SKDI DIAGNOSIS KETERANGAN

MATA MERAH + VISUS NORMAL

Anterior (Seboroik)
4A Blefaritis Anterior (Ulseratif)
Posterior
4A Trikiasis, Distrikiasis
2 Entropion, Ectropion Rujuk
Virus

Bakteri
4A Konjungtivitis Infeksi Chlamidia (Trakoma)

GO

4A Konjungtivitis Alergi

Konjungtivitis Sicca
4A
(Dry Eye Syndrome)
4A Episkleritis
3A Skleritis
Awal
3A Pterygium
Definitif
2 Pinguekula Rujuk
MATA MERAH + VISUS TURUN
Bakteri
Virus
3A Keratitis Jamur

Acanthamoeba
Dosis

3A Xeroftalmia
Xn - X1A
X1A + Campak/ > X1A
Anterior (Iridosiklitis)
3A Uveitis
Posterior (Koroiditis)

3B Glaukoma Awal

2 Endoftalmitis Rujuk
2 Panoftalmitis Rujuk
 MATA TENANG + VISUS TURUN MENDADAK
2 Ablasio Retina Rujuk
2 CRVO, BRVO Rujuk
2 Neuritis Optik Rujuk
MATA TENANG + VISUS TURUN PERLAHAN
4 Kelainan Refraksi Miopia
Hipermetropia
Astigmatism
4 Presbiopia 40 thn
50 thn
60 thn
2 Katarak Rujuk
AMD (Age-related Macular
2 Rujuk
Degeneration)
ADNEKSA
Dakrioadenitis,
3A
Dakriosistitis
4A Hordeolum
H. Eksterna
H. Interna
4A Kalazion
2 Epikantus Rujuk
2 Xantelasma Rujuk
TRAUMA
4A Perdarahan Subkonjungtiva
4A Benda Asing Konjungtiva
2 Benda Asing Kornea Rujuk
3A Hifema Awal

Bedah
3B Trauma Asam/Basa
 TATALAKSANA
TA MERAH + VISUS NORMAL
Cuci sampo bayi, kompres hangat + Ab topikal
Cuci sampo bayi, kompres hangat + Ab topikal + Ab oral
Eyelid massage arah vertikal + Ab topikal + Ab oral
Epilasi
Rekonstruksi Palpebra
Adenovirus : Artificial Tear
Varicella Zoster virus : Asyclovir Salep 3% 5x1 (10 hr)
Ab topikal (Kloramfenikol 4 dd 1 selama 7 hr)
Ab topikal (Eritromisin 0.5%/Tertrasiklin 1%)
Ab oral (Eritromisin 50 mg/kgBB/hr)
Irigasi Nacl 4x/hr + Ab topikal (Kloramfenikol)
+ Ceftriaxon IM + Azitromisin 1 gr IM
Hindari Alergen
Mast cell stabilizer (Sodium Cromoglikat 2%)
+ Antihistamin topikal + Steroid topikal
Artificial Tear (Karboksimetilselulosa, sodium hialuronat)

Kortikosteroid topikal + kompres dingin

Kortikosteroid sistemik + NSAID
Artificial Tear (Karboksimetilselulosa, sodium hialuronat)
Ekstirpasi + conjungtival graft
Eksisi
ATA MERAH + VISUS TURUN
Ab topikal (Polygran) + oral
Antiviral topikal (Asyclovir ED 3%) + oral
Candida Albican : ampoterecin B 1.5% ~ Alam
Aspergillus : Natamycin 5%
Amoebisida (Poly Hexa Methylen Biguanide)
<6 bulan : 50.000 IU Vit A
<1 thn : 100.000 IU Vit A
>1 thn : 200.000 IU Vit A
1 kali pemberian
Hari 1, 2 dan 15 / Hari 0,1 dan 14
Steroid topikal
Sulfas atropine: Siklopentolat 1% (u/midriasis + sikloplegik)
Steroid topikal + sistemik
Stop produksi cairan :
Acetazolamid HCL 500mg PO, lanjutkan 4x250 mg/hr
Timolol Maleat 0.5% 2x1 tetes/hr
Keluarkan cairan :
Pilocarpin 2% (u/miosis)
Latanoprost (diuretik)
Anti mual-muntah + Analgetik + KCL
In. Ab Intraaurikuler, Eviserasi
Enuklease
NANG + VISUS TURUN MENDADAK
Retinospeksi pneumatik, scleral buckling
Fotokoagulasi, atasi sebab dasar, O2
Steroid
NANG + VISUS TURUN PERLAHAN
Lensa sferis terkecil
Lensa sferis terbesar
Lensa silinder
Lensa +1.00 D
Lensa +2.00 D
Lensa +3.00 D
Ekstraksi Katarak (ECCE, ICCE, Fakoemulsifikasi)
Fotokoagulasi, Anti VEGF

ADNEKSA
Kompres hangat + Ab sistemik + Insisi bila abses

Kompres hangat + Ab topikal + Insisi

Insisi horizontal
Insisi vertikal
Kompres hangat + Inj. steroid + Insisi kuretase
Koreksi bedah
Diet rendah lemak + Eksisi
TRAUMA
Tidak perlu (Sembuh spontan 1-3 minggu)

Anestesi topical + ekstraksi dgn lidi kapas + Ab topikal

Bedrest, posisi semifowler

sikloplegik topikal + turunkan TIO
Asam traneksamat
Parasintesis, trabeculectomy
Irigasi secepatnya
Sikloplegia, antinbiotik
EDTA u/trauma basa
SKDI DIAGNOSIS KETERANGAN
PIODERMA
Impetigo Krustosa Krusta
Ektima
Furunkel Bersih
4A Folikulitis Mau Aja Bagi Kolor
Furunkulosis 2-3x selama 7-10 hari
Karbunkel
Luas
Selulitis
3A Erisipelas
Flegmon
*by Streptococcus
3A Eritrasma

4A Paronikia
Pus
VIRUS
Asik Valak
4A Varicella, Herpes Zoster 7 hari

3A Neuralgia post herpetik

Asik Valak
Herpes Simpleks
4A
tanpa komplikasi Primer : 5 hari
Sekunder : 7 hari
Hand, Foot, & Mouth
3A
Disease
Farmako
3A Moluskum Kontagiosum
Non-Farmako

3A Veruka Vulgaris
Hamil
Non-Farmako
JAMUR
Topikal

4A Tinea Sistemik (14 hari)

Capitis/Pedis : 4-8 minggu
Corporis/Cruris : 2-4 minggu
2 Tinea Unguium

Topikal
4A Pitryasis Versikolor
Sistemik (5-7 hari)

Topikal
4A Kandidosis kutis
3A Kandidiasis mukokutan
PARASIT

4A Scabies

4A Pedikulosis capitis, pubis

Topikal
Farmako
4A Cutaneus Larva Migran

4A Insect bite/Pruritus herba

DERMATITIS EKSIM
Dermatitis Atopi
3A
Dermatitis Kontak DKA, DKI
3A

Dermatitis Popok/
3A
Napkin eczema
3A Neurodermatitis/LSK
3A Dermatitis Statis
Dermatitis Numular/
4
Discoid eczema
4 Dermatitis Venenata
4 Pitiriasis Alba

