koas-kepaniteraan jiwa.doc

7/26/2019 Koas-Kepaniteraan JIWA.doc

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PEDOMAN

KEPANITERAAN

BAGIAN PSIKIATRI

BAGIAN PSIKIATRI

FAKULTAS KEDOKTERAN UNPAD/PERJAN RS dr. HASAN SADIKINBANDUNG

2004



DAFTAR ISI

Halaman

KATA PENGANTAR…………………………………………………………..i

DAFTAR ISI……………………………………………………………………ii

I. TUJUAN………………………………………………………………..1

II. TATA TERTIB…………………………………………………………1

III. LAMA KEPANITERAAN ……………………………………….……3

IV. JUMLAH KOASSISTEN……………………………………….……...3

V. UJIAN………………….……………………………………………….3

VI. DAFTAR BUKU ACUAN KEPANITERAAN………………………..

LAMPIRAN

1. STRUKTUR ORGANISASI BAGIAN PSIKIATRI!. GARIS"GARIS BESAR PELAKSANAAN KEGIATAN KEPANITERAAN3. STATUS RUANGAN

. STATUS POLIKLINIK

#. HDRS$. ADRS



KATA PENGANTAR

Em%a& min''( )*%ani&*+aan ,i Ba'ian P-i)ia&+i Fa)(l&a- K*,)&*+an Uni/*+-i&a- Pa,0a,0a+an

P*+0an RS ,+. Ha-an Sa,i)in Ban,(n' ,i2a+a%)an ,a%a& m*m*+i)an *)al &ama2an a'i

%a+a ma2a-i-4a (n&() m*n0a,i ,)&*+ (m(m. Kami m*m*+i)an )*-*m%a&an (n&() m*n''(na)an ilm( ,an )*&*+am%ilan 5an' &*la2 ma2a-i-4a %*+l*2 ,i an')( )(lia2 (n&()

*+%a+&i-i%a-i a)&i6 m*n'*lla %*n,*+i&a. M*-)i%(n ,*mi)ian7 ,i-i%lin7 ,*,i)a-i ,an )*+0a

)*+a- -an'a& ,i%*+l()an a'a+ ilm( ,an )*&*+am%ilan ,a%a& Sa(,a+a -*+a% -*an5a)"

an5a)n5a.

K(+i)(l(m 5an' ,i(a& m*+(%a)an -a+ana a'i ma2a-i-4a (n&() m*m%*+l*2 ilm( ,an

)*&*+am%ilan ,alam m*nan''(lan'ai ma-ala2 P-i)ia&+i (n&() *)al %a,a %*la5anan &in')a&

,a-a+ nan&i.

Kami *+2a+a% a'a+ Sa(,a+a ,a%a& m*n0alani )*%ani&*+aan ,i Ba'ian P-i)ia&+i Uni/*+-i&a-Pa,0a,0a+an P*+0an RS ,+. Ha-an Sa,i)in Ban,(n' ,*n'an ai) ,an m*m%*+l*2

%*n'alaman 5an' -an'a& *+2a+'a.

K*%ala Ba'ian P-i)ia&+iFa)(l&a- K*,)&*+an Uni/*+-i&a- Pa,0a,0a+an P*+0an RS

,+. Ha-an Sa,i)in Ban,(n'



PEDOMAN KEPANITERAAN

BAGIAN PSIKIATRI

1. TUJUAN

K*%ani&*+aan m*+(%a)an &in')a& &*+a)2i+ %*n,i,i)an ,)&*+ 5an' m*ni&i)*+a&)an %a,a

)*'ia&an %-i)m&+i) ,an a6*)&i6 5ai&( )*+0a la%an'an %*la5anan m*,i- 5an' -*-(ai,*n'an %+-*,(+ %*+a-inal -&an,a+ ,i RS P*n,i,i)an -*+&a m*ni&i)*+a&)an %a,a

%*m*8a2an ma-ala2 %a-i*n ,alam 2al ini ,i Bi,an' P-i)ia&+i.

