STANDAR KOMPETENSI DOKTER
KOMPETENSI PENYAKIT
4Memutuskan dan mampu menangani problem itu secara mandiri hingga tuntas.
3B • Membuat diagnosis
klinik berdasarkan pemeriksaan fisik dan pemeriksaan tambahan • Memutuskan dan memberi terapi pendahuluan • Merujuk (kasus gawat darurat)
3A
• Membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pemeriksaan tambahan
• Memutuskan dan memberi terapi pendahuluan • Merujuk
(bukan kasus gawat darurat)
2 • Membuat diagnosis
klinik berdasarkan pemeriksaan fisik dan pemeriksaan tambahan • Merujuk pasien • Menindaklanjuti
sesudahnya
1
• Mengenal gambaran klinik • Menduga penyakitnya • Segera merujuk.
CARDIOVASCULAR
Essential hypertension Myocardial Infarction Angina pectoris Imminent Myocardial
Infarction Cardiac aneurysm
Heart failure Unstable angina Mitral stenosis BBB
Cardiorespiratory arrest Ventricular extrasystole Mitral regurgitation Other arrhythmias Supraventricular
tachycardia Secondary hypertension Aortic stenosis Pulmonary hypertension Atrial flutter Thrombophlebitis Aortic regurgitation Coarctation of the aorta Septic shock Lymphangitis Other valvular heart diseases Arterial embolism
Hypovolemic shock Lymphadenitis VSD Atherosclerosis
Lymphedema, primary and
secondary ASD Subclavian steal syndrome
Sinus tachycardia Aortic aneurysm Atrial fibrillation Dissecting aneurysm Supraventricular extrasystole Endocarditis Pericarditis Myocarditis Cardiomyopathy Raynaud's disease Arterial thrombosis Burger's disease Claudicatio Cardiogenic shock Varices (primary, secondary) Obstructed venous return Deep vein thrombosis RESPIRATORY
Uncomplicated Pulmonary
Tuberculosis Status asmaticus Bronchiolitis TBC with pneumothorax Avian influenzae
TBC with HIV Atelectasis Lung emphysema Pleurisy Cancer Lung abscess
Acute Bronchitis SARS Bronchiectasis Pleurisy Lupus Pulmonary embolism
Bronchial asthma Pneumonia COPD Cystic fibrosis Lung infarction
Pneumothorax Pleurisy TBC Aspiration pneumonia
GASTROINTESTINAL Candidiasis Corrosive lesions of
esophageus
Glossitis Cleft lip and palate Esophageal rupture Mouth ulcers (aphthous,
herpes)
Ileus Reflux esophaghitis Micrognatia and macrognatia Mesenteric lymphadenitis
Gastritis Appendicular abscess Salphingitis Leukoplakia Zollinger-ellison syndrome
Gastroenteritis Gastric/duodenal ulcer Acute appendicitis Esophageal atresia Mallory-weiss syndrome Fatty liver Gastrointestinal bleeding Acute cholecystitis Achalasia Peritonitis pancreatitis Hepatitis A Gastro-enteritis dengan
dehidrasi Irritable bowel syndrome Esophageal varices Malrotation Uncomplicated Hepatitis B Dehydration Necrotizing enterocolitis Diaphramatic hernia Meckell's diverticulum Amoebic liver abscess Diverticulosis/diverticulitis Hiatus hernia Crohn's disease
Enteritis Colitis Inguinal hernia, direct and
indirect Ulcerative colitis Gastro-esophageal reflux Rectal, anal prolapse Femoral hernia – Bedah
Worms Proctitis Epigastric hernia
Peritonitis tuberculosis Hemorrhoids Incisional hernia
Food allergy Malabsorbsion Umbilical hernia
Food intolerance Peritonitis
Umbilical hernia Abscess in pouch of Douglas Cirrhosis of the liver Perforation
Active Hepatitis Cirrhosis hepatis Liver failure Chole(docho)lithiasis Hydrops of gall bladder Empyema of gall bladder Pancreatitis Intestinal atresia Meckel's diverticulum Umbilical fistula, omphalocoele-gastroschisis Malrotation (peri)anal abscess