LESI ERITRO-SKUAMOUS

4A Pityriasis rosea

4A Dermatitis seborik ringan KOH +

Anak

3A Psoriasis vulgaris Sedang

3A Psoriasis vulgaris
Berat >10%
MORBUS HANSEN
PB 1 lesi
(Single skin lesion)

Morbus Hansen/Lepra PB 2-5 lesi

4A
tanpa komplikasi Hari 1: RD, Hari 2-28 :D
MB
Hari 1: RDK, Hari 2-28: DK

3A
3A Reaksi Lepra
Eritema Nodosum Leprosum
LAINNYA
Ringan
4A Acne vulgaris

Sedang

3A Acne vulgaris
Berat
Konglobata
Hamil

3A Rosasea

Kortikosteroid + AH oral
3B Reaksi Obat
Topikal
Pemphigus vulgaris
2
Pemphigoid bullosa
4A Urtikaria Akut

3A Urtikaria Kronis > 6 minggu

3B Angioedema

Kristalina
Miliaria Rubra
4A
Kel. Ekrin Profunda
Pustulosa

Hidradenitis supurativa
3A Kel. Apokrin
Abses
3A Dermatitis Perioral Antibiotik topikal ECM
Areata
3A Alopesia
3A Alopesia
Androgen

Lentigo/Melasma/
Frackles
3A Hiperpigmentasi

Post Inflamasi
Vitiligo
3A Hipopigmentasi

3A Hiperhidrosis

Pompholix
4 Dishidrosis Chronic Vesicobullous
Chronic hiperkeratotik
ID reaction
DUH/SEKRET
SKS dan ADE
GO

ADE
NGO

MeMe
Trichomoniasis
4A MeMeKli
Bakterial Vaginosis

KoKoFIN

Candidiasis
Vulvovaginalis

Fluko dan Itra

ULKUS
Asik Asik Valak

HSV
Pertama
Rekurren
Seas
Ulkus molle/Chancroid
4A

Ba Pa Do Er
Ulkus Durum/Sifilis (St.I)
 As Dos buCin
Granuloma Inguinale

BUBO & KUTIL

Do Er Tetra
2 LGV

Lilin TICA ber TOXIN

3A Kondiloma Akuminata

Non-Farmako (hamil)
 TATALAKSANA
PIODERMA
PK 1: 5000
Rivanol 1% / Asam Salisilat 0.1% / Povidon iodine 1%
Mupirocin 2%
Asam Fusidat 2%
Basitrasin 2%
Kloramfenikol 2%
Amoxcilin 3 x 500 mg
Eritromisin 4 x 500 mg (anak 20-50 mg/kg)
Penisilin Prokain 600.000 Iu/12 jam (5 hari)

Topikal : Tetrasiklin 3%
Sistemik : Eritromisin 4x250 14 hr / 4x500 7 hr
Atasi faktor predisposisi
Antiseptik + Ab oral (Fluklosasilin 4 x 500 mg)
Incisi Drainase
VIRUS
Asiklovir 5 x 800 mg
Valasiklovir 3 x 1000 mg
Famsiklovir 3 x 500 mg
Kompres dingin
Gabapentin 3x100, Amitriptilin 75 mg, steroid
Asiklovir 5 x 200 mg

Asiklovir 3 x 400 mg
Valasiklovir 2 x 500 mg
Simptomatik
Cegah makan/minum asam
Cantharidin 0.7-0.9%, Adapelen 0.1%, Podofilin 10-25%
Kuretase, Cryosurgery, Enukleasi
Asam salisilat keratolitik >2%
AgNO3 25%
TCA 50%
Cryotherapy, skapel, kauter
JAMUR
Terbinafin 1%
Klotrimazole 1%
Ketokonazole 2%, Mikonazole 2%
Griseofulvin 1-2 x 500 mg
Terbinafin 250 mg
Ketokonazole 200 mg
Itrakonazole 100 mg
 Terapi denyut : Terbinafin 2 x 250 mg 1 minggu, off 3
minggu. Selama 3 bulan
Alt : Itrakonazole 2 x 200 mg
Shampo selenium sulfida 1.8% (2-4x/minggu)
Gol. Azole : Ketokonazole 2% (2x selama 2-4 minggu)
Ketokonazole 200 mg
Itrakonazole 200 mg
Ketokonazole zalf 2%
Ketokonazole 200 mg
Nystatin drop 2 ml (anak), 4 ml (dewasa)
PARASIT
Permethrin 5% (hamil) 10 jam
Sulfur Presipitatum 4-20% (anak <2 bulan) 3 hari
Gameksan 1% (x hamil)
Benzil benzoal 20-25% (3 hari)
Permethrin 1% (hamil) 2 jam u/capitis, 10 menit u/pubis
Gameksan 1% (x hamil, anak <6 tahun) 12 jam
Malathion 0.5% semalaman
Hidrokortison, etil klorida spray
Albendazole 400 mg (3 hari)
Thiabendazole 2 x 50 mg/kg (max 3 gr) (2-5 hari)
Ivermectin 1-2 x 6 mg
Kortikosteroid topikal + analgetik + anti histamin oral
Infeksi sekunder : AB topikal/oral
DERMATITIS EKSIM
Anti Histamin
Salep kortikosteroid
Salep kortikosteroid
Antibiotik (infeksi), anti histamin (bila gatal)
Hidrokortison 2/2.5%

Clobetazole 0.05%
Betametazone cr + elevasi tungkai
Betametazone cr + AH

Kortikosteroid topikal
Hindari pajanan matahari + pelembab
+ steroid dosis rendah
I ERITRO-SKUAMOUS
Anti Histamin oral (CTM)
Salep kortikosteroid
Shampo Selenium Sulfat 1.8%
Ketokonazol 2%
Hidrocortison topikal
Clobetazole 0.05%
PUVA
 Metotrexate
MORBUS HANSEN
Rifampicin 600 mg
Ofloxacin 400 mg
Minosiklin 100 mg
Rifampicin 600 mg (2x1)
Dapson 100 mg
Rifampicin 600 mg (2x1)
Dapson 100 mg
Klofazimin 300 mg (hari 1) -> 50 mg (Hari 2-28)
Aspirin (Ringan), Prednison 40 mg
Aspirin (Ringan), Prednison 40 mg, Klofazimin 800 mg
LAINNYA
Komedo : Asam retinoid topikal
Papul : AB topikal (Klindamisin, Eritromisin)
Lini 2 : Azeleic Acid / Asam salisilat
Komedo : Asam retinoid topikal +/- Benzil peroksida 5%
Papul : AB oral 7-10 hari ~TiDaK
Tetrasiklin 2 x 500 mg
Doksisiklin 2 x 100 mg
Klindamisin 1 x 300 mg
Isotretinoin tab + steroid oral
Steroid intralesi
BPO (Benzil peroksida) 5% (Pengganti retinoid)
Eritromisin 2 x 500 mg
Hindari faktor risiko !! Makanan pedas, alkohol
Ab topikal, Ab sistemik, steroid (=acne)
Dexametason/Prednison 3 x 0.5 mg/ 2 mgg
Asam salisilat 2% + menthol
Prednison 60-150 mg/hr
Prednison 40-60 mg/hr
Anti Histamin 1 Gen 2: Cetirizine/loratadin 10 mg
Anti Histamin 1 Gen 1 : CTM 3 x 4 mg
Kortikosteroid
Anti Histamin 1 Gen 1 : CTM 3 x 4 mg
Kortikosteroid
Gang napas : Epi 1:1000 0.3 cc IM
Tidak perlu terapi / + Lotion Menthol
Lotion Clorheksidin or Betametason 0.1%, asam salisilat
Isotretinoin, lanolin
Antibiotik
Kortiko intralesi
Klindamisin 3 x 300 mg 4 mg
Incisi Drainase
Eritromisin / Clindamisin / Metronidazole
Lotion Minoksidil 2x2-5%
 Lotion Minoksidil 2x2-5%
+Finasterid 1 mg/hr or Dutasverid 0.5 mg/hr
Hidroquinon 2-5 %

