketokonazole zalf 2%
4 Kandidosis kutis
Ketokonazole 200 mg
Oral trush Nistatin drop 4 x 400.000 IU (100.000 IU/ml) 7 hari
3A Kandidiasis mukokutan
Nystatin drop 4x2 ml (anak), 4x4 ml (dewasa)
PARASIT
Permethrin 5% (hamil) 8 jam
Sulfur Presipitatum 4-20% (anak <2 bulan) 3 hari
Scabies
Gameksan 1% (x hamil)
Benzil benzoal 20-25% (3 hari)

4

Pedikulosis capitis, pubis
4 Malathion 0.5% or 1% losio/spray semalaman
Cutaneus Larva Migran
Insect bite/Pruritus herba
Dermatitis Atopi
3A
Dermatitis Kontak
3A
Dermatitis Popok/
3A
Napkin eczema
3A Neurodermatitis/LSK
3A Dermatitis Statis
Dermatitis Numular/
4 Betametazone 0.1% + AH
Discoid eczema
4 Dermatitis Venenata
4 Pitiriasis Alba
4 Pityriasis rosea
4 Dermatitis seborik ringan
3A Psoriasis vulgaris
Permethrin 1% (hamil) 2 jam u/capitis, 10 menit u/pubis
Gameksan 1% (x hamil, anak <6 tahun) 12 jam
Topikal Hidrokortison, etil klorida spray
Farmako Albendazole 400 mg (3 hari)
Thiabendazole 2 x 50 mg/kg (max 3 gr) (2-5 hari)
Ivermectin 1-2 x 6 mg
Kortikosteroid topikal + analgetik + anti histamin oral
Infeksi sekunder : AB topikal/oral
DERMATITIS EKSIM
Anti Histamin
Salep kortikosteroid potensi ringan
DKA, DKI Salep kortikosteroid potensi sedang
Antibiotik (infeksi), anti histamin (bila gatal)
Hidrokortison 2/2.5% (potensi ringan)
Clobetazole 0.05% (potensi tinggi)
Betametazone/mometason 0.1% (potensi sedang)
+ elevasi tungkai
Kortikosteroid topikal
Hindari pajanan matahari + pelembab
+ steroid dosis rendah
LESI ERITRO-SKUAMOUS
Anti Histamin oral (CTM)
Shampo Selenium Sulfat 1.8%
KOH + Ketokonazol 2%
Anak Hidrokortison 2/2.5% (potensi ringan)
Clobetazole 0.05% (potensi tinggi)
Sedang PUVA
Berat >10% Metotrexate
MORBUS HANSEN

Morbus Hansen/Lepra
4
tanpa komplikasi
3A Reaksi Lepra
4 Acne vulgaris
3A Acne vulgaris
3A Rosasea
3B Reaksi Obat
2 Dermatitis Herpetiformis
Pemphigus vulgaris
2
Pemphigoid bullosa
4 Urtikaria Akut
3A Urtikaria Kronis
3B Angioedema
PB 1 lesi Rifampicin 600 mg
(Single skin lesion) Ofloxacin 400 mg
Minosiklin 100 mg
PB 2-5 lesi Rifampicin 600 mg (2x1)
Hari 1: RD, Hari 2-28 :D Dapson 100 mg
MB Rifampicin 600 mg (2x1)
Hari 1: RDK, Hari 2-28: DK Dapson 100 mg
Klofazimin 300 mg (hari 1) -> 50 mg (Hari 2-28)
Tipe 1 : Reversal Aspirin (Ringan), Prednison 40 mg
Tipe 2 : ENL Aspirin (Ringan), Prednison 40 mg, Klofazimin
LAINNYA
Ringan Komedo : Asam retinoid topikal
Papul : AB topikal (Klindamisin, Eritromisin)
Lini 2 : Azeleic Acid / Asam salisilat
Sedang Komedo : Asam retinoid topikal +/- Benzil peroksida 5%
Papul : AB oral 7-10 hari ~TiDaK
Tetrasiklin 2 x 500 mg
Doksisiklin 2 x 100 mg
Klindamisin 1 x 300 mg