Fistula Anal fissure Esophageal atresia Intestinal atresia Anal atresia Diapragmatic hernia (congenital) Pyloric stenosis Acute abdomen Ileus Intussussception Hirschsprung's disease Biliary atresia Reye's syndrome NEFROUROLOGI
Urinary tract infection Acute glomerulonephritis Acute renal failure Interstitial nephritis Uncomplicated
Pyelonephritis Chronic glomerulonephritis Chronic renal failure Erection disorders
Paraphimosis Renal colic Nephrotic syndrome Ejaculation disorders
Ruptur uretra Urinary stone diseases or urinary
calculi without Polycystic kidneys symptomatic Dystrophy of vulva
Ruptur kandung kencing Prostatitis Acute tubular necrosis Congenital malformations
(Vagina)
Ruptur ginjal Hypospadia Horse shoe kidney Cyst of gartner
Striktura uretra Epispadia Urinary incontinence Cystocoele
Priapismus Undescended testes/cryptorchidism Nocturnal and diurnal enuresis Rectocoele
Penyakit peironi Retractile testes Epididymitis Enterocoele
Ekstrophia vesicae Torsion of testis Spermatocele Congenital malformations (Body
of the uterus)
Vulvitis Infertility Varicocele Adhesions (Adnexae)
Cyst of bartholin, abscess of
bartholin's gland Ovarian cyst Hydrocele Polycystic ovarian disease
Abscess of hair follicle or
sebaceous gland Phimosis Carcinoma of ovary
Condylomata acuminata Fistula (vesico-vaginal,
uretero-vaginal, rectovaginal fistula)
Inflammations (Breasts)
Vaginitis Polyps Mastopathy
Bacterial vaginosis Nabothian cyst
Foreign body (Vagina) Uterine prolaps
Cervicitis Hematocolpos
Salpingitis Endometriosis
Ectopic pregnancy Torsion tumour / ovarian cyst Rupture of ovarian cyst / tubo - ovarian abscess
Uterine bleeding at ovulation HEMATOLOGY
Iron deficiency anemia Macrocytic anemia Aplastic/hypoplastic anemia Von willebrand's disease Hemolytic anemia Hemoglobinopathy
Anemia associated with chronic
diseases Polycytemia Thrombocytopenia Thrombocytosis Hemophilia DIC Agranulocytosis Haemorheologic disorders Antiphospholipid syndrome IMMUNOLOGY
Uncomplicated SLE Anaphylactic reaction Polymyalgia rheumatica Complicated SLE Polyarteritis nodosa Vasculitis Lupus Rheumatic fever Rheumatoid arthritis Scleroderma Vasculitis Lupus
Immunodeficiency -HIV Atopy Juvenile chronic arthritis Transplantation immunology
Henoch-schoenlein purpura Erythema multiforme Steven johnson's syndrome GENETICS/NEWBORN/CHROMOSSAL DISOERDER)
Hypothermia (Disorders of
newborns) Bacteraemia and septicemia (Disorders of newborns) Bronchopulmonary dysplasia (Disorders of newborns) Down's syndrome Turner's syndrome Jaundice of newborn
(Disorders of newborns) Respiratory stress syndrome (Disorders of newborns) Aspiration pneumonia (Disorders of newborns) Spina bifida Klinefelter's syndrome Conjuctivitis (Disorders of
newborns) Neonatal convulsion (Disorders of newborns) Pneumo thorax (Disorders of newborns) Anencephaly Gonadal xy-dysgenesis Infection of umbilicus
(Disorders of newborns) Cerebral hemorrhage (Disorders of newborns) Apnea attacks (Disorders of newborns) Hydrocephalus Testicular feminization Vitamine k defficiency*
(Disorders of newborns) Sudden infant death syndrome (sids) (Disorders of newborns)
Severe neonatal jaundice (kern
icterus) (Disorders of newborns) Cleft palate and/or lip Fragile x syndrome Hypoglycemia (Disorders of
newborns)
Anemia (Disorders of newborns)
PKU (Phenyl Ketonuria) Child of diabetic mother
(Disorders of newborns) Rhesus incompatibility (Disorders of newborns) Galactosemia Blood group incompatibility
(Disorders of newborns) Glycogen storage disease Other storage diseases
