Download - Diagnosis Fisik
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DIAGNOSTIK FISIK
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The Physician :A man with moderate ability may be a good physician if he devotes himself faithfully to the work
Oliver Wendell Holmes, Sr (1809-1894)The Student :The very first step towards success in any occupational it to become interested in it
Sir William Osler (1849-1919)
A good physician : 1. A good observer 2. A good communicator 3. A good critic 4. A good decision maker 5. A good student - now and later
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Dasar Diagnosis secara umum1. Anamnesis
2. Pemeriksaan fisik
3. Pemeriksaan penunjang
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Keluhan Utama
Merupakan keluhan yang membuat penderita datang untuk mendapatkan pertolongan
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Identitas penderitaI. Nama lengkapII. Jenis kelaminIII. Umur / tanggal lahirIV. PekerjaanV. AgamaVI. SukuVII. Alamat VIII. Hobby
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Anamnesis• Oto-anamneis : merupakan riwayat penyakit yang
disusun oleh dokter dari berdasarkan wawancara secara sukarela yang diberikan oleh penderita
• Hetero – anamnesis : merupakan riwayat penyakit yang disusun oleh dokter berdasarkan keterangan dari keluarga atau orang-orang yang benar-benar mengetahui tentang kesehatan penderita
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Anamnesis
Bertujuan untuk mendapatkan keterangan mengenai
I. Gambaran penyakit yang sedang diderita
II. Keadaan badan secara keseluruhan
III. Riwayat penyakit dahulu
IV. Riwayat kesehatan / penyakit keluarga
V. Keterangan mengenai hobi dan kebiasaan
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AnamnesisGambaran penyakit yang sedang diderita
1. Dimana tempat yang menimbulkan keluhan itu (lokalisasi) ?
2. Bagaimana jenis keluhan itu (kualitas) ?
3. Seberapa hebatnya keluhan itu (kuantitas) ?
4. Kapan timbulnya dan bagaimana perkembangan keluhan itu
selanjutnya (kronologi) ?
5. Bagaimana permulaan timbulnya keluhan (onset) ?
6. Apa saja hal-hal yang meringankan atau memperberat
7. Apakah ada gejala lain yang menyertai keluhan utama?
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AnamnesisKeadaan badan secara keseluruhan (1)1. Kulit : warna kulit berubah, gatal, luka, petekie, tanda lahir, rash,
rambut rontok, perubahan pada kuku2. Kepala dan muka : nyeri kepala, pusing, trauma kepala, nyeri pada
wajah muka3. Telinga : pendengaran baik / tidak, tinitus, nanah keluar dari liang
telinga4. Mata : berkunang-kunang, kabur, buta, diplopia, fotofobia, nyeri
dimata atau dibelakang mata5. Hidung dan sinus : nyeri didalam hidung, epistaksism ingus, sering
pilek, sering bersin, tidak dapat mencium bau
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AnamnesisKeadaan badan secara keseluruhan (2)6. Mulut, faring, laryng : nyeri, gusi berdarah, gigi rusak, lidah pedih,
tidak dapat mengecap rasa, sakit kerongkongan, suara parau, suara hilang, nyeri telan
7. Payudara : nyeri, bernanah atau keluar cairan, ada benjolan / tumor 8. Sistem hematopoeitik : gejala enemia, transfusi darah, mudah
berdarah atau berdarah banyak bila menggosok gigi, haid berlebihan, kelenjar limpa membesar
9. Sistim pernafasan : batuk, jenis ludahm nyeri, sesak nafas, nafas pendek, mengik
10. Sistim kardiovaskuler : sakit dada, dispnoe d’effort, ortopneau, paroxismal nocturnal dispneau, edema kaki, palpitasi
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AnamnesisKeadaan badan secara keseluruhan (3)11. Sistim pencernaan : nafsu makan, rasa mual, muntah, hematemesis,
sering salah telan, sakit didaerah ulu hati, sakit perut, diare, konstipasi, alergi makanan, dll
12. Sistim saluran kencing : sembab muka-kaki, disuria, poliuria, kencing batu, warna kencing, kencing nanah, tidak bisa kencing/ tak lancar
13. Sistim genital : haid, menarkhe, menopausee, metrorragia, menoragia, lekorea, nyeri, koreng
14. Sistim skelet : sakit tulang, sakit sendi, sakit pinggang, sendi kaku / bengkak, dll
15. Sistim endokrin : polidipsi, poliuri, polifagi, tremor, tak tahan panas, suara serak, berkeringat banyak, impoten, frigiditas,dll
16. Sistim saraf : kejang, pusing, sakit kepala, muntah projektil, stroke17. Sistim mental : nervus, cepat marah, cepat lupa, insomnia, kompulsif, dll
