PRIVILEGES

Privilege Desired 1 2 3 4 5 6 7 8 1.CARDIOVASCULAR A.Cardiac disorders Angina pectoris Unstable angina Ventricular extrasystole Myocardial Infarction Heart failure Cardiorespiratory arrest Supraventricular tachycardia Atrial flutter

3A 3A 3A 3B 3B 3B 3B 3B

B.Aorta-arteries disorders 9 Secondary hypertension 10 Septic shock 11 Hypovolemic shock 12 Essential hypertension C.Veins 13 Thrombophlebitis D.Lymph vessels 14 Lymphangitis 15 Lymphadenitis 16 Lymphedema,primary and secondary 2.RESPIRATORY 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bronchiolitis Lung emphysema Bronchiectasis COPD Pleurisy TBC Aspiration pneumonia Status asmaticus Atelectasis Pleumonia SARS Pneumothorax Uncomplicated Pulmonary Tuberculosis TBC with HIV Acute Bronchitis Bronchial asthma

3A 3B 3B 4

3A

3A 3A 3A

3A 3A 3A 3A 3A 3A 3B 3B 3B 3B 3B 4 4 4 4

3.GASTROINTESTINAL A.Mouth 32 Glossitis 33 Candidiasis 34 Mouth ulcers (aphthous,herpes B.Esophagus 35 Reflux esophagitis 36 Corrosive lesions of esophageus C.Acute abdomen 37 Acute appendicitis 38 Ileus 39 Appendicular abscess D.Stomach and duodenum Gastric/duodenal ulcer Gastrointestinal bleeding Gastritis Gastroenteritis E.Liver Fatty liver Hepatitis A Uncomplicated Hepatitis B Amoebic liver abscess 3A 3B 3B

3A 4 4

3A 3B

40 41 42 43

3B 3B 4 4

44 45 46 47

4 4 4 4

F.Gall bladder , bile duct and pancreas 48 Acute cholecystitis G.Jejunum , ileum 49 Enteritis H.Colon Irritable bowel syndrome Necrotizing enterocolitis Diverticulosis/diverticulitis Colitis Rectal , anal prolapse Proctitis Hemorrhoids

3A

50 51 52 53 54 55 56

3A 3A 3A 3A 3A 3A 3A

4.PEDIATRICS 57 Malabsorbsion 58 Food intolerance

3A 3A

59 60 61 62 63 64 65 66 67 68

Umbilical hernia Hepatitis Cirrhosis of the liver Gastroenteritis dengan dehidrasi Dehydration Gastro-esophageal reflux Gastroenteritis Worms Peritonitis tuberculosis Food allergy 5.NEFROUROLOGI Acute glomerulonephritis Chronic glomerulonephritis Renal colic Urinary stone diseases or urinary calculi without colic Prostatitis Urinary tract infection Uncomplicated Pyelonephritis A.Male genitalia Hypospadia Epispadia Undescended testis/cryptorchidism Retractile testis Torsion of testis Infertility Paraphimosis Ruptur uretra Ruptur kandung kencing Ruptur ginjal Striktura uretra Priapismus Penyakit peironi Ekstrophia vesicae B.Vulva Vulvitis Cyst of bartholin,abscess of bartholin's gland Abscesss of hair follicle or sebaceous gland Condylomata acuminata

3A 3A 3A 3B 3B 4 4 4 4 4

69 70 71 72 73 74 75

3A 3A 3A 3A 3A 4 4

76 77 78 79 80 81 82 83 84 85 86 87 88 89

3A 3A 3A 3A 3A 3A 4 4 4 4 4 4 4 4

90 91 92 93

4 4 4 4

C.Vagina 94 Vaginitis 95 Bacterial vaginosis 96 Foreign body

4 4 4

D.Cervix 97 Cervicitis E.Adnexae 98 Salpingitis 6.HEMATOLOGI 99 Iron deficiency anemia 7.IMMUNOLOGI A.Autoimmune rheumatological and autoimmune orthopedic disorders Polymyalgia rheumatica 3A Rheumatoid arthritis 3A Uncomplicated SLE Vasculitis Lupus B.Immunological/allergic reaction Atopy Anaphylactic reaction Rheumatic fever Immunodeficiency-HIV 8.GENETICS/NEWBORN/CHROMOSSAL DISORDERS A.Disorders of newborns Bronchopulmunary dysplasia Aspiration pneumonia Pneumo thorax Apnea attacks Severe neonatal jaundice ( kern icterus Hypoglycemia Child of diabetic mother Bacteraemia and septicemia Respiratory Dystress Syndrome Neonatal convulsion Cerebral hemorrhage Sudden Infant Death Syndrome ( SIDS Hypothermia Jaundice of newborn Conjunctivitis Infection of umbilicus 9. ENDOCRINE,METABOLIC DISORDERS AND MALNUTRITION A.Endocrinological disorders 124 IDDM 125 Complication of DM ( acute and chronic 126 Hyperthyroidism