Marfan's syndrome Necrotizing enterocolitis (Disorders of newborns) Retinopathy of prematurity (Disorders of newborns) ENDOCRINE, METABOLIC DISORDER AND NUTRITION
NIDDM Hypoglycemia IDDM Diabetes incipidus
Marasmus Adrenal cortex failure Complication of DM (acute and
chronic) Acromegaly, gigantism
Kwashiorkor Hyperthyroidism Growth hormone deficiency
Vitamin deficiencies Gout Hyperparathyroidism
Hyperlipoproteinemia Hypoparathyroidism Obesity Hypothyroidism Thyroiditis Cushing's disease Primary hyperaldosteroidism Phaeochromocytoma Precocious puberty
Testicular feminization syndrome Hypogonadism
Adrenogenital syndrome Addison's disease Multiple endocrinological neoplasia (men syndrome) Porphyria
CENTRAL AND PERIPHERAL NEURAL SYSTEM
Tension headache Metabolic Encephalopathy Migraine Vascular dementia Pick's disease Cluster headache Comatous Trigeminal neuralgia Alzheimer's disease Huntington disease Bels’ palsy Brain death Menier's disease Tremor (Movement Disorders) Chorea sydenham Neuropathy Cranial arteritis Benign paroxysmal positional
vertigo Dystonia 2 Sleep apnea syndrome
Peroneal palsy TIA Vertigo Central Hemifacial spasm Multiple sclerosis
Febrile convulsion Cerebral infarction Parkinson's disease Focal epilepsy Optic neuromyelitis (Devic's disease)
Intracerebral hematoma Secondary parkinsonism Narcolepsy Brown sequard syndrome Subarachnoid hemmorhage Generalized epilepsy Amyotrphic lateral sclerosis
(ALS) Polymyositis
Hypertensive
encephalopathy Absence seizure Cauda equina syndrome Duchenne muscular dystrophy
Brain stem lesions Myelopathy Syringomyelia Tuberculoma
Status epilepticus Radicular syndrome/HNP Dorsal root syndrome Phenyl ketonuria Complete spinal transection Carpal tunnel syndrome Horner syndrome Infantile spasms Neurogenic bladder Tarsal tunnel syndrome Neurofibromatosis (von
reckling hausen disease)
Duchene muscular dystrophy Medulla compression acute Cerebral Toxoplasmosis Brain abscess
Spondilitis TB Epilepsi Spina bifida
Guillain Barre syndrome Petit mal epilepsy VCI (Vascular Cognitive Impairment)
Myasthenia gravis Nyeri Nosiseptif
Meningitis Nyeri neuropatik
Encephalitis Visual field disorders
Malaria cerebral Tetanus HIV AIDS Hydrocephalus Meningitis Encephalitis Cerebral abscess Poliomyelitis Cerebral palsy Kernicterus Amnesia Pasca trauma Afasia
MCI (Mild Cognitive Impairment) Epidural hematom Subdural hematom SAH (Sub Arachnoid Hemorrhage) Trauma Medula Spinalis Tumor primer Tumor sekunder Buta mendadak Diplopia
EAR, NOSE AND THROAT
Otitis externa Inflammation of auricle Labyrinthitis Vestibular neuritis
Benign postural vertigo Herpes zoster oticus Perceptive hearing loss Acoustic neuroma
Motion sickness Pre-auricular fistula Conductive hearing loss Acute ethmoiditis
Meniere's diseases Foreign body in ear Rhinitis medicamentosa Aspiration (Trachea)
Ear, other trauma Wax (serumen) Acute frontal sinusitis
Congenital deafness Acute otitis media Acute maxillary sinusitis
Facial palsy or paralysis Otitis media serous (glue ear) Deviation of nasal septum
Epistaxis Chronic otitis media Choanal atresia
Acute rhinitis (common
cold) Bullous myringitis Pseudo-croop acute epiglotitis
Vasomotor rhinitis Otosclerosis Foreign bodies (Trachea)
Allergic rhinitis Tymphanosclerosis Tracheitis
Foreign body in nose Presbyacusis
Pharyangitis Mastoiditis
Tonsilitis Acute acoustic trauma
Chronic rhinitis Chronic sinusitis