T(0(an )*%ani&*+aan a,ala2 (n&() m*n'2a-il)an -*+an' ,)&*+ 5an' &*+am%il7 man,i+i7 *+-i)a% a)&i6 ,an %+6*-inal ,i ,alam m*la)-ana)an %*la5anan m*,i- &*+(&ama &*+2a,a%

%*n5a)i& 5an' an5a) &*+,a%a& ,i ma-5a+a)a& -*+&a m*n5a,a+i %*n&in'n5a %*la5anan ,an

m*m%(n5ai m&i/a-i &in''i (n&() &*+(- *la0a+ -*%an0an' 2a5a&n5a.

II. TATA TERTIB

1. Ma2a-i-4a m*n'i)(&i )*%ani&*+aan ,*n'an m*ma4a -(+a& %*n'an&a+ ,a+i Ba'ian

A)a,*mi) Fa)(l&a- K*,)&*+an UNPAD.

!. Ma2a-i-4a ,i2a+(-)an m*la%+ %a,a K*%ala Ba'ian P-i)ia&+i Fa)(l&a- K*,)&*+an

Uni/*+-i&a- Pa,0a,0a+an P*+0an RS ,+. Ha-an Sa,i)in Ban,(n' (n&() ,a%a& m*m(lai

&(+(& -*+&a ,alam %+'+am )*%ani&*+aan. Pa,a 4a)&( m*n'2a,a% K*%ala Ba'ian7 %a+ama2a-i-4a ,i*+i)an %*n0*la-an m*n'*nai &(0(an )*%ani&*+aan P-i)ia&+i.

3. S*&*la2 m*n'2a,a% K*%ala Ba'ian P-i)ia&+i Fa)(l&a- K*,)&*+an Uni/*+-i&a-Pa,0a,0a+an P*+0an RS ,+. Ha-an Sa,i)in Ban,(n'7 ma2a-i-4a ,i2a+(-)an m*la%+

)*%a,a K+,ina&+ P*n,i,i)an (n&() m*n,a%a&)an %*n0*la-aan m*n'*nai &a&a &*+&i7

%*,man )*+0a )*%ani&*+aan7 -i-&*m %*n,i,i)an ,an %*nilaian.

. Ma2a-i-4a 2a+(- m*la%+ )*%a,a Ba'ian K+,ina&+ K*%ani&*+aan (n&()

m*n,a%a&)an %+'+am )*+0a ,an 0a,(al */al(a-i )*%ani&*+aan 9%*n*m%a&an -*lama

m*n'i)(&i )*%ani&*+aan:7 )*m(,ian m*n'2a,a% )*%a,a -*l(+(2 )n-(l*n Ba'ianP-i)ia&+i Fa)(l&a- K*,)&*+an Uni/*+-i&a- Pa,0a,0a+an P*+0an RS ,+. Ha-an Sa,i)in

Ban,(n' (n&() m*n,a%a&)an 0a,(al imin'an.

#. Ma2a-i-4a 2a+(- m*la%+ )*%a,a Ba'ian A,mini-&+a-i (n&() m*n,a%a&)an P*,man

K*%ani&*+aan7 S&a&(- R(an'an7 S&a&(- Pli)lini)7 F+m HDRS 9Hamil&n D*%+*--in

Ra&in' S8al*: ,an HARS 9Hamil&n An;i*&a- Ra&in' S8al*:.

$. S*lama )*%ani&*+aan ma2a-i-4a m*n,a%a&)an %*mimin' )*lm%) 5ai&( -*+an'

+*-i,*n -*ni+ 5an' &*la2 l(l(- &a2a% ,(a.

<. Pa,a 4a)&( -*l*-ai m*n'i)(&i )*%ani&*+aan7 ma2a-i-4a ,i2a+(-)an m*la%+ )*%a,a

K*%ala Ba'ian P-i)ia&+i Fa)(l&a- K*,)&*+an Uni/*+-i&a- Pa,0a,0a+an P*+0an RS ,+.