100 101 102 103

4 4

104 105 106 107

3A 3B 3B 4

108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123

3A 3A 3A 3A 3A 3A 3A 3B 3B 3B 3B 3B 4 4 4 4

3A 3A 3A

127 Hypoglycemia 128 Adrenal cortex failure 129 NIDDM B.Nutritional deficiency 130 Marasmus 131 Kwashiorkor 132 Vitamin deficiencies C.Error of metabolism 133 Hyperlipoproteinemia 134 Obesity 10. CENTRAL AND PERIPHERAL NEURAL SYSTEM A.Loss of consciousness 135 Metabolic Encephalopathy 136 Comatous 137 Brain death B. Headache Migraine Trigeminal neuralgia Cranial arteritis Tension headache Cluster headache C. Cardio vascular diseases TIA Cerebral infarction Intracerebral hematoma Subarachnoid hemmorhage Hypertensive encephalopathy

3B 3B 4

4 4 4

4 4

3B 3B 3B

138 139 140 141 142

3A 3A 3B 4 4

143 144 145 146 147

3B 3B 3B 3B 3B

D. Cranial nerve and brain system lesions 148 Brain system lesions 149 Bell's palsy E. Disorder of vestibular system 150 Menier's disease 151 Benign paroxysmal positional vertigo 152 Vertigo central F. Movement Disorders 153 Parkinson's disease 154 Secondary Parkinsonisme

3B 4

3A 3A 3A

3A 3A

G. Epilepsy and other seizures 155 General epilepsy 156 Absence seizure 157 Status epilepticus H. Diseases of spine and spinal cord Myelopathy Radical syndrome/HNP Complete spinal transection Neurogenic bladder Medulla compression acute Spondilitis TBC I. Neuromuscular diseases and neuropathy Carpal tunnel syndrome Tarsal tunnel syndrome Guillain Barre Syndrome Myasthenia gravis Neuropathy Peroneal palsy J. Infectious diseases Cerebral Toxoplasmosis Meningitis Encephalitis Malaria cerebral Tetanus HIV/AIDS

3A 3A 3B

158 159 160 161 162 163

3A 3A 3B 3B 3B 3B

164 165 166 167 168 169

3A 3A 3B 3B 4 4

170 171 172 173 174 175

3A 3B 3B 3B 3B 3B

K. Congenital disorders 176 Hydrocephalus L. Pediatric neurologic disorders Epilepsi Petit mal epilepsi Meningitis Encephalitis Cerebral abscess Poliomyelitis Cerebral palsy Kern icterus Mental retardation Autism ADHD

3B

177 178 179 180 181 182 183 184 185 186 187

3A 3A 3B 3B 3B 3B 3B 3B 3B 3B 3B

M. Neurobehaviour Disorders 188 Amnesia pasca trauma

3B

189 Afasia 190 MCI ( Mild Cognitive Impairment N. Trauma CNS Epidural hematom Subdural hematom SAH ( Sub Arachnoid Hemorrhage Trauma medula spinalis

3B 3B

191 192 193 194

3B 3B 3B 3B

O. Tumor CNS 195 Tumor primer 196 Tumor sekunder 11.GANGGUAN VISUAL 197 Buta mendadak 198 Diplopia 12. EAR , NOSE AND THROAT 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 A. Ears,hearing and equilibrium Inflammation of auricle Herpes Zoster oticus Pre auricular fistula Foreign body in ear Wax ( serumen Acute Otitis Media Otitis media serous ( Glue ear Chronic otitis media Perforated tympanic membrane Bullous myringitis Otosclerosis Tymphanosclerosis Presbyacusis Mastoiditis Acute acoustic trauma Otitis externa Benign postural vertigo Motion sickness Meniere's diseases Ear,other trauma Congenital deafness Facial palsy or paralysis

3B 3B

3B 3B

3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 4 4 4 4 4 4 4

B. Noses and sinuses 222 Chronic rhinitis 223 Chronic sinusitis 224 Epistaxis

3A 3A 4

225 226 227 228 229

Furuncle of nose Acute rhinitis ( common cold Vasomotor rhinitis Allergic rhinitis Forign body in nose

