Skdi 2012 [PDF]

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Tingkat kemampuan 1 Dapat mengenali dan menempatkan gambaran-gambaran klinik sesuai penyakit ini ketika membaca literatur. Dalam korespondensi, ia dapat mengenal gambaran klinik inii, dan tahu bagaimana mendapatkan informasi lebih lanjut. Level ini mengindikasikan overview level. Bila menghadapi pasien dengan gambaran klinik ini dan menduga penyakitnya, dokter segera merujuk Tingkat kemampuan 2 Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pemeriksaan-pemeriksaan tambahan yang diminta oleh dokter misalnya pemeriksaan lab atau x-ray. Dokter mampu merujuk pasien secepatnya ke spesialis yang relevan dan mampu menindaklanjuti setelahnya Tingkat kemampuan 3 3A. Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pemeriksaan-pemeriksaan tambahan yang diminta oleh dokter misalnya pemeriksaan lab atau x-ray. Dokter dapat memutuskan dan memberi terapi pendahuluan, serta merujuk ke spesialis yang relevan (bukan kasus gawat darurat) 3B. Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pemeriksaanpemeriksaan tambahan yang diminta oleh dokter misalnya pemeriksaan lab atau x-ray. Dokter dapat memutuskan dan memberi terapi pendahuluan, serta merujuk ke spesialis yang relevan (kasus gawat darurat) Tingkat kemampuan 4 Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pemeriksaan-pemeriksaan tambahan yang diminta oleh dokter misalnya pemeriksaan lab atau x-ray. Dokter dapat memutuskan dan mampu menangani proble itu secara mandiri hingga tuntas



CARDIOVASCULAR Cardiac disorders : 1. Angina pectoris 3A 2. Unstable angina 3A 3. Myocardial infarction 3B 4. Heart Failure 3B 5. Cardiorespiratory arrest 3B 6. Supraventricular tachycardia 3B 7. Atrial flutter 3B 8. Ventricular extrasystole 3A



Aorta-arteries disorder 1. Essential hypertention 4 2. Secondary hypertension 3A 3. Septic shock 3B 4. Hypovolemic shock 3B Veins 1. Thrombophlebitis 3A Lymph vessels 1. Lymphangitis 3A 2. Lymphadenitis 3A 3. Lymphedema, primary and secondary 3A



RESPIRATORY 1. Uncomplicated pulmonary TBC 4 2. TBC with HIV 4 3. Acute Bronchitis 4 4. Bronchiolitis 3A 5. Bronchial asthma 4 6. Status asmaticus 3B 7. Lung emphysema 3A 8. Atelectasis 3B 9. Bronchiectasis 3A 10. COPD 3A 11. SARS 3B 12. Pneumonia 3B 13. Pleurisy TBC 3A 14. Pneumothorax 3B 15. Aspiration Pneumonia 3A



GASTROINTESTINAL Mouth 1. Candidiasis 4 2. Mouth ulcers 4 3. Glossitis 3A Esophagus 1. Corrosive lesion of esophagus 3B 2. Reflux esophagitis 3A Acute abdomen 1.Ileus 3B 2.Salphingitis 3A 3.Acute appendicitis 3A 4.Appendicular abscess 3B Stomach and duodenum 1. Gastritis 4



2. Gastric/ duodenal ulcer 3B 3. Gastrointestinal bleeding 3B 4. Gastroenteritis 4 Liver 1.Fatty liver 4 2.Hepatitis A4 3.Uncomplicated hepatitis B4 4.Amoeboic liver abscess 4 5.Acute cholecystitis 3A Jejunum, ileum, colon 1. Enteritis 4 2. Irritable bowel syndrome 3A 3. Necrotizing enterocolitis 3A 4. Diverticulosis/ diverticulitis 3A 5. Colitis 3A 6. Rectal, anal prolapsed 3A 7. Proctitis 3A 8. Hemorrhoids 3A Pediatrics 1. Gastroesophageal reflux 4 2. Gastroenteritis 4 3. Gastroenteritis dengan dehidrasi 3B 4. Worms 4 5. Dehydration 3B 6. Malabsorbtion 3A 7. Food intolerance 3A 8. Peritonitis tuberculosis 4 9. Umbilical hernia 3A 10. Hepatitis 3A 11. Cirrhosis of the liver 3A 12. Food allergy 4 NEFROLOGY 1. Acute glomerulonephritis 3A 2. Chronic glomerulonephritis 3A 3. Renal colic 3A 4. Urinary stone diseases or urinary calculi without colic 3A 5. Urinary tract infection 4 6. Uncomplicated pyelonephritis 4 7. Prostatitis 3A Male genitalia 1. Hypospadia 3A 2. Epispadia 3A 3. Undescended testes/ cryptorchidism 3A