Medial and lateral branchial cyst and fistula
Cystic hygroma Torticollis
Cyst (Thyroid glad and parathyroid glands) Goitre Hyperthyroidism Hyperparathyroidism Hypoparathyroidism EYE
Conjunctivitis, allergy Conjunctiva, foreign body Pterygium Entropion Chorioretinitis Conjunctivitis, viral Subconjunctival
haemorrhage Blepharitis Trichiasis Vitreous haemmorrhage
Conjunctivitis, bacterial Lens dislocation Hordeolum Lagophtalmos
Eyelid laceration Chalazion Epicanthus
Eyelid retraction Hyphaema Ptosis
Hypopyon Xanthelasma
Iridocyclitis, iritis Dacryoadenitis Glaucoma, congenital Dacryocystitis Simple glaucoma Dacryostenosis Acute glaucoma Lacrimal duct, laceration Secondary glaucoma Scleritis/episcleritis
Cataract Erosion
Hypermetropia Cornea, foreign body
Myopia Burn (Cornea)
Astigmatism Keratitis
Presbyopia Kerato-conjunctivitis sicca Anisometropia Corneal oedema
Amblyopia Corneal dystrophy
Diplopia Keratoconus
Suppresion Endophtalmitis
Night-blindness Microphtalmos
Scotoma Buphtalmos
Hemianopia, bitemporal and
homonymous Tumour of iris
Loss of vision and blindness Aphakia
Papilloedema Psudoaphakia (artificial lens) Optic atrophy Retinal detachment
Retina, vessel occlusion or bleeding
Degeneration of macula, age dependent
Retinopathy of prematurity (rop)
Diabetic retinopathy Hypertensive retinopathy Optic disc cupping Optic neuropathy Optic neuritis SKIN
Contact dermatitis irritant Angioedema Contact dermatitis allergica Pemphigus vulgaris Allergic vasculitis Atopic dermatitis (kecuali
recalcitrant) Lichen simplex chronicus Pemphigoid Dermatomyositis
Nummular dermatitis Psoriasis vulgaris Dermatitis herpetiformis Systemic sclerosis
Napkin eczema Rosacea Morphea Scleroderma/morphea
Plamoplantar pustulosis Condyloma accuminata Lichen sclerosus er atrphicus
Seborrheic dermatitis Lupus erythematosus Albinism
Pityriasis rosea Alopecia areata
Acne vulgaris Androgenic alopecia
Hidradenitis suppurativa Trichotillomania
Perioral dermatitis Telogen eflluvium
Miliaria Ichthyosis vulgaris
Verruca vulgaris Lichen planus
Molluscum contagiosum Granuloma annulare
Herpes zoster Vitiligo
Impetigo Melasma
Ulcerative impetigo
(ecthyma) Post-inflammatory hyperpigmentation
Superficial folliculitis Post-inflammatory
hypopigmentation Furuncle, carbuncle
Erythrasma Erysipelas Tinea capitis
Tinea barbae Tinea faciale Tinea corporis Tinea manus Tinea unguinum Tinea cruris Tinea pedis Tinea versicolor Mucocutaneous candidiasis Pediculosis capitis Pediculosis pubis Scabies
Insect bites reactions Urticaria
Exanthematous drug eruption Fixed drug eruption
INFECTIOUS AND TROPICAL DISEASES
Paronychia Diphteria (THT) Peritonsilar abscess Staphylococcal bacteremia Plague (Pes) Suppurative tenosynovitis Tetanus (pediatri) Ludwig's angina Sinusitis, otitis media,
mastoiditis, pertonsilar abscess - THT
Actinomycosis Human bite avian influenza (THT) Bezold abscess Rheumatic heart disease Chromoblastomycosis Suppurative parotitis Poliomyelitis Osteomyelitis Meningitis (neuro) Maduromycosis Suppurative cervical adenitis Rabies Rheumatic fever
Superficial infections, including folliculitis, hidradenitis suppurativa, carbuncle (Staphylococcal and streptococcal infections)
Chancroid
Staphylococcal pneumonia Lepra reaction
Nasopharyngitis CMV infections
Gonorrhea Dengue hemorrhagic fever (DHF)
Urinary tract infection (UTI) HIV-AIDS
