Diagnosis Fisik - Miftah2
Diagnosis Fisik - Miftah2
Diagnosis Fisik - Miftah2
Muhammad Miftahussurur
Pranawa
Joewono Soeroso
1. Anamnesis
2. Pemeriksaan fisik
3. Pemeriksaan penunjang
Perbedaan data subjekif dan objektif
Data subjektif Data objektif
Identitas pasien
Sumber anamnesis
“Sumber dari rujukan”
Identitas pasien
• Nama lengkap
• Jenis kelamin
• Umur / tanggal lahir
• Alamat
• Status perkawinan
• Agama
• Suku
• Pekerjaan
Sumber anamnesis
• Oto-anamnesis : merupakan riwayat penyakit yang
disusun oleh dokter berdasarkan wawancara secara
yang diberikan oleh pasien
• INSPEKSI
• PALPASI
• PERKUSI
• AUSKULTASI
Pemeriksaan Fisik
Keadaan umum
Tanda vital
Kulit
Kepala dan leher
Tulang belakang
Toraks
Abdomen
Ekstremitas
Syaraf
Rektal dan uro-genital
Keadaan umum
Tekanan darah
Irama dan frekuensi denyut jantung
Respirasi
Suhu
DEFINISION AND CLASIFICATION OF BLOOD PRESSURE LEVEL
THE 7th REPORT OF THE JOINT NATIONAL COMMITTEE
ON PREVENTION, DETECTION, EVALUATION, AND TREATMENT OF HIGH BLOOD PRESSURE
(2003)
Costal margin
Midline, overlying
Linea alba
Umbilicus Iliac crest
Anterior superior
Iliac spine
Inguinal ligament
Lumbal D Lumbal S
Inguinal D
Xiphoid
process
Liver
Aorta
Lower pole of
Right kidney Transverse colon
Ascending colon
Descending and
Cecum Sigmoid colon
Sacral Iliac artery
promontory
Pregnant
uterus Full bladder
Spleen
Liver
Gallbladder Stomach
Pancreas
Duodenum
ANTERIOR VIEW
Costovertebral
angel
11th rib
12th rib
Kidney
POSTERIOR VIEW
Common or Concerning
Symptoms
Gastrointestinal Disorders Urinary and Renal Disorders
Indigestion or anorexia Suprapubic pain
Nausea, vomiting, or hematemesis Dysuria, urgency, or frequency
Hesitancy, decreased stream in males
Abdominal pain Polyuria or nocturia
Dysphagia and/or odynophagia Urinary incontinence
Change in bowel function Hematuria
Kidney or flank pain
Constipation or diarrhea
Ureteral colic
Jaundice
Epigastric pain from
the stomach, duodenum
Right upper quadrant or pancreas
or epigastric pain from
the biliary tree and liver
Periumbilical pain from
the small intestine,
appendix, or proximal
colon
Renal Artery
Iliac Artery
Femoral Artery
TWO-HANDED DEEP PALPATION
PERCUSSING LIVER SPAN
4 – 8 cm in
midsternal line
6 – 12 cm in right
midclavicular line
Normal spleen
Umbilicus
Dullness
Tympany
Dullness
Fat Gas
Tumor
Tympany
Dullness
Pregnancy Ascitic Fluid
Tympany
Tympany
Dullness
Dullness
Ascitic Fluid
Tympany
Dullness
Umbilicus may be
Bulging protuberant
flank
Bowel Sounds Bruits
Renal artery
Aorta
Iliac Artery
Venous Hum
Epigastric and
umbilical
Friction Rubs
Hepatic
Splenic
Abdominal Wall Tenderness
Visceral Tenderness
Enlarged liver
Normal aorta
Unilateral or
bilateral, upper or
lower abdomen
Right rectal
tenderness
Acute Apendicitis
Downward Displacement of
the Liver by a Low Diaphragm
Upper
border low
Height by
Percussion
normal Normal Variations in
Liver Shape
Elongated
right lobe
Smooth Large Nontender Liver
1. Inspeksi
2. Palpasi
3. Menguji pergerakan dan kekuatan otot
4. Menguji gerakan koordinasi
5. Menguji sensibilitas
6. Memeriksa reflek- reflek
Biceps
Triceps
Tes Refleks
Tes Koordinasi
Neural damage