Berat Isotretinoin tab + steroid oral
Konglobata Steroid intralesi
Hamil BPO (Benzil peroksida) 5% (Pengganti retinoid)
Eritromisin 2 x 500 mg
Hindari faktor risiko !! Makanan pedas, alkohol
Ab topikal, Ab sistemik, steroid (=acne)
Kortikosteroid + AH oral Dexametason/Prednison oral
Topikal Asam salisilat 2% + menthol
Dapson
Prednison 60-150 mg/hr
Prednison 40-60 mg/hr
Anti Histamin 1 Gen 2: Cetirizine/loratadin 10 mg
Anti Histamin 1 Gen 1 : CTM 3 x 4 mg
> 6 minggu Kortikosteroid
Anti Histamin 1 Gen 1 : CTM 3 x 4 mg
3B Angioedema Kortikosteroid
Gang napas : Epi 1:1000 0.3 cc IM
Kristalina Tidak perlu terapi / + Lotion Menthol
Miliaria Rubra Lotion Clorheksidin or Betametason 0.1%, asam salisilat
4
Kel. Ekrin Profunda Isotretinoin, lanolin
Pustulosa Antibiotik
Kortiko intralesi
Hidradenitis supurativa
3A Klindamisin 3 x 300 mg 4 mg
Kel. Apokrin
Abses Incisi Drainase
Stop pencetus!
3A Dermatitis Perioral Antibiotik topikal
+ Krim Eritromisin/Clindamisin/Metronidazole
Areata Lotion Minoksidil 2x2-5%
3A Alopesia Lotion Minoksidil 2x2-5% ( 1 ml/ 25 tetes)
Androgen
+Finasterid 1 mg/hr or Dutasverid 0.5 mg/hr
Lentigo/Melasma/
Hidroquinon 2-5 %
Frackles
3A Hiperpigmentasi
or Tretinoin 0.1 %
Post Inflamasi Acylic Acid
Vitiligo Salep kortikosteroid
3A Hipopigmentasi Calcineurin Inhibitor (Tacrolimus)
PUVA
Alumunium klorohidrat 20% Blok kel. Ekrin!
Farmako Antikolinergik topikal (Glikopirolat)
3A Hiperhidrosis
Injeksi Botox Invasif !
Non Farmako Iontophoresis, laser
Pompholix Kortikosteroid topikal
Chronic Vesicobullous Calcineurin Inhibitor (Tacrolimus)
4 Dishidrosis
Chronic hiperkeratotik Imunosupresnat (Siklosporin)
ID reaction Kronik : Botulinum Toxin A
4 Clavus (Mata ikan) Asam salisilat 40% / Urea 40% / Cryoterapi
DUH/SEKRET
SKS dan ADE Sefiksime 400 mg SD
Kanamisin 2 gr SD
GO
Seftriaksone 250 mg IM SD
 GO
Alternatif Tiamfenikol 3.5 gr SD
ADE Azitromisin 1 gr SD
NGO Doksisiklin 2 x 100 mg 7 hari
Eritromisin 4 x 500 mg 7 hari
MeMe Metronidazole 2 gr SD
Trichomoniasis
Metronidazole 2 x 500 mg 7 hari
4
MeMeKli Metronidazole 2 gr SD
Bakterial Vaginosis Metronidazole 2 x 500 mg 7 hari
Klindamisin 2 x 300 mg 7 hari
KoKoFIN Klotrimazole spp 200 mg 3 hari
Klotrimazole spp 500 mg SD
Candidiasis Flukonazole 150 mg SD
Vulvovaginalis Itrakonazole 200 mg SD
Nistatin spp 100.000 IU 7 hari
Fluko dan Itra KI : hamil, Pilihan : Virgin
ULKUS
Asik Asik Valak Asyclovir 2x500
Asyclovir 3x400
HSV Valasyclovir 2x500
Pertama 7 hr
Rekurren 5 hr
Seas Siprofoloksasin 2 x 500 3 hr
Eritromisin 4 x 500 mg 7 hari
Ulkus molle/Chancroid
Azitromisin 1 gr SD
4
Seftriaksone 250 mg IM SD
Ba Pa Do Er Benzatin Benzopenisilin G 2.4 Jt IM SD