Typhoid fever Dysentry bacilli Cholera Pertussis Tuberculosis kutis Leprosy Syphilis Yaws Influenza Viral gastroenteritis Morbilli Varicella Herpes zoster Herpes simplex Mumps Amebiasis Malaria Leishmaniasis dan tripanosomiasis Toxoplasmosis Giardiasis Trichomoniasis Hookworm diseases Strongyloidiasis Ascariasis Filariasis Schistosomiasis Cutaneus larva migran Taeniasis
NEOPLASMA
Ganglion cyst Leukoplakia Acute leukemia Non-hodgkin's lymphoma
Benign prostatic hyperplasia Chronic leukemia Hodgkin's lymphoma Condyloma accuminata Polyps Myelodysplastic syndromes Epithelial cyst Nasopharynx carcinoma Multiple myeloma Mycosis fungoides Lymphoma Langerhans' cell histiocytosis Mastocytosis Liver cell adenoma Bronchogenic carcinoma Langerhans' cell histiocytosis Hepatocellular carcinoma Bronchoalveolar carcinoma Liposarcoma Cholangiocarcinoma Neuroendocrine tumor (carcinoid
tumor) Carcinoma of the pancreas Mesothelioma Renal cell carcinoma Pleomophic adenoma Carcinoma of the prostate Warthins tumor Cervical carcinoma Benign polyps Endometrial hyperplasia Squamous cell carcinoma Endometrial carcinoma Adenocarcinoma Ovarial teratoma (dermoid
cyst) Carcinoid tumor
Fibrocystic change Cortical adenoma Fibroadenoma mammae Wilm's tumor
Gynecomastia Squamous cell carcinoma Thyroid adenoma Seminoma
Thyroid carcinoma Teratoma testis
Seborrheic keratosis Extramammary Paget's disease Actinic keratosis Ovarian carcinoma Bowen's disease Hydatidiform mole Squamous cell carcinoma Choriocarcinoma Basal cell carcinoma Phyllodes tumor Xanthoma Paget's disease of the breast Hemangioma Somatotropic adenoma
Lentigo Prolactinoma
Nevus pigmentosus Thymoma
Lipoma Benign epithelial tumors
Fibromatosis Lymphangioma
Fibroma Angiosarcoma
Retinoblastoma Malignant melanoma
Neurofibroma Osteoma Osteoid osteoma Osteoblastoma Osteosarcoma Osteochondroma Chondroblastoma Chondrosarcoma Fibrous dysplasia Fibrosarcoma and mfh Ewing sarcoma Giant cell tumor Desmoid tumor Fribrosarcoma
Benign fibrous histiocytoma Malignant fibrous histiocytoma (mfh) Rhabdomyosarcoma Leiomyoma Leiomyosarcoma Synovial sarcoma Astrocytoma Oligodendroglioma Ependymoma Medulloblastoma Meningioma Schwannoma PSYCHIATRY AND MENTAL HEALTH
Insomnia Schizophrenia Mental deficiency Anorexia nervosa Disorder of intellectual skills Other psychoses including
reactive psychosis and puerperal psychosis
Autistic disorder Bulimia Disorder of motor development Bipolar disorder, manic
episode Transient tic disorders Pica Disorder of coodination
Intoxication Rumination in infancy Behavior and attention disorders Withdrawal syndrome Functional encoperasis Gilles de la tourette syndrome Delirium Functional enuresis Chronic motor of vocal tic
disorders
Dementia Uncoordinated speech Cyclothymic disorder Amnesic syndrome Stammer Endogenous depression, single
episode and recurrent Other organic disorders Paraphilia Dysthymic disorder (or neurotic
depression)
Misuse of psychoactive drugs Paranoid personality Depressive disorder not otherwise classified
Bipolar disorder, depressive
episode Schizoid personalinty Sleep-wake cycle disturbances Panic disorder with agoraphobia Schizotypal personality Nightmares
Panic disorder without
agoraphobia Antisocial personality Night terrors Agoraphobia without history of
panic disorder Borderline personality Sleep walking
Social phobia Histerionic personality Disorder of impulse control Simple phobia Narcisistic personality Adjustment disorder Obsessive compulsive disorder
(neurosis) Avoidance personality Knowledge of forensic psychiatry Post traumatic stress disorder Dependent personality Knowledge of indication for
