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4. i\'lLrliilarrlasi @,ho.tiFu*mo*i ,,r..r..-..,.
j l,,,Jlilll,T';l;1,* iirciil unruk pcnaralat<san,lu,nJ':n'l':l]-':.::?:::,:::1''l
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, L)ict tiriP.gi liroteirr 't !Mre11\<

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suh.l*utie'
20. Perbedlrln uttara ekinrosis dan purpura adulah pacir...ukurannl'a
21. Pembesaran.ginial akarr [erasa pacla pe rrtet'iksaart...txnranunl bultrltQftrLt,.f
22. ,r,darry'a ltulfilliur*pado'dirlstolik dapal rnenandakaii...(2,4 ber:lri")
I .
B,egur,e,l{a&id}rlr&l bicing tl.rh\tF /1,'c1'0$ rs\o\i\c
,{
Srcnosis mirral
;Y Rsgu"lgilau'i'40'Gta
4. Slcnosis aorla I bi s( $ e1t-[sr nt{O\i\(
2 .l . Ivl a t a luran'g*lurtee'cli,tr"wprxdxaprurw{ieaCI*e r1 i s e b t t . sl,s}.**ap r . .

21. Yang nrcrirpakaii tarlda f0rrBsartg tnettingeal kecuali... Inbin"*;f{

ir. Rrudzinsk-r, I PctnY{9Y\g9l_ll9x$gu\ tsci'i.ict\gicr [rsl yyixl
b. Brudz.insky Il - P'n"C unsY-g-il1.. . unreXue BqUr*lfl
c Kcrnig [!,:lp ^ -orqc]doct(
ri. Lascilg,urj
ri. Lascilg,urj -- \osa!-uQ,
,*r s*L\u - (rufdgf)
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1.5.Rirva.vat penyakit seliararrg seharusnl'a,...1isusun secara sisterrratii< clan kronologipyfenhern1 ,

qk o'
26. @ adalalr...urrxsfiprH$ffirRfiras k*h&rcl.e{+ir'o;g,1s*r*n\"n{,;f.{H1*lY
^t1
Yarrg ditenrukan padn ihtems obstruk'fif adalah...bil ! normal. hii li nrenirrgkat. itro[rilin-ogen (- ampuWi"i-
). srcr.kobili.ggeg (-). , ii-lo'^iF, Urrn ?sk.rt, Ltq; OtmF,rl . y,,.uh tL{S P{tflr{'{Bu.u1

frrr[<an helasalrjari infeksr salur'ar] ketrcitrg arlirlrrlr. .r,rrlvovas.irtiti.

ao Pirrria."*nng 'f*qh,iura'h
29. Bcntuk sssrrllgs{rbsestk-,1a*fasryadaal<w{t}'*ffFt+tlgt{flih adaiair...kmrce$ffiu4
1ll i)iirq.rrosis pa<lirl.i::entri.:ii.,l'lrtba;ldallli riiirrtlLrkanrr..a .1[Nl].tfzoirrrl*laliiiiilr.jlr:'"'t
_) I . F,er;)itun,g&TrEtifit'laW$dl'ttrfi$i.IdHls3eWi}aHgflitE{fetr8eEfctF6.+r.'.aku t r a il *,p;1.!Li;rgorutl.iriitir .rtla iait
lE&dldr*g-*lae''
rlerrgan,. sl=oedat<l-yono- !srqi i8-n ls p\rU Ma'
t-, Diagnosis rahir:s ilitcgakarr lpat',ria anjiirg ters;rrrgkrt rttati # Caqlri'nie j,n
SebaL. * igaririe-8ndi,. larufur.Xcl yg
Apairila rln.iing rairies;. ai,.art tnati riitlatn I 4 liali sclelalt rrtcrtggigii \1ftnguny,1u t*_r-trl"
(jrrri'alr:?t:)
ffi J(c ;
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Perr)'e bah Ml,pacia p-endei:i ta- h ipertcrrsi adal a |t.., trorn hosis
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p-t t-('l.l dahq r
F ii;rrlasi / Lt
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1 . 0lre sita:r berat

-Lil.ltu
:.
J Ptrliorrrycliris
4. B.i,stv+tp,mu$otdrfr
,12. l{epati,tir yarrg dapat rneniacli adalalr..,lrop+titis,*8.'dofieg
hrior,r,is
al. Pqffiil[i+fu..d.iil,h,Q*lrisr,1rlg rnerupakan indkmid*gU,[UJ adala]r pada keadaan..,(1,2,1.'1 bi:llar ataii
1.2.3 berrarl'?'1?)
I IJfJ'itlr:utt'drcsLis:'i
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clitet,rt kart pacr a pnzurtrqnlg $qaris $

