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 (40-41oC), 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.
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
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
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
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
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