Ha-an Sa,i)in Ban,(n'.

=. K*%ani&*+aan *+lan'-(n' -*lama min''(.

>. Jam )*+0a -*2a+i"2a+i ? @<.@@" 1.@@ IB.

1@. S*&ia% 2a+i ,ia,a)an a-*n-i 2a+ian -*an5a) !9,(a: )ali 5ai&( %a,a 4a)&( ,a&an',an %a,a 4a)&( %(lan'.



11. S*&ia% i0in m*nin''al)an &('a- )*%ani&*+aan 2a+(- ,*n'an -*%*n'*&a2(an Ba'ian

P-i)ia&+i Fa)(l&a- K*,)&*+an Uni/*+-i&a- Pa,0a,0a+an P*+0an RS ,+. Ha-an Sa,i)in

Ban,(n'.

1!. Bila &i,a) ,a%a& m*n'i)(&i )*%ani&*+aan )a+*na -(a&( -*a7 2*n,a)n5a ,in5a&a)an

,*n'an -(+a& )*&*+an'an &*+&(li--(+a& -a)i&. S(+a& )*&*+an'an &*+-*(& -*,a%a&m(n')in ,i-*+a2)an )*%a,a K+,ina&+ K*%ani&*+aan %a,a 4a)&( 5an'

*+-an')(&an &i,a) 2a,i+ %a,a )*-*m%a&an %*+&ama.

13. S*lama m*n'i)(&i )*'ia&an ,i Ba'ian P-i)ia&+i Fa)(l&a- K*,)&*+an Uni/*+-i&a-

Pa,0a,0a+an P*+0an RS ,+. Ha-an Sa,i)in Ban,(n'7 -*m(a a)&i6i&a- ai) ,alam

i,an' %*n,i,i)an7 %*la5anan ma(%(n a,mini-&+a&i67 ,i&(li- ,alam ()( )*'ia&an

)*%ani&*+aan ,an ,i&an,a&an'ani l*2 ,)&*+ 5an' *+-an')(&an. Di2a+a%)an %*-*+&a)*%ani&*+aan ,a%a& m*n5*l*-ai)an &('a- %*n,i,i)an 5an' ,i*an)an &*%a& %a,a

4a)&(n5a.

1. Bila )a+*na -(a&( -*a ma2a-i-4a &i,a) ,a%a& m*n'i)(&i )*'ia&an l*i2 ,a+i 3 9&i'a:2a+i *+&(+(&"&(+(& &a%i )(+an' ,a+i < 9&(0(2: 2a+i7 0a,(al )*%ani&*+aann5a ,i&ama2 <

9&(0(2: 2a+i. Bila m*nin''al)an )*%ani&*+aan l*i2 ,a+i < 9&(0(2: 2a+i7 ma2a-i-4a2a+(- m*n'(lan' -*l(+(2 )*%ani&*+aan ,i Ba'ian P-i)ia&+i Fa)(l&a- K*,)&*+an

Uni/*+-i&a- Pa,0a,0a+an P*+0an RS ,+. Ha-an Sa,i)in Ban,(n'.

1#. Pa,a -*&ia% a4al *)*+0a ,i R(an'anPli)lini) ,i2a+(-)an m*la%+ )*%a,a

Kn-(l*nD)&*+K*%ala R(an'anK*%ala Pli)lini).

1$. T('a- ,i R(an'an ?a. M*la)()an anamn*-i- ,an m*mni&+ %a-i*n a+(.

. M*m(a& ! 9,(a: -&a&(- %a-i*n a+(. Sa&( %a-i*n a+( ,i)*+0a)an l*2 ! 9,(a:

+an' ma2a-i-4a. Bila %a-i*n )(+an'7 ,i)n-(l&a-i)an )*%a,a Kn-(l*nD)&*+ R(an'anK*%ala R(an'an.

1<. T('a- ,i Pli)lini) ?a. M*la)()an anamn*-i- %a-i*n a+( ,an m*m*+i)-an5a -**l(m m*la%+)an

)*%a,a D)&*+ Pli)lini).

