Clinical Assessment
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CLINICAL ASSESSMENT HRM.HARDADI AIRLANGGA
FACULTY OF MEDICINE ISLAMIC UNIVERSITY OF MALANG
ANATOMY AND HISTOLOGY APPROACH • • • • • • • • • • • • • • • •
Neurology system Cardiovascular system Respiration system ENT system Mouth system Gastrointestinal-Hepatology system Urinary Tract system Reproduction and genitalia system Bone and Joint system Tissue system Musculo system Dermatology system Hematology system Endocrine sysem Psychiatri system Immun system
EXAMPLE • Clinical data – Cough – Secrete
• Hypothesis – Respiration system disorders – Bronchus disorders
DISEASES MODEL APPROACH • • • • • • • • • • •
Psychiatri Model Infection diseases model Degeneration diseases model Immun and alergy diseases model Congenital and genetic model Intoxication and idiosincration model Trauma model Functional and psychogen model Iatrogenic model Neoplasma model Metabolic diseases model
EXAMPLE • Clinical data – Fever 2 days
– Cough – Secrete – Yellowish secreted
• Hypothesis – – – – – –
Infection disease Alergy autoimmun Adverse reaction Neoplasm Idiosincration Neural irritative in respiration tract – Immune Respon respiration tract – Bacterial infection
Combination Hypothesis EXAMPLE
Cough Secrete Yellowish secreted Fever
Respiratory tract disorders
Acute infection
Acute bronchitis
REFLECTIVE THINKING CLINICAL DATA
DIAGNOSIS
LEVEL OF THINKING LEVEL 1
What ? Definition ?
LEVEL 2
Why ?
LEVEL 3
Why 2 ?
LEVEL 4
How ?
LEVEL 5
What ? Disease ?
LEVEL 6
What ? Etiology ?
FACULTY OF MEDICINE ISLAMIC UNIVERSITY OF MALANG
ANATOMY AND HISTOLOGY APPROACH • • • • • • • • • • • • • • • •
Neurology system Cardiovascular system Respiration system ENT system Mouth system Gastrointestinal-Hepatology system Urinary Tract system Reproduction and genitalia system Bone and Joint system Tissue system Musculo system Dermatology system Hematology system Endocrine sysem Psychiatri system Immun system
EXAMPLE • Clinical data – Cough – Secrete
• Hypothesis – Respiration system disorders – Bronchus disorders
DISEASES MODEL APPROACH • • • • • • • • • • •
Psychiatri Model Infection diseases model Degeneration diseases model Immun and alergy diseases model Congenital and genetic model Intoxication and idiosincration model Trauma model Functional and psychogen model Iatrogenic model Neoplasma model Metabolic diseases model
EXAMPLE • Clinical data – Fever 2 days
– Cough – Secrete – Yellowish secreted
• Hypothesis – – – – – –
Infection disease Alergy autoimmun Adverse reaction Neoplasm Idiosincration Neural irritative in respiration tract – Immune Respon respiration tract – Bacterial infection
Combination Hypothesis EXAMPLE
Cough Secrete Yellowish secreted Fever
Respiratory tract disorders
Acute infection
Acute bronchitis
REFLECTIVE THINKING CLINICAL DATA
DIAGNOSIS
LEVEL OF THINKING LEVEL 1
What ? Definition ?
LEVEL 2
Why ?
LEVEL 3
Why 2 ?
LEVEL 4
How ?
LEVEL 5
What ? Disease ?
LEVEL 6
What ? Etiology ?
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