Standar Kompetensi Dokter

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STANDAR KOMPETENSI DOKTER KOMPETENSI PENYAKIT
4 Memutuskan 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) Myocardial Infarction Heart failure Cardiorespiratory arrest Supraventricular tachycardia Atrial flutter Septic shock Hypovolemic shock 3A Membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pemeriksaan tambahan • Memutuskan dan memberi terapi pendahuluan • Merujuk (bukan kasus gawat darurat) • CARDIOVASCULAR Angina pectoris Unstable angina Ventricular extrasystole Secondary hypertension Thrombophlebitis Lymphangitis Lymphadenitis Lymphedema, primary and secondary • 2 Membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pemeriksaan tambahan Merujuk pasien Menindaklanjuti sesudahnya • • • 1 Mengenal gambaran klinik Menduga penyakitnya Segera merujuk.

• •

Essential hypertension

Imminent Myocardial Infarction Mitral stenosis Mitral regurgitation Aortic stenosis Aortic regurgitation Other valvular heart diseases VSD ASD Sinus tachycardia Atrial fibrillation 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

Cardiac aneurysm BBB Other arrhythmias Pulmonary hypertension Coarctation of the aorta Arterial embolism Atherosclerosis Subclavian steal syndrome Aortic aneurysm Dissecting aneurysm

RESPIRATORY Uncomplicated Pulmonary Tuberculosis TBC with HIV Acute Bronchitis Bronchial asthma Status asmaticus Atelectasis SARS Pneumonia Pneumothorax Bronchiolitis Lung emphysema Bronchiectasis COPD Pleurisy TBC Aspiration pneumonia GASTROINTESTINAL Glossitis Reflux esophaghitis Salphingitis Acute appendicitis Acute cholecystitis Irritable bowel syndrome Necrotizing enterocolitis Diverticulosis/diverticulitis Colitis Rectal, anal prolapse Proctitis Hemorrhoids Malabsorbsion Food intolerance Umbilical hernia Cirrhosis of the liver TBC with pneumothorax Pleurisy Cancer Pleurisy Lupus Cystic fibrosis Avian influenzae Lung abscess Pulmonary embolism Lung infarction

Candidiasis Mouth ulcers (aphthous, herpes) Gastritis Gastroenteritis Fatty liver Hepatitis A Uncomplicated Hepatitis B Amoebic liver abscess Enteritis Gastro-esophageal reflux Worms Peritonitis tuberculosis Food allergy

Corrosive lesions of esophageus Ileus Appendicular abscess Gastric/duodenal ulcer Gastrointestinal bleeding Gastro-enteritis dengan dehidrasi Dehydration

Cleft lip and palate Micrognatia and macrognatia Leukoplakia Esophageal atresia Achalasia Esophageal varices Diaphramatic hernia Hiatus hernia Inguinal hernia, direct and indirect Femoral hernia – Bedah Epigastric hernia Incisional hernia Umbilical hernia Peritonitis Abscess in pouch of Douglas 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

Esophageal rupture Mesenteric lymphadenitis Zollinger-ellison syndrome Mallory-weiss syndrome Peritonitis pancreatitis Malrotation Meckell's diverticulum Crohn's disease Ulcerative colitis

