Diagnosa 5 Penyakit Umum

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1. Dengue Hemorraghic Fever (by : Ana) What / Main Complaint : Fever When / Timing / Onset : 2 until 7 days How / Chronologic / Quality : suddenly high fever (40-41 o C), headache, hurt in the muscle and joint, face become red, often throwing up, the fever sometimes decrease suddenly. Severity : the headache is very painful, the dizzy makes the patient feel like the environment is spinning, pain in the muscle and the joint also pretty awful. Who : usually children under fourteen years old. Associated signs and symptoms : Anorexia 2. Hypertension (by : Dwiki) What/ Main Complaint: 1. Headaches 2. Heart Palpilations 3. Ringing in the ears (tinnitus) 4. Frequent of Sweating 5. Blurred visions 6. Breathless (blown) 7. Always tired When:

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Transcript of Diagnosa 5 Penyakit Umum

Page 1: Diagnosa 5 Penyakit Umum

1. Dengue Hemorraghic Fever (by : Ana)

What / Main Complaint : Fever

When / Timing / Onset : 2 until 7 days

How / Chronologic / Quality : suddenly high fever (40-41oC), headache, hurt in the

muscle and joint, face become red, often throwing up,

the fever sometimes decrease suddenly.

Severity : the headache is very painful, the dizzy makes the

patient feel like the environment is spinning, pain in

the muscle and the joint also pretty awful.

Who : usually children under fourteen years old.

Associated signs and symptoms: Anorexia

2. Hypertension (by : Dwiki)

What/ Main Complaint:

1. Headaches

2. Heart Palpilations

3. Ringing in the ears (tinnitus)

4. Frequent of Sweating

5. Blurred visions

6. Breathless (blown)

7. Always tired

When:

1. While pregnant

2. Doing a bad diet

3. Excess Weight

4. Stress

5. Insufficient physical activity

How/chronologic:

Generally, normal blood pressure is 120/80 mmHg, if equal or higher than 140/90

mmHg are classified as Hypertension. The cause of hypertension is when the blood

flows resisted in arteries (the flows not smooth) because of plaque and narrowing of

blood vessels. Hypertension could be caused by the other conditions too like: have a

high cholesterol, diabetes, overweight etc.

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Other factor:

1. Age (increase age, increase prevalence of hypertension too)

2. Gender (commonly in men)

3. Family history (bisa turun temurun)

4. Overweight (obecity)

5. Frequent of smoking

6. Too much eat salt , too much drinking alcohol and cafein

7. Certain of other conditions, like have a high cholesterol, diabetes, etc

Hypertension (by : Cintya)

Chief complaint : headache

Who : male, 62 years old

Where : whole part of head

Quality : head feeling heavy

Quantity : head felt so heavy until can’t lift the head, it’s getting

worse until can’t sleep

Timing : headache since a week ago but getting worse 2 days

ago. Headache happens sometimes uncertainty

frequencies or duration

Setting : getting headache after working, after eating food

especially fatty and oily food, wake up in the morning

or when tired.

Aggrevator factors (factor make it worse) : stress, tiredness

Reliever factors (factor make it better) : eats paracetamol, drinking coffee

Another manifestations : red face, heart beats faster, especially after work felt

hard to breath, dizzy, easily got angry or tired,

sometimes hearing “nginggg” sound (tinnusitis),

blurred vision.

After physical examination found the blood pressure above the average

>120/80 mmHg

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3. Lung Tuberculosis (by : Asti)

What/Main complaint : cough

When/Onset : it has been for 6 months

How/Chronologic : in around the house of the patient, there’s an old man

who had cough and already got treatment for 1 year.

Then since 6 months ago, the patient began to cough.

The patient already got treatment by oral. In several

days, the cough was disappear but next day the cough

was appear again.

Associated sign : blood cough, breathless, and fever for several days.

The temperatur of the body rising, not too high, but the

fever is persist.

Where : feel pain on chest

Lung Tuberculosis (by :Ari)

Main complaints:

A bad and persistent cough for 3 weeks or longer

Chest pain which is less sharp and more achy. The pain can be felt while

inhaling or exhaling.

Coughing up blood or sputum (phlegm from deep inside the lungs).

Associated manifestations:

Weakness or extreme fatigue

Weight loss

Little or no appetite

Fever (can be low grade)

Chills (usually severe and repetitive)

Sometimes sweating at night

4. Anemia (by : Eunike)

What / Main Complaint : dizziness and fatigue

Who : usually woman with the range age between 26 – 40

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year.

When / Timing / Onset : can occur slowly over a long period of time

How / Chronologic / Quality : frequent fatigue, frequent nausea, pale eyelids,

dizziness, irregular heartbeat, pale face, decreased

immunity,changes in urine color,coldness in hands.

Severity : Dyspnea, the skin become yellow (Jaundice), hair loss

Anemia (by : Eti)

What :

- Main complaint : weakness

- Other complaint : light-headness when stand up, dizziness, sleepy, can

not concentration

- He/she is on office worker

When :

- Feel dizziness when lying down and stand up

- It has happened for 4 days

Who :

- His/her mother also have the same problem at the some condition

Why :

- At the recent time he/ she work overtime

How :

- Only sleep around 3 up to 4 hours a day

- Work until midnight

5. Chest Pain (by: Putri)

Chief Complaint : Chest pain

Who : 55 years old man

Onset : after doing some exercise (jogging, push up and

Where : in the sternum, the chest wall including the ribs the

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skin and the muscles

Quality : very painful like heart beating quickly and it is like

someone pushing your chest deeply

Quantity : not very often, sometimes when doing any heavy

exercise. It only paining about 2-4 minutes.

Chronology : when I was jogging in the morning for about an hour,

doing some additional exercise like push up, scot

jump and so on. Then after about 5 minutes resting,

my chest is paining. Then I feel not comfortable in

my sternum (chest bone). I found it difficult to breath

for a while and the pain spread out through my left

shoulder, arms and my back. I was sweating too

much.

After several minutes, I drank a glass of water and

took a deep breath, and I feel like my pain decreased.

Factor : doing exercise too hard and did not doing the

warming up

Concurent Complaint (s) : paining around the left shoulder, arms, and the back.

Sweating too much, and difficult to breath

Past History : I was a heavy smoker but now I have stopped since 2

years ago, I wasn’t doing exercise regularly

Present Illness : Chest pain

(Doctor’s turned) From the anamnesis above, I may suspect that you have a

coronary heart disease. But for the further and exactly diagnose, I should doing the

laboratory test. (you may add any advice for the patient for not eating any raw,

meat, “jeroan” and start to eat more fruits and vegetables. You may tell the patient to

keep his lifestyle and can still doing exercise but not to heavy one. probably simple

gymnastic).

6. HIV-Aids (by : Dalika)

What/main complaint : flu-like illness include fever, headache,

tiredness and diarrhea

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When/ onset : within several days to weeks

How/chronologic : - feel very pain on head and get ever by several

days and after a few weeks that pain is disappear

- And when do just a little bit exercise or activity

that really easy to became tired

Where : abdominal really pain and make diarrhea

Feel pain in the whole of head and nausea