. M*m(a& 1 9-a&(: -&a&(- %a-i*n Pli)lini). Sa&( -&a&(- %a-i*n %li)lini) ,i(a&

l*2 -*+an' ma2a-i-4a. Bila 0(mla2 %a-i*n )(+an'7 ma2a-i-4a 2a+(-m*la%+)ann5a %a,a %*mimin' )a--i-&*n7 D)&*+ Pli)lini)K*%ala Pli)lini).

1=. S*lama m*n0alan)an )*%ani&*+aan7,i4a0i)an m*n'i)(&i )*'ia&an %*n,i,i)an5ai&(?

a. Bimin'an )n-(l*n ,an +*-i,*n

. Vi-i&* *-a+ 8. Vi-i&* 2a+ian

,. S)ill 8m%*&*n85 &+ainin'

*. B*, -i,* &*a82in'

III. LAMA KEPANITERAAN

Lama )*%ani&*+aan ,i Ba'ian P-i)ia&+i a,ala2 9*m%a&: min''( ,*n'an %*+in8ian -*a'ai

*+i)(& ?

" > 9-*milan: 2a+i ,i R(an'an

" > 9-*milan: 2a+i ,i Pli)lini)

" 1 9,a&(: 2a+i ,i RSJP Cima2i" < 9&(0(2: 2a+i (0ian



IV. JUMLAH KOASSISTEN

" J(mla2 )a--i-&*n -*&ia% )*lm%) ma)-imal 1$ 1< +an'" J(mla2 )a--i-&*n )*-*l(+(2an ma)-imal 9*m%a&: )*lm%) a&a( <@ +an'

V. UJIAN

1. P+* T*-&Pa,a 2a+i )*&i'a min''( %*+&ama7 ma2a-i-4a 4a0i m*n'i)(&i %+* &*-&.

!. P-& T*-&

Pa,a 2a+i )*,(a min''( )*&i'a7 ma2a-i-4a 4a0i m*n'i)(&i %-& &*-&.

3. U0ian A)2i+

a. Pa,a min''( )**m%a&7 ma2a-i-4a ,i2a+(-)an m*n'i)(&i (0ian a)2i+.

. Ma2a-i-4a 2a+(- m*n'i-i l*ma+ %*+-*&(0(an (0ian 5an' ,i&an,a&an'ani l*2K+,ina&+ Ka--i-&*n7 K*%ala R(an'an7 ,an K+,ina&+ P*n,i,i)an S1.

8. S**l(m ,i(0i7 ma2a-i-4a ,i2a+(-)an m*m%*+li2a&)an B()( K*'ia&an (n&() ,inilai.

,. Ha-il (0ian &i,a) ,i*+i&a2()an )*%a,a ma2a-i-4a.

. P*+2i&(n'an E/al(a-i.

a. Nilai -&a&(- +(an'an ,an %li)lini) 91#: %+* &*-& 91#: a&&i&(,*7 )n,(i&* ,an

a6*)-i6 93#: <@ .

. U0ian a)2i+ 3@

8. P*nilaian a)2i+ &*+-*(& a)an ,i6+m(la-i)an m*n0a,i nilai a)2i+ ,alam *n&() nilai m(&( 9A7 B7 C7 D7 E:.

K*&*+an'an ?

A =@ 1@@B $= <>7>

C #$ $<7>

D # ##7>

E #

,. Nilai m(&( %alin' +*n,a2 (n&() ,a%a& ,in5a&a)an l(l(- )*%ani&*+aan P-i)ia&+i

a,ala2 ?1:. Minimal B (n&() (0ian %*+&ama.

!:. Minimal B (n&() (0ian (lan'an %*+&ama7 ila &i,a) l(l(- (0ian %*+&ama.

3:. Minimal C (n&() (0ian (lan'an )*,(a ,an -*&*+(-n5a.

