0 d.

× :
Sindrom Neuroleptic Malign
a
 Riw . Iconsumsi antipsilcotil ,

bb
2.5mg /
-2,5mg/hair

/
→ I
→
Tremor / BZP

Rigidities
g. g.
irreversible Akinesia / bradilcinesia
Postural instability
O
A- KUT LAMB AT

Hupa
→ terminal /kronik :( KD
DM
 + 3 minor
ayor

⑥ ↳
depress sedang
 afek ↓

}
-

MLM
-
mayor :

: SSRI

↓
psikotil ,

aeek ↓

waham/
hatun
 ↓
Psikotik

0
 ditambah % ,

a,
/
dikunng
→
:
→ G) /

-
auditoria
-
bizarre (
VK.gil.at A) logika →
cembun/
/positip
→

dicintai

skin afek
Slcizoapektif
→ >I
• = +
bin

dominion

• Depnesi pasca skin = gejaladepnesi

riwobat
↳ masih bisamenemukan
gejala ( ) minimal
t →

bocil

onset 20 -
30th

↓
C- Iriwobatl
gejala C-I C- ljelas
:
 [ riwobatlt)
0
# gejala
⑥
G)
skin dominion
→ + afek sama

→
gejala depresi
0 "" " " ᵈ [ ^
¥"
" "

#¥ "
"
"

ˢ
"
↓
0 disakit / dikejar
 dx Bipolar episode

€
:

"" " " "

→ P"

O
 2 afek
a
Fck ↑ a
Fck ↓
- Tip , , : Mania Depresi →
moody "

/ /
-750mg ↳ Tipe Depreii
soo hair
2 :
Hipomani
Fatproat
salt
:

2- 3×600
my
↓

C- Igg . aktivitas
d

(+ Igg aktivitas
.

apek ↑
O
b
 ↳ menghindar

☐
 SO MUCH

padaha / normal ?
-
aja

Px : normal
MALING
- ↳ hindar

→
self diagnose
§
munchausen syndrome
/
→
nekat
buta /
lumpuh
L
tuli
o
 At
/ diprediksi
→ C- 1 di pred iksi

⊕dMsTtEg=hback
4 tinglingan
ban

↓
gg .
HD
 1
( omsk

0 kdesteatoma
 Flaccid a

✓
-
ten "

a.IO#'parsFlaccida
-

_
pars tensa
.
, ,
-

MAM Telur
- -
- -

- sekretct) → sekret G)
+
_

Defenitip
. -
Rujuk →
timpanoplasti
 dx : bitten
.

g-
 media
Kultur topple
→gnmʰᵈᵈ
: - ,

§
"" "
""
↳ DPT
" "" " ""
→

"
2,314
" " " ""
& "

→ tepat Gentamicin 40 -50mg /bb

①
②

↓
skin test
O
 /immediate type / IgE mediated

Allergic sign
→ gains

lujicukit / ujitusulc

Facies adenoid geogratri

'
allergic salute allergic crease
 Rumors
4
minggu

Semakin pentiny
0
OMA stperporasi
 # tubaeustachiuspende! /
landai
OH Super
- -
- - -

-
Katara / / I
-
/presupuratir /edema/ 2
.

-
/ bombans /3
-
14 -
15

→ fetes
hiding
→
infer
posterior
]
t
p
enileprin
F- edñn
i.
1 2 3 4 5

Napa 201in
Oxymetazolin

miringitisbuloymmg-a.gl?- sam*c0MAsl-supmotit-
◦ MA supuratit
NB stadium utamakan AB oral kecperforasi tampak benjolanselaput tipis /
bulging
: semua -
◦ Mt -

AB dibeñmulai St < keatas menonjol

jernih /dark
 →

dx : Sennen
prop
berenany

tepst
and I

↓
hempel
MT
0
 Pseudo croup 2 ' 3' 4
>

;g
fimunisasi.ly
/
hot potato
voice
r
thumb
print

↓
plait am
valeculla cherry
sign
 I
dx sinusitis maxi / aris
: transition -

inasi

0
 -

→
sensasiseperti cairn hiding → ngalir
tenggonk
ANATOMI

→ tepat →
sistemik ( B / aol.am )
tepat :
✗ ray

tanpa - NSAID

↓ contrast
_ PENO

defenitif → ambnxol / bwmhexin /GG

depenitif ←
 ᵈ" ↳" " *" °
"

g
 Komp : •
'
Ruptur MT
•
Laserasi MAE

① -
dilates
→ HPC
→ Foset

② - non iritatip - -

G) mati
-
-

③ crocodile forceps
 dalam tumor saraf
→
jinak
→ Kel .

telinga +
↳ toti sensorineural
① ↳
vertigo
→
penyakil.se/2-radangnumpuksescardsistemik Gtelinga berdenging
( gejalainplamasi (t)
↓
organ manapun →
pan
?
/ KGB
 - Tx :
Ryuk - ABD

→ Noice Induce Hearing Loss → Tiba ?