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scblrb ' - <1a1tai
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pllettlllonia lol'reris
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Salah-benlr leseKal\ lrtr r'\.r -"--
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.; ;;,'r.*fr*tiaiLiJirrrnadi?Yf:i:'ii;.r;;,,,,, grarre p^sictt asrttit
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d" Grar,udsease- Eye Sign: Mobius, Jotioy, stelwach dll. beri Ott€1,'-opi -{*1;+,u.*s-;itii4iggprp
st:nall-'r,rnfir€L- i+j,0h!,1r,,...!i8d,,\*-uno,.d,.hQttv,efgiUuii, G**he@eh
" '- --!.-y, r.,- i
- 5. Pencetu+K@dan,{Griteriarlt*R
'-
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-iri.r.n A-.-,--..- .
i::_:::':":T*:],
i{telEir*sliUf91ffEm1{r*is}qiqfu(E?&ii+35ii }+thr*hap:,,. , *,L.J*&rdig&,*i$ldfg1;
rQ^Iry/cll G- 6. Krireria
urilr6a latl{ip";nke,;ilH,{+lii"ii
vrra rsu rrP.,6ttr\srrtt - JrrR\-r,,r, .,,,*,]','.1"'IIn,** ,r",,",
- .{li+ l':itfik-hisa:ltr.rit,;dulri
i*x.r+l!*
-/' '\ _
ljoll:t'l;(il'' r;'{tdi{i0i
hcnQr -- 'Fa.ia
-7. Kriteria T\/irl^,.r abs\'rt - - tu{g t'rilltl '
r..+r+j^
Di Gout Aitrjris
;.;.
ujt'r d: '\-\
r"+1atrf
' - lteiL:Sfrilpl'-: fisqri,'r g6rge!,rt,rin€lct:tlr :i .!titti\lg.
ic'.rr -.o s*,!r _ pembeugliakan pada scndi
urr ) *:t;rHi. . ho,l -io.rr.. . _,H::',r1I'Htilt:.e$ru* t.r,..l

*"" I K"i:iteiia'DJr.r{e!:. q1.p-i4Al_Lrit!s J, - 3i;S.i\\,+(fr$,.-..3rir(i\],*grliedip. 'qF,,rid._

nrye6rtrr+.*rifi
Jrt''':': ' >r 'rea'*,*J:x':w'{-r}{rr}-ur!};rril t'll'i -.r,,,,-,,1f,..,-. *-
-d;riiJ,r,i.cl yl..rri,rr: . , qis1ji,.c,iu;,l,
I}fl!rt:L...,,,t _:_-" -.,^l r.rtrucfureir
sEi*il* - -\\ .^-- iu;s)\*
.,:ig:,*;L
- l)embcngi<akan padarfr{Cplbqn ptti,
ft.,I.r,,,_:r lr \- '' -t=-{*--'i
rri*r,z \5.1 .ir4rvr,pd-.senci r.ul- Gi;;,t_.r 1a.Ei -\",qn i *Etfi tqr
\n!tf
;;r-il. ,
,. I€ritsjada&{i*di
I.:-:r^-;^ l\, (rT r: \
)
i,-,.L ^ ,- t .t .
0'r'.r,tur{r*-fal:.€,.dr,1tr&\,rfe:+}, tp?rnbehotqi. qrU
f**
r'-', "- -
-
's"i'c.$tai:

)*- ,re++i:wd,xilfa-- . "tn' 0 u',-,.**uryo*i*r.€'o*r[r,ril:rstndi,'..1+ €) ${*iet{i,}r.@

fL g) {!.itiir€]tGr€i+15
" .1u*@ ru'
''"'''r1i41i1.,6;t KriteriaDA,Osteoarffitis'geiru
10. r\rrlerraJJ6,Usteoarlnfl$::geili-1 {!rriir€il$€{+15 .^--*li6irg.r1_ O 11 |1:.{grltg.6$glrl.Fr.IrSgh
-rii,::..r6r...jil.;ii". @ &*r{erltg.6gg1rl.Fr.I;Sgh
r rpi",q!l- , . O fiF., t*.'-1"" 'i r\l{F 6 ttqf,"i,*heiisqrw{* .

rir'.
111J
11 '
,1,1.r,.:
F::rx:'] ,o{i'r'tr,'iw{-$a$airw}ry--
" . L\iri-\
12. 6ejdla=I$inisH;eukeinia:Ahur u LLi.:
,1 a :-:. 1* il rer - o.S[JriTq:;14i{r@.{}Brir$,*a ui
rr-rr'. d:illd.; 13" l..riteria i.,ab I'l'p , o,rj,ruirfiun -r {""rnbOsiiigpntr_A (l.tqkb / rn6D
f;'tsF#P.rr'{iTiF}a€ir " iliri'fi : r;l*,gfft,o,t tr:sit .:i eg.CInUltl-
i$[l'*'&' 14. Gejala l{mis Sinclrorn Vena Kava Sriper.ioi- + r}€stxy-^, rfiuk-{ t€},roso rpot*h ,, oir\p}{ eod1. drsfugi.l