Penicillin Procain 600.000 IM 10 hari
Ulkus Durum/Sifilis (St.I)
Doksisiklin 2 x 100 mg 30 hari
Eritromisin 4 x 500 mg 30 hari
3 As Dos buCin Azitromisin 1 gr 3 minggu
Granuloma
Doksisiklin 2x100 mg 3 minggu
Inguinale/Donovanosis
Siprofoloksasin 2 x 500 3 minggu
BUBO & KUTIL
14 Do Er Tetra Doksisiklin 2 x 100 mg 14 hr
2 LGV
2 LGV Eritromisin 2 x 500 mg 14 hr
Tertrasiklin 4 x 500 mg 14 hr
Lilin TICA ber TOXIN Tingtura Pedofilin 10-25%
TCA 80-90% hamil 2nd line
3A Kondiloma Akuminata
podofilotoxin 0.5% (Bisa terapi dirumah)
Non-Farmako (hamil 1st line) Cryotherapy, skapel, kauter
 DIAGNOSIS KETERANGAN TATALAKSANA
OBSTETRI
Endometritis Pervaginam Ampicillin 2 gr/6 jam IV + Gentamisin 5 mg/bb/24 jam IV
SC Clindamycin 900 mg/8 jam IV + Gentamisin
Toxoplasmosis <18 mg Spiramisin
>18 mg Pirimetamin + Sulfadiazine + Folinic Acid
Mastalgia (Bendungan) kompres hangat 5 menit, kompres dingin setelah menyusui
pompa ASI 2-3 jam sekali
Farmako Bromokriptin 2.5 mg (Agonis dopamin) stop prolaktin
PRP/PID/Salpingitis Berat, demam tinggi, Clindamycin 900 mg IV/8jam + Genta 2 mg/kg IV
mual muntah, suspek
tubo ovarian abses, tidak
toleran obat oral
or Cefotetan 2 gr IV/12jam + Doksisiklin 100 mg/12jam
Ringan, sedang, rawat levoflosasin 1x500 14 hari dengan atau tanpa metronidazole
jalan 2x500 14 hari
seftriakson 250 IM SD + doksisiklin 2x100 14 hari dengan atau
tanpa metronidazole 2x500 14 hari
sefoksistin 2 gr IM SD + probenesid 1 gr PO SD + doksisiklin
2x100 14 hari dengan atau tanpa metronidazole
Korioamnionitis Ampicillin 2g/6jam IV + gentamisin 5 mg/kgBB/ 24 jam
metronidazole 500/8jam IV hingga 48 jam bebas demam bila
SC
KPD Eritromisin 4x250 10 hari
Abortus Iminens pertahankan kehamilan, tirah baring, kontrol rutin,
insipien dan inkomplit jari atau forcep cincin
<16, perdarahan ringan
insipien dan inkomplit lini 1 AVM, lini 2 kuret tajam, jika tidak segera beri ergometrin
<16, perdarahan berat 0,2 IM dapat diulang 15 menit kemudian perhatikan TD !!!

insipien dan inkomplit Tunggu spontan jika tidak spontan, infus oksitosin 40 IU
>16 oksitosin 1 liter NaCl 0.9 % 40 tpm
Missed abortion < 12 AVM atau sendok kuret
minggu
 12-minggu pastikan terbuka, jika tidak, matangkan, tang abortus dan
sendok kuret
16-22 20 IU 500 mL NaCl 0.9% 40 tpm
UMUM bila anemia berikan sf 600 mg 2 minggu
Hiperemesis gravidarum doksilamin 10 mg + vit b6 4 tablet
dimenhidrinat 20-100 mg oral4-6 kali atau prometazin 5-10m
mg 3-4 kali
emesis gravidarum makan porsi kecil dan sering
Hipertensi pada kehamilan HT kronik dan HT Nifedipine 4x10-30 mg short acting, 1x20-30 mg long acting,
gestasional Harus oral bukan sublingual !!!