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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 Urinary tract infection Uncomplicated Pyelonephritis Paraphimosis Ruptur uretra Ruptur kandung kencing Ruptur ginjal Striktura uretra Priapismus Penyakit peironi Ekstrophia vesicae Vulvitis Cyst of bartholin, abscess of bartholin's gland Abscess of hair follicle or sebaceous gland Condylomata acuminata Vaginitis Bacterial vaginosis Foreign body (Vagina) Cervicitis Salpingitis NEFROUROLOGI Acute glomerulonephritis Chronic glomerulonephritis Renal colic Urinary stone diseases or urinary calculi without Prostatitis Hypospadia Epispadia Undescended testes/cryptorchidism Retractile testes Torsion of testis Infertility Ovarian cyst Acute renal failure Chronic renal failure Nephrotic syndrome Polycystic kidneys symptomatic Acute tubular necrosis Horse shoe kidney Urinary incontinence Nocturnal and diurnal enuresis Epididymitis Spermatocele Varicocele Hydrocele Phimosis Fistula (vesico-vaginal, uretero-vaginal, rectovaginal fistula) Polyps Nabothian cyst Uterine prolaps Hematocolpos Endometriosis Ectopic pregnancy Torsion tumour / ovarian cyst Rupture of ovarian cyst / tubo ovarian abscess Uterine bleeding at ovulation HEMATOLOGY Macrocytic anemia Hemolytic anemia Anemia associated with chronic diseases Aplastic/hypoplastic anemia Hemoglobinopathy Polycytemia Thrombocytopenia Thrombocytosis Hemophilia DIC Agranulocytosis Haemorheologic disorders Antiphospholipid syndrome Uncomplicated SLE Vasculitis Lupus Immunodeficiency -HIV Anaphylactic reaction Rheumatic fever Complicated SLE Scleroderma Juvenile chronic arthritis Henoch-schoenlein purpura Erythema multiforme Steven johnson's syndrome GENETICS/NEWBORN/CHROMOSSAL DISOERDER) Bacteraemia and septicemia Bronchopulmonary dysplasia Down's syndrome (Disorders of newborns) (Disorders of newborns) Respiratory stress syndrome Aspiration pneumonia (Disorders Spina bifida (Disorders of newborns) of newborns) Neonatal convulsion Pneumo thorax (Disorders of Anencephaly (Disorders of newborns) newborns) Cerebral hemorrhage Apnea attacks (Disorders of Hydrocephalus (Disorders of newborns) newborns) Sudden infant death Severe neonatal jaundice (kern Cleft palate and/or lip syndrome (sids) (Disorders icterus) (Disorders of newborns) of newborns) Hypoglycemia (Disorders of Anemia (Disorders of newborns) newborns) Child of diabetic mother Rhesus incompatibility (Disorders of newborns) (Disorders of newborns) Blood group incompatibility (Disorders of newborns) IMMUNOLOGY Polymyalgia rheumatica Rheumatoid arthritis Atopy Polyarteritis nodosa Vasculitis Lupus Transplantation immunology Interstitial nephritis Erection disorders Ejaculation disorders Dystrophy of vulva Congenital malformations (Vagina) Cyst of gartner Cystocoele Rectocoele Enterocoele Congenital malformations (Body of the uterus) Adhesions (Adnexae) Polycystic ovarian disease Carcinoma of ovary Inflammations (Breasts) Mastopathy

Iron deficiency anemia

Von willebrand's disease

Hypothermia (Disorders of newborns) Jaundice of newborn (Disorders of newborns) Conjuctivitis (Disorders of newborns) Infection of umbilicus (Disorders of newborns) Vitamine k defficiency* (Disorders of newborns)

Turner's syndrome Klinefelter's syndrome Gonadal xy-dysgenesis Testicular feminization Fragile x syndrome PKU (Phenyl Ketonuria) Galactosemia Glycogen storage disease Other storage diseases

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Marfan's syndrome Necrotizing enterocolitis (Disorders of newborns) Retinopathy of prematurity (Disorders of newborns) NIDDM Marasmus Kwashiorkor Vitamin deficiencies Hyperlipoproteinemia Obesity Hypoglycemia Adrenal cortex failure ENDOCRINE, METABOLIC DISORDER AND NUTRITION IDDM Complication of DM (acute and chronic) Hyperthyroidism Gout Diabetes incipidus Acromegaly, gigantism Growth hormone deficiency Hyperparathyroidism Hypoparathyroidism 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 Pick's disease Huntington disease Chorea sydenham Sleep apnea syndrome Multiple sclerosis Optic neuromyelitis (Devic's disease) Brown sequard syndrome Polymyositis Duchenne muscular dystrophy Tuberculoma Phenyl ketonuria Infantile spasms Duchene muscular dystrophy

Tension headache Cluster headache Bels’ palsy Neuropathy Peroneal palsy Febrile convulsion

