DAFTAR ISI

KELOMPOK UMUM ..............................................................................................................1

1. Tuberkulosis (TB) Paru ......................................................................................................1
2. Morbili ...............................................................................................................................6
3. Varisela ..............................................................................................................................8
4. Malaria .............................................................................................................................10
5. Demam Dengue dan Demam Berdarah Dengue ..............................................................12
6. Leptospirosis ....................................................................................................................14
7. Infeksi Pada Umbilikus ....................................................................................................16
8. Kandidiasis Mulut ............................................................................................................17
9. Lepra ................................................................................................................................18
10. Keracunan Makanan .......................................................................................................24
11. Alergi Makanan ..............................................................................................................26
12. Exanthematous Drug Eruption .......................................................................................28
13. Fixed Drug Eruption (FDE) ...........................................................................................30
14. Reaksi Anafilaktik ..........................................................................................................32
15. Syok ................................................................................................................................34
DARAH, PEMBENTUKAN DARAH, SISTEM IMUN .........................................................37
16. Anemia ...........................................................................................................................37
17. HIV/AIDS tanpa Komplikasi .........................................................................................40
18. Limfadenitis ....................................................................................................................50
DIGESTIVE .............................................................................................................................52
19. Refluks Gastroesofageal ...............................................................................................52
20. Gastritis ........................................................................................................................54
21. Intoleransi Makanan .....................................................................................................55
22. Malabsorbsi Makanan ..................................................................................................56
23. Demam Tifoid ..............................................................................................................58
24. Gastroenteritis (termasuk disentri, kolera dan giardiasis) ............................................61
25. Disentri Basiler dan Disentri Amuba ...........................................................................66
26. Apendisitis Akut ...........................................................................................................68
 27. Perdarahan Saluran Makan Bagian Atas ......................................................................70
28. Perdarahan Saluran Makan Bagian Bawah ..................................................................72
29. Hemoroid Grade 1-2 ....................................................................................................75
30. Hepatitis A ...................................................................................................................78
31. Hepatitis B ....................................................................................................................79
32. Parotitis ........................................................................................................................82
33. Askariasis .....................................................................................................................84
34. Cutaneus Larva Migrans ..............................................................................................85
35. Penyakit Cacing Tambang ..........................................................................................87
36. Skistosomiasis ..............................................................................................................88
37. Strongiloidiasis .............................................................................................................90
38. Taeniasis .......................................................................................................................92
39. Peritonitis .....................................................................................................................94
40. Kolesistitis ....................................................................................................................95
MATA ......................................................................................................................................96
41. Mata Kering/Dry eye ....................................................................................................96
42. Buta Senja ....................................................................................................................97
43. Hordeolum ....................................................................................................................98
44. Konjungtivitis ...............................................................................................................99
45. Blefaritis .......................................................................................................................101
46. Perdarahan Subkonjungtiva .........................................................................................102
47. Benda asing di konjungtiva ..........................................................................................104
48. Astigmatism .................................................................................................................105
49. Hipermetropia ..............................................................................................................106
50. Miopia Ringan ..............................................................................................................108
51. Presbiopia .....................................................................................................................109
52. Katarak pada Pasien Dewasa .......................................................................................110
53. Glaukoma Akut ............................................................................................................111
TELINGA................................................................................................................................114
54. Otitis Eksterna ..............................................................................................................114
55. Otitis Media Akut .........................................................................................................117
 56. Serumen Prop ...............................................................................................................121
HIDUNG .................................................................................................................................123
57. Benda Asing di Hidung ................................................................................................123
KARDIOVASKULAR............................................................................................................125
58. Angina Pektoris ............................................................................................................125
59. Infark Miokard .............................................................................................................129
60. Takikardia ....................................................................................................................132
61. Gagal Jantung Akut dan Kronik ...................................................................................135
62. Cardiorespiratory Arrest .............................................................................................138
63. Hipertensi Esensial .......................................................................................................139
64. Infark Serebral/Stroke ..................................................................................................145
MUSKULOSKELETAL ........................................................................................................148
65. Fraktur Terbuka ...........................................................................................................148
66. Fraktur Tertutup ...........................................................................................................151
67. Polimialgia Reumatik ...................................................................................................152
68. Artritis Reumatoid ........................................................................................................154
69. Artritis, Osteoartritis ....................................................................................................158
70. Lipoma .........................................................................................................................160
NEUROLOGI..........................................................................................................................161
71. Kejang Demam .............................................................................................................161
72. Vertigo ..........................................................................................................................163
73. Delirium .......................................................................................................................169
74. Tetanus .........................................................................................................................171
75. Rabies ...........................................................................................................................176
76. Epilepsi .........................................................................................................................179
77. Status Epileptikus .........................................................................................................185
78. Migren ..........................................................................................................................187
79. Bells’ Palsy ...................................................................................................................191
80. Tension Headache ........................................................................................................196
PSIKOLOGIS..........................................................................................................................199
81. Insomnia .......................................................................................................................199
 82. Demensia ......................................................................................................................201
83. Gangguan Campuran Anxietas dan Depresi ................................................................204
84. Gangguan Psikotik .......................................................................................................207
RESPIRASI ............................................................................................................................211
85. Epistaksis ......................................................................................................................211
86. Furunkel Pada Hidung ..................................................................................................216
87. Faringitis ......................................................................................................................217
88. Rhinitis Akut ................................................................................................................222
89. Rhinitis Alergik ............................................................................................................225
90. Rhinitis Vasomotor ......................................................................................................229
91. Tonsilitis .......................................................................................................................231
92. Laringitis ......................................................................................................................237
93. Bronkitis Akut ..............................................................................................................241
94. Influenza .......................................................................................................................243
95. Pneumonia Aspirasi .....................................................................................................245
96. Pneumonia dan Bronkopneumonia ..............................................................................247
97. Pertusis .........................................................................................................................250
98. Asma Bronkial .............................................................................................................252
KULIT ....................................................................................................................................254
99. Miliaria .........................................................................................................................254
100. Veruka Vulgaris .........................................................................................................256
101. Reaksi Gigitan Serangga ............................................................................................257
102. Herpes Zoster .............................................................................................................259
103. Herpes Simpleks .........................................................................................................261
104. Skabies .......................................................................................................................264
105. Pedikulosis Kapitis .....................................................................................................266
106. Dermatofitosis ............................................................................................................267
107. Pitiriasis versikolor/ Tinea versikolor ........................................................................270
108. Pioderma .....................................................................................................................273
109. Dermatitis Seboroik ....................................................................................................275
110. Dermatitis Atopik .......................................................................................................278
 111. Dermatitis Numularis .................................................................................................283
112. Liken simpleks kronik (neurodermatitis sirkumkripta) ..............................................285
113. Dermatitis Kontak Alergik (DKA) .............................................................................287
114. Dermatitis Kontak Iritan .............................................................................................289
115. Napkin Eczema (dermatitis popok) ............................................................................293
116. Pitiriasis Rosea ...........................................................................................................295
117. Moluskum Kontagiosum ............................................................................................297
118. Urtikaria .....................................................................................................................299
119. Filariasis .....................................................................................................................302
120. Luka Bakar Derajat I dan II ........................................................................................307
METABOLIK ENDOKRIN DAN NUTRISI ........................................................................310
121. Obesitas ......................................................................................................................310
122. Tirotoksikosis .............................................................................................................313
123. Hiperglikemia Hiperosmolar Non Ketotik .................................................................315
124. Hipoglikemia ..............................................................................................................317
125. Diabetes Melitus .........................................................................................................320
126. Malnutrisi Energi Protein (MEP) ...............................................................................332
127. Hiperuricemia-Gout Arthritis .....................................................................................336
128. Dislipidemia ...............................................................................................................339
SALURAN KEMIH ................................................................................................................346
129. Infeksi Saluran Kemih ................................................................................................346
KESEHATAN WANITA ........................................................................................................347
130. Hiperemesis Gravidarum ............................................................................................347
131. Kehamilan Normal .....................................................................................................350
132. Pre-eklampsia .............................................................................................................359
133. Eklampsi .....................................................................................................................361
134. Abortus .......................................................................................................................364
135. Anemia Defisiensi Besi pada Kehamilan ...................................................................369
136. Ketuban Pecah Dini (KPD) ........................................................................................372
137. Persalinan Lama .........................................................................................................373
138. Perdarahan Post Partum .............................................................................................380
 139. Ruptur Perineum Tingkat 1-2 .....................................................................................389
140. Mastitis .......................................................................................................................393
PENYAKIT KELAMIN .........................................................................................................395
141. Fluor Albus / Vaginal discharge Non Gonore ...........................................................395
142. Sifilis ..........................................................................................................................399
143. Vaginitis .....................................................................................................................408
144. Vulvitis .......................................................................................................................412
 Kata Pengantar