,li:iiri(iQit,i.+41F
ltl
/ , Eb horirn4 /4.
'r,-(r \Q,<.l\iii , .tu,t{utnrt\qr€q
r tfl{ei,gi
, g\tn, ri .
ti o
rn . ticr,ro Ii c{iv\ct io rt
?-rrr\tivr\ os trtstii
"r. UliirCt ri#'.t*\i3.li{i t'"p*9t'*,r,,* eori*l*s.
3 Fro-iti,tV':.,r:itls. r-iL-i t
+),' g\uY"ctreqt(\€s\l,
ru,e+SJr {\r t\
* q-\<\rnt! : itissirrc\u.i ,
tt' lirlio\.1
?hft11bq{
s -g\u,rFqsidct : qgr,rb06g_ 'i-IQ,' 4qi^&j$.i de[rrdmgi & '
1

*he+fic{tlF5qer}.rdr '*=:' -'-i

Hw*i**: :ffiHffi* ffi, :,ffiffi -.G*s@ r

-$p'p*l*, *
- Bq€rT''
* Infitrat uffi;"ffi;ada Ro roraks dengan itiserrai
sekurang-kurangnya I gejala mayor atau 2 Eejala minor

# tvlayor: Batuh Sputum produktif, demam (T > 3?.8)

# Miqor: sesak napas, nyeri dada, konsolidasi padaperu Fisih leukosit> 12.0001mm3
srr no.te, m,Hq^Y,?ff re,rkru,.ir
16. P ' < zlotra[
P fuImloftt\ . k{,lqrnq\ di qk\Uq lnnhn -
,io*'strtrq
ff. celala Ktini$ ,:tq6**.ttU#ri*Jr*\y'*irusleat#:itr:b*C9.*,ffiSsftt'mra*-u5,fusrl*,r*
\eunm.rw+.ruu,a\i+snffim1r*1s, ffi i&idalnqgrzr
e- 18. Gamtaran Apusan Dffah Tepi Anemia psg pr -- t i l*rM*'Lq$m*m r &&l*d*s*tfu*l
teii\^r\osrt rJ TrhC fl rurrri,n d r ritrYx1si tr(mvr mf-**wls,@t . f&rwsar*rbts
"@
trort{tOiitY- ns I $flo\:dq f,A Oim$@,w .

20. G.rmh*ra,p=Ap,sarsEr*'f.t&@flen?ia*&{eras}itik
tr0rrnqS:t{5 t\Or t'fi 0Y{oFn
zt.

22' D/'Diferensial.$table'"dngiua'Fectoris, UAP, Non STEivll;.STEMf,.(gejd4,ftlinls.re*porl

thd istirahar dan,aifr.ggliseffi,iffiiiirnz:i auttme)

23' KouEaindikasi.penggunaau,B-Elocker: Hipotensi, Bradrkardr simptomatih eksasrr,basi

"'-sefanganasma,,bronkial.daurc0pl) ,
h*s lc,ntun3 K IS'diVr
R+ $ ditv!:
24. Iffiteria:Mayor, dan*{inop,:fi.lreurriatuciLlearf Diseasi:.,,

25, All aboui murmur: sistoliig diastolilq regurgitasi vs stcnosis mitral or scmilruar
iH:: ratto S-f5 lecua\rk"
'Lvt1 , ,! di v, + Fc\i vs ), s aifs,rrtn nvF,eti*
:Ai {t f I .-- B5
,_ _.o]_,
,-}3:t
i .i*j io,,r
di fr"<t
2.7" GKJ
27 GK^u*rr,"r,*onhr,-e'rci,igjrsn-.--:R-*i.S..yilF. 1f -" =-;dopresi'
i;,t",;\,*',t7'15 rt ur:tr!<*i I sf
$3I,:
Urt Vz
>l lirrvgrsi
/,,$\\It:{}i T
i ,{i,k.s,
o
s P'Slttr$\ o$it )*
nrit.ur" I, u:F-r{ I l:;
$(rss{'kc-FCI(\c'n
rs\teruq\QES 4i ti1-jri Wi-'Jr
28' Sindrom Dubin Johlson, Sindrom Gilbert - ilipcrbilinrbiiremia tipc Ii (kongerrital, tttr'nu1n
\' I
autosomal resesif) Yi\ U ili\ f I r
,il
/t '
f9r'Mekanismc dan pern. Lab Kolestasis lntrahepatai 5\AI /.p'1- i" I FOtm rr,tbr {\ Wieri4anlqitg

