A GUIDE LEADING TO

CLINICAL REASONING

dr . Achmad Chusnul
Chuluq Ar. MPH
Illness
Illness and disease

Headache

Primary hypertension Migrain

Renal Visual
Diseases

disorders abnormalities Abdominal

disorders

Head tumor, etc

 Diagnosis Treatment
Process process

Complaint Diagnosis Treatment

Clinical Process
CLINICAL
APPROACH
Putu Moda Arsana,2006
Three Steps
of Diagnosis Process
1. Data collection
2. Data synthesis
3. Problem identification
Data collection

History taking
Physical examination
Additional examination (Laboratory
testing, X-ray, etc )
 Diagnosis Criteria
( Peptic Ulcer )

HEADACHE + DATA Diagnosis Criteria

( Migrain )

Chief Diagnosis Diagnosis Criteria

Complaint Process (Chronic Renal Failure)
SCIENTEFIC PROBLEM SOLVING APPROACH (SPSA)
-) THE CYCLE

Problem
Identification
Community Dx

Intervention
Evaluation
Plan Of
Action
 DIAGNOSA HOLISTIK
KOMPREHENSIF
K OMPREHENSIF
HOLISTIK: temuan-temuan
1. ASPEK PERSONEL lain selain yang
Persepsi, menjadi keluhan
Kekhawatiran,
Harapannya ?
utama (Need &
2. ASPEK KLINIS S &
Demand of Clien)
S untuk kepentingan
3. ASPEK RESIKO Pengobatan atau
INTERNAL Intervensi
4. ASPEK RESIKO Promotif, Preventif,
EKTERNAL Kuratif,
5. DERAJAT Rehabilitatif
FUNGSIONAL