involuntary admission to hospital Diffuse anxiety disorder Obsessive-compulsive
personality Knowledge of basic principles of methods used by different psychotherapeutic schools (eg. Rogerrian, psychoanalytic, etc) Anxiety disorder not otherwise
classified Passive-aggressive personality Disorder of body sensation Personality disorders, noc Conversion disorder (hysterical
neurosis) Malignant neuroleptic syndrome Hypochondriasis (hypochondriacal neurosis) Somatisation disorder Somatoform pain disorder Undifferentiated somatoform
disorder
Somatoform disorder not otherwise classified Multiple personality Fugu states Psychogenic amnesia Depersonalisation disorder or depersonalisation neurosis Dissociative disorder, noc Disorder of sexual desire Disorder of sexual exitement Disorder of orgasm Sexual pain disorders Sexual dysfuctions, noc Sexual disorders, noc Hypersomnia
Psychological factors affecting physical condition
Extrapyramidal side effects (eg. Acute dystonia, tradive dyskenia, parkinsonism)
Anticholinergic side effects Sedative side effects Pseudoconstipation Encopresis Anorexia nervosa Bulemia
Tics, neuropathic behavior Hyperkinetic syndrome Primary infantile autism Disorders of mother-child relationship
Disorders due to social deprivation Neurotic disorder of chilhood Breath holding due to exitement
MUSCULOSKELETAL SYSTEM
Arthritis Osteomyelitis, acute Osteoporosis Genu varum (bow legs) Congenital dislocation of the hips Fractures of femur Physical overload Genu valgum (knock knee) Terthes disease
Fractures, capsule, tendon and ligament lesions of knee
Fractures of femur Pes planus Slipped epiphysis Rupture of achilles tendon Achilles tendonitis Scoliosis Osgood-schlatter diseasev
Instability of ankle Kyphosis Chondromalacia patellae
Lordosis Club foot
Achondroplasia Marfan's disease Fibrous dysplasia Osteogenesis imperfecta Paget's disease Bone cyst
Trauma of joint cartilage Rickets, osteomalacia Trauma of joint capsule Aseptic necrosis of bone Ganglion Crystal arthropathy Primary bone tumors Bechterew disease Bone metastasis Sacrococcygeal teratoma Pathological fracture Congenital hip dislocation Arthrosis deformans Hip dysplasia
Rheumatoid arthritis Femoral head necrosis Spina bifida Intermittent arthritis of the hip Spondylarthrosis, spondylosis
Spondylitis, spondylodiscitis Hernia of nucleus pulposus Spondylolisthesis Spondylolysis
Metastases from elsewhere (Spine)
Pathological fractures Fractures and dislocations of spine
Spinal transaction Fractures of pelvis Fractures of hip Dislocation of hip Ligamentous lesions of hip Arthritis of hip
Lesion of meniscus, medial and lateral
Abnormal patellear cartilage Genu varum, genu valgum Osteochondritis dissecans Arthritis of the knee Tarsal tunnel syndrome In growing toe nail Pes planus Club foot Claw foot Hallux valgus
Hammer toe Metatarsalgia Onychogryposis Anisomelia TRAUMATOLOGY
Caput succedaneum (Birth
trauma) Drowning Frozen shoulder Brachial plexus injury
Nail loss Head injury Fracture of clavicle Fracture (clavicle, humerus, rib)
Subungual hematome Burning Lateral epicondylitis (tennis
elbow) Mallet finger
Poisoning Dupuytren's contracture
Suffocation Bleeding Hypovolemic shock Dislocation of jaw Fracture of jaw Dislocation of knee Dislocation of patella Prepatellar bursitis Fractures of tibia Rib fractures/contusion Injury caused by rib fractures Sternal fractures Fractures of toes Crush injury to the heel (in children)