Metabolic Encephalopathy Comatous Brain death Cranial arteritis TIA Cerebral infarction Intracerebral hematoma Subarachnoid hemmorhage

CENTRAL AND PERIPHERAL NEURAL SYSTEM Migraine Vascular dementia Trigeminal neuralgia Alzheimer's disease Menier's disease Tremor (Movement Disorders) Benign paroxysmal positional Dystonia 2 vertigo Vertigo Central Hemifacial spasm Parkinson's disease Focal epilepsy Secondary parkinsonism Generalized epilepsy Absence seizure Myelopathy Radicular syndrome/HNP Carpal tunnel syndrome Tarsal tunnel syndrome Cerebral Toxoplasmosis Epilepsi Petit mal epilepsy Narcolepsy Amyotrphic lateral sclerosis (ALS) Cauda equina syndrome Syringomyelia Dorsal root syndrome Horner syndrome Neurofibromatosis (von reckling hausen disease) Brain abscess Spina bifida VCI (Vascular Cognitive Impairment) Nyeri Nosiseptif Nyeri neuropatik Visual field disorders

Hypertensive encephalopathy Brain stem lesions Status epilepticus Complete spinal transection Neurogenic bladder Medulla compression acute Spondilitis TB Guillain Barre syndrome Myasthenia gravis Meningitis Encephalitis 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 Otitis externa Benign postural vertigo Motion sickness Meniere's diseases Ear, other trauma Congenital deafness Facial palsy or paralysis Epistaxis Furuncle of nose

EAR, NOSE AND THROAT Inflammation of auricle Herpes zoster oticus Pre-auricular fistula Foreign body in ear Wax (serumen) Acute otitis media Otitis media serous (glue ear) Chronic otitis media Perforated tympanic membrane

Labyrinthitis Perceptive hearing loss Conductive hearing loss Rhinitis medicamentosa Acute frontal sinusitis Acute maxillary sinusitis Deviation of nasal septum Choanal atresia Hypertrophy of adenoids

Vestibular neuritis Acoustic neuroma Acute ethmoiditis Aspiration (Trachea)

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Acute rhinitis (common cold) Vasomotor rhinitis Allergic rhinitis Foreign body in nose Pharyangitis Tonsilitis

Bullous myringitis Otosclerosis Tymphanosclerosis Presbyacusis Mastoiditis 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 Pterygium Blepharitis Hordeolum Chalazion Hyphaema Hypopyon Iridocyclitis, iritis Glaucoma, congenital Simple glaucoma Acute glaucoma Secondary glaucoma Cataract Hypermetropia Myopia Astigmatism Presbyopia Anisometropia Amblyopia Diplopia Suppresion Night-blindness Scotoma Hemianopia, bitemporal and homonymous Loss of vision and blindness Papilloedema Optic atrophy

Pseudo-croop acute epiglotitis Foreign bodies (Trachea) Tracheitis

Conjunctivitis, allergy Conjunctivitis, viral Conjunctivitis, bacterial Eyelid laceration Eyelid retraction

Conjunctiva, foreign body Subconjunctival haemorrhage Lens dislocation

Entropion Trichiasis Lagophtalmos Epicanthus Ptosis Xanthelasma Dacryoadenitis Dacryocystitis Dacryostenosis Lacrimal duct, laceration Scleritis/episcleritis Erosion Cornea, foreign body Burn (Cornea) Keratitis Kerato-conjunctivitis sicca Corneal oedema Corneal dystrophy Keratoconus Endophtalmitis Microphtalmos Buphtalmos Tumour of iris Aphakia Psudoaphakia (artificial lens) 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 Pemphigus vulgaris Pemphigoid Dermatitis herpetiformis Morphea Lichen sclerosus er atrphicus Albinism

Chorioretinitis Vitreous haemmorrhage

Contact dermatitis irritant Atopic dermatitis (kecuali recalcitrant) Nummular dermatitis Napkin eczema Plamoplantar pustulosis Seborrheic dermatitis Pityriasis rosea Acne vulgaris Hidradenitis suppurativa Perioral dermatitis Miliaria Verruca vulgaris Molluscum contagiosum Herpes zoster Impetigo Ulcerative impetigo (ecthyma) Superficial folliculitis Furuncle, carbuncle Erythrasma Erysipelas Tinea capitis