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TEKNIK ANAMNESIS RESEPTIF * MELIHAT * MENDENGAR * MENCATAT REAKSI EMOSIONAL PENDERITA
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MANIPULATIF MEMACU PENDIDIKAN BERCERITERA MEMBATASI PENDIDIKAN BERCERITERA MEMBUAT RINGKASAN MEMFORMULASI PERTANYAAN
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Pemeriksaan Fisik Umum
• INSPEKSI
• PALPASI
• PERKUSI
• AUSKULTASI
Pemeriksaan mengenai tanda-tanda patologik pada tubuh pasien dengan jalan :
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Pemeriksaan klinis sebaiknya dilakukan secara regional, dan urutannya adalah sebagai berikut :
I. Pemeriksaan kepala dan leher 1. Pemeriksaan mata dan liang telinga 2. Pemeriksaan wajah muka 3. Pemeriksaan mulut dan tenggorokan4. Pemeriksaan leher
II. Pemeriksaan toraks 1. Pemeriksaan sistim pernafasan2. Pemeriksaan sistim kardiovaskuler
III. Pemeriksaan abdomen IV. Pemeriksaan anggota gerakV. Pemeriksaan kelamin dan daerah sekitarnya VI. Pemeriksaan tulang belakang
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PEMERIKSAAN KEPALA DAN LEHER
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Pemeriksaan Kepala dan Leher
I. Inspeksi, palpasi mata
II. Inspeksi dan palpasi telinga
III. Inspeksi dan palpasi wajah muka berikut gerakan-
gerakan otot-otot dan sensibilitasnya
IV. Inspeksi dan Palpasi nasofaring
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Pemeriksaan Kepala dan LeherInspeksi, palpasi mata
1. Kelopak mata
2. Konjungtiva dan sklera
3. Kornea
4. Iris
5. Pergerakan bola mata
6. Visus
7. Medan penglihatan
8. Pupil dan funduskopi
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Pemeriksaan Kepala dan Leher
Inspeksi dan palpasi wajah muka berikut gerakan-gerakan otot-otot dan sensibilitasnya• Terutama untuk melihat fungsi nervus kranialis ke V dan VII
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PEMERIKSAAN PARU
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SITTING EXAMINATION
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BENTUK DADA
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BENTUK DADA
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BENTUK DADA
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BENTUK DADA
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BENTUK DADA
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BENTUK DADA
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LANDMARK OF THE CHEST
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LANDMARK OF THE CHEST
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PALPASI EKSPANSI
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TACTILE FREMITUS
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Location For Feeling Fremitus
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PERKUSI
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PERKUSI PADA DADA
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AUSKULTASI
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PASIEN BERBARING
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PEMERIKSAAN JANTUNG
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Posisi left lateral decubitus untuk memperjelas apex
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Area palpasi untuk jantung
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Area auskultasi jantung
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Tehnik penentuan batas-batas jantung
Kiri : Perkusi mulai dari laternal / sekitar L. midaxillaris kiri perlahan- lahan beranjak kemedial bagian depan thorax. Yang kita perhatikan adalah perubahan-perubahan suara perkusi dari sonor ( dari paru-paru ) sampai terjadi suara sonor memendek / beda akibat dari jantung yang sering diambil batas kiri adalah bila suara perkusi sudah jelas beda
Normal : Batas kiri sedikit dimedial L. Midclavicularis kiri dan ini hampir bersamaan dengan terabanya ictus cordis
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Batas kanan : Kita mulai perkusi dari daerah kanan sekitar Midclavicularis kanan setinggi batas paru hati perlahan-lahan kemedial
Batas jantung kanan ditentukan oleh perubahan suara sonor beda. Penentuan agak sukar oleh karena sternum
ikut bergetar.