Nikardippin 5mg/jam, dititrasi 2.5mg/jam tiap 5 menit max 10
mg/jam
Metildopa 2x250-500 max 2000
Preeklamsia, MgSO4 4 g 10 ml 40% + 10 ml akuades dalam 20 menit, atau 5
Preeklampsia berat, g 12,5 ml 40 % bokong kanan dan kiri masing-masing,
superimposed PE maintenance 6 g 15 ml 40% dalam 500 ml RL/RA 28 tpm 6
Pencegahan, eklampsia jam,
utama
jika masih kejang berikan 2 g IV 15-20 menit
jika masih kejangdiazepam 10 mg IV 2 menit
Pematangan paru Betametasone 12 mg/ 24 jam 2 hari
Deksametason 6 mg/ 12 jam 2 hari
Definitif Lahirkan
 PASAL KETERANGAN
Pasal 133 & 134 KUHP Dokter harus buat VER
Pasal 222 KUHP Keluarga tdk bisa tolak autopsi (u/mati tdk wajar)
Pasal 352 KUHP Luka Ringan
Pasal 351/353 KUHP Luka sedang
Pasal 90 KUHP Luka berat
Pasal 287 KUHP Perkosaan
Pasal 286 KUHP Perkosaan korban tdk sadar : Penjara 9 thn
Pasal 285 KUHP Perkosaan korban sadar : Penjara 12 thn
Pasal 76 No 23 Thn 2009 Maksimum abortus UK 40 hari/6 minggu
Pasal 3 KODEKI Kemandirian profesi
pasal 20 KODEKI Dokter harus jaga kesehatan :)
Pasal 267 KUHP Surat sakit palsu : Penjara 4 thn/ 8 thn kalau ranap
Pasal 338-340 KUHP Pembunuhan : Penjara 15/20 thn
Pasal 341-343 KUHP Pembunuhan anak/Infantisida
Pasal 346 KUHP Wanita Abortus Kriminalis (tanpa indikasi medis)
Pasal 347-348 KUHP Pihak lain (Dengan/tanpa persetujuan wanita)
Pasal 349 KUHP Tenaga medis bantu Abortus kriminalis
Pasal 359 KUHP Pembunuhan tdk sengaja : Penjara 1-5 thn
UU No.29 Thn 2004 Tentang Praktik Kedokteran : STR, SIP, dsb.
UU No.36 Thn 2009 Tentang Kesehatan
Pasal 75 Dilarang aborsi kecuali indikasi
Pasal 194 Hukuman pasal 75: Penjara 10 thn, denda 1 milyar
*KUHP: Kitab UU Hukum Pidana
 DIAGNOSIS SIGN/SYMPTOM
ORTOPEDI
Fr. Colles Dinner fork deformity
Fr. Smith Garden Spade deformity
Fr. Supracondylar humerus Gunstock deformity (Cubitus varus) -komplikasi-
N. Radius Drop Hand
N. Medianus Ape/benediction/obstetric hand, OK sign (-)
N. Ulnaris Claw hand
Peroneal nerve palsy Drop Foot
Erb's palsy Waiter tip deformity
Dislokasi Shoulder Ant. Halfmoon overlap
Dislokasi Shoulder Post. Half. Bulb appereance
Carpal Tunnel Syndrome Atrofi tenar, Flick Sign, Tinnel test, Luthy's sign
Guyon Tunnel Syndrome Atrofi hypotenar
Cubital Tunnel Syndrome Claw hand + Wertenberg sign, Frommet sign
HNP Cervical Spurling test/Lhermitte, Nafzinger (+)
HNP Lumbal Laseque, Bragard sicard
Spondilolisis Scotty dog
Osteomielitis subakut Abses Brodie
Ewing sarcoma Onion Skin
Osteosarcoma Sunburst, Coddman triangle
chondrisarcoma Pop corn app.