Angioedema

SKIN Contact dermatitis allergica Lichen simplex chronicus Psoriasis vulgaris Rosacea Condyloma accuminata Lupus erythematosus Alopecia areata Androgenic alopecia Trichotillomania Telogen eflluvium Ichthyosis vulgaris Lichen planus Granuloma annulare Vitiligo Melasma Post-inflammatory hyperpigmentation Post-inflammatory hypopigmentation

Allergic vasculitis Dermatomyositis Systemic sclerosis Scleroderma/morphea

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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 Paronychia Suppurative tenosynovitis Human bite Suppurative parotitis Suppurative cervical adenitis Superficial infections, including folliculitis, hidradenitis suppurativa, carbuncle (Staphylococcal and streptococcal infections) Staphylococcal pneumonia Nasopharyngitis Gonorrhea Urinary tract infection (UTI) 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 Ganglion cyst Diphteria (THT) Tetanus (pediatri) avian influenza (THT) Poliomyelitis Rabies INFECTIOUS AND TROPICAL DISEASES Peritonsilar abscess Staphylococcal bacteremia Ludwig's angina Sinusitis, otitis media, mastoiditis, pertonsilar abscess - THT Bezold abscess Rheumatic heart disease Osteomyelitis Meningitis (neuro) Rheumatic fever Chancroid Plague (Pes) Actinomycosis Chromoblastomycosis Maduromycosis

Lepra reaction CMV infections Dengue hemorrhagic fever (DHF) HIV-AIDS

NEOPLASMA Leukoplakia Benign prostatic hyperplasia Condyloma accuminata Epithelial cyst Mycosis fungoides Mastocytosis Langerhans' cell histiocytosis Liposarcoma

Acute leukemia Chronic leukemia Polyps Nasopharynx carcinoma Lymphoma Liver cell adenoma Hepatocellular carcinoma Cholangiocarcinoma Carcinoma of the pancreas Renal cell carcinoma Carcinoma of the prostate Cervical carcinoma Endometrial hyperplasia Endometrial carcinoma Ovarial teratoma (dermoid cyst) Fibrocystic change Fibroadenoma mammae Gynecomastia Thyroid adenoma

Non-hodgkin's lymphoma Hodgkin's lymphoma Myelodysplastic syndromes Multiple myeloma Langerhans' cell histiocytosis Bronchogenic carcinoma Bronchoalveolar carcinoma Neuroendocrine tumor (carcinoid tumor) Mesothelioma Pleomophic adenoma Warthins tumor Benign polyps Squamous cell carcinoma Adenocarcinoma Carcinoid tumor Cortical adenoma Wilm's tumor Squamous cell carcinoma Seminoma

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Thyroid carcinoma Seborrheic keratosis Actinic keratosis Bowen's disease Squamous cell carcinoma Basal cell carcinoma Xanthoma Hemangioma Lentigo Nevus pigmentosus Lipoma Fibromatosis Fibroma Retinoblastoma Neurofibroma

Teratoma testis Extramammary Paget's disease Ovarian carcinoma Hydatidiform mole Choriocarcinoma Phyllodes tumor Paget's disease of the breast Somatotropic adenoma Prolactinoma Thymoma Benign epithelial tumors Lymphangioma Angiosarcoma Malignant melanoma 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 Disorder of intellectual skills Disorder of motor development Disorder of coodination Behavior and attention disorders Gilles de la tourette syndrome Chronic motor of vocal tic disorders Cyclothymic disorder Endogenous depression, single episode and recurrent Dysthymic disorder (or neurotic depression) Depressive disorder not otherwise classified Sleep-wake cycle disturbances Nightmares Night terrors Sleep walking Disorder of impulse control Adjustment disorder Knowledge of forensic psychiatry Knowledge of indication for involuntary admission to hospital Knowledge of basic principles of methods used by different psychotherapeutic schools (eg. Rogerrian, psychoanalytic, etc)