4. Retractile of testes 3A 5. Torsion of testes 3A 6. Paraphimosis 4 7. Ruptur uretra 4 8. Ruptur VU 4 9. Ruptur ginjal 4 10. Striktura uretra 4 11. Priapismus 4 12. Penyakit peironi 4 13. Ekstrophia vesicae 4 14. Infertility 3A Vulva 1. Vulvitis 4 2. Cyst of bartholin, abscess of bartholin’s gland 4 3. Abscess of hair follicle or sebaceous gland 4 4. Condiloma acuminate 4 Vagina, cervix, uterus, adnexae 1. Vaginitis 4 2. Bacterial vaginosis 4 3. Foreign body 4 4. Cervicitis 4 5. Salphingitis 4 6. Ovarian cyst 3A HEMATOLOGY 1. Iron deficiency anemia 4 2. Macrocytic anemia 3A 3. Hemolytic anemia 3A 4. Anemia associated with chronic disease 3A IMMUNOLOGY 1. Uncomplicated SLE 4 2. Vasculitis Lupus 4 3. Polymyalgia rheumatic 3A 4. Rheumatoid arthritis 3A 5. Anaphylactic reaction 3B 6. Rheumatic fever 3B 7. Atopy 3A 8. Immunodeficiency HIV 4 GENETICS/NEWBORN/CHROMOSOMAL DISORDER 1. Hypotermia 4 2. Bacteraemia and septicaemia 3B 3. Respiratoty stress syndrome 3B 4. Bronchopulmonary dysplasia 3A 5. Aspiration pneumonia 3A



6. Pneumothorax 3A 7. Apnea attacks 3A 8. Jaundice of the newborn 4 9. Severe neonatal jaundice 3A 10. Hypoglycemia 3A 11. Child of diabetic mother 3A 12. Neonatal convulsion 3B 13. Cerebral hemorrhage 3B 14. Conjunctivitis 4 15. Infection of umbilicus 4 16. SIDS 3B ENDOCRINE, METABOLIC DISORDER and NUTRITION 1. IDDM 3A 2. NIDDM 4 3. Complication of DM (acute&chronic) 3A 4. Hypoglycemia 3B 5. Hyperthyroidism 3A 6. Adrenal cortex failure 3B 7. Marasmus 4 8. Kwashiorkor 4 9. Vitamin deficiencies 4 10. Hyperlipoproteinemia 4 11. Gout 3A 12. Obesity 4 CENTRAL AND PERIPHERAL NEURAL SYSTEM Loss of consciousness 1. Metabolic encephalopathy 3B 2. Comatous 3B 3. Brain death 3B Headache 1. Tension headache 4 2. Migraine 3A 3. Cranial arteritis 3B 4. Trigeminal neuralgia 3A 5. Cluster headache 4 Cardiovascular disease 1. TIA 3B 2. Cerebral infarction 3B 3. Intracerebral hematoma 3B 4. Subarachnoid hemorrhage 3B 5. Hypertensive encephalopathy 3B Cranial nerve and brainstem lesions 1. Bells palsy 4 2. Brain stem lesions 3B



Disorder of vestibular system 1. Meniere’s disease 3A 2. BPPV 3A 3. Vertigo central 3A Movement disorder 1. Parkinson’s disease 3A 2. Secndary parkinsonism 3A Epilepsy and other seizures 1. Generalized epilepsy 3A 2. Absance seizure 3A 3. Status epilepticus 3B Diseases of spine and spinal cord 1. Complete spinal transaction 3B 2. Neurogenic bladder 3B 3. Myelopathy 3A 4. Medulla compression acute 3B 5. Radicular syndrome/ HNP 3A 6. Spondilitis TB 3B Neuromuscular diseases and neuropathy 1. Carpal tunnel syndrome 3A 2. Tarsal tunnel syndrome 3A 3. Neuropathy 4 4. Peroneal palsy 4 5. Guillain Bare syndrome 3B 6. Myasthenia gravis 3B Infectious disease 1. Meningitis 3B 2. Encephalitis 3B 3. Malaria cerebral 3B 4. Tetanus 3B 5. Cerebral toxoplasmosis 3A 6. HIV-AIDS 3B Congenital , pediatric neurologic disorders 1. Hydrocephalus 3B 2. Meningitis 3B 3. Encephalitis 3B 4. Cerebral abscess 3B 5. Epilepsi 3A 6. Petit mal epilepsy 3A 7. Febrile convulsion 4 8. Poliomyelitis 3B 9. Cerebral palsy 3B 10. Kernicterus 3B