↳ Pe / an
"
→
pekergaan / petasan

town
2000 Hz

tuli
per
lahar
heat as

pd nada
/
7.
setelah

tinggi tulisa at pesta

cocktail
t
tulisa at ramai
O
 →
mekanisme :
ketidakseimbangan
vestibular
persepsi visual , ,

propioseptif

3
50mg
✗
→
-4
I

ngantuk
0 dx : Oedipus a
 staph aureus

etio : Pseudomonas
-

efio :

/ /
aeruginosa
#
/Funnkulosa / Swimmer ear

→
-

→ utama

topical lsistemik ④ HOLY - -

①

- -
②
(t ) Ha 02 3%
dx : Abses peñ tonsil
 , Faring menonjol
/ Vincent submandibula
angina

/
angina
ludovicseklitis /
=
✗ massa did pn ↳
ray
-
→

dibawah mandible
[ para arsis
wilisi
 → FR :
infeksicampodk audiometri : notch di
\ tulikondukt →

NIHL if / campuran 200011-21

↳ FR paparan
:
carhart
notch
bising / normal
Lama

( tuli sensorineural 21120mg

→

→
depenitip trauma akustilc
( notch 400011-2 ↓
audiometri :
gap G)
AC 225

BC 725
Rhinitis vasomotor : • Konka merch gelap / hiperemis → f)
Skin prick C- I sampah
↳
↓ •

berpindah posisi
Fr :
baulcuacadingin
stress
dx :
keranjang sampah
 tronkhi anak ?
→
tñaspneumoni ,

batik + sesaktdemam
21

wheezing
I
< zth
 ✗

↳ ban's

Pneumon;
/ Bronko pneumi respiratory siyntisional
lobularis → virus

[
-

sinters tisial

/exp nemanja ng

PPOK
→ mi
rip
/ Pseudo croup

/ Croup

mirip epiglottis ,
stridor ,
3- 5th , ✗
ray
n
.
penyempitansubglotil
,
 13th

gongg.org/demamsubfebrissakitringar
/
barking cough
para influenza virus tipe A

RSV

steeple sign / wine bottle

Tx 02 ,
steroid ( dexa 0,6mg / bb / SD / PO / IM / iv) ,
nebulepinefñn
2cL
camper Nall
2- 3 CC
0
 MMRC - I → aktiuitas sangat beat

B.in/sianosis2-sesakjalanterbun?/menaikitangga
BB ↑ -
bent
dahali
Batok
3 →
sesak jalan santailsaatjalanberhentikmsesak
Bronco vascular ↳
↑
sedany
Bronkitis kronik 4 →
sesakpakai baju ,
haniya dinmahdoang ,

jalahsebentar sesak
ring
- an

Pxfisik

empisemabronkil.is/cronik

-
-
-

otthrghrdmg
↓
influential
pneumococcus
 kg
0
\ pneumothorax
1.
Kuti /
any
 →
kutilang

*
Ggg -
HD

* fllukaterbuka
ldeviasitrakea

lama c-
0
ban ← Ics
4 ④ midaxilaris

defenitip
/chest tube
KABA
dx Asma sedang
serang an
:
 normal parah
↑ tengah ,

→
penyga / kata

02
→ SABA
\ Ks iantikolinergik
* SABA
* 02 7 3✗ IX
antikolinergik → →

Ts%☐a tantikolinwgik
*

* KS ( KS
+ KS

p →EEtFtFEEgoEBo

G) wheezing
2

G) wheezing

③
- KS
 makan Salbutamol Albuterol
PIRA SATE SABA : , ,

✓ Terbutalin
-
- - -

reliever eksaserbasi
-

\ bromide
0 Bat asana - →

antilulinergik ipratropium
:

[
-

Efuticason budesonid
controller _ propilaksis → ICS :

[
-

t
LABA :
aten ( salmeterol ,

Bude sakit FI Fomorterol )

Ñakanteor
 -

e-
-

0¥ Éñ%%→
to
'
 CAP
pm Ivar
c-

• Rs

• dlmrs <
405am

HAP VAP

Makkulantam Kulantam

sedang itapidisertai :
→ nitro

=
sedang
-

harilalu
sedang - -
-
-

O
 Dahak
F -

} Foam

}
-

molars

→
pus

dahak
-

/multiple cyst /
string beads
of
/
string of Pearl
↓
high resonances = HRCT

→ AB →
male kulantam
 0

dx :
TB pan Relaps

0
b
% 0 0°
o

↓
OAT kat I
k uh ✓ -

-
-
-

-
- -

-
-

tab stnepto
58 kg = 4
+
1000mg

OAT Kat 2
O Rematik
- riw ISPA /
Peng Jantung
.