Osteochondroma Cauliflower/mushroom app.
Osteoid osteoma, osteoblastoma Central nidus
Giant cell tumor Soap bubble app.
Multiple mieloma Punchout lytic, bence protein, BNP: egg fried
Duchene Muscular Dystrophy Gower sign
Dev. Dislocation of Hip (DDH) Barlow test, Ortolani test, Trendelenburg test (+)
Rikets/Osteomalacia (Def. Vit D3) Bowed leg, craniotabes, roseary beads
Osteogenesis Imperfecta/Brittle Sklera biru, fraktur multiple
ACL Lachman test, pivot test
PCL Posterior sag
Meniscus tear Locking, Mc murray, Thessaly, Apley
Ruptur Achilles Simmond, Matles, Thompson, O'Brien
Tenosynovitis Canavel sign
De Quarvain Tenosynovitis Finkelstein test (+)
UROLOGI
Trauma uretra anterior Butterfly hematom, sleeve haematom
Trauma uretra posterior Floating prostat
Ruptur buli intraperitoneal Molar teeth
Ruptur buli extraperitoneal Flame shape
Torsio Appendix testis Blue dot sign
Torsio testis Angel sign, Deming sign (+), Bell clapper deformity
Epididimitis Phren sign (+)
BPH 3 inverted sign
DIGESTIF
Kocher's, Mc.Burney, Rovsing, Blumberg, Dunphy
Apendisitis
Psoas, Obturator sign, Ten horn sign
Pankreatitis Cullen Sign, Gray turner, Fox sign, Colon cut off sign
Ca caput pankreas Courvoiser sign
Pneumoperitoneum, rigler sign, falciform lig.sign,
Peritonitis
crescent sign, cupola sign, football (babygram)
Peritonitis TB Fenomena papan catur
Ileus Paralitik Air fluid level line up/segaris
Air fluid level step ledder, Metalic sound, darm
Ileus Obstruktif contour, darm steifung,
string of beads/pearls
Ca Colon Apple core appareance/filling defect
Trauma Limpa Kehr sign, Traub sign
Trauma Hepar Boa sign
ONKO
Phylloides tumor Leaf like pattern
Lipoma Signet ring cell, slippage sign
Kista ateroma Pungta (+)
Neurofibromatosis tipe 1/ Von
Café-au-lait spot
Recklinhausen sindrom
BEDAH ANAK
Hirsprung Disease Mouse tail, saw tooth, 3 Zone
Achalasia Esofagus Mouse tail/Bird peak
Atresia Esofagus (tanpa fistula) Gasless abdomen, USG: Polihidramnion
Atresia Renal USG: Oligohidramnion
Olive shaped mass (Zaitun) , umbrella/mushroom
HPS
sign, string sign, single bubble, caterpiler sign
Atresia Duodenum Double bubble
Pemfis : Red currant jelly stool, sausage sign, dance
sign, portio like sign
Intususepsi/Invaginasi USG : doughnut sign/target sign/bull's eye
/sandwich sign, pseudokidney sign
Barium Enema : Cupping, coiled spring
Volvulus Pseudokidney/Coffee bean, screw sign
Divertikulum Meckel Skintigrafi (Meckel’s scan) : Hot spot
Divertikulum Zanker Pharygeal pouch C5-6
BEDAH SARAF
Contusio Salt & Paper sign
EDH Bikonveks
SDH Crescent sign, Bikonkaf
SAH Stellata
Fraktur Basis Cranii Anterior : Racoon Eye, Bloody rhinore
Media : Battle sign, Bloody otore
Hidrocephalus (Anak) Sunset phenomenon, cracked pot sign, cerebral cry
BTKV
Efusi pleura Eliis damoiceau line, meniscus sign
Hidropneumothorax Air Fluid Level
