PANDUAN PRAKTIK KLINIS (PPK)

TATA LAKSANA KASUS

RS PERMATA BUNDA PURWODADI
KABUPATEN GROBOGAN, JAWA TENGAH
2013 - 2015

........................(ICD 10: ..)

1. Pengertian (Definisi)

..

2. Anamnesis

1.
2.
3.
4.
5.

..
.........................

3. Pemeriksaan Fisik

1.
2.
3.
4.
5.

..
.........................

4. Kriteria Diagnosis

1.
2.
3.
4.
5.

..
........................

5. Diagnosis Kerja
6. Diagnosis Banding
7. Pemeriksaan Penunjang

8. Terapi

.
1.
2.
3.
1.
2.
3.
4.
5.

.
.

..
.........................

1.
2.
3.
4.

..

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9. Edukasi

(Hospital Health Promotion)

10. Prognosis
11. Tingkat Evidens
12. Tingkat Rekomendasi
13. Penelaah Kritis

14. Indikator Medis

15. Kepustakaan

5.
1.
2.
3.
4.
5.

.........................

........

Ad vitam
: dubia ad bonam/malam
Ad sanationam : dubia ad bonam/malam
Ad fungsionam : dubia ad bonam/malam
I/II/III/IV
A/B/C
1.
2.
3.
4.

..
..
1.

2.

3.

4.

5.
........

26