DAFTAR MASALAH KEPUTUSAN KONSIL KEDOKTERAN INDONESIA NOMOR 21A Masalah Individu No Masalah Sistem Diseases berdasarkan SKDI

1 Demam (1, 3, 4, 5, 6, 7, 9, 1 10, 11, 12, Brain 13, 14, stem 15,lessions 16, 17, 18)

No 61

Meningitis Encepalithis Malaria serebral Tetanus HIV AIDS Meningitis Encepalitis Cerebral Abses Febril convulsion
3

Prepatellar bursitis Progressive inflamation of finhger following injury Olecranon burcitis

Suppurative tenosynovitis Suppurative parotitis Suppurative cervical adenitis Peritonsilar abscess Ludwig's angina Bezold abscess Superficial infections, including folliculitis, hidradenitis suppurative, carbuncle Osteomyelitis Staphylococcal pneumonia Rheumatic fever Nasopharyngitis Urinary tract infection (UTI) Typhoid fever Dysentry bacili

Cholera Pertussis Diphteria (THT) Tetanus (pediatri) Lepra reaction Yaws Leptospirosis Avian influenza Viral gastroenteritis Rabies Morbili Varicella Herpes zoster Herpes simplex Mumps CMV infections Dengue hemorrhagik fever (DHF) HIV-AIDS Malaria Leismaniasis dan tripanosomiasis Toxoplasmosis Filariasis
5

Herpes Zooster Impetigo Ulcerative impetigo (ecthyma) Furuncle, carbuncle Erythrasma Erysipelas Lupus erytromatous

Herpes zooster opticus Otitis Externa Acut otitis media

Bolluous myringitis Mastoiditis Acute rhinitis Pharyngitis Tonsilitis Hyperthyroidism

7

Salphingitis Acute appendicitis Appendicular abscess Gartroenteritis Hepatitis A Uncomplicated Hepatitis B Amoebic liver abscess Acute cholecystitis Enteritis Necrotizing enterocolitis Diverticulosis/diverticulitis Colitis Proctitis Gastro-enteritis Gastro-enteritis dengan dehidrasi Dehydration Hepatitis

Acute glomerulonefritis Urinary tract infection Uncomplicated pyelonefritis Prostatitis Vulvitis Cyst of bartholin, abses of bartholins gland Cervicitis Salphingitis

10

Mastitis

Endometritis Inflammation of pelvis (salpingitis, pelviperitonitis, perimetritis etc)

11

Septic syock Tromboflebitis Lymphangitis Lymphadenitis

12

Bacteraemia and septicemia Aspiration pneumonia Infection of umbilicus

13

Uncomplicated pulmonary TB TB with HIV Acute bronchitis Bronchiolitis SARS Pneumonia Pleurisy TBC Aspiration pneumonia

14 15 17

Hyperthyroidism Osteomyelitis acute Uncomplicated SLE Vasculitis lupus Rheumatoid arthritis Rheumatoid fever Immunodeficiency-HIV

Kejang (1, 3, 4, 6, 7, 9, 10, 1 12, 15, 16, Metabolic 17, 18) Encephalopathy

62

Cerebral infarction Intracerebral hematoma Sub arachnoid haemorarge Hypertensive encephalopathy Generalized epilepsy Absence seizure Status epilepticus

Encepalithis Malaria serebral Tetanus Serebral toxoplasmosis Hidrosefalus Encepalitis Cerebral Abses Epilepsy Petit mal epilepsy Febril convulsion Poliomyelitis Cerebral palsy Kernicterus ADHD Epidural hematom Subdural hematom SAH (sub arachnoid hemorrage) Tumor primer Tumor Sekunder
3

Head injury Poisoning Head injuries Diffuse brain damages Cerebral concussion and contussion Extradural hemorarge Subdural hemorarge Basillar fracture scalp

Tetanus (pediatri) Syphilis Rabies Malaria Toxoplasmosis

Gastro-enteritis dengan dehidrasi Dehydration Syphilis Hypothermia Bacteraemia and septicemia Severe neonatal jaundice (kern icterus) Neonatal convulsion Cerebral hemorrhage

10 12

Diare (4, 7, 12, 14, 16, 17) 4

Typhoid fever Dysentry bacili Cholera Viral gastroenteritis Poliomyelitis Morbili HIV-AIDS Amoebiasis Giardiasis

