Scribd Logo
Unggah

Selamat datang di Scribd!

  • Lembar Follow Up Pasien

    Diunggah oleh

    Anonymous eF8cmVvJa
    55 tayangan2 halaman
    pollup koas

    Hak Cipta

    © © All Rights Reserved

    Format Tersedia

    DOCX, PDF, TXT atau baca online dari Scribd

    Apakah menurut Anda dokumen ini bermanfaat?

    Apakah konten ini tidak pantas?

    Laporkan Dokumen Ini
    pollup koas

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    55 tayangan2 halaman

    Lembar Follow Up Pasien

    Diunggah oleh

    Anonymous eF8cmVvJa
    pollup koas

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 2

    LEMBAR FOLLOW UP PASIEN

    Tanggal follow up : _________________________ jam: ________________


    Nama :_______________________________________________
    Umur :_______________________________________________

    Keluhan Utama:
    __________________________________________________________________________________

    Riwayat Penyakit Sekarang:


    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________

    Anamneis Sistem:
     SSP
    _______________________________________________________________________________
     Kardiovaskuler
    _______________________________________________________________________________
     Respirasi
    _______________________________________________________________________________
     Gastrointestinal
    _______________________________________________________________________________
     Urogenitalia
    _______________________________________________________________________________
     Ekstremitas
    _______________________________________________________________________________

    Riwayat Penyakit Dahulu:


    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________

    Riwayat Penyakit Keluarga:


    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________

    Kebiasaan & Lingkungan:


    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    PEMERIKSAAN FISIK

    Keadaan Umum : _______________________________

    Vital Sign : 1) Tekanan Darah :_________ mmHg 3) Suhu : _______ oC


    2) Nadi :_________ x /menit 4) Respirasi : _______ x / menit

    Kepala : ___________________________________________________________-
    ___________________________________________________________

    Leher : ___________________________________________________________-
    ___________________________________________________________

    Thoraks : 1) Cor
    Inspeksi : __________________________________________________________
    Palpasi : __________________________________________________________
    Perkusi : __________________________________________________________
    Auskultasi : __________________________________________________________
    2) Pulmo
    Inspeksi : __________________________________________________________
    Palpasi : __________________________________________________________
    Perkusi : __________________________________________________________
    Auskultasi : __________________________________________________________

    Abdomen
    Inspeksi : __________________________________________________________
    Palpasi : __________________________________________________________
    Perkusi : __________________________________________________________
    Auskultasi : __________________________________________________________

    Ektremitas : ___________________________________________________________-
    ___________________________________________________________
    ___________________________________________________________-
    ___________________________________________________________

    Anda mungkin juga menyukai