or Tretinoin 0.1 %
Acylic Acid
Salep kortikosteroid
Calcineurin Inhibitor (Tacrolimus)
PUVA
Garam Alumunium, antikolinergik topikal, iontophoresis

Kortikosteroid topikal
Calcineurin Inhibitor (Tacrolimus)
Imunosupresnat (Siklosporin)
Kronik : Botulinum Toxin A
DUH/SEKRET
Sefiksime 400 mg SD
Klindamisin 2 gr SD
Seftriaksone 250 mg IM SD
Azitromisin 1 gr SD
Doksisiklin 2 x 100 mg 7 hari
Eritromisin 4 x 500 mg 7 hari
Metronidazole 2 gr SD
Metronidazole 2 x 500 mg 7 hari
Metronidazole 2 gr SD
Metronidazole 2 x 500 mg 7 hari
Klindamisin 2 x 300 mg 7 hari
Klotrimazole spp 200 mg 3 hari
Klotrimazole spp 500 mg SD
Flukonazole 150 mg SD
Itrakonazole 200 mg SD
Nistatin spp 100.000 IU 7 hari
KI : hamil, Pilihan : Virgin
ULKUS
Asyclovir 2x500
Asyclovir 3x400
Valasyclovir 2x500
7 hr
5 hr
Siprofoloksasin 2 x 500 3 hr
Eritromisin 4 x 500 mg 7 hari
Azitromisin 1 gr SD
Seftriaksone 250 mg IM SD
Benzatin Benzopenisilin G 2.4 Jt IM SD
Penicillin Procain 600.000 IM 10 hari
Doksisiklin 2 x 100 mg 30 hari
Eritromisin 4 x 500 mg 30 hari
 Azitromisin 1 gr 3 minggu
Doksisiklin 2x100 mg 3 minggu
Siprofoloksasin 2 x 500 minggu
BUBO & KUTIL
Doksisiklin 2 x 100 mg 14 hr
Eritromisin 2 x 500 mg 14 hr
Tertrasiklin 4 x 500 mg 14 hr
Tingtura Pedofilin 10-25%
TCA 80-90%
podofilotoxin 0.5%
Cryotherapy, skapel, kauter
 DIAGNOSIS KLASIFIKASI FARMAKO
Intoksikasi Obat Depresan Opioid Intoksikasi Naloxone 0.4-0.8 mg, bisa 2 mg, maks 10
Opioid Withdrawl Metadone 20-30 mg, maks 50 / Klonidin
Alkohol Intoksikasi Thiamin (B1) / Etanol-metanol/Fomipezol
Alkohol Withdrawl Benzodiazepin 5-20 mg 4-6 jam
Benzo Intoksikasi Flumazenil 0.2 mg IV
Benzo Withdrawl Fenobarbital
Intoksikasi Obat Stimulan Intoksikasi Simtomatik
(Amfe/MDMA, kokain, Withdrawl Bromokriptin
ketamin)
Intoksikasi Obat Halusinogen (Ganja, LSD) Simtomatik
Buspiron, Bupropion 2x150 mg/
Kecanduan Rokok Vareniklin Tartat 2x1 mg 12 minggu
Sianida Natrium Thiosulfat
Jengkolat Natrium Bikarbonat
Organofosfat Sulfa atropin 2 mg
Haloperidol HCL (Butyrohenon) 5-15 mg IM/4
Psikosis AP 1/Tipikal -6 jam
Clorpromazin (Phenotiazin) 150-600 mg, atau
50-100 mg IM, tiap 4-6 jam
AP 2/Atipikal Risperidon 2x2 mg
Clozapin 1-2 x 12,5 mg,max 600 mg/hari
Olanzapin 10-20 mg
Ekstrapiramidal Syndrome Umum Trihexyphenidyl 2x2 mg
Akatisia only Propanolol (Beta bloker)
Distonia Akut only Sulfas atropin
Neuroleptic Malignant Dantrolen/Bromokriptin/
Syndrome levodopa/karbidopa/Benzodiazepin
Mania Litium 250-500 mg
Haloperidol 5-15 mg
Asam valproat 3 x 250 mg
Carbamazepin 2-3 x 400-600 mg
Depresi SSRI Fluoxetine 1 x 20 mg
Setraline 1 x 25-50 mg
Trisiklik Amitriptilin 2 x 25-50 mg
Bipolar Tipe 1/kini mania Anti mania
Tipe 2/kini depresi Anti mania + anti depresan
Gangguan Cemas Benzodiazepine Short : Alprazolam 3 x 0.25-0.5 mg
Long : Diazepam 2-3 x 2-5 mg / Estazolam
Chlordiazepoxide 2-3 x 5-10 mg,
Lorazepam 2-3 x 1 mg,
Clobazom 2-3 10 mg