63

Gartroenteritis Enteritis Irritable bowel syndrome Necrotizing enterocolitis Diverticulosis/diverticulitis Colitis Gastro-enteritis Gastro-enteritis dengan dehidrasi Malabsorbsion Foods intolerance Foods allergy

14

Marasmus Kwashiorkor Vitamin deficiencies

17

Immunodeficiency-HIV

Batuk (3, 4, 6, 7, 11, 13, 4 16, 17)

Staphylococcal pneumonia Nasopharyngitis Pertussis Leptospirosis Avian influenza Morbili HIV-AIDS Ascariasis Filariasis

64

Pharyngitis Tonsilitis Reflux esophagitis Heart failure Cardiorespiratory rest Uncomplicated pulmonary TB TB with HIV Acute bronchitis Bronchiolitis Bronchial asthma Status asthmaticus Lung emphysema Atelectasis Bronchiectasis COPD SARS Pneumonia Pleurisy TBC Pneumothorax Aspiration pneumonia

7 11

13

sesak napas (3, 4, 6, 7, 9, 3 10, 11, 12,Drowning 13, 14, 15, 16, 17, 18)

65

Burning Poisoning

Suffocation Hipovolemic shock Rib fractures/contusion Injury caused by rib fracture Sternal fracture Pneumothorax Hemothorax Injury to spesific internal organs, such as liver, kidney, lung, etc Fracture of clavicle
4

Peritonsilar abscess Ludwig's angina Staphylococcal pneumonia Nasopharyngitis Typhoid fever Diphteria (THT) Avian influenza Ascariasis Filariasis

6 7

Hyperthyroidism Corrosive lesions of esophageus Reflux esophagitis Ileus Gastritis Gastro-esophageal reflux Gastro-enteritis dengan dehidrasi Dehydration

10 11

Postpartum haemorrage Angina Pectoris unstable angina Miokardial infarction Heart failure Cardiorespiratory rest

Supraventricular tachicardia Atrial flutter Ventricular extrasistole Septic syock Hypovolemic Syock
12

Bacteraemia and septicemia Respiratory stress syndrome Bronchopulmonary dysplasia Aspiration pneumonia Pneumothorax Apnea attacks

13

Uncomplicated pulmonary TB TB with HIV Acute bronchitis Bronchiolitis Bronchial asthma Status asthmaticus Lung emphysema Atelectasis Bronchiectasis COPD SARS Pneumonia Pleurisy TBC Pneumothorax Aspiration pneumonia

14

Marasmus Kwashiorkor Anaphylactic reaction Hemolytic anemia Anemia associated with chronic disease
66

17 18

sakit tenggorok (3, 4, 6, 4 7, 16, 17) Suppurative parotitis

Suppurative cervical adenitis Peritonsilar abscess Ludwig's angina Bezold abscess Superficial infections, including folliculitis, hidradenitis suppurative, Nasopharyngitis Pertussis Diphteria (THT) Avian influenza Morbili Varicella Mumps
6

Pharyngitis Tonsilitis Candidiasis Mouth ulcers (apthous, herpes) Corrosive lesions of esophageus Reflux esophagitis

sakit kepala (1, 2, 3, 4, 6, 1 7, 8, 9, 10,Tension 11, 14, 15, headache 16, 18)

67

Migraine Cranial arteritis Trigeminal neuralgya Cluster headache TIA Intracerebral hematoma Sub arachnoid haemorarge Hypertensive encephalopathy Meningitis Encepalithis Malaria serebral Serebral toxoplasmosis

Meningitis Encepalitis Cerebral Abses Epidural hematom Subdural hematom SAH (sub arachnoid hemorrage) Tumor primer Tumor Sekunder
2

Withdrawal syndrome Misuse of psychoactive drugs Head injury Cerebral concussion and contussion Brain death Extradural hemorarge Subdural hemorarge Basillar fracture scalp

Otitis Externa Acut otitis media Otitis media serose Chronic otitis media Mastoiditis Chronic Sinusitis

Hepatitis A Uncomplicated Hepatitis B Hepatitis

Conjunctivitis bacterial Glaucoma, congenital Simple glaucoma Acute glaucoma Secondary laucoma Astigmatism Anisometropia

Amblyopia Papilloedema
10

Syphilis Hyperemesis gravidarum Iron deficiency anaemia

11

Essential hypertension Secondary hypertension Hyperthyroidism Iron deficiency anemia Macrocytic anemia Hemolytic anemia Anemia associated with chronic disease