Insomnia

Schizophrenia Other psychoses including reactive psychosis and puerperal psychosis Bipolar disorder, manic episode

PSYCHIATRY AND MENTAL HEALTH Mental deficiency Anorexia nervosa Autistic disorder Bulimia Transient tic disorders Intoxication Withdrawal syndrome Delirium Dementia Amnesic syndrome Other organic disorders Misuse of psychoactive drugs Bipolar disorder, depressive episode Panic disorder with agoraphobia Panic disorder without agoraphobia Agoraphobia without history of panic disorder Social phobia Simple phobia Obsessive compulsive disorder (neurosis) Post traumatic stress disorder Diffuse anxiety disorder Pica Rumination in infancy Functional encoperasis Functional enuresis Uncoordinated speech Stammer Paraphilia Paranoid personality Schizoid personalinty Schizotypal personality Antisocial personality Borderline personality Histerionic personality Narcisistic personality Avoidance personality Dependent personality Obsessive-compulsive personality Passive-aggressive personality Personality disorders, noc Malignant neuroleptic syndrome

Anxiety disorder not otherwise classified Disorder of body sensation Conversion disorder (hysterical neurosis) Hypochondriasis (hypochondriacal neurosis) Somatisation disorder Somatoform pain disorder Undifferentiated somatoform

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Arthritis

Osteomyelitis, acute Fractures of femur Fractures, capsule, tendon and ligament lesions of knee Rupture of achilles tendon

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 Osteoporosis Genu varum (bow legs) Physical overload Genu valgum (knock knee) Fractures of femur Pes planus Achilles tendonitis Instability of ankle Scoliosis Kyphosis Lordosis Achondroplasia Fibrous dysplasia Paget's disease Trauma of joint cartilage Trauma of joint capsule Ganglion Primary bone tumors Bone metastasis Pathological fracture Arthrosis deformans Rheumatoid arthritis Spina bifida 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

Congenital dislocation of the hips Terthes disease Slipped epiphysis Osgood-schlatter diseasev Chondromalacia patellae Club foot Marfan's disease Osteogenesis imperfecta Bone cyst Rickets, osteomalacia Aseptic necrosis of bone Crystal arthropathy Bechterew disease Sacrococcygeal teratoma Congenital hip dislocation Hip dysplasia Femoral head necrosis Intermittent arthritis of the hip

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Hammer toe Metatarsalgia Onychogryposis Anisomelia Caput succedaneum (Birth trauma) Nail loss Subungual hematome Drowning Head injury Burning Poisoning 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 Mother taking tobacco Completed spontaneous abortion Iron dificiency anaemia Primary mild contractions – IMININ Secondary mild contractions Rupture of perineum Cracked nipple Incompleted spontaneous abortion Hyperemesis gravidarum Hypoxia of fetus Retained placental tissue Postpartum haemorrhage TRAUMATOLOGY Frozen shoulder Fracture of clavicle Lateral epicondylitis (tennis elbow) Brachial plexus injury Fracture (clavicle, humerus, rib) Mallet finger Dupuytren's contracture

REPRODUCTION SYSTEM Syphillis Rubella Gonorrhoea Dysmaturity Polyhydramnion Premature contractions Premature delivery Postmature infant CMV infection Toxoplasmosis AIDS Herpes virus infection type Hepatitis B Mother taking drugs of

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Inverted nipple Endometritis Incontinence of urine Incontinence of faeces Subinvolution of uterus

Prolonged delivery Retained placenta Mastitis Inflammation of pelvis (salpingitis, pelviperitonitis, perimetritis etc) Post-natal psychoses Post-natal depression

addiction Threatened abortion Blood group incompatibility Hydatidiform mole Intra-uterine infection Pregnancy induced hypertension 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 SKIN : Toxic epidermal necrolysis Stevens-johnson's disease

CENTRAL AND PERIPHERAL NEURAL SYSTEM: Mental Retardation (3B / 2) Autism (3B / 2) ADHD (3B / 2)

EAR, NOSE AND THROAT Cholesteatoma NEOPLASMA Breast carcinoma

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

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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

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