*. Bila )a--i-&*n &*la2 m*n0alani (0ian (lan'an I ,an &*&a% &i,a) l(l(-7 ,i4a0i)an

m*n'i)(&i ma-a )*%ani&*+aan7 -**l(m ,i%*+l*2)an m*n'i)(&i (0ian

*+i)(&n5a.

#. P*n'(m(man 2a-il (0ian.

Ha-il (0ian a)2i+ ma2a-i-4a a)an ,i(m(m)an %a,a 4a)&( (,i-i(m A I.



VI. DAFTAR BUKU ACUAN KEPANITERAAN

1. Sa,8) BJ7 Sa,8) VA. Ka%lan Sa,8)- S5n%-i- 6 P-582ia&+57 B*2a/i+alS8i*n8*-Clini8al P-582ia&+57 > &2 *,7 Li%%in888 illiam- il)in-7 P2ila,*l%2ia7

!@@3.

!. D*%a+&*m*n K*-*2a&an RI7 Di+*)&+a& J*n,*+al P*la5anan M*,i). P*,man

P*n''ln'an ,an Dia'n-i- Gan''(an Ji4a ,i In,n*-ia III7 Ja)a+&a7 1>>3.

3. +l, H*al&2 O+'ania&in. T2* ICD 1@7 Cla--i6i8a&in 6 M*n&al B*2a/i+al

Di-+,*+-7 HO7 G*n*/a7 1>>!.

. Am*+i8an P-582ia&+i8 A--&ia&in. Dia'n-&i8 an, S&a&i-&i8al Man(al 6 M*n&alDi-+,*+-7 &2 *,7 a-2in'&n DC7 1>>.

Pa,a ,a-a+n5a -*m(a 5an' ,i%*+l*2 -*a'ai %*n'alaman )*+0a ,alam m*n0alan)an)*%ani&*+aan a,ala2 +an')aian %*n,i,i)an ,i Ba'ian P-i)ia&+i Fa)(l&a- K*,)&*+an

Ui/*+-i&a- Pa,0a,0a+anP*+0an RS ,+. Ha-an Sa,i)in Ban,(n'.

M*n'*&a2(im*n5*&(0(i7 Ban,(n'7 1< Jan(a+i !@@

K*%ala Ba'SMF P-i)ia&+i K+,ina&+ P*n,i,i)an S1FK UNPAD RSHS Ba'. P-i)ia&+i FK UNPAD RSHS

H. Ta&an' M(82&a+ S(&a+5an7 ,+.S%KJ T*,,5 Hi,a5a&7 ,+.S%KJ

NIP. 1@ @>< 1$# NIP. 1@ @>$ <>@



GARIS GARIS BESAR PELAKSANAAN KEGIATAN KEPANITERAAN

Ba!a" # P$!%!a&r! FKUP/RSHS

K'(a"!&'raa" # Ba!a" P$!%!a&r!

M!") %' I II II

T*m%a&K*'ia&an

R(an'anPli)lini)

R(an'anPli)lini)

R(an'anPli)lini)

Har! J'"!$ K'!a&a" J'"!$ K'!a&a" J'"!$ K'!a&a"

S*nin P*n'a+a2an Ba'ian P-i)ia&+i

Vi-i&* B*-a+

O+i*n&a-i R(an'an"Pli)lini)

Bimin'an Kn-(l*n

Vi-i&* B*-a+7 B*, -i,* &*a82in'

S)ill 8m%*&*n85 &+ainin'

Bimin'an Kn-(l*n

Vi-i&* B*-a+7 B*,

Bimin'an Kn-

Ca-* %+*-*n&a&in

S*la-a Bimin'an R*-i,*n P*mimin'

P*ma'ian Pli"R(an'an

K(n0(n'an )* RSJ Ci-a+(a P-&"&*-&

Bimin'an Kn-

Ra( S)ill 8m%*&*n85 &+ainin'7 ECT

P+*"&*-&

K*'ia&an Pli"R(an'an

S)ill 8m%*&*n85 &+ainin'