I30l Garrrhararhetfuis rlan LE+trI€e]€stiisisqiksrishepntflllglrstr{tkttf : I}Bd.},,=@,{+re#=-b}+}F*ot+

ur tvrJ-ir ---- **
31. t{.€c€ sebagai ire*s#ftirflpl.riltfr*ryirffi (dalarn keadaan alr.tif dm menular)

32- Gejal*#tini*9isa,sis&qa$is (Gagal Hepatoseluler danHipe.rtensiporral)

itoi'r$\rrn:*:
."i+{<rtee=$1" I - dru'+?,.ha,*ierq\.\
u4*'4"',,'asi\k&'stfr st-ffi S€q,
ir.rrrk\\cl. 11,...
t
'lttrii|tt;fi
$.--q6wet
cl*r"i.C,..S+$. \ dol***lrtoi-irtr
*fA**n:{*ugE{6_
 lttl'lv'\211- * d,s*E*fttaf
;
I .trrrr:
.. tf Piosatr\- - -,ffi*
1@g
- we@s* ,
33.,ekmst"{fiti#isgigeik, gqidc#}.i*ie
. ?d,@ t"l"+"i.',t;i er,*Erc\2r s./gaga!
ur'er+d
pry1.rru,\afi nrer,{qnrs\t-
L"t:'sii'rils*:x )
3a"
r+. **+*@**i : ffi
-1ffi*,*-t*srrst',r.isi
tFJl'"fl*t';iF$$['h'ii*;':'
_ i .i;hat. r-'or- 1r,61krcr.k
35. Gcjala Klinis sawar abdomen: DeeuFIffiffiffA -Ioj;:."r I - Io"iAf,litHlHE:t',**u's:.<,,
i*.rqs ' .rl;.lru.15.0,'j:+.:,H,\\"*f,GreEs ---tetrrr*-,rr.rTd"fiXSl,tI-<{*Lii'r6i'aqrth iqrnr\r *
<rrdl-q?arvrJ 36. Gejaladfiinic'P"erlariahTT-9,:B.A\ hos*oaor"e.- -tl€r{alostLe-icr = >icooor0 ku.qo{rrrurvri5
f ut\:'{s yepilF\\r , gtisirrl\s 'rc;l}, (j
t ' hi\ra+.errS i - .+WrV. .'
\ .[u;*dei.l < 3E '
*.,^.^.,,^.-,..37.
oltl-r) Faililt
Ilnnsitomefrii sebagai a*pasdG@{tris TOi,f
*id'f+ot, o,rtq. rc\ " 6'imGes
s ta- un{+qotrgi ldirulrd:=r$i\aqq6qrq{ \iot rt\c.'.l
s'tilatJ "*iffry{rgre$=*yr#lirr'*,'li:,.Iyj.-_--,..
rr---i "38.Efek sa:nping petlggunaaan Kortjkosteroid jangka parjarg: Moonface, Cushing
ir:lr{1-i;,t, 'l-t[: ,..]": SyndrOrne dll Erltefiol. U/ c.4#
rl'-\' r-1 ii\-: - '
fr t ir\<p . S .T{,er,\qf,\oe-, tt1.ll\a(ripffi '- i
l:11.",11' r, .' i"
c,tr ' n'ii'.*n"o' -
fO+O ttt0r-ut^
" : rrrfilh-at bqi.r / Psog]'Qrt I

]:l?^:aaE''irn,*l
f+ 't y't:1v1i:lTrir[f l,kileria D/ dao arioU6i
guJulk dLrnilcilr
nrqn.J-,..JqK., Farrr-robr,nc,.r-rr\ rey,q+-\yen r.ka4r;, .

r 61qn\;, - p.*i*,oy\ Flr&i*€,r. Juh*,'/tur.

d,h$[i:1ffiig:"Sff$','g:&H$.tlr*ltl1U6U,Hilt^;;i
- .'.i.ri.rer.,, ?r r,*ic,ns6ros,iild;JlHili;i."*:';:J,::,li,$Sfu6''"' ;W;nf*-:*;,f,.;;T-;;,
rJ: *"iJ-:-* ' i&;;i;:;-1 tnu ::t*eb
' 1i,\''di;'1ri,
c'irir ,)amin*r.o1a:r.:o1-.n,--,*1.ir* -:-+;1-,21-:*^r*-: -.^r-r ^,: ^, / a ii.si
P.aidngkai;ur,t-elemetdrid{astaritr(hipe*en-si;rortal, CI{F, Obstrutrisi vena k}kal)
ic;iri, ,,, 1.i\.r,Sg
t.r:1cr , - Feni*gkalair':penr-re*Lriiita.$d{rpilsqffauma, radang,lrrka bahar, reaksi alergi)
trg' ulr'tr"u ' f
rl---,--.-, -,..".-t--
,o[urr,.* -,'h,]00r"]1ii;ftn.i]Ptnrlan-tekaflaniasntetik"ko{oi4rytarnm$indrom nefrotik, sirosis hati, rralrutrisi)
,'r'r'i)srk'ct\! prioiilipqil
Glb$trl{{si.alirarrriirn-te
r'}-v' [til'ii5o,
1i, 1)ir,1 ir\1p.{\. \'lr r\trirsl Per\gq\ro.r, \rqgunl(,fi\q . L(\s,t.1ld,i0 , C lip -
r.tr.