14 18

Sakit dada (3, 4, 5, 7, 10, 311, 13, 15,Rib 16) fractures/contusion

Injury caused by rib fracture Sternal fracture Pneumothorax Hemothorax Injury to spesific internal organs, such as liver, kidney, lung, etc Fracture of clavicle
4

Pertussis Avian influenza Herpes zoster Herpes simplex

5 7

Herpes Zooster Corrosive lesions of esophageus Reflux esophagitis Gastritis Gastric/doodenal ulcers Gastrointestinal bleeding Gartroenteritis Gastro-esophageal reflux

11

Angina Pectoris

unstable angina Miokardial infarction Heart failure Cardiorespiratory rest Supraventricular tachicardia Atrial flutter Ventricular extrasistole Essential hypertension Secondary hypertension
13

Uncomplicated pulmonary TB TB with HIV Acute bronchitis Bronchiolitis Lung emphysema Atelectasis COPD Pneumonia Pleurisy TBC Pneumothorax Aspiration pneumonia

68

9 10 11 12 13 14 15 16 17 18 19 20

Gatal-gatal Nyeri perut

4, 5, 6, 7, 8, 9, 10, 14, 16, 17 3, 4, 5, 7, 9, 10, 16

69 70 71 72 73 74 75 76 77 78 79 80

Perut kembung 2, 3, 4, 7, 9, 10, 11, 12, 14, 16 Muntah 1, 2, 3, 4, 6, 7, 9, 10, 11, 12, 14, 16 Sulit Buang Air Besar atau 1, sembelit 3, 4, 7, 9, 10, 12, 16 Nyeri sendi Sakit punggung Pusing (dizziness) Kulit kuning Kulit bersisik 2, 3, 4, 11, 14, 15, 16, 17, 18 1, 3, 4, 11, 15, 16 1, 3, 4, 6, 8, 11, 15, 16, 18 4, 7, 12, 16, 17, 18 5, 9, 12, 14

Kulit merah dan nyeri 3, 4, 5, 17 Kulit berminyak 5

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Luka bakar Benjolan leher Wajah kaku Mata merah Mata gatal Mata berair Mata nyeri Belekan (tahi mata)

3, 5, 15 4, 5, 6, 13, 14, 15, 16, 17, 18 1, 2 3, 4, 8 4, 8, 17 4, 8, 17 4, 8, 16 4, 8, 12, 17

81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112

Gangguan penglihatan 1, 3, 4, 8, 10, 14, 16 Timbilan (bintilan) Kelilipan Sakit telinga 4, 8, 16 1, 8 3, 4, 6, 16

Kopoken (telinga bernanah) 4, 6 Tuli Telinga gatal Pilek (ingusan) Mimisan Bersin-bersin 1, 3, 4, 6, 12, 16 4, 6 4, 6, 17 3, 6, 11, 18 4, 6, 17

Gangguan penciuman 1, 2, 3, 6, 16 Sakit dan sulit menelan 3, 4, 6,7, 16, Mulut kering Bau mulut Sakit gigi Sariawan Bibir pecah-pecah Bibir sumbing 6, 7, 4, 6, 7, 9, 13, 14 4 4, 7, 17 5, 7 12

Batuk (kering, berdahak, 4, darah) 6, 7, 13, 16, 17 Berdebar-debar ASI tidak keluar Benjolan payudara Luka puting 2, 11, 14 10, 14 16 4, 10,

Payudara mengencang 14

53 54 55 56 57 58 59 60

Retraksi kulit dan puting16 Benjolan perut Perut kram Sendawa Cegukan Nyeri ulu hati Nyeri sesudah makan 3, 7, 9, 15, 16, 7, 10, 7 1, 7, 9, 7, 11, 13, 7

113 114 115 116 117 118 119 120

Kelainan tinja (lendir, nanah, 4, 7, 12, darah) 16

Masalah komunitas No 1 Masalah Keluarga Berencana - Kesehatan reproduksi Koordinasi di tingkat lapangan Kontrasepsi mantap (suntik, pil, dst) 2 Kesehatan Ibu dan Anak Angka kematian ibu Angka kematian bayi 3 Gizi Gizi buruk Sosial ekonom 4 Penyakit-penyakit diare dan penyakit infeksi lain Flu burung HIV Aids New emerging disease Imunisasi Polio Hepatitis B Pelayanan Kesehatan Revitalisasi posyandu Polindes Revitalitasi puskesmas Pembiayaan pelayanan kesehatan (bantuan langsung tunai, JPKM, asuransi kesehatan, dan sebagainya). Tidak ada Koordinasi yang baik antara puskesmas dengan rumah sakit. Sistem belum berjalan dengan baik