Open pneumothorax Sucking wound
Flail chest Paradoxal breathing
BEDAH PLASTIK
Le Fort I Floating palate (horizontal)
Le Fort II Floating maxilla (pyramidal)
Le Fort III Floating face (transversal)
DIAGNOSIS NAMA LAIN
Sindrom Metabolik X Syndrome
Cauliflower ear Wrestle ear
PCOS Stein Levental Syndrome
Herpes Zoster Shingles
Herpes Zosrer Otika Ramsay hunt syndrome
Hemofilia B Cristhmas Disease
Osteogenesis Imperfekta Britttle Bone Disease
Neurofibromatosis Tipe 1 Von recklinhausen's disease
Factitious Disoreder Munchausen syndrome, orang lain: +by proxy
Clostrididum Dificille Infection Kolitis Pseudomembran
AV Blok II Mobitz 1 Wenckebach
SV Blok II Mobitz 2 Hay Block
Agenesis renal Potter syndrome
Keratosis seboroik Keratosis Aktinik
Hypertrophic Pyloric Stenosis Gastric Outlet Obstruction
Neuralgia Trigeminal Tic douloureux
Hernia medial + Ingunial ipsilateral Pentaloon/saddlebag hernia
Golfer elbow Pitcher elbow
Congenital Talipes Equinovarus (CTEV) Club Foot
Pes Planus Flat Foot
Tarsal Coalition Spastic Flat Foot
Arteritis Temporal Giant Cell Arteritis
Tiroditis De Quarvain (Sub Akut) Giant Cell Thyroiditis
Erupsi morbiliformis Exanthema drug eruption
Eritroderma Dermatitis Exfoliata Generalisata
Toxin Epidermolisis Necrosis (TEN) Lyell Syndrome
Distimia Depresi Neurosis
Dermatitis Numular Discoid Eczema
Dermatitis Atopi Atopic Eczema
Granuloma Inguinale Donovanosis
LSK Neurodermatitissirkumskripta
SSSS Ritter's disease
Konjungtivitis+Ureteritis+Arteritis Reiter's disease
Vaskulitis IgA Henoch-Schonlein Purpura
Polisitemia Vera Polisitemia Kriptogenik
Voyeurisme Skopofilia
Flu singapura hand, foot, and mouth disease (HFMD)
Hidranitis Supuratif Acne Inversa
Angina Prinzmetal Angina Inversa
Neurodermatitis disemintata,
Dermatitis Atopi
prurigo besnier
Ingorwn toenail Onychocryptosis/unguis incarnatus
Tinea Pedis (Tipe Interdigital) Athlete's foot
DM Tipe 1.5 Latent Autoimmune Diabetes in Adults (LADA)
Sleep terror Pavor nocturnus
Higroma Kistik Malformasi limfoma
Congenital Torticollis Wry Neck
Ankylosing spondylitis Bechterew disease, Marie Strumpell disease
crocodile tears syndrome Bogorad Syndrome (komplikasi Bell's palsy)
Radial Head Subluxation Pulled elbow, nursemaid elbow
Fenomena tetesan lilin Kaarsvetlek sign
Dix Hallpike Manuver Nylen Barany Manuver
Nyeri Goyang Portio Candelier sign
Racoon's eye Brill Hematome/Hematom kacamata
 DIAGNOSIS KATA KUNCI
Keratokonus
Munson sign, Vogts striae, Rizzuti sign, Charleux sign
AMD Drusen
Dry Eye Foamy tears
Retinitis pigmentosa Bone spicule
Trachoma Herbert pits
Neuritis Optik Fenomena Pulfrich, efek Uhthoff
Grave ophthlmopathy Darlymple sign
Glaukoma kongenital Haab's striae, buftalmos
Presbikusis Cocktail party sign
Paracusis willisi, Schwarte/Flaminggo sign, Carhart
Otosklerosis
notch
Timpanosklerosis Membran Timpani : Ada semilunar, tapal kuda