4 4 4 4 4

C. Larynx and pharynx 230 Pharingitis 231 Tonsilitis D.Neck 232 Medial and lateral branchial cyst and fistula 233 Cystic hygroma 234 Torticolis E. Thyroid glands and parathyroid glands Cyst Goitre Hyperthyroidism Hyperparathyroidism Hypoparathyroidism 13. EYE A. Conjunctiva Pterygium Conjunctiva,foreign body Subconjunctiva haemorrhage Conjunctivitis (allergy,viral,bacterial B.Eyelids Blepharitis Hordeolum Chalazion Eyelid laceration Eyelid retraction

4 4

3A 3A 3A

235 236 237 238 239

3A 3A 3A 3A 3A

240 241 242 243

3A 3B 3B 4

244 245 246 247 248

3A 3A 3A

C. Anterior chamber 249 Hyphaema 250 Hypopyon D. Iris and ciliary body 251 Iridocylitis,iritis E. Glaucoma 252 Glaucoma,congenital 253 Simple glaucoma 254 Acute glaucoma

3A 3A

3A

3A 3A 3A

255 Secondary glaucoma F. Lens 256 Cataract 257 Lens dislocation G. Refraction and accommodaation Hypermetropia Myopia Astigmatism Presbyopia Anisometropia H. Vision and visual fields Amblyopia Diplopia Suppresion Night-blindness Scotoma Hemianopia,bitemporal and homonymous Loss of vision and blindness

3A

3A 3B

258 259 260 261 262

3A 3A 3A 3A 3A

263 264 265 266 267 268 269

3A 3A 3A 3A 3A 3A 3A

I. Optic disc and optic nerve 270 Papilloedema 271 Optic atrophy 14. SKIN A. Eczematous dermatitis Contact dermatitis allergica Lichen simlex chronicus Contact dermatitis irritant Atopic dermatitis ( kecuali recalcitrant Nummular dermatitis Napkin eczema B. Erytro-squamous lesions Psoriasis vulgaris Plamoplantar pustulosis Seborrheic dermatitis Pityriasis rosea C. Disorders of skin eccrine and sebaceous glands Rosacea Acne vulgaris Hidradenitis suppurativa Perioral dermatitis Miliaria

3A 3A

272 273 274 275 276 277

3A 3A 4 4 4 4

278 279 280 281

3A 4 4 4

282 283 284 285 286

3A 4 4 4 4

287 288 289 290

D. Viral skin infections Condyloma accuminata Verruca vulgaris Molluscum contagiosum Herpes zoster E. Bacterial infections Impetigo Ulcerative impetigo ( ecthyma) Superficial folliculitis Furuncle, carbuncle Erythrasma Erysipelas

3A 4 4 4

291 292 293 294 295 296

4 4 4 4 4 4

F. Superficial fungal infections Tinea capitis,barbae,faciale,corporis,manus,unguin 297 um,cruris,pedis,versicolor 298 Mucocutaneous candidiasis G. Insect bites and infestations 299 Pediculosis capitis,pubis 300 Scabies 301 Insect bites reactions H. Allergic skin diseases 302 Angioedema 303 Urticaria I. Autoimmune diseases 304 Lupus erythematosus J. Disorders of hairs Alopecia areata Androgenic alopecia Trichotillomania Telogen eflluvium

4 4

4 4 4

3B 4

3A

305 306 307 308

3A 3A 3A 3A

K. Disorders of keratinizations 309 Ichthyosis vulgaris L. Other non infectious inflammatory skin disorders 310 Lichen planus 311 Granuloma annulare M. Drug reactions

3A

3A 3A

312 Exanthematous drug eruption 313 Fixed drug eruption N. Pigmentary disorders Vitiligo Melasma Post-inflammatory hyperpigmentation Post-inflammatory hypopigmentation

4 4

314 315 316 317

3A 3A 3A 3A

15.INFECTIOUS AND TROPICAL DISEASES A. Localized infections and abscesses 1. Infections of hand 318 Paronychia 319 Suppurative tenosynovitis 320 Human bite 2. Infections of the head and neck Peritonsilar abscess Ludwig's angina Bezold abscesss Suppurative parotitis Suppurative cervicaladenitis

4 4 4

321 322 323 324 325

3A 3A 3A 4 4

B. Gram-positive cocci 1. Staphylococcal and streptococcal infections 326 Osteomyelitis 3A 327 Superficial infections,including folliculitis,hidradenitis supp,carbuncle 328 Staphylococcal pneumonia 2. Sreptococcal infection 329 Rheumatic fever C. Gram-negative cocci 330 Nasopharyngitis 331 Gonorrhea D. Gram-negative bacilli Chancroid Urinary tract infection ( UTI ) Typhoid fever Dysentry bacilli Cholera Pertusis