Kesehatan Lingkungan * Bencana alam (banjir, gempa,) * Bencana buatan manusia (limbah, tanah longsor, kebakaran hutan, banjir lumpur panas) * Sanitasi * Pariwisata (travel medicine) Lain-lain Medical error Infeksi nosokomial Medical negligence Kejadian tidak diharapkan (KTD) Keselamatan pasien Masalah-masalah organisasi pelayanan kesehatan Gaji rendah Disiplin rendah Medical supplies kurang Dana terbatas Kualitas SDM terbatas Data terbatas (kurang lengkap) Informasi ilmiah terbatas Pengobatan Tidak rasional Regulasi pelayanan kesehatan Tidak melaporkan penyakit KLB Tidak berizin

DAFTAR MASALAH NSIL KEDOKTERAN INDONESIA NOMOR 21A/KKI/KEP/IX/2006

Masalah Ambein 7, 14,

No 121

lowing injury

elviperitonitis, perimetritis etc)

Nyeri saat BAB

122

Gatal daerah anus

4, 5

123

Perdarahan saat BAB

4, 7, 16, 17

124

Nyeri daerah anus

3, 7

125

h as liver, kidney, lung, etc

Nyeri saat buang air kecil

4, 9

126

Anyang-anyangan

4, 9

127

h as liver, kidney, lung, etc

Sering buang air kecil pada malam hari

9, 14

128

Kencing mengedan Kencing tidak puas Retensi urin Inkontinensia urin Akhir kencing menetes Pancaran kencing menurun Kencing bercabang Waktu kencing preputium melembung/ballooning Frekuensi urin Disuria Nokturia Urgensi

9, 16 4, 9 3, 9, 16 1, 9, 16 9, 16 9, 16 9, 16 9 4, 9, 14 4, 9 9, 14 1, 9

129 130 131 132 133 134 135 136 137 138 139 140

Stranguria Kencing merah (hematuria) Kencing campur udara (pnematuria) Faecaluria Darah pada muara uretra Hemospermia Anuria Poliuria Oliguria Perubahan warna urin Nyeri buah zakar Buah zakar tidak teraba Disfungsi ereksi Keputihan Vagina (gatal, nyeri, rasa terbakar) Gangguan menstruasi Gangguan menjelang menopause Gangguan menopause Patah tulang Nyeri sendi Sendi (kaku, bengkak, kelainan bentuk) Nyeri pinggang Nyeri otot Gerakan terbatas Bengkak pada kaki dan tangan Kaku pada pagi hari Pusing dan pusing sebelah Hilang kesadaran Epilepsi Kejang Kesemutan Gerakan tidak teratur

4, 9 3, 4, 9, 16, 3, 7, 9 3, 7, 9 3, 9 9 3, 4, 9, 11, 9, 14, 3, 4, 9, 11, 4, 7, 9 4, 9, 16 12, 14 2, 9, 14 4, 10, 16 4, 10 10, 14 10, 14 10, 14 3, 15 15 15 1, 9, 15 3, 15, 16 3, 15 4, 9, 11, 17 15 1

141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

1, 2, 3, 11, 9, 7, 1 1, 3, 4, 1, 14, 1, 8, 15

Gangguan gerak dan koordinasi Gangguan otot Gangguan jalan Lumpuh Gangguan bicara Pelupa Perubahan perilaku (termasuk perilaku agresif) Stress

1, 6, 8, 15 15 1, 6, 8, 15 1, 3 1, 16 1, 2, 1, 2, 3 2

nsi kesehatan, dan

em belum berjalan

Masalah Depresi 2

Sistem

Cemas

Susah tidur

Pemarah

Ngamuk

Penurunan fungsi berpikir

1, 2

Perubahan emosi dan mood

Gangguan fungsi seksual

1, 2, 9, 14

Pelecehan seksual Perkosaan Tanda-tanda kehamilan Hiperemesis Nyeri perut waktu hamil

2, 10 10 10, 14 10, 14 10

Perdarahan vagina waktu hamil 10 Anyang-anyangan waktu hamil Kaki bengkak waktu hamil Kontrasepsi Sulit punya anak Kehamilan tidak diinginkan Persalinan prematur 4, 9, 10 10 10, 14 9, 10, 14 10 10