Gangguan Tidur Short/Early Short benzodiazepine : Alprazolam

Long benzodiazepine :
Middle/Maintenance Diazepam/Estazolam/Fenobarnital
Late/Terminal SSRI
Narkolepsi Metilfenidat/Modafinil
Gang. Somatoform SSRI/Amitriptilin
Gang. Kebiasaan & impuls SSRI
Trikotilomania Amitriptilin
SSRI
Gang. Makan & body dismorfik
ADHD Stimulan Metilfenidat 0.3-0.7 mg/kgbb/hr
Non stimulan Atomoksetine 10 mg
ASD AP 2 + SSRI
Gang. Motorik: Tic/Tourette AP 1 (Haloperidol)
Gang. Post partum Baby blues konseling
Depresi SSRI
Psikotik AP 1
Fobia Spesifik Alprazolam 0.25-2 mg
PTSD SSRI
=
 DIAGNOSIS KLASIFIKASI FARMAKO
Migran Abortif Clasic (aura) Sumatriptan 2 x 50-100 mg
Abortif Common Ergotamin 2 x 1 mg
Profilaksis Propanolol 40-240 mg
Amitriptilin
Asam valproat 500-1000 mg
Tension Type Headache Abortif PCT 1000 mg
NSAID : Ibuprofen 1-2 x 400 mg,
Asam mefenamat 3 x 500 mg
Mucle relaxant
Profilaksis Amitriptilin
Cluster Abortif Oksigen sungkup 10-12 lpm
Triptan / Ergotamin
Profilaksis CCB : Verapamil, diltiazem
Litium / Kortikosteroid / Amitriptilin
Neuralgia Trigeminal Carbamazepin 2 x 100 mg, max 600-1200
Gabapentin, Amitriptilin
Neuralgia Post Herpetik Gabapentin 300 mg, ditingkatkan 600 mg
Asam valproat / Amitriptilin / Carbamazepin
Kejang Parsial Carbamazepin 2 x 100 mg,
maintenance 800-1200 mg
Fenitoin
Petit Mal Etosuksimid 1-2 x 250 mg
maintenance 20-30 mg/kg
Asam valproate
Grand Mal / Mioklonik / Asam valproate 15 mg/kg/hari 2-3 kali,
Atonik max 60 mg/kg
Fenitoin 300-400 mg
Kejang ibu hamil Lamotrigin/Gabapentin/fenitoin
Status Epileptikus Stage II Diazepam 0.15-0.2 mg/kg, max 10 mg
Stage III Fenitoin 20 mg/kg, max 1500 mg
Stage IV Midazolam
Rabies Tatalaksana awal Cuci air sabun 10-15 menit
Resiko Minimal VAR 0,5 ml 3 dosis : 0 (2x), 7 (1x), 21 (1x)
Resiko Tinggi VAR + SAR heterolog 40 IU/kgBB,
homolog 20 IU/kgBB
Tetanus Kejang Diazepam IV 0,1-0,3 mg/kg/kali tiap 2-4 jam
Antibiotik Penisilin Prokain 50.000 IU/kg/kali tiap 12 jam
Metronidazole loading 15mg/kg/jam
lanjut 7,5mg/kg/6 jam
ATS (skin test!) 50.000-100.000 IU dibagi 3 dosis 0-7-21
HTIG 3000-5000 IU SD
Meningitis Bakteri Ceftriaxone + Vankomisin + Deksametasone
Bayi < 3 bulan Ampisilin + Cefotaxime
TB OAT Kat 3 selama 9-12 bulan + Kortikosteroid
Criptococcus (jamur) Amfoteresin B
Cerebral toxoplasmosis Primetamin
Guillain Barre Syndrome Plasmafaresis (200-250 ml plasma/kg 7-14 hari)
IVIG / Kortikosteroid
Myasthenia Gravis Acetilcolin Esterase Inhibitor 'sigmin'
neostigmine, pyridostigmin
Prednisone 60 mg/hari selama 5 hari
Bell's Palsy tapp off 5 mg/hari (selama 2 minggu)
Demensia Donepezil 5 mg
Acetilcolin Esterase Inhibitor
Galantamine
Sindrom Parkinson < 50 Amantadin
50 - 59 Bromokriptin
>60 Levodopa
Ter sedikit side effect Pramipeksol
Caisson Disease Hiperbarik / Oksigen tinggi
Stroke Iskemik < 3 jam rTPA : Anti platelet / trombolitik
> 3 jam Aspirin 80 mg, Clopidogrel 75 mg
Stroke Hemoragik Intraserebral Anti fibrinolitik : Asam traneksamat
Subarachnoid CCB : Nimodipin 15 mg/kg/jam, naik 30 mg
Awal Mannitol 20% loading 0,5-1 gr/kg/20 menit,
lanjut 0,25-0,5 gr/kg/4-6 jam
Metilprednisolone IV bolus 30 mg/ 15 menit (dosis
Trauma Medula Spinalis tinggi)
Periodik Paralisis KSR 3 x 1
Chorea Huntington Haloperidol
Syndenham Chorea Penisilin (demam rematik) + Haloperidol
Tremor Propanolol 60-800 mg
Neuropati Diabetik Pregabalin (Lyrica) 2x75 mg PO naik bertahap
TIA Aspirin
 DIAGNOSIS KLASIFIKASI FARMAKO
SVT (HR >150) Stabil Manuver vagal (10 min) satu a. carotis
Adenosin 6 mg IV -> 12 mg IV
or CCB (Verapamil 80-120mg/Diltiazem 10 mg)
tidak stabil Kardioversi 50-100J (narrow regular)
Sinus bradikardi (HR <60) Reguler Atropin 0.5 mg IV bolus -> infus dopa/epi
PEA (Tanpa nadi) RJP + epinefrin
AV Blok I-IIa Observasi (Stabil)/Atropin 0.5 IV (tdk stabil)
AV Blok IIb-III Pacemaker
Sinus Takikardi (HR >100) Stabil Amiodarone 300 mg/IV 10-20 menit
tidak stabil Kardioversi 50-100J (narrow regular)
Atrial Fibrilasi Stabil BB or CCB
tidak stabil Kardioversi bifasik 120-200J (narrow Irregular)
Kardioversi monofasik 200J
Warfarin 2 mg (u/ cegah stroke iskemik)
Atrial Flutter Stabil BB selektif : Bisoprolol 5-10mg PO/atenolol 25-
50mg PO/Metoprolol 2x50-100mg PO
CCB : Verapamil 2x40/Diltiazem 3x30
tidak stabil Kardioversi 50-100J (narrow regular)
AF + CHF Digoxin 0.125-0.5 mg PO
VT Stabil Amiodaron 300 mg/Prokainamid 20-50mg
tdk/dengan nadi kardioversi 100J (Wide regular)
Irreguler Defibrilasi 200J (Bifasik)/360J (Mono)
Cardiac Arrest VF/VT tanpa nadi Defibrilasi 200J (Bifasik)/360J (Mono)
Asitol/PEA RJP + epinefrin
VES (Ventrikular extra sistol) Amiodaron IV
Hipokalsemia (Long QT interval) Ca Glukonas 10% 20 ml IV 10 menit
ACS Tatalaksana awal Oksigen (sO2 <90%)
Nitrat sublingual 5 mg maks 3 kali
Aspirin 160 -320 mg
Clopidogrel 300 mg
Morfin (injeksi 2-4 mg/oral 5-10 mg) x
Definitif STEMI < 12 jam : Primary PCI
Fibrinolitik : Streptokinase 1.5 jt U 30-60 min
or Altaplase 15 mg IV bolus
>12 jam : Antikoagulan
Definitif Antikoagulan LMWH 5 hari
NSTEMI/UAP - Fondaparinux (Atixtra) 2.5 mg SC) KI: CKD
- Enoxaparin (Lovenox) 1 mg/kg 2x1 Ada babi