4 4

3A

4 4

332 333 334 335 336 337

3A 4 4 4 4 4

E. Toxin producing bacteria 338 Diphteria ( THT ) 339 Tetanus ( pediatri )

3B 3B

F. Mycobacterial diseases 340 Lepra reaction 341 Tuberculosis kutis 342 Leprosy G. Spirochaetal diseases 343 Leptospirosis 344 Syphilis 345 Yaws H. Viral infections CMV infections DHF ( Dengue Hemorrhagic Fever ) HIV-AIDS Avian influenza ( THT ) Poliomyelitis Rabies Viral gastroenteritis Morbilli Varicella Herpes Zoster Herpes Simlex Mumps I. Protozoal infections Leishmaniasis dan Tripanosomiasis Toxoplasmosis Giardiasis Trichomoniasis Amoebiasis Malaria J. Worms infections Hookworm diseases Strongyloidiasis Ascariasis Filariasis Schistosomiasis Cutaneus larva migran Taeniasis

3A 4 4

3A 4 4

346 347 348 349 350 351 352 353 354 355 356 357

3A 3A 3A 3B 3B 3B 4 4 4 4 4 4

358 359 360 361 362 363

3A 3A 3A 3A 4 4

364 365 366 367 368 369 370

4 4 4 4 4 4 4

16. NEOPLASMA A. Head and neck 371 Leukoplakia B. Male genitals

3A

372 BPH ( Benign Prostat Hyperplasia ) C. Female genitals 373 Condylima accuminata D. Skin 374 Epithelial cyst E. Tumors of immigrat cells to skin 375 Mycosis fungoides 376 Mastocytosis 377 Langerhan's cell histiocytosis F. Bone and soft tissue 378 Liposarcoma 379 Ganglion cyst 17. PSYCHIATRY AND MENTAL HEALTH A. Developmental and behavioral diorders 380 Mental deficiency 381 Austic disorder B . Tics 382 Transient tic disorders C. Psycho-organic syndromes and disorders due to drugs Intoxication Withdrawal syndrome Delirium Demensia Amnesic syndrome Other organic disorders Misuse of psychoactive drugs

3A

3A

3A

3A 3A 3A

3A 4

3A 3A

3A

383 384 385 386 387 388 389

3A 3A 3A 3A 3A 3A 3A

D. Psychosis 390 Schizophrenia 391 Other psychosis including reactive psychosis and puerperal psychosis E. Bipolar disorders 392 Bipolar disordes,depressive episode 393 Bipolar disordes,manic episode F. Anxiety disorders Panic disorders with agoraphobia Panic disorders without agoraphobia Agoraphobia without history of panic disorder Social pbobia

3B 3B

3A 3B

394 395 396 397

3A 3A 3A 3A

398 399 400 401 402

Simple pbobia Obsseive compulsive disorder ( neurosis ) Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified G. Somatic disorders Disorder of body sensation Conversion disorder ( hysterical neurosis ) Hypochondriasis ( Hypochondrial neurosis ) Somatisation disorder Somatoform pain disorder Undifferentiated somatoform disorder Somatoform disorder not otherwise classified H. Dissociative disorders ( or hysterical neurosis,dissociative form ) Multiple personality Fugu states Psychogenic amnesia Depersonalisation disorder or depersonalisation neurosis Dissociative disorder,noc I. Sexual dysfunctions Disorder of sexual desire Disorder of sexual exitement Disorder of orgasm Sexual pain disorders Sexual dysfuctions,noc

3A 3A 3A 3A 3A

403 404 405 406 407 408 409

3A 3A 3A 3A 3A 3A 3A

410 411 412 413 414

3A 3A 3A 3A 3A

415 416 417 418 419

3A 3A 3A 3A 3A

J. Other sexual disorders 420 Sexual disorders,noc K. Sleeping disorders Dyssomnia 421 Hypersomnia 422 Imsomnia 423 L. Psychological factors affecting physical condition

3A

3A 4 3A

M. Side effects of psychoactive drug therapy 424 Extrapyramidal side effects ( eg. Acute dystonia,tradive dyskenia,parkinsonism 3A ) 425 Anticholinergic side effects 3A 426 Sedative side effects 3A N. Neuropsychiatric and psychosomatic disorders (pediatric) 427 Pseudoconstipation 428 Encopresis

3A 3A

429 430 431 432 433 434 435 436 437

Anorexia nervosa Bulemia Tic,neuropathic behavior Hyperkinetic syndrome Primary infantile autism Disorders of mother-child relationship Disorders due to social deprivation Neurotic disorder of chilhood Breath holding due to exitement