Puji dan syukur penulis panjatkan kepada Tuhan Yang Maha Esa atas terselesaikannya buku
panduan yang berjudul “Panduan Praktik Klinis Bagi Dokter di Puskesmas Seririt 1”. Atas
dukungan moral dan materiil yang diberikan dalam penyusunan buku ini, maka penulis
mengucapkan banyak terima kasih kepada :

1. drg. Gede Ketut Juena, selaku pimpinan Puskesmas Seririt 1.

2. dr. I Gede Karnaya selaku dokter pendamping di Puskesmas Seririt 1 yang telah
memberikan bimbingan, saran, ide dan kesempatan untuk menyelesaikan buku
panduan ini.

3. Semua pihak yang tidak dapat penulis sebutkan satu persatu.

Penulis menyadari bahwa buku panduan ini belumlah sempurna. Oleh karena itu,
saran dan kritik yang membangun dari rekan-rekan sangat dibutuhkan untuk
penyempurnaan buku panduan ini di masa depan.

Seririt, September 2016

Penulis
PANDUAN PRAKTIK KLINIS BAGI DOKTER
DI PUSKESMAS SERIRIT 1

Oleh:

1. dr. Putu Anggun Saraswati Mudita, S.Ked

2. dr. Putu Restu Wira Dharma, S.Ked

3. dr. Samuel Palawa Saman, S.Ked

4. dr. Joane, S.Ked

5. dr. Kadek Agus Surya Dila, S.Ked

6. dr. Nyoman Siska Ananda, S.Ked

PUSKESMAS SERIRIT 1

2016