Riw DR + murmur
Tomb / pioderma .

→
oncogenes meriang demon
infla
=
-

G)
2
Usia > 30th c
mayor
dtau
- I t minor 2
mayor
0 dx DVT
darah
:

C- Pem .

arteri
 (f) inplamr.si
C- linplamasi

→ Pxawal /
↓ tepat

venogr.fi/Px:venografi ①
↳
gold

Tx :
stocking kompresi ②
thrombosis
/ superficial vein

Tx : simtomatiea
seragam , bentuk
,
Vtmonemoreik lumbar
→ →
gunung

- VF - nmput

Gelombangsuara /sound wave

→ VT

polimorp.ie/torsadedepointes-gunungdiselinyirumput
 dosisrendah 100J 50J
r → - -

synchronized { - → dosisting.si

un synchronized - / Vtpolimorpilc ,

-
- -
① Vtrtanpanadi
-
-
②

unilateral
Kantistroke / *"
" /
Adenosine
miodawn
pijat µ n'WPJK
a.
now
→ ,
,
bruit /
↓
salahsatu B- blocker
t
G) stabil ( ( CB
lstabil
c-

digoxin ←
ec
acute lung edema
Digitalis /digoxin
 dx : APS

0
 Soa / → ACS →
nyeri
1
jam

[
G) baik
istirahat
Malet
EKG Tinveri
↑ d◦aⁿ9
awal ↓
→ tepat
→
Pxgvnakan
-

EtEggg3jm
③ utk
-

①
Eo¥g3§am
② ↓
diagnosis

enzim

Niko Tin + Aspirin tepat

↳ Max
45mg ①
- rosuvastatin 20
-40mg
→
High intensity F. atorvastatin go dong
-
-
 I
① STEM anteroseptal
 makan } LAD
anterior descending artery antero extensile / high lateral/
}
IRCA
- _
- -

STEM '
-

high anterior
-

1¥ rumple
c-
< ex art
↳ ≤i & £Al_AD -
→ -
≤ .
,
-
→ RCA
-
→
right coronary artery ↳ left main artery /
Left coronary artery

lead Lateral
stelevasi
Vs*✗→
↓
stemi

lateral
inferior
O
→
naik turn tangy / a

ja / an > 100M

sehari " / an
→ , ja
≤ 100m
 SAHAM ( t )
/

0
AV block gr 2 mobit I
dx :

irregular
0
≈h PR
panjang
> 5kt

Potus
LDR Ghosting

Regular -
girl ✗
grs
LDR Irregular →
grz

G) SAHAM c- Ghosting
→ SAHAM G) tapering OFF
① ②

①
②
-
0,5mg

Potus
 shockable
r
dx : Vtmonomorfik
① tan 'pa nadi
t
cardiac arrest
 - Bisadishock G) bsdishock -

tuns
→
garis
c-
semua imma

F- KG bukan VTIVF
nadia
① ②
bipañk :
120-2003
} paling
-0

①
✓
mono : 360J oendah ②
② BO :L ①
③ -1mg
 0

◦
-

≤
[
.
0

All
 → semua Kel .

arteri
c- perfer

Tx : ciloostazol
2×100
/ buerger
disease
Tx : amputasi
→

→ etio : emboli -
Txembolelctomi
-

Tx : debridement
→

→ ankle brachial index

 members t

Is

: A- hut →
ADHF -
ñwayat
gaga I
jantung
 / Edema panakut pngreñf -
onset >
2m99
-
☆ ,

klinis

Pertama Kali

HF
congestive
①
lgawal
←

→ enzim

→ tepat /gold
 Sesak / Ronkhi -

Taitung
\ .
pan

Cor + Pulmonal
↓ Li Asma / PPOK / Emboli / TB
Perry pan
:

gagaljantung
.

↓ t t

Kanan wheezing
merokok n' WDVT
ge↓ja/ a

aleryi TB