K*'ia&an Pli"R(an'an

Bimin'an -&a&(-Ca-* %+*-*n&a&in

S)ill 8m%*&*n85

K*'ia&an Pli"R(

Kami- K*'ia&an Pli"R(an'anJ(+nal R*a,in'

K*'ia&an Pli"R(an'anBimin'an -&a&(-

J(+nal +*a,in'

K*'ia&an Pli"R(J(+nal +*a,in'

J(ma& Vi-i&* B*-a+7 B*, -i,* &*a82in' Vi-i&* B*-a+7 B*, -i,* &*a82in' Vi-i&* B*-a+7 B*,

Sa&( S)ill 8m%*&*n85 &+ainin'K*'ia&an Pli"R(an'an

K*'ia&an Pli"R(an'anBimin'an -&a&(-

Ca-* %+*-*n&a&in

S)ill 8m%*&*n85K*'ia&an Pli"R(

S5a+a& m*n'i)(&i )*%ani&*+aan ,i Ba'ian P-i)ia&+i ?

1. T*la2 l(l(- P+'+am Sa+0ana K*,)&*+an7 IPK -*)(+an'")(+an'n5a !7#@!. T*la2 l(l(- IKJ I ,an IKJ II ,*n'an nilai 2(+(6 minimal C3. T*la2 m*n'i)(&i )*'ia&an %*na&a+an P+a K*%ani&*+aan ,i RSHS

. T*la2 m*n'(8a%)an 0an0i K"a--i-&*n.



1$

AUTOANAMNESA NAMA ? UMUR ?

NO. MEDREC ? BANGSAL ?

Konsep dan Konsekuensi Menghadapi

M+al

A'ama

K*(an'an ma&*+i

Ami-i

H((n'an S-ial

Dalam )*l(a+'a

D*n'an )a4an &*man -*)*+0a

Dalam )*lm%) +'ani-a-i

K*ia-aan ,an K*-*nan'an

Ma)an

Ti,(+

P*m(an'an

Oa&"a&an

R))

Lain"lain



1<

STATUS PREASENS NAMA ? UMUR ?


n

A. STATUS FISIKUS

K*a,aan Um(m ?

T*)anan Da+a2 ? ………. ……….mmH' Na,i ? ………. m*ni& S(2( ? ………. C

R*-%i+a-i ?

K*a,aan Gii ?

B*n&() &((2 ?

K(li& ?

K*%ala ?

Ma&a ? Cn0(n8&i/a ? S)l*+a ?

F(,(-)%5 ? P*+'*+a)an ?

P(%il ? R*6l*)- 8a2a5a ?

Hi,(n' ?

T*lin'a ?

M(l(& ,an &*n''+)an ?

L*2*+ JVP ? S&+(ma ?

KGB ?

T2+a)-

Jan&(n' ?

Pa+("%a+( ?

A,m*n

H*%a+ ? R(an' &+a(* ?

Li*n ? Bi-in' (-(- ?

G*ni&alia ?

E)-&+*mi&a- ?

K*l*n0a+ '*&a2 *nin' ?

K*a,aan -(-(nan -a+a6

Sa+a6 &a) ?

S*n-iili&a- ?

M&+i) ?

V*'*&a&i6 ?

R*6l*)- Fi-il'i- ?

Pa&l'i- ?



1=



n

B. STATUS PSIKIKUS

Rman m()a ?

Kn&a) +a%%+& ?

O+i*n&a-i T*m%a& ?

a)&( ?

O+an' ?

P*+2a&ian ?

P*+-*%-i ? Il(-i ?

Hal(-ina-i ?

In'a&an Ma-a )ini ?

Ma-a ,(l( ?

Da5a in'a& ?

Da5a (lan' ?

Pa+amn*-ia ?

Hi%*+n*m-ia ?

In&*l*'*n-ia ?

Pi)i+an B*n&() %i)i+an ?

Jalan %i)i+an ?

I-i %i)i+an ?

O+'ani-a-i %i)i+an ?

P*nilaian N+ma --ial ?

a2am ?

a4a-an %*n5a)i& ?