Edema Paru Oksigen / Intubasi

Nitrat sublingual / Nitrogliserin
Furosemid IV 0.5-1 mg/kgbb
Morfin IV 2-4 mg
CHF Sesak/udem Furosemid IV 0.5-1 mg/kgbb
A : ace-i/ARB
B : Beta bloker
 S : Spironolakton
D : stop semua ganti Digoksin
AF + CHF Digoxin 0.125-0.5 mg PO
Intoksikasi digoksin Charcoal,kolestiramin,anti aritmia
Hipertensi HCT/ACE/ARB/BB/CCB
Urgency Captopril sublingual
Emergency Nicardipin IV 0.5 mcg (Perpidin)
or Diltiazem IV 5-15 mcg (Herbesser)
Penyakit Jantung Rematik Penisilin -> eritromisin jika alergi
Profilaksis Penisilin 1x/bulan selama 5 tahun
selama 10 tahun (jika ada tanda karditis)
PAD ->TO/ALI/CLI Awal Cilostazol 2x100 mg PO
Definitif Revaskularisasi (Stent)
CVI (Insufisiensi vena kronis) Awal Stocking compresion/Inj. skelroterapi
Definitif Striping vena
DVT Heparin 5.000 U IV
Syok Kardiogenik >70, Hangat Dobutamin 2-20 mcg/kg/min
>70, Dingin Dopamin 5-15 mcg/kg/min
<70 Norepinefrin 0.5-30 mcg/kg/min
DIAGNOSIS KETERANGAN TATALAKSANA
Asma Terkontrol
Intermitten ICS
Persisten ringan ICS 200-400 mcg + LABA
Persisten sedang ICS 400-800 mcg + LABA
Persisten berat ICS >800 mcg+LABA+kortiko oral+Teofilin+Antileukotrin
Serangan
Awal Oksigen, nebul SABA (Ventolyn 2.5 mg)
(Jika tdk ada nebu: SC Terbutalin (SABA) 0.3-0.5mg/
Aminofilin/Epinefrin 1:1000)
Ringan Respon baik-> Obat pulang SABA + kortiko oral 3-5 hr
Sedang SABA + SAMA = Combivent --> rawat inap jika 3x gagal
Berat ICU : Kortiko sistemik oral/IV, dll
Controller ICS (Kortikosteroid inhalasi) : Budesonide, Pulmicort
B2 Agonis long acting : Folmoterol
Symbicort = Budesonide + Folmoterol
Reliefer B2 Agonis short acting inhalasi : Salbutamol, ventolyn
Kortikosteroid oral/IV
Anti kolinergik : Combivent
PPOK Grup A. GOLD I: FEV1 >80 Vaksin influenza + SAMA/BA
Grup B. GOLD II: FEV1 50-80 LABA/MA
Grup C. GOLD III: FEV1 30-50 LAMA + ICS
Grup D. GOLD IV: FEV <30 LAMA + ICS + Oksigen
Pneumonia CURB 65 : 0-1 Level 1/2
.+ komorbid/riwayat antibiotik
3 bln Level 1+2 /Level 3 (Oral)
CURB 65 : >2 Level 1+2 /Level 3 (IV)
CURB 65 : >2 + Sepsis non pseudomonas : Level 3 or Level 4
pseudomonas : Level 5
LEVEL 1. Beta laktam + beta laktamase (Skip?)
2. Makrolid
3. Fluorokuinolone
4. Cephalosporin Gen 3
5. Karbapenem
TB Kat 1 2 RHZE + 4 (RH)3
Kat 2 2 RHZES + 1 RHZE + 5 (RHE)3
Anak 2 RHZ + 4 RH
Dosis KDT
<37 kg 2 tab 4 FDC
37-55 3 tab 4 FDC
55-70 4 tab 4 FDC
>70 5 tab 4 FDC
Drug Induced Hepatitis
Ikterus Stop obat
Non ikterus
x RHZ 18-24 ES
x RZ 2 HES + 10 HE
 xH 6-9 RZE
Abses Paru Klindamisin 600 mg IV/8jam atau oral / Metronidazol
SKDI DIAGNOSIS KETERANGAN TATALAKSANA
Infeksi Tropis
Ringan Doksisiklin 2 x 100 mg
Ampisilin 4x 500 mg
Amoksisilin 4 x 500 mg
Leptospirosis Berat Penicilin G 1.5 jt unit/6 jam IV
Ampisilin 1gr/6 jam IV
Ceftriaxon 1gr/hari IV
Profilaksis Doksisiklin 200 mg/minggu
Kloramfenikol 4x500 mg 10 hari
Ampisillin 2 gr/hr 10 hari (ACC bumil)
Demam Tifoid
Ciprofloxacin 2x500 mg 7 hari (X anak)
Carier/Rawat inap Ceftriaxon 1gr/hari IV
ARV (2 NRTI + 1 NNRTI)
*NNRTI : Efavirenz, Nevirapine
HIV *NRTI : Zinofudine, Lamifudine, Stavudine
Profilaksis Dewasa : Kotrimoksazol 960 mg
Anak : Trimetroprim 4-6 mg/kgBB
HTIG 3000-6000 IM
ATS 50.000 IM (Skin test !)
Tetanus
Metronidazol 500 mg/6-8 jam 7 hari IV
Diazepam 5 mg IV
Ascaris Lumbricoides
Ankylostoma 1. A : Albendazol 400 mg SD

2. M : Mebendazol 500 mg SD/2x100 3hr

3. P: Pirantel Pamoat 10 mg/kgbb
Enterobius Vermicularis P-M-A
Trichuris Trichura M-A
Helminthiasis
Strongyloides Albendazol 400 mg 3 Hr
Taeniasis Praziquantel 10mg/kgBB SD
Taeniasis + Kesmen Albendazol 2 x 400 mg 8-30 Hr
(Neurosistercosis)
Scistosomiasis J Praziquantel 3x20 mg/hr
Scistosomiasis M-H Praziquantel 2x20 mg/hr
Akut DEC (DietilCarbamazin) 6 mg/kgbb 12hr
Filariasis
Kronik/Profilasis Albendazol SD + DEC/Ivermektin
Probable/Confirmed Oseltamivir 2 x 75 mg 5 hari
Flu Burung
Profilaksis/suspek Oseltamivir 75 mg 7 hari
Falciparum Lini 1: ACT 3 Hr + Primakuin 1 Hr
Lini 2: KINA+Doksi/Tetra 7 Hr + Primakuin 1 Hr
Vivax/Ovale Lini 1: ACT 3 Hr + Primakuin 14 Hr
Lini 2: KINA+Doksi/Tetra 7 Hr + Primakuin 14 Hr
Malaria
Malareae Lini 1: ACT 3 Hr
Lini 2: KINA+Doksi/Tetra 7 Hr
ACT (Combine) Artesunat + Amodiakuin
Dihidroartemisin + Piperakuin
Malaria Berat Artesunat IV / Artemeter IM
Doksisiklin 100mg/hr
(2 hr sblm - 4 minggu setelah)
Malaria Profilaksis Klorokuin 500mg/minggu
Bumil/Anak
(1 minggu sblm - 4 minggu setelah)
Resisten Klorokuin Meflokuin 250 mg
Derajat 1 3-5 ml/kgBB/jam
Derajat 2 6-7 ml/kgBB/jam
DBD
Derajat 3 10-20ml/kgBB dalam 30 menit
Derajat 4 20-30 ml/kgBB bolus!
Rheuma
Akut < 3hr Kolkisin 0.6-1.2 mg/jam (Maks 8 mg)
> 3hr Indometasin 150-200 mg/hr
Gout Arthritis
Kronik Allopurinol 3 x 100 mg
Probenesid
Grade 1 NSAID
OA Grade 2/3 Inj. Kortiko + As. Hyaluronat intraarticular
Grade 4 Total Knee Arthroplasty
Awal NSAID (Meloksikam, Na.Dic)
RA
Tepat DMARDS (Metotreksat/Klorokuin/Sulfasalazin)
Induksi Metilprednisolon 8 mg (High dose)
SLE
Tepat DMARDS (Metotreksat/Klorokuin)
Polimyalgia
Kortikosteroid
rheumatoid
Ginjal