Nasal vestibular Furunkulosis Rudolph sign
Fibrosis kistik Clorida keringat (>60)
DMD Gower sign
Cerebral palsy kaki gunting
Laryngomalasia Omega shape
Ankylosing Spondilitis Bamboo spine, schober test (+)
GBS Disosiasi sitoalbumin
Myestenia Gravis EMG: Harvey masland test (+)
Parkinson T.R.A.P, Myerson test
Abses cerebri Ring enhancement
Toxoplasma cerebri Multiple Ring enhancement
Tinta india : Gambaran telur mata sapi,
Criptococcus meningitis
CT tanpa enhancement
Tiroiditis Hashimoto Hürthle or Askanazy cells, anti TPO (+)
Limfaedema Stemmer sign (+)
vWF Disease Ristocetin test (+)
Multiple myeloma C.R.A.B, bence jones protein, M spike, Fried Egg
Limfoma Hodgkin Owl Eyes
Limfoma burkitt (Non Hodgkin) Starry sky
Anemia sideroblastik Pearl stain basophilic stippling, ring sideroblast
AML agregasi myeloperoksidase (Auer rods)
ALL Nyeri tulang, blast >20%,
CML Translokasi 9.22, kromosom Filadelfia
CLL Smudge cell
Pancoast Syndrome Horner Syndrome + tumor apex paru
Takotsubo cardiomyopathy/Broken
Heart syndrome ballooning apical
Intoksikasi digitalis Salvador Dali Moustache
Coartatio aorta Three sign
TGA Egg in a string
TOF Boot shape
Ebstein anomalt Squared shape
LVE Shmoo sign
Regurgitasi aorta Apex : Austin Flint Murmur
S1Q3T3, Palla sign, westermark's sign,
Emboli pulmonal
hamptons hump sign
Bronkhiektasis Tram track line
Pityriasis rosea Skuama Collaratte, herald patch
Rubeola/campak/morbili Koplik spot, 3 C
Rubella/campak jerman Forcheimer spot, pembesaran KGB
Roseola infantum/Exantema subitum Nagayama spot
Alopecia Areata Exclamation point hair (tanda seru)
Donovanosis/Granuloma inguinal Closed safety pin (peniti), Beefy red
Uretritis GO Bull headed clap
LGV Groove sign, Etage bubonum
Rubella kongenital blueberry muffin
Moluskum Kontagiosum Hendeson Patteron bodies
Varicella dew drops on rose petal
Sifilis kongenital Hutchinson Teeth
Gemelli Dikorion Diamnion Lambda sign
Gemelli Monokorion Diamnion T-sign
Developmental dysplasia of hip Klissic test (+), Galeazzi sign
Achondroplasia (janin) Trideent hand

Ca Caput Pancreas
Adenocarcinoma papillary thyroid
GIST
Billharzhiasis
Neurofibromatosis tipe 1
Spondylolisthesis grade 5
Leishmaniasis visceral
Trypanosoma Amerika
Syndrome Reye
Renal cell carcinoma
Ca Buli
Scheuermann disease
Pierre Robin sequence
Nefroblastoma
Abses Hepar
Virchow Node, Sister Mary Joseph Nodul, Trosseau
syndrome
Orphan Annie Eyes
CD 117, Sel Spindle Cajal
Demam Siput Katayama Fever
Neurofibromin, café au lait, Lisch nodul, defek tulang
Spondylopthosis
amastigot
Chagoma, tanda Romana
<6 tahun konsumsi aspirin tidak sesuai indikasi
flank pain, flank mass, gross haematuri, gen VHL
Intermittent, painless, gross haematuria
usia muda, kifosis >>
Micrognathia, glossoptosis, labioschizis
Wilms tumor
Ludwig sign, chocolate anchovies sign