t[F$o\-q 42- ticjalaIflinisilernarorak" ctt]1c\\tr. P\r t:cuith {evsQbal , w\r\n\tiui\ntqri,<rtt

L3trrr,nr'r1 st.lut,\
.'"'""'' ! '.ta'n #;'r"i*'l,.ld,)r;fiI'*,?*s'x\ *;roil1 i"-tk F'
;l:I0 or,,d##ie**s*,H11*' h'ld.l-'rgrcr{6yriu,rilrui cl,Ennrc
'
tlis\;'ptdgqlq 9Q)'Sit\+\n
,,. r' -,. r..,!r".r-, 1... ^,a ** "
..i*".G;;l]*
)lfi1}iJruuu,."*"*:ffim;t,ffi #Hi;H[-'m,**ffiH:f$f
rt{[.-lq,rk-rl\fi r,
l,.lilf:lt[1*]]-"''
,'mdre[r*{dslhatil**rt,B,,
r

.mrgjy
Prt'{:".:\
I'!'rrir\{r\}
_'ffigg_qiRp#I*Hhg Erffi{ffiqwwirn
'? . t\-tillt'1', /6- !{eurodiaiisis vs I'critoneal DialE-isTiapiilXpn),it/ -.1-
GGK rcrininal riffi{grfficdffirrfi,
:. . \rrfs.rt \i:t,rflJ e,rlaleass1q*id.s
tli
,l'i iiarakier-istik hrklir{tu aqJr{lt'./t/['{}trl"-
,'r\,:i1
,\,1c,r1 rfr'.ri ;., \
.'ir'.r\r., Ptrsicr_, (ieii;rf-ri:
i\tuiri'iulistil.; Pasier: Ceiiatri: L ' sr{t4y'in"i}rft.,. gin)ca\ i,uu*i -e+shresi tr !
-esshrQ-si 1!
,{.,r\i.fi-r nV peltggcirlti
- irtr.rnsp tqtr \ Et4of.rn

4 ltiultipatcilo;f;'lJsia> 60 tjin, Penenrnfrl;Faai,T,uliulq..Folifar.masi

XX
(
tu.t'lpilAn,kht1r..,;1rr.p,',11[6! , 9lI(rg..s:HUJ..finfig5tq,y,qi,,,,$Ur.trS.-O*friSi_,,
48. i.rtinlogi clurr[:i,g finger: vaso da, bronko konstriksi?
i'i-i)i{il,.-;h jqg.:ryig6l*r;1l;i,ljp{:l..rtjri;1,ii"= [{ l.ir.'l*-.q qq\ r l. f-as i
k
1.i5,1..€{:ttjr.r4.+ltt*t S .: i{Eqri.+{:Lc.f kjr f
4.
- lrctri"nt titc, :
rr.,..: ...--.-.-
-r \,i{rV ill-.-?
",.t$ \i.fr;ri \ i;..o_,$€::..1L:_t [r,r:,
ri
-. {oStuog'qopi, c\isfcratf ct , &tr ett ic' , 'k i'ilti
rnlqi,,*p''t-=cerfpt*t\.-:;rrti33u*r*opj*E:tefi!.!i{tj€ _ ics dsrrh liaf r[ , drsy.Uirs\rq
lrqn-{arolq
r,

t\r.i_3,i,,.1!o*.,}__1il.ihr,.**!*i*g}$.,u"J : (r,. U*esi\r i\s.\

1.',t
di i,u\cl ) q13 iir ( (r,\1 1Li1i ,!1u1(
r\{t!\ 0f\t,\ ! .i ,
i..,.u;,
- t\.(G' Abci
\
-iiir,ti'.t5qjr+;*,gx,..1.,g:;j3..-:;ir.lrgq;.\{titia{ i'
I irr, 'iiiri:ii
tl:i.'..,i.1_,; i -,;1i . D,3i,,it\( fur5s\
 -1
rl

Ditemuliaa pada: congenital ;*

Disease,' copD, penyakit paru kronis,
Endokarditis Bakrerial Subakut Ca paru, penyagll Hepar Kronis

o'
f-?Hffif nffitl;i'Sfrry.ffiffiHffitffi* ou

so' D/ ud;rqffiowuh h*F kq\it

\6
s1.

s'?R+tit1f;
t1trfifl,'-tf;.f T1ffi senetik

53- &F$dis*alesu*ara*nffiwrEq,asehEMffii*fffilaf,is f-?s sBbnirryrUn . @

s+

- Sebaiknya menggufiakan bahasa pasien

- Lanauya keluhan terseLrul dirasakan (dura.si)

- tsiasarrya saru kcluhmi ,lou ,urgat menoqiol

55-PenyebabMlpadapasicnlipcrtensi-.'Irombosi, itvr-J1 .lgn. {rirasto Hf *erqtorY\q r-rFrbqt '

ttQMlPa$J

-t0.@""grqg@-lripar,tetsidabii dq c$f dlu" -sarhc'sqn ls.dF{* F{ .