Sistitis Non (Wanita + tdk hamil only) Cotrimoxazole 2x960 / Ciprofloxacin 2x250 mg 3hr
Komplikata

Amoksiklav 2x625 mg 7 Hr
Ciprofloxacin 2x500 7 hr
Sistitis Komplikata Anak Kotrimoksasol 10mg/kgBB
Bumil Amoksisilin 4 x 500 mg
IV 10-14 Hr Fluorokuinolon: Ciprofloxacin/Levofloxacin
Pyenonefritis
TMP-SMX : Cotrimoxazole
Sindrom Nefrotik Continous Day Prednison 60 mg (1 bln) ->
Alternating dose (Selang-seling)
AKI Ur>200 Uremic Syndrome Atasi gejala + HD Cito!
Endokrin

Sekretegague Sulfonilurea : Glibenklamid/Glimepirid 1x2 mg/

Gliclazide/Glipizide/Gliquidone (Ginjal aman)
Non Sulfonilurea : Glinid
Biguanid Metformin 3x500 mg
Thiazolidinedion Pioglitazon
Alfa glukosidase inh. Acarbose
DM
 DM SGLT 2 Inh. Canagliflozin
Agonis GLP-1 Liraglutide
DPP4 Inhibitor Sitagliptin
Sesuai Indikasi Insulin 0.5 IU/KgBB 60% prandial-40% basal
KAD/HONK Insulin drips 0.1 IU/KgBB
Prandial (Analog) Novorapid (Aspart) / Apidra (Glulisin)
Basal (Analog) Lantus (Glagrin) / Levemir (Detemir)
u/ Hiperkolesteromia Statin (Malam hari)
Dislipidemia Ada TG >500 Gemfibrozil 2 x 600 mg/ Fenofibrat 300 mg
u/ HDL <40 only Asam Nikotinat (Niasin)
Mild Metimazol 3x5 mg/hr
Moderate Metimazol 3 x 10 mg/hr
Severe Metimazol 3 x 20 mg/hr
Bumil Trimester I PTU 3x100-200 mg (300-600 mg/hr)
Hipertiroid PTU 600-1000 mg / Metimazol 6x20 mg
Krisis Tiroid
+ loading cairan !
Lugol/iodide 6-8 tetes/jam
Propanolol IV / 60 mg oral
Radioterapi (Pre-Op) Radioaktif : I 131
Levotiroksin 1x25-50 mcg/hr
Hipotiroid Levotiroksin 1x200-500 mcg IV, lanjut 100 mcg/hr
Koma Mixedem
sampai stabil
Hipoparatiroid Ca Glukonas 1000 mg + Vit D
Addison Disease Hidrokortison 10-25 mg
Hipoadrenal Krisis Adrenal Awal : Infus Nacl
Hidrokortison 100 mg bolus -> 100mg/4-6jm
GEH
Step Up Antasida/Ranitidin --> PPI
Epigastric Pain PPI (ROLE-P)
Robeplazole 10 mg
Omeprazole 20 mg
Lansoprazole 30 mg
Dispepsia
Esomeprazole 40 mg
Pantoprazole 40 mg
Post Prandial Fullness Prokinetik : Domperidone/Metoklopramid 3x10 mg
Bumil Antasida/Rani only
Up Faktor Defensif Sucralfat, Misoprostol
Ulkus Gaster/
Step down PPI --> Antasida/Ranitidin
Peptik/Duodenal
1st Line: O-K-A
Triple Therapy
(Ome 2x20 +Klaritromisin 2x500+Amox 2x1000)
2nd Line: Ter Bom
Gastritis (H.Pylori) Quadripel (Tetra 4x250 +Bismuth 2x2 + Ome+ Metro)
3rd Line: M-OKA
(Metro 3x500 +OKA)
Untuk PPI Test PPI dosis ganda 1-2 mg
GERD
 GERD
Step down PPI dosis tunggal 4 mg--> Antasida/Ranitidin
Tipe Diare Loperamid
(+infeksi/berdarah) Atapulgit 600 mg (New Diatabs)
IBS
Tipe Konstipasi Bisacodyl (Dulcolax), Proetilen Glikol (PEG)
Tipe Nyeri Perut Papaverin, Hyosine Butylbromide
Giardiasis Metronidazol 3x250 mg 5 hari

Tertrasilklin 3x500 mg 2 hari/

Diare Kolera Doksi 300 mg SD/ Azitro 1 gr SD
Anak: Azitro 15 mg/kgbb hari 1, 2-5 hari berikutnya
7.5/kgbb
ETEC/EPEC Ciprofloksasin 2x500 5 hr / Cotrimoxazole
EHEC/EIEC/Shigellosis Ciprofloksasin 2x500 5 hr / Cotrimoxazole
Amoebiasis Metronidazol 3x500 mg 5 hari
Disentri
Balantidiasis Tetrasiklin 4x500 mg
Metronidazol 3x500 mg 5 hari
C. Botulinum Human Botulism Ig 50mg/kg SD
C. Perfringens Penicilin G 2-4 jt unit/6 jam IV
Inf. Clostridium
C. Dificille/ Stop Antibiotik
colitis pseudomembran Metronidazol 4 x 250-500mg 7-14 hr
HEPATOBILIER
Kolelitiasis Ursodiaxy Colic Acid (Urdafalk) 250 mg
Hepatoprotektor Curcuma
Hep A Simptomatik
Hepatitis
Hep B ARV : Lamivudin
Hep c ARV : Ribavirin+Interferon
Piogenik Penicillin
Abses Hepar Aspirasi abses jika > 5cm
Amobeik Metronidazol 3x750 mg
Hematemesis/melena Somatostatin
Serosis hepatis Profilaksis
ruptur varises esofagus Propanolol

HOM
Def. FE Ferro glukonat 4 x 1 tab (12% elemntal)
Ferro sulfat 3 x 1 tab (20% elemntal)
Ferro Susinat 3 x 1 tab (22% elemntal)
Anemia Mikrositik Ferro fumarat 2 x 1 tab (33% elemntal)
PRC : Hb target-Hb skrng x 3 x BB
Thalasemia PRC : Hb target-Hb skrng x 3 x BB
Deferoxamin (u/kelasi besi)