Neurobehaviour disorders, trauma, tumor CNS, gangguan visual 1. Amnesia pasca trauma 3B 2. Afasia 3B 3. Mild Cognitive impairment 3B 4. Epidural hematom 3B 5. Subdural hematom 3B 6. SAH 3B 7. Trauma medulla spinalis 3B 8. Tumor CNS primer 3B 9. Tumor CNS sekunder 3B 10. Buta mendadak 3B 11. Diplopia 3B EAR, NOSE AND THROAT Ears, hearing and equiblirium 1. Inflammation of auricle 3A 2. Herpes zoster oticus 3A 3. Pre-auricular fistula 3A 4. Foreign body in ear 3A 5. Wax (serumen) 3A 6. Otitis externa 4 7. Acute otitis media 3A 8. Otitis media serous (glue ear) 3A 9. Chronic otitis media 3A 10. Perforated tympanic membrane 3A 11. Bullous myringitis 3A 12. Otosclerosis 3A 13. Tympanosclerosis 3A 14. Presbyacusis 3A 15. Mastoiditis 3A 16. Benign postural vertigo 4 17. Motion sickness 4 18. Meniere’s disease 4 19. Acute acoustic trauma 3A 20. Ear, other trauma 4 21. Congenital deafness 4 22. Facial palsy or paralysis 4 Nosesand sinuses 1.Epitaxis 4 2.Furuncle of nose 4 3.Acute rhinitis (common cold) 4 4.Vasomotor rhinitis 4 5.Allergic rhinitis 4 6.Chronic rhinitis 3A 7.Chronic sinusitis 3A 8.Foreign body in nose 4



Larynx and pharynx 1. Pharyngitis 4 2. Tonsilitis 4 Neck 1. Medial and lateral brachial cyst and fistula 3A 2. Cystic hygroma 3A 3. Torticollis 3A Thyroid gland and parathyroid glands 1. Cyst 3A 2. Goitre 3A 3. Hyperthyroidism 3A 4. Hyperparathyroidism 3A 5. Hypoparathyroidism 3A



EYE Conjunctiva 1. Conjunctiva, foreign body 3B 2. Conjunctivitis, allergy 4 3. Conjunctivitis, viral 4 4. Conjunctivitis, bacterial 4 5. Pterygium 3A 6. Subconjunctival haemorrhage 3B Eyelids 1. Blepharitis 3A 2. Hordeolum 3A 3. Chalazion 3A 4. Eyelid laceration 4 5. Eyelid retraction 4 Anterior chamber, iris and ciliary body, glaucoma, lens 1. Hyphaema 3A 2. Hypopyon 3A 3. Iridocyclitis, iritis 3A 4. Glaucoma congenital 3A 5. Simple glaucoma 3A 6. Acute glaucoma 3A 7. Secondary glaucoma 3A 8. Cataract 3A 9. Lens dislocation 3B Refraction and accommodation 1. Hypermetropia 3A 2. Myopia 3A 3. Astigmatism 3A 4. Presbyopia 3A 5. Anisometropia 3A



Vision and visual fields 1.Amblyopia 3A 2.Diplopia 3A 3.Suppresion 3A 4.Night-blindness 3A 5.Scotoma 3A 6.Hemianopia 3A 7.Loss of vision and blindness 3A Optic disc and optic nerve 1. Papiledema 3A 2. Optic atrophy 3A



SKIN Eczematous dermatitis 1. Contact dermatitis irritant 4 2. Contact dermatitis allergic 3A 3. Atopic dermatitis (kecuali recalcitrant) 4 4. Nummular dermatitis 4 5. Lichen simplex chronicus 3A 6. Napkin eczema 4 Erythrosquamous lesions 1. Psoriasis vulgaris 3A 2. Palmoplantar pustulosis 4 3. Seborrhoic dermatitis 4 4. Pityriasis rosea 4 Disorders of skin eccrine and sebaceous glands 1. Acne vulgaris 4 2. Rosacea 3A 3. Hidradenitis supurativa 4 4. Perioral dermatitis 4 5. Miliaria 4 Viral skin infections 1. Verruca vulgaris 4 2. Condyloma accuminata 3A 3. Molluscum contagiosum 4 4. Herpes zoster 4 Bacterial infections 1. Impetigo 4 2. Ulcerative impetigo (ecthyma) 4 3. Superficial folliculitis 4 4. Furuncle, carbuncle 4 5. Erythrasma 4 6. Erysipelas 4