3A 3A 3A 3A 3A 3A 3A 3A 3A

18. MUSCULOSKELETAL SYSTEM A. Bone and joints (pediatrics) 438 Arthritis B. Generalized disorders of the musculoskeletal system 439 Osteoporosis C. Localized disorders of the musculoskeletal system 440 Physical overload 441 Osteomyelitis,acute 442 Arthritis D. Pelvic and lower extremitas Achilles tendonitis Instability of ankle Fractures of femur Fractures,capsule,tendon and ligament lesions of knee Rupture of achiles tendon

3A

3A 3B 4

443 444 445 446 447

3A 3A 3B 3B 3B

19. TRAUMATOLOGY A. Birth trauma 448 Caput succedaneum B. Trauma (tergantung ringan sampai berat) Drowning Head injury Burning Poisoning Suffocation Bleeding Hypovolemic shock Dislocation of jaw Fracture of jaw Dislotion of knee Dislocation of patella Prepatellar bursitis Fracture of tibia

449 450 451 452 453 454 455 456 457 458 459 460 461

3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B

462 463 464 465 466 467 468 469 470 471 472

Rib fractures/contusion Injury caused by rib fractures Sternal fractures Fractures of toes Crush injury to the heel (in children) Fractures of fibula Whiplash Fractures,capsule,tendon and ligament lesions of ankle Pneumothorax Hemothorax Injury to specific internal organs,such as lliver,kidney,lung,etc

3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B

C. Peripheral nerves 473 Injury to peripheral nerves D. Neck,shoulder girdle and upper extremities Frozen shoulder Fracture of clavicle Lateral epicondylitis (tennis elbow) Progressive inflammation of finger following injury Olecranon bursitis Carpal tunnel syndrome Injury to finger tendon,e.g. Boutonniere-deformity Fracture of shoulder Dislocation of shoulder Ligamentous lesions of shoulder Instability of shoulder Fracture of humerus Fracture of radius/ulna Fractures,capsule,tendon,ligament lesions of elbow Fractures,capsule,tendon,ligament lesions of wrist Fractures,capsule,tendon,ligament lesions of fingers and thumb Dislocation of distal radius Dislocation of wrist Traumatic vessel injury Nail loss Subungual hematoma E. Accidents and emergency neurology Head injuries Diffuse brain damage Cerebral concussion and contusion Brain death Extra dural hemorrhage Subdural hemorrhage Basilar fracture scalp Acute traumatic spinal transaction

3B

474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494

3A 3A 3A 3A 3A 3A 3A 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 4 4

495 496 497 498 499 500 501 502

3B 3B 3B 3B 3B 3B 3B 3B

503 Injury of plexus and peripheral nerves 20.REPRODUCTION SYSTEM A. Infection during pregnancy/delivery 504 Syphillis 505 Gonorrhoea B. Drugs and harmful substance during pregnancy 506 Mother taking tobacco C. Pregnancy disorders Dysmaturity Polyhydramnion Incompleted spontaneous abortion Hyperemesis gravidarum Completed spontaneous abortion Iron deficiency anaemia D. Delivery Premature contractions Premature delivery Postmature infant Prolonged delivery Retained placenta Hypoxia of fetus Primary mild contractions- IMININ Secondary mild contractions Rupture of perinium

3B

3A 3A

507 508 509 510 511 512

3A 3A 3B 3B 4 4

513 514 515 516 517 518 519 520 521

3A 3A 3A 3A 3A 3B 4 4 4

E. Postpartum 522 Retained placental tissue 523 Postpartum haemorrhage F. Puerperium 524 Mastitis Inflammation of pelvis (salpingitis,pelviperitonitis,perimetritis etc ) 525 526 527 528 529 530 531 532 533 Post-natal psychosis Post-natal depression Cracked nipple Inverted nipple Endometritis Incontinence of urine Incontinence of faeces Subinvolution of uterus

3B 3B

3A

3A 3A 3A 4 4 4 4 4 4

KETERANGAN : 3a : Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pemeriksaan pemeriksaan tambahan yang diminta oleh dokter. Dokter dapat memutuskan & memberi terapi pendahuluan, serta merujuk ke spesialis yang releven (bukan kasus gawat darurat) : Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik & pemeriksaan pemeriksaan tambahan yang diminta oleh dokter. Dokter dapat memutuskan dan memberi terapi pendahuluan, serta merujuk ke spesialis yang relevan (kasus gawat darurat) : Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik & pemeriksaan pemeriksaan tambahan yang diminta oleh dokter. Dokter dapat memutuskan dan mampu menangani problem itu secara mandiri hingga tuntas.

3b