Anemia Def. B12 Vit B12 80 mcg

Megaloblastik
Def. Asam Folat As. Folat 0.4-1 mg
Polisitemia Vera/
Kriptogenik Flebotomi (Target Ht < 45%)
Aspirin 40-80 mg/hr
Hidroksiurea 2x500 mg
 DIAGNOSIS
Perikondritis/kondritis
Hematom auricula
(Othematom)
Pseudokista auricula
Fistula preauricular
Otitis Eksterna
Otomikosis
Serumen Obturans
Miringitis Bullosa
Herpes Zoster Otika
Otitis Media Supuratif Akut
Otitis Media Supuratif Kronik tubotimpani/mukosa
Otitis Media
Serosa/Efusi
Otomikosis
Trauma Akustik, NIHL
BPPB
KLASIFIKASI FARMAKO
TELINGA (Kronik >2 bln)
Aspirasi : Pus + riw. Infeksi Salep gentamisin + Ciprofloksasin 2 x 500
Aspirasi : Darah + riw. Trauma Kompres dingin + bebat tekan 5 hari
Definitif : Aspirasi
Aspirasi : Cairan kuning + Insisi Drainase
idopatik, tdk nyeri
Bersihkan antiseptik
Komplikasi abses : Insisi Drainase
Sirkumskripta Ab topikal (Basitracin, neomisin, Polymixin B)
Definitif : Insisi drainasi jika furunkel blm pecah
Berat : Ampisilin 4 x 250mg
Difusa Tampon antibiotik (Ofloxacin) / burowi
Berat : Ampisilin 4 x 250mg
Maligna (+ parese N.VII) Ciprofloxacin
As. Asetat 2% (Ear/aural toilet) + Antijamur
Aspergillus Miconazole
Candida Nystatin
u/melunakkan Carbol gliserin 10%
u/cegah infeksi sekunder! Antibiotik (Amoksisilin)
Antinyeri + dekongestan
Asiklovir 5x800 / Valak 3x1000 7-10 hr
1. Oklusi Dekongestan
(Tetes efedrin 0.5-1%/ oksimetazolin)
2. Hiperemis Analgetik + Antibiotik oral
3. Supuratif Miringotomi (Rujuk) + Antibiotik oral
4. Perforasi H2O2 3% 3-5 hr (Ear Toilet)
+ Ab topikal (Ofloxacin)
5. Resolusi Observasi
Benigna/tenang/Aman/
Miringoplasty
Maligna/ganas/atikoantral Mastoidektomi, timpanoplasty
Awal Dekongestan + anti histamin (jika riw.alergi)
Definitif
Grommet/Pipa telinga (watchfull waiting 3 bln)
Aspergillus Miconazole
Candida Nystatin
Neuroprotektor (Vit. B complex)
Betahistine 3x6 mg
dirumah Brandt daroff
by dokter Manuver Epley
 Diazepam, betahistine u/akut!
Meniere Disease Diuretik (HCT), Diet rendah garam
Hidung (Kronik > 3 bln)
Rhinitis Alergi Definitif Hindari Alergen
Intermitten
(<4X/mg or < 4 bulan) Anti Histamin, Nasal dekongestgan
Topikal : Phenilefrin 0.5%
Sistemik : Pseudoefedrin tab 2 x 60 mg
Persisten sedang berat Kortikosteroid Topikal
Fluticason/mometason spray 1x2 spray
Rhinitis Vasomotor Nasal Dekongestan sistemik, KS topikal,
Antihistamin (jika rinore/bersin)
Rhinitis Medikamentosa Stop obat (Phenilefrin/Efedrin/Napazoline)
Kortikosteroid Topikal
Cuci hidung + Antibiotik
Rhinitis Atropi/ozaena/sikka
(Amininoglikosida/cipro) + Vit A
Rhinosinusitis Antibiotik spektrum luas + simptomatik
Kronis FESS (Fungsional endoscopy sinus surgery)
Epistaksis Anterior Awal : bebat tekan (Manuver Trotter)
Tampon anterior/borzalf (2 Hr)
Kaustik AgNO3
Posterior Tampon Belloq (3 Hr)
Polip Nasal Kortikosteroid intranasal
Definitif Polipektomi
Tenggorokan (Kronik > 2 mg)
Tonsilitis Akut Antibiotik spektrum luas 3-5 hr
kronik Antibiotik spektrum luas 7-10 hr
Amoksisilin 3x500 mg/
Cephalexin/Cefadroksil/Azitromisin
Tonsilitis Difteri ADS + Penicillin/eritromisin
Hidung ADS 20.000 IU + skin test !
Tonsil/faring/laring ADS 40.000 IU
Nasofaring ADS 60.000 IU
Ada
Bullneck/penyulit/terlambat ADS 80-10.000 IU
berobat (>3 hr)
Tonsilitis Fungal Nystatin drop 100.000 U/ml (7-14 hr)
Faringitis Bakteri Antibiotik spektrum luas
Virus Simptomatik (Analgetik/antipiretik)
Jamur Anti-Jamur
Kronik Agen Kaustik
Laringitis Istirahat bicara 2-3 hr (Vokal rest)
Simptomatik, stop rokok/obati GERD
Epiglossitis (Pseudocroup) Antibiotik spektrum luas
Obstruksi jalan napas Intubasi/trakeostomi
Croup batuk menggongong Inhalasi adrenal + kortikosteroid oral/IM
(Laringo-trakeo-bronkhitis)
Pertusis batuk melengking Eritromisin 4 x 500 mg (30-50mg/kgBB/hr)
 PASAL KETERANGAN
Pasal 133 & 134 KUHP Dokter harus buat VER
Pasal 222 KUHP Tidak boleh Keluarga menolak autopsi
Pasal 352 KUHP Luka Ringan
Pasal 351/353 KUHP Luka sedang
Pasal 90 KUHP Luka berat
Pasal 287 KUHP Perkosaan
Pasal 286 KUHP Perkosaan korban tdk sadar : Penjara 9 thn
Pasal 285 KUHP Perkosaan korban sadar : Penjara 12 thn
Pasal 76 No 23 Thn 2009 Maksimum abortus UK 40 hari/6 minggu
Pasal 3 KODEKI Kemandirian profesi
pasal 20 KODEKI Dokter harus jaga kesehatan :)
Pasal 341-343 KUHP Pembunuhan anak/Infantisida
 DIAGNOSIS SIGN/SYMPTOM
ORTOPEDI
Fr. Colles Dinner fork deformity
Fr. Smith Garden Spade deformity
N. Radius Drop Hand
N. Medianus Ape/benediction/obstetric hand, OK sign (-)
N. Ulnaris Claw hand
Erb's palsy Waiter tip deformity
Dislokasi Shoulder Ant. Half. Bulb appereance
Dislokasi Shoulder Post. Halfmoon overlap
Cubital Tunnel Syndrome Claw hand + Wertenberg sign, Frommet sign
Carpal Tunnel Syndrome Flick Sign, Tinnel test
HNP Cervical Spurling test/Lhermitte, Nafzinger (+)
HNP Lumbal Laseque, Bragard sicard
Spondilolisis Scotty dog
Osteomielitis subakut Abses Brodie
Ewing sarcoma Onion Skin
Osteosarcoma Sunburst, Coddman triangle
Chondrosarcoma Cauliflower, Pop corn app.
Multiple mieloma Punchout lytic, bence protein, BNP: egg fried
Duchene Muscular Dystrophy Gower sign
Dev. Dislocation of Hip (DDH) Barlow test, Ortolani test, Trendelenburg test (+)
Rikets/Osteomalacia (Def. Vit D3) Bowed leg, craniotabes, roseary beads
Osteogenesis Imperfecta/Brittle Sklera biru, fraktur multiple
ACL Lachman test, pivot test
PCL Posterior sag
Meniscus tear Locking. Mc murray, Thessaly, Apley
Ankle Sprain Thomson test/Calf squeeze (+)
Tenosynovitis Canavel sign
De Quarvain Tenosynovitis Finkelstein test (+)
UROLOGI
Trauma uretra anterior Butterfly hematom
Trauma uretra posterior Floating prostat
Torsio testis Angel sign, Deming sign (+)
Orchidoepididimitis Phren sign (+)
DIGESTIF
Apendisitis Kocher's, Mc.Burney, Rovsing, Blumberg, Dunphy
Psoas, Obturator sign, Ten horn sign
Peritonitis Pneumoperitoneum
Ileus Obstruktif Metalic sound, darm contour, darm steifung
Ca Colon Apple core appareance/filling defect
Trauma Limpa Kehr sign, Traub sign
Trauma Hepar Boa sign
ONKO
Phylloides tumor Leaf like pattern
Lipoma Signet ring cell, slippage sign
Kista ateroma
Neurofibromatosis tipe 1/ Von
Recklinhausen sindrom
Hirsprung Disease
Achalasia Esofagus
Atresia Esofagus
Atresia Renal
HPS
Atresia Duodenum
Intususepsi/Invaginasi
Volvulus
Divertikulum Zanker
Contusio
EDH
SDH
SAH
Fraktur Basis Cranii
Hidrocephalus (Anak)
Efusi pleura
Hidropneumothorax
Open pneumothorax
Flail chest
Pungta (+)
Café-au-lait spot
BEDAH ANAK
Mouse tail, saw tooth, 3 Zone
Mouse tail/Bird peak
Gasless abdomen, USG: Polihidramnion
USG: Oligohidramnion
Olive shaped mass (Zaitun) , umbrella/mushroom
sign, string sign, single bubble
Double bubble
Red currant jelly stool, sausage sign, dance sign,
portio like sign, doughnut sign/target sign/sandwich
sign, coiled spring
Pseudokidney/Coffee bean, screw sign
Pharygeal pouch C5-6
BEDAH SARAF
Salt & Paper sign
Bikonveks
Crescent sign, Bikonkaf
Stellata
Anterior : Racoon Eye, Bloody rhinore
Media : Battle sign, Bloody otore
Sunset phenomenon, cracked pot sign, cerebral cry
BTKV
Eliis damoiceau line, meniscus sign
Air Fluid Level
Sucking wound
Paradoxal breathing
 DIAGNOSIS KETERANGAN
OBSTETRI
Endometritis Pervaginam
SC
Toxoplasmosis <18 mg
>18 mg