5?"Penyalriildengankelirlranrryeri.tokair,cp.igastrirnupi*eo*''.@

58. Ilepzititis yang dapat rnr:irjadi Hr-:opis. tlep-ib"du4-He4, .t

5 9. Geoin"Sign d iterrr uki*r pronitr&pad a:

60. Perilear,diai.il:iction itirb, vs p leural Fnctior,Rub.

P-leural,=:gQs0l=cl'i piUi.r.ca,[tl,", t.t-{it

h i, r.m!.. qry.! jii.Ef ,,
Peri kardi al, j, (*, gf; SeF{ ii Lro., in 1r. q n} tusi..,E.?s-il tla'.1
P[.Q:.lsc,' it",Hei,g
l(rs s ;'0,S gg:k*s S,r i-. EgqFrt X i.S,y SLrAUgl iX I
Terdengar saat bemapas. inspi.rasi dan Terdengar saat sistolik dan
diai;rolilc.i'
ekspirasi,, [s{oi" 9e rekn ft iu1li lrcl' it"\ittpr)
i.

Loliast pal rng -1

ela*. a"-";ilii:., Ii;:,,:j::.:Tr i:awah Lokasi pait'ng j elas: pmcordial
toraLs

Pj$yg!,,*o \:U,::\+I k ii-; \w+

-Bi&g:ffi+qtr@Fry
:r.\- tir-tlco"r, trqtf dad-lr\.- G saftckt"'"rirt-qi.:"gr.tqa11{+1;1iq15q
1

i,!' !tJ"tf\g G r*+.grlr*qjrr::{r.ffi {ii{\}}-

3:, is i3S;*;r*&{"FrF*Fru-66;,*td$sSu*'+**mffi
i('
i'i ri+rlU, .',r\u!Q(.i ltrrvl:}nirl t\ Satgt-+t*eE-,ri*ctmry+,*=
Cr.r1 -
€) l-.511**1*g
*ir.*i\*1q!.
@Jenis2 lariva:fcbni** *l"rrrn*****,
'Lob m sl u;z6c ffirefl:{Epprla:

62. Sifat nadi berdas;rkar: pen€lsiarr_sadl (D-S)

a. FulsreBmars pq#is*andffisil, ex Asfi*agtffiissil ,

iluls'ticMagnus: peagisianebesar, ex -Asrtazlnsnfisierrsi! ; *gd*iryq6gzf.:3ue1qgryl5dp,+ryr"ffiw

L) d,ON\Oi{l , oiqe$\Q, hr,(LrliNlJ., Uocjcr iAg{rg\.!UJi , tittritd
AV.pgq
'R$isucEirP'ffidorfie pemgi.siarreubur*$Ir:aEgr*Tradali*rii{sfi}f6si} cx GE1-q-, Ihriha.rditis,*,
if.eusrrilifif, IifrJgryeffltrItlifiin, Ea-n&serna"-B{r-lifi6nftn i iawryonaclr,- ^i:ir"u,4rr3

, -
^.-fe'1-'\"+€+r{q '- paqu*r&s**uuao[e*rk*lqy,i*]g,,qn:.,!:{rrsp:
- {.,r1;j,ui};.' , ?ci..'.)il,\
jc},nr.j,rr,i \crri
63. Sifat nadi berdasarkdn gele!ftbailgsadi

&. I\rlsusrGelier: pongiei*nu*epa\Ererrgosonga,"+cpat, [,",]s*, ua, p. Mapnuin

contoh: Ba (Aortarftrstrlfs'ignsr?EAr,
x.riff1o$r*"{isrirlas*_4nnnda#ma{), gB cBo-
€,
ri
Fsrrsiutenl&li4 &asdUf$i-sEmt, BeriAl,sB
{Beilraft},et$. ( h,*rrssit

b. i till ilie#ardusT p engisiaarirmhaf++esgsffi ngalLi amLat

d i,ofrrr*:+*4rie*gq€=i, qylsr.€4l}"iqtr
.sAl3.*,:.4r&lt5gt4q I 60 r{( s te1rof 6
C"

Bronchial, Astlirna cardiar, Ilronchitis berat,

Emfiscnra llurmonum

6 5.,llemeriksaa*iiu_lif s ekitar kalopak eriata : Xqa{llelasr

fi ii

66' Eflorosensi kulit'yang berupa perubahan:wftir-r0,.{QlrraLa,

iiinpfi.:p*rxnggian: Ivlakular

u'
']ffi:*i.ffift1-:r,,:l:Jt1l{3,3;*l '..,l*H rarrii\ pd Eei :ri. ,qar$Eso { ,

68.