Superficial fungal infection 1. Tinea capitis 4 2. Tinea barbae 4 3. Tinea faciale 4 4. Tinea corporis 4 5. Tinea manus 4 6. Tinea unguinum 4 7. Tinea cruris 4 8. Tinea pedis 4 9. Tinea versicolor 4 10. Mucocutaneus candidiasis 4 Insect bites and infestations 1.Pediculosis capitis 4 2.Pediculosis pubis 4 3.Scabies 4 4.Insect bites reactions 4 Allergic skin, autoimmune diseases 1. Urticaria 4 2. Angioudema 3B 3. Lupus erythematosus 3A Disorders of hairs 1. Alopesia areata 3A 2. Androgenic alopecia 3A 3. Trichotillomania 3A 4. Telogen effluvium 3A Disorders of keratinizations 1. Ichtyosis vulgaris 3A Other noninfectious inflammatory skin disorders 1. Lichen planus 3A 2. Granuloma annulare 3A Drug reactions 1. Exanthematous drug eruption 4 2. Fixed drug eruption 4 Pigmentary disorders 1. Vitiligo 3A 2. Melasma 3A 3. Post inflammatory hyperpigmentation 3A 4. Post inflammatory hypopigmentation 3A



INFECTIOUS ABD TROPICAL DISEASES Localized infections and abscess Infections of the hands 1. Paronichia 4



2. Suppurative tenosynovitis 4 3. Human bite 4 Infections of the head and neck 1. Suppurative parotitis 4 2. Suppurative cervical adenitis 4 3. Peritonsilar abscess 3A 4. Ludwig’s angina 3A 5. Bezold abscess 3A Gram positive and negative cocci 1.Superficial infections 4 2.Osteomyelitis 3A 3.Staphylococcal pneumonia 4 4.Rheumatic fever 3A 5.Nasopharyngitis 4 Gonococcal infections 1. Gonnorhea 4 Gram negative bacilli 1. Urinary Tract Infecton 4 2. Typhoid fever 4 3. Dysentry bacilli 4 4. Cholera 4 5. Pertussis 4 6. Canchroid 3A Toxin producing bacteria 1. Diphteria (THT) 3B 2. Tetanus (pediatric) 3B Mycobacterial diseases 1. Tuberculosis cutis 4 2. Leprosy 4 3. Lepra reaction 3A Spirochetal diseases 1. Syphilis 4 2. Yaws 4 3. Leptospirosis 3A Viral infections 1. Influenza 4 2. Avian influenza 3B 3. Viral gastroenteritis 4 4. Poliomyelitis 3B 5. Rabies 3B 6. Morbili 4 7. Varicella 4



8. Herpes zoster 4 9. Herpes simplex 4 10. Mumps 4 11. CMV infections 3A 12. DHF 3A 13. HIV-AIDS 3A Protozoal infections 1.Amebiasis 4 2.Malaria 4 3.Leishmaniasis and tripanosomiasis 3A 4.Toxoplasmosis 3A 5.Giardiasis 3A 6.Trichomoniasis 3A Worm infestasions 1.Hookworm diseases 4 2.Strongyloidiasis 4 3.Ascariasis 4 4.Filariasis 4 5.Schistosomiasis 4 6.Cutaneus larva migrant 4 7.Taeniasis 4 NEOPLASMA 1. Leukoplakia 3A 2. Benign Prostate Hyperplasia 3A 3. Condyloma accuminata 3A 4. Epithelial cyst 3A 5. Mycosis fungoides 3A 6. Mastocytosis 3A 7. Langerhans cell histiocytosis 3A 8. Ganglion cyst 4 9. Liposarcoma 3A PSYCHIATRY and MENTAL HEALTH 1. Mental deficiency 3A 2. Autistic disorder 3A 3. Transient tic disorders 3A 4. Intoxication 3A 5. Withdrawl syndrome 3A 6. Delirium 3A 7. Dementia 3A 8. Amnestic syndrome 3A 9. Other organic disorders 3A 10. Misuse of psychoactive drugs 3A 11. Skizophrenia 3B 12. Other psychosis 3B



13. 14. 15. 16. 17. 18. 19. 20. 21. 22.