Em-i ?

D*8+(m ? S%an -an&(n ?

Ca+a *+%a)aian ?

K**+-i2an ?

K*ma&an'an 0i4a ?

Tin')a2 la)( ,an i8a+a ?



1>



n

C. LABORATORIUM

D. HASIL PEMERIKSAAN PSIKOLOGIS

E. HASIL PEMERIKSAAN ELEKTROENSEFALOGRAFI



!@

RINGKASAN NAMA ? UMUR ?


n

RINGKASAN

C*+i&a -in')a& %*n*m(an %-i&i6 %a,a anamn*-a7 %*m*+i)-aan 6i-i) * %*m*+i)-aan %-i)ia&+i ,an la+a&+i(m 5an'

m*n(n0an' ,ia'n-a.



!1

PSIKODINAMIKA NAMA ? UMUR ?


n

PSIKODINAMIKA

S*a ,an %+-*-n5a -am%ai %a-i*n m*n0a,i in,i/i,( -*%*+&i -*)a+an'. P*n'a+(2 a%a -a0a 5an' m*m*n&()

)*%+ia,ian %a-i*n -*ma-a ana)"ana). Ba'aimana %a-i*n m*n'*)-%+*-i)an -&+*--7 )*8*ma-an7 )*-*,i2an7 )n6li)

,an 'an''(an )*0i4aan lainn5a. S(m*+"-(m*+ )*-()aan ,an )*an''aann5a -*%*+&i 25 ,an 2a+'a ,i+i.

Ba'aimana +*ali&a 2i,(%. Fa)&+ %+*,i-%-i-i ,an 6a)&+ %+*-i%i&a-i 5an' ,a%a& m*n'a)ia&)an )*a,aan %a-i*n-*)a+an'. A%a -a0a ,an a'aimana m*)ani-m* %*+&a2anan ,i+i 5an' ,i)*+a2)an7 *6*)&i6 a&a( &i,a).



!!

DIAGNOSA NAMA ? UMUR ?


n

DIAGNOSA MULTIAKSIAL

A)-i- I Sin,+ma )lini) ?

Dia'n-a an,in' ?

A)-i- II Gan''(an )*%+ia,ian ?

Gan''(an %*+)*man'an -%*-i6i) ?

A)-i- III Gan''(an ,an )n,i-i 6i-i) ?

A)-i- IV S&+*-+ P-i)--ial ?

Ta+a6 ?

A)-i- V Ta+a6 &*+&in''i %*n5*-(aian ,alam -a&( &a2(n &*+a)2i+ ?

PENGOBATAN

P-i)6a+ma)a

R*2aili&a-i

P-i)&*+a%i

USUL"USUL

PROGNOSA ( a, /i&am

( a, 6(n8&inam

Tan,a &an'an K A-i-&*n Tan,a &an'an D)&*+

…………………………….. ……………………………

a+S(&a+5an7 ,+.

S%.KJ

NIP.

1+5an7 ,+. S%.KJ



NIP.

1a+5an7 ,+. S%.KJ

NIP. 1@

@>< 1$#

&a+5an7

,+. S%.KJ NIP. 1@

@>< 1$#

+5an7 ,+.

S%.KJ NIP.

1+5an7 ,+. S%.KJ

NIP.1a+5an7 ,+. S%.KJ

NIP. 1@

@>< 1$#

&a+5an7

,+. S%.KJ NIP. 1@

@>< 1$#

a+5an7 ,+.

S%.KJ NIP.

1+5an7 ,+. S%.KJ

NIP.1a+5an7 ,+. S%.KJ NIP. 1@

@>< 1$#

&a+5an7

,+. S%.KJ

NIP. 1@

@>< 1$#

+5an7 ,+.

S%.KJ

NIP.1+5an7 ,+. S%.KJ

NIP.

1a+5an7 ,+. S%.KJ

NIP. 1@@>< 1$#



&a+5an7,+. S%.KJ

NIP. 1@

@>< 1$#

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