Chest dizuneLer anteroposterior > nonnal

Contoh: Astlrnia Bronchial, Emfisema pul.monnm

[.a]l]ll
rP erueriksaan fi nrrmimt

a. $.-@ru;gas pada:
t-

[uo
,4 I
b. M*w pada:

d+ffii{ffii+{eokils

lllerle"wiasrsl€.$

a.

b.

tu$\P'\ibt*rt
@\ents2pernafasi ,, nr
bronbhiai, r...,,^rraoi^,,r* - fco+aq
\--,, .,Ieticular.,
= ,n,* ,T.
bronchovesicrilar tlan lokasi o"frH"yu
-4-\_ _ se{i.litfi-lrt*uEa*4,*4p.i+*rst r*Nf:::!,8-pqt*144dbr9h-f,,.
q$nernaras#'Y-iffirr**ffi#Jilou, *ffil;*, Kcganasaq, coFp
,1\- r. :,'9,, lrQlcll',rl stl+et,i sars0itp,i /udevr sq\ rrc,fr}s
{ ?4.}fenis2 Roirchi dan kelainannya

a. Ktem: sele'-flto?q4*dsa*lrcadan,&rmhstssar cx : IfumqsEdep{qgg

b" sedarrgtu el$ldsl"dlg4s*p-€Esahanirap*&c-aiLrhrsu-qhus*{iffi{}gr*fllv€oli
ex: Fneumonr]r,
B roneldtis#E$+{brfu {Faru;r,ffi esrnparii

a,'\e\sqs<**rqpe.5
ffiffiL,*:T;:,*stf*j}*k:a'r.R*iqr ur=f ,

Kc,rilig: b,.-oqkokesslsiki ex
'1',vtgerflp\tr-rrt sul
(".,:\
7 5) Pefu cda eur PleueLltiedon,Rulr
dan Rrmehj, E asah,Hal$s

l3rt, WA*lIbtlctlofttttrtr,
Itqn-ehidia€hm
Tn.oi"-
+ oyrr,ao rrtr-ou"-ul$illllfi l
S
Insptqsi.da$,s!+fu.,_ usnm
Intqrsihs shriilyi-.hec@ Traffirfi=der\ga
ditekan
P*epskarrau*lstosilop

Densan ftetnlr ti.i"t ?*;qrl; .*o-,1,

r"\r
(9 Bronohsphp$x: mon8ucapkan sernlrilanfi:r6;;*16i11y*',
bunyi seolah2 lebi,l,r*dekat dan
teikontgg&utlpJl}................gSRslrfg
F".Qi1lrsa/dicurigai ex pada proses.Lenrq-lidasi.'iia$,kempresi.e,:iq:t:!h,,ii,,:i,,
,,

" @tery:seperti
 - Fsmohial*w'hiqBer: mambisikan'ryembilafia€ateuotrduhado*******afl.ter*lmgar
bisikan,j adi,,lehihrlieras ex: p*neumonia;.Atelektasisr,I.ufarlc#aru

€\"*eriksaan auskultasi jaurung BJ II

L-/- Normal muda P2 > A2, umur pertengahaq p2 : 42. usia tua rrz < M

- M > P2 Fliperrensi Arterial, p2 > A2 Hipertensi pulmqnum

- F2 mengerds pada: Mitral Stenosis, Gagal Jarltung Kiri, pneumonia luas,

Ernfiiema
panl, em[oli paru

- P2 melernah: Gagal Jantrurg KanSr-L stesosis puhnonal

f -.,._ 0 tr-i$d - oc'\e\ qhs\ V\euyut ,.tqw,or .linu$ o\qcluvt
[7& cvst.ma ovarii, Meigs i
slmdrome: e.*tju;d'I;iilsi arraod*"'ilutir"ti,il'bani pekak
berupa lengkupgan kno.reks