Normal : Pada pertengahan sternum, I. Midsternalis
Batas atas : perkusi pada thorax kiri mulai dibawah Clavicula perlahan-
lahan kebawah. Adanya perubahan suara sonor beda
Normal : ICR III ( sela iga III kiri ).
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Batas diatas adalah batas relatif. Untuk menentukan batas-batas absolut yaitu bagian jantung yang sebenarnya langsung menempel pada dinding thorax ialah dengan melakukan perkusi yang lebih hati-hati dari daerah batas relatif kearah media. Biasanya keadaan ini sukar ditentukan dan banyak faktor-faktor yang mengganggu penilaian sperti adanya udara dalam paru-paru antara jantung dan dinding thorax, adanya peradangan-peradangan dalam paru-paru. Sehingga nilai-nilai ini tidak rutin kita cari.
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PEMERIKSAAN PAYUDARA
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PEMERIKSAAN REGIO ABDOMEN
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TOPOGRAFI
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LOKASI ACUTE ABDOMENPankreatitisUlkus duodenum/gasterKolesistitisCa pankreasHepatitisIleus obstruksiApendisitis awalAbses subfrenik PneumoniaEmboli paruIMA
KolesistitisKolangitisHepatitisPankreatitisAbses subfrenikPneumoniaEmboli paruIMA
Nyeri limfa( limfoma, virus)Abses subfrenikUlkus gasterPneumoniaEmboli paruIMA
Batu ginjalPielonefritisAbses perinefrikCa Colon
PankreatitisCa pankreasIleus obstruksiAneurisma aortaApendisitis awal
SalpingitisKista ovariumKETSistitisApendisitis (kanan)
Peny. Daerah colonDiverticulosis (kiri)
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TOPOGRAFI
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Lokasi Auskultasi Regio Abdomen
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Palpasi Dinding Abdomen
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Palpasi Hepar
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SPLENOMEGALI
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Palpasi Spleen
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Palpasi Bimanual Ginjal Kanan
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Assessing Costovertebral Angle Tenderness
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PERKUSI LIVER NORMAL LIVER SPANS
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Pemeriksaan cairan ascites
(Shifting dullness)
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Pemeriksaan Asites – Undulasi
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PEMERIKSAAN GINJAL & SAL.KENCING
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Palpasi Ginjal
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Kidney Tenderness
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PEMERIKSAAN ANGGOTA GERAK
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Pemeriksaan lengan, tungkai dalam pemeriksaan klinis meliputi :
1. Inspeksi
2. Palpasi
3. Menguji pergerakan dan kekuatan otot
4. Menguji gerakan koordinasi
5. Menguji sensibilitas
6. Memeriksa reflek- reflek
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Tes Lasseque
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Tes Koordinasi
Tes koordinasi jari telunjuk ke hidung
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Tes Refleks
Biceps
Triceps
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FIGURE: Physical Examination of the Patient with Intestinal Obstruction
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FIGURE: Causes of Upper GI Bleeding
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FIGURE: A Checklist of Important Causes of Gastrointestinal Bleeding
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FIGURE: Abdominal Examination: Palpation
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FIGURE: The Abdominal Examination: Percussion
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ESOPHAGUS
ESOPHAGEALVARICES
SPLEEN
LEFTGASTRIC
(CORONARY)VEIN
SHORTGASTRIC
VEIN
SPLENVEIN
RELATIVE INCREASEIN HEPATIC ARTERY FLOW
PORTAL VEIN PRESSURE RISESFROM 10 mmHg TO 20,30 OR MORE
PORTA-HEPATICSHUNTS DECREASEBLOOD SUPPLYTO REMAINDEROF LOBULEAND BY-PASSLIVER CELLS
REGENERATIVENODULE ANDFIBROSISOBSTRUCTHEPATIC VEINS(CENTRAL AND SUBLOBULAR VEINS)
ARTERIOR-VENOUS
ANASTOMOSISIN FIBROSIS
SEPTA
HEPATICVEIN
INFERIORVENA CAVA
RIGHT ATRIUM
AZYGOS VEIN
SUPERIORVENA CAVA