Fractures of fibula Whiplash
Fractures, capsule, tendon and ligament lesions of ankle
Pneumothorax Hemothorax
Injury to specific internal organs, such as liver, kidney, lung, etc Injury of peripheral nerves Fractures of shoulder Dislocation of shoulder Ligamentous lesions of shoulder Instability of shoulder Fracture of humerus Fracture of radius/ulna Fractures, capsule, tendon, ligament lesions of elbow Fractures, capsule, tendon, ligament lesions of wrist Fractures, capsule, tendon, ligament lesions of fingers and thumb
Dislocation of distal radius Dislocation of wrist Progressive inflammation of finger following injury Olecranon bursitis Carpal tunnel syndrome Injury to finger tendon, e.g. Boutonniere-deformity Traumatic vessel injury Head injuries Diffuse brain damage Cerebral concussion and contusion
Brain death Extradural hemorrhage Subdural hemorrhage Basilar fracture scalp Acute traumatic spinal transaction Injury of plexus and peripheral nerves
REPRODUCTION SYSTEM Mother taking tobacco Incompleted spontaneous
abortion Syphillis Rubella
Completed spontaneous
abortion Hyperemesis gravidarum Gonorrhoea CMV infection
Iron dificiency anaemia Hypoxia of fetus Dysmaturity Toxoplasmosis Primary mild contractions –
IMININ Retained placental tissue Polyhydramnion AIDS
Secondary mild contractions Postpartum haemorrhage Premature contractions Herpes virus infection type
Rupture of perineum Premature delivery Hepatitis B
addiction
Inverted nipple Prolonged delivery Threatened abortion
Endometritis Retained placenta Blood group incompatibility
Incontinence of urine Mastitis Hydatidiform mole
Incontinence of faeces Inflammation of pelvis (salpingitis,
pelviperitonitis, perimetritis etc) Intra-uterine infection
Subinvolution of uterus Post-natal psychoses Pregnancy induced
hypertension
Post-natal depression Pregnancy induced diabetes mellitus
Placental insufficiency Placenta previa Vasa previa
Abruptio placenta - SOL Cervical incompetence Jaundice late in pregnancy Urinary tract infection Pyelitis in pregnancy Megaloblastic anaemia Dead fetus Rupture of uterus Premature rupture of membranes
Unstable lie / malposition after 36 weeks
Dystocia, fetal and passage Malpresentation of fetus Cord presentation / cord prolapse
Failure to rotate / incorrect rotation
Rupture of cervix Shoulder distortion, infant Uterine inversion Thrombo – embolism Blood group incompatibility Deep venous thrombosis Thrombophlebitis Embolism CENTRAL AND PERIPHERAL NEURAL
SYSTEM:
Mental Retardation (3B / 2) Autism (3B / 2)
ADHD (3B / 2)
EAR, NOSE AND THROAT Cholesteatoma
NEOPLASMA Breast carcinoma
SKIN :
Toxic epidermal necrolysis Stevens-johnson's disease
MASALAH YANG SERING DIJUMPAI (INDIVIDU)
Demam Kejang Diare Batuk sesak napas sakit tenggorok sakit kepala Sakit dada Gatal-gatal Nyeri perut Perut kembung Muntah
Sulit Buang Air Besar atau sembelit Nyeri sendi
Sakit punggung Pusing Kulit kuning Kulit bersisik Kulit merah dan nyeri Kulit berminyak Luka bakar Benjolan leher Wajah kaku Mata merah Mata gatal Mata berair Mata nyeri Belekan Gangguan penglihatan Timbilan Kelilipan Sakit telinga
Kopoken (telinga bernanah) Tuli Telinga gatal Pilek (ingusan) Mimisan Bersin-bersin Gangguan penciuman Sakit dan sulit menelan Mulut kering Bau mulut Sakit gigi Sariawan Bibir pecah-pecah Bibir sumbing
Batuk (kering, berdahak, darah) Berdebar-debar