Salpingitis
 TATALAKSANA
OBSTETRI
Ampicillin 2 gr/6 jam IV + Gentamisin 5 mg/bb/24 jam IV
Clindamycin 900 mg/8 jam IV + Gentamisin
Spiramisin
Pirimetamin + Sulfadiazine + Folinic Acid

Clindamycin 900 mg IV/8jam + Genta 2 mg/kg IV

or Cefotetan 2 gr IV/12jam + Doksisiklin 100 mg/12jam
 DIAGNOSIS KETERANGAN
INFEKSI

Campak

Sindrom Nefritik

Pertusis

Diare Tanpa Dehidrasi

Dehidrasi Ringan-Sedang

Dehidrasi Berat

Syok Hipovolemi
Asma (6-11 thn) Step 1. Intermitten
Step 2. Persisten ringan
Step 3. Persisten sedang
Step 4. Persisten berat

Tatalakasana Gizi Buruk Atasi Dehidrasi

Alergi susu sapi

Intoleransi laktosa
 TATALAKSANA
INFEKSI

<6 bulan : 50.000 IU Vit A

<1 thn : 100.000 IU Vit A
>1 thn : 200.000 IU Vit A

Eritromisin 30mg/kgBB dalam 3 dosis (3 dd 10mg)

Eritromisin 40-50mg/kgBB dalam 4 dosis (4 dd 12.5mg)

or Azitromisin 10 mg/kgBB 5 hari
Alternatif : TMP 8-SMX 40 mg/kgBB dalam 2 dosis 14 hari
<1 thn : 50-100 ml oralit/bab
>1thn : 100 ml oralit/bab
75 ml/kgBB/ 3 jam
< 6 bln : Zink 10 mg
> 6 bln : Zink 20 mg
< 1 thn : 30 ml/kgBB (u/ 1 jam) + 70 ml/kgBB (u/ 5 jam)
> 1 thn : 30 ml/kgBB (u/ 30 menit) + 70 ml/kgBB (u/ 2.5 jam)
Guyur RL 20 cc/kgBB secepatnya
ICS low dose
ICS low dose
ICS low dose + LABA / ICS Medium dose
ICS Medium dose + LABA

ReSoMal 40 cc/30 menit selama 2 jam

Rehidration Solution for Malnutrition

Susu formula hidrolisat ekstensif, susu asam amino

Susu bebas laktosa
 DIAGNOSIS NAMA LAIN
Sindrom Metabolik X Syndrome
Cauliflower ear Wrestel ear
PCOS Stein Levental Syndrome
Herpes Zoster Shingles
Herpes Zosrer Otika Ramsay hunt syndrome
Hemofilia B Cristmas Disease
Osteogenesis Imperfekta Britttle Bone Disease
Neurofibromatosis Tipe 1 Von recklinhausen's disease
Factitious Disoreder Munchausen syndrome
Clostrididum Dificille Infection Kolitis Pseudomembran
AV Blok II Mobitz 1 Wenckebach
SV Blok II Mobitz 2 Hay Block
Agenesis renal Potter syndrome
Keratosis seboroik Keratosis Aktinik
Stenosis Pilorus Gastric Outlet Obstruction
Neuralgia Trigeminal Tic douloureux
Hernia medial + Ingunial ipsilateral Pentaloon/saddlebag hernia
Congenital Talipes Equinovarus (CTEV) Club Foot
Pes Planus Flat Foot
Tarsal Coalition Spastic Flat Foot
Arteritis Temporal Giant Cell Arteritis
Tiroditis De Quarvain (Sub Akut) Giant Cell Thyroiditis
Chronic Autoimmune Tiroiditis Tiroiditis Hashimoto
Distimia Depresi Neurosis
Dermatitis Numular Discoid Eczema
Granuloma Inguinale Donovanosis
LSK Neurodermatitis
SSSS Ritter's disease
Konjungtivitis+Ureteritis+Arteritis Reiter's disease
Vaskulitis IgA Henoch-Schonlein Purpura
Polisitemia Vera Polisitemia Kriptogenik
Voyeurisme Skopofilia
Flu singapura hand, foot, and mouth disease (HFMD)

Fenomena tetesan lilin

Dix Hallpike Manuver Nylen Barany Manuver
Nyeri Goyang Portio Candelier sign
Hematom kacamata Racoon's eye