79. Pemeriksaa, fisik aseif€s lainuya: sh&fugrdtrlhcused E

B0 : RffiffiiftipspseqsitiTirflB

A. Cife"i{€qrffiH*lld: igfueje@dffiex @{r

ll. Elp'e+{ffiit+ta&aik"-aosudi} ex -}@@BE*uerffrh+i6qse*s6ary-
NeWqSB@nntffif

T4e{V*€lqBtlaf*cdtasGeaftdl: liipfue,it4"eqr_r€iiiffi+iu,n{antihqsft&+.^ld*".r3

8l.ltuiui@ia"
82. I?atogenesis Trombnsis (V.ircliow l-nad)

a. Kelaitran,dindurg pernbuluh darah

b. Gangguair al.ran darah

c. Kulailran kolrslitueu daral

tt3, Etiologi nyeri atrdoruen berdasarkan
lokasi

84. $etalogi*.H.qu$&&.q USsg="*n{a*,r.**\k

1,**
kg*i4$ffiderad.Te+i\b&ih"c"${1tJ,f\ !
 Tqpikz yg berkaihn: Berdasarkan Bulinr IfD HfltI
A. Jitid t

* Anamnesis, Pemeriksaan Fisis Umuur, pemeriksaaa Fisis Dada dan paru,

Pemenksaan Fisis Jantuag, Pemeriksaan Fisis Abdomeu syok
ffiovolemik, syok
Kardiogenih Penatalalcsanaan Syok $eptik, Hemoptisis, Kegnwatan Onkologi dan
sindrom Paranmplastik, Imunologi Dasar, Arergr obar, pendekatan Klinis penyalqt
Gastroiutestind, Nyeri Abdomen Akut Pendekatan Klinis pada pas-ien |ftgerqs,
Keliilha Endm pada Peuyakit Hati, Hepatitis Vinrs Akut, Hepatitis B lftoaih
plepatihs C, Sirosis HaIi, Asites, Koma
Hepatilq Peny6il Batu EmpedU parrlceatitis
Akut, Penunjmg pada penyakit Glqial, EdEma paiofisiolop alan
Pe,uoeri_ksaaq

Penanganan, Hematuria, Proteinuria, Sisdroma Nefrotik, ISK pada Dewasa" B6hr

Saluran Kemih, Pgnvakit Gtqial Kronih Gaeal Oinjal ALrt, Hemodralisis,
Feckomositoma.

Il .titid lr

* I'endckatan tet-iradap Pasien Anemja, Anemia Aplastitr, Anemia

Defisier-lsi Besi,
Anclnja Hcinolitik Autoirnuu, Purpura Trombositopenia liliopatrk, Keiairr.an
Ileinatr"-rlogi pada Lupus Eritomatosus Sistemik, Leukemia Grarrulositik
Kronis,
l'atrkenri: Miclobiastik Akut. Patogenesis 'Irombosis, Hemofilia A dan
B, Tronrbosis
Vena Dalatn tiar Emboli Paru, Sindrom Paraneoplastilq Gangguaa psrkosornatik:
Ganrbaran Umum dan patofisiologi, Maqifestasi Klinf,(
dan pendekatan pasien
dengan Kelainan ijrstern pemapasan, pneumoni4 Tuberkulosis patu,
.penya6t
MediastinLrfir, Bionkiektasis, Tronrboemboli Paru, Abses paru, penyakit-penyakit
PieLrta, I-iiperlcnsi Pulmonal Primer, Pneunotoratris Spontau, Arrarmesis
daq
ilcmeriksaiin Fisik Penyakit Muskutosketctal. Pemeriksaan Densitometri
Tulang,
.r{rtritis Itr:r.imr1.oid. oste,ai"tritis, Iliperudsemia., Arlntis pirai,
Lupus Eritomatosus
S ist crr ril.. Oster)l)oio:.jiti.

C JiIid III
* Regulasi suhu pud* usia Lanjut, Elektrokardiogan, Rarliologi Jantuns, Gagal
Jantuug Gagul Jantung Akut, Gaeal Jantung }konik, Mekanisme dan Ktasifikasi
' Aritrffiq Fibrilasi Atrial, stenosis Mitral, Mitr-al, stenosis Aofia,
Regurgitasi Aofia, Kelarnan lfttop Puhnond Augina Fektoris Tak Stabil, Anpnu
Pektoris Stabil, Iufark Miokard Akut deugan Elevasi ST" Infrrk Mokard Aknt Tanpa ?

Elevasi ST, Edema Paru Akut, Peayfril Janrung Hipertensi, Kor pulnnonal Kronilq
Hipeltensi Puhnoual Primer, Demarn: Tipe dan pendekatan, Amebiasis,.Diseuffi
Basiler, sftrdrom [r4ehbolik, Diabetes Melitus di Indonesia; Diaposis
dan Klasifikasi
Diabetes Mehtus, Fannakoterapi pada purgendalian
Glikemia Diabetes Melitus Tipe
2, Terapi Nou Farnnakologi pada Diabetes Melitus,
Insutin: Mekanisme Selrresi dan
Aspek Metabolisme' Hipogffiesda laFogenik, Ketoasidosis
Diabetilg Komplrkasi
Kronft Diabetes: Mekauisue, Kelenjar Tiroid" I-iipotiroidisme dan F{rpe*iroidisme.