Bipolar disorder, manic episode 3B Bipolar disorder, deppresive episode 3A Anxiety disorder 3A Somatic disorder 3A Dissociative disorder 3A Sexual dysfunctions 3A Insomnia 4 Hypersomnia 3A Side effects of psychoactive drug therapy 3A Neuropsychiatric and psychosomatic disorders 3A



MUSCULOSCELETAL SYSTEM 1. Arthritis 4 2. Osteoporosis 3A 3. Physical overload 3A 4. Osteomyelitis, acute 3B 5. Arthritis 4 6. Fractures of femur 3A 7. Fractures, capsule, tendon and ligament lesions of knee 3B 8. Achilles tendonitis 3A 9. Rupture of Achilles tendon 3B 10. Instability of ankle 3A



TRAUMATOLOGY Birth trauma 1. Caput succedaneum Trauma 1. Drowning 3B 2. Head injury 3B 3. Burning 3B 4. Poisoning 3B 5. Suffocation 3B 6. Bleeding 3B 7. Hypovolemic shock 3B 8. Dislocation of jaw 3B 9. Dislocation of knee 3B 10. Dislocation of patella 3B 11. Prapatellar bursitis 3B 12. Fractures of tibia 3B 13. Rib fractures / contusion 3B 14. Injury caused by rib fractures 3B 15. Sternal fractures 3B 16. Fractures of toes 3B 17. Crush injury to the heel (in children) 3B 18. Fractures of fibula 3B 19. Whiplash 3B 20. Fractures, capsule, tendon and ligament lesion of ankle 3B



21. 22. 23. 24.



Pneumothorax 3B Hemothorax 3B Injury specific to internal organs (liver, kidney, lung, etc) 3B Injury of peripheral nerves 3B



Neck,shoulder gridle and upper extremities 1.Fractures of shoulder 3B 2.Dislocation of shoulder 3B 3.Ligamentous lesions of shoulder 3B 4.Instability of shoulder 3B 5.Fracture of clavicle 3A 6.Frozen soulder 3A 7. Fracture of humerus, radius, ulna, elbow, wrist, fingers, thumb 3B 8. Lateral epicondylitis (tennis elbow) 3A 9. Dislocation of distal radius, wrist 3B 10. Progressive inflammation of finger following injury 3A 11. Olecranon bursitis 3A 12. Carpal tunnel syndrome 3A 13. Injury of finger tendon 3A 14. Nail loss 4 15. Subungual hematoma 4 16. Traumatic vessel injury 3B Accident and emergency neurology 1. Head injuries 3B 2. Diffuse brain damage 3B 3. Cerebral contusions and concussion 3B 4. Brain death 3B 5. EDH 3B 6. SDH 3B 7. Basilar fracture scalp 3B 8. Acute traumatic spinal transaction 3B 9. Injury of plexus and peripheral nerves 3B



REPRODUCTION SYSTEM Infections during pregnancy/delivery 1. Syphilis 3A 2. AIDS 3A Drugs and harmful substances during pregnancy 1. Mother taking tobacco 4 Pregnancy disorder 1. Incompleted spontaneous abortion 3B 2. Completed spontaneous abortion 4 3. Hyperemesis gravidarum 3B 4. Dysmaturity 3A 5. Polyhydramnion 3A 6. Iron deficiency anemia 4



Delivery 1. Premature contractions 3A 2. Premature delivery 3A 3. Postmature infant 3A 4. Prolonged delivery 3A 5. Primary mild contractions 4 6. Secondary mild contractions 4 7. Hypoxia of fetus 3B 8. Rupture of perineum 4 9. Retained placenta 3A Postpartum 1. Retained placental tissue 3B 2. Postpartum haemorrhage 3B Puerpurium 1. Mastitis 3A 2. Cracked nipple 4 3. Inverted nipple 4 4. Endometritis 4 5. Inflamation of pelvis 3A 6. Incontinence of urine 4 7. Incontinence of faeces 4 8. Post-natal psychoses 3A 9. Post-natal depression 3A 10. Subinvolution of uterus 4 Typed by Ingrid Widjaya, October 11th 2010