ASI tidak keluar Benjolan payudara Luka puting Payudara mengencang Retraksi kulit dan puting Benjolan perut Perut kram Sendawa Cegukan Nyeri ulu hati Nyeri sesudah makan
Kelainan tinja (lendir, nanah, darah) Ambein
Nyeri saat BAB Gatal daerah anus Perdarahan saat BAB Nyeri daerah anus Nyeri saat buang air kecil Anyang-anyangan
Sering buang air kecil pada malam hari Kencing mengedan
Kencing tidak puas Retensi urin Inkontinensia urin Akhir kencing menetes Pancaran kencing menurun
Kencing bercabang
Waktu kencing preputium melembung/ballooning Frekuensi urin
Disuria Nokturia Urgensi Stranguria
Kencing merah (hematuria) Kencing campur udara (pnematuria) Faecaluria
Darah pada muara uretra Hemospermia Anuria Poliuria Oliguria
Perubahan warna urin Nyeri buah zakar Buah zakar tidak teraba Disfungsi ereksi Keputihan
Vagina (gatal, nyeri, rasa terbakar) Gangguan menstruasi
Gangguan menjelang menopause Gangguan menopause Patah tulang Nyeri sendi
Sendi (kaku, bengkak, kelainan bentuk) Nyeri pinggang
Nyeri otot Gerakan terbatas
Bengkak pada kaki dan tangan Kaku pada pagi hari Pusing dan pusing sebelah Hilang kesadaran Epilepsi Kejang Kesemutan
Gerakan tidak teratur Gangguan gerak dan koordinasi Gangguan otot
Gangguan jalan Lumpuh Gangguan bicara Pelupa
Perubahan perilaku (termasuk perilaku agresif) Stress Depresi Cemas Susah tidur Pemarah Ngamuk
Penurunan fungsi berpikir Perubahan emosi dan mood Gangguan fungsi seksual Pelecehan seksual Perkosaan
Tanda-tanda kehamilan Hiperemesis
Nyeri perut waktu hamil Perdarahan vagina waktu hamil Anyang-anyangan waktu hamil Kaki bengkak waktu hamil Kontrasepsi
Sulit punya anak Kehamilan tidak diinginkan Persalinan prematur Ketuban pecah dini Berat lahir rendah Kurang gizi pada balita Tidak nafsu makan pada balita Lecet pada pantat
Cengeng
Gangguan pertumbuhan dan perkembangan pada balita
Kecelakaan pada balita
Kejang demam Penyalahgunaan obat Gangguan belajar
Tidak mau minum obat pada anak-anak Kelelahan
Pingsan
Perdarahan per vaginam Perdarahan trauma Perdarahan spontan Muntah darah Batuk darah
Penurunan berat badan drastis Obesitas Gangguan komunikasi Nyeri dada Nyeri punggung Discharge urethra Gangguan perilaku
MASALAH YANG SERING DIJUMPAI (KOMUNITAS) Keluarga Berencana - Kesehatan reproduksi
- Koordinasi di tingkat lapangan - Kontrasepsi mantap (suntik, pil, dst)
Kesehatan Ibu dan Anak
- Angka kematian ibu - Angka kematian bayi
Gizi
- Gizi buruk - Sosial ekonomi
Penyakit-penyakit diare dan penyakit infeksi lain
- Flu burung - HIV Aids
- New emerging disease
Imunisasi - Polio - Hepatitis B Pelayanan Kesehatan - Revitalisasi posyandu - Polindes - Revitalitasi puskesmas
- Pembiayaan pelayanan kesehatan (bantuan langsung tunai, JPKM, asuransi kesehatan, dan sebagainya).
- Tidak ada koordinasi yang baik antara puskesmas dengan rumah sakit. Sistem belum berjalan dengan baik
Kesehatan Lingkungan
* Bencana alam (banjir, gempa,) * Bencana buatan manusia (limbah, tanah longsor, kebakaran hutan, banjir lumpur panas) * Sanitasi
* Pariwisata (travel medicine)
Lain-lain
Medical error Infeksi nosokomial Medical negligence
Kejadian tidak diharapkan (KTD) Keselamatan pasien
Masalah-masalah organisasi pelayanan kesehatan
- Gaji rendah - Disiplin rendah - Medical supplies kurang - Dana terbatas - Kualitas SDM terbatas - Data terbatas (kurang lengkap) - Informasi ilmiah terbatas - Pengobatan tidak rasional - Regulasi Pelayanan Kesehatan - Tidak melaporkan penyakit KLB - Tidak berizin