Ketuban pecah dini Berat lahir rendah Kurang gizi pada balita Tidak nafsu makan pada balita Lecet pada pantat Cengeng

4, 10 4, 12, 4, 7 7 5 12

Gangguan pertumbuhan dan perkembangan 14 pada balita Kecelakaan pada balita Kejang demam Penyalahgunaan obat Gangguan belajar 3 1, 4 2 2

Tidak mau minum obat pada anak-anak 2 Kelelahan Pingsan Perdarahan per vaginam Perdarahan trauma Perdarahan spontan Muntah darah Batuk darah 2, 15 1, 2, 11, 14, 18 3, 10, 14, 3 18 7, 16, 3, 13, 16

Penurunan berat badan drastis 4, 14, 16 Obesitas Gangguan komunikasi Nyeri dada Nyeri punggung Discharge urethra Gangguan perilaku 14 1, 2 3, 11, 13, 15 15 4, 9, 1, 2

KEPUTUSAN KONSIL KEDOKTERAN INDONESIA NOMOR 21A/KK SISTEM Cardiovaskuler SUB SISTEM Cardiac disorder 1 2 3 4 5 6 7 8 Aorta-arteries disorders 9 10 11 12 Veins Lymph vessels 13 14 15 16 Gastrointestinal Mouth 17 18 19 Esophagus Acute abdomen 20 21 22 23 24 25 Stomach and duodenum 26 27 28 29

REKAP STANDAR KOMPETENSI DOKTER INDONESI

DIAGNOSA/

Liver

30 31 32 33

Gall bladder, bile duct and pancreas Jejunum, ileum Colon

34 35 36 37 38 39 40 41 42

Pediatrics

43 44 45 46 47 48 49 50 51 52 53 54

Nefrourologi

55 56 57 58 59 60 61

Male genetalia

62 63 64 65 66 67 68 69 70 71 72 73 74 75

Vulva

76 77 78 79

Vagina

80 81 82

Cervix Adnexae Central and pheripheral neural system Loss of conciousness

83 84 85 86 87 88

Headache

89 90 91 92

93 Cardiovascular diseases 94 95 96 97 98 Cranial nerve and brain stem lessions Disorders of vertibular system 99 100 101 102 103 Movement Disorders Epillepsy and other seizures 104 105 106 107 108 Diseases spine and spinal cord 109 110 111 112 113 114 Neuromuscular disease and neuropathy 115 116 117 118 119 120 Infectious diseases 121 122 123 124

125 126 Congenital Disorders Pediatrics Neurologic Disorders 127 128 129 130 131 132 133 134 135 136 137 138 139 Neurobehaviour Disorders 140 141 142 Trauma CNS 143 144 145 146 Tumor CNS Gangguan visual Musculoskeletal system Bone and joins (pediatrics) 147 148 149 150 151 Generalized disorders of musculoskeletal systems 152 Locallized disorders of musculoskeletal system 153 154 155 Pelvic and lower extermities 156

157 158 159 160 Traumatology Birth trauma Trauma (tergantung ringan sampai berat) 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 Peripheral nerves Neck, shoulder girdle and upper extremities 186 187 188

189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 Accidents and emergency neurology 208 209 210 211 212 213 214 215 216 Mata Conjunctiva 217 218 219 220

221 222 Eyelids 223 224 225 226 227 Anterior chamber Iris and ciliary body Glaucoma 228 229 230 231 232 233 234 Lens Refraction and accomodation 235 236 237 238 239 240 241 Vision and visual fields 242 243 244 245 246 247 248 Optic disc and optic nerve Hematologi 249 250 251 252

253 254 Immunologi 255 256 257 258 259 260 261 262 Neoplasma Head and neck Male genitals Female genitals Skin Tumor of immigrant cells to the skin 263 264 265 266 267 268 269 Bone and soft tissue Newborn 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284

285 286 287 Pulmonology 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 Pskiatri Developmental and behavioral disorders Tics Psych-organic syndromes and disorders due to drugs 303 304 305 306 307 308 309 310 311 312 Psychosis 313 314

Bipolar disorders Anxiety disorders

315 316 317 318 319 320 321 322 323 324 325

Somatic disorder

326 327 328 329 330 331 332

Dissociative disorders (or hysterical neurosis, dissociative 333 form) 334 335 336 337 338 Sexual dysfunctions 339 340 341 342 343 344 Dyssomnia 345 346

347 Side effects of psychoactive drug therapy 348 349 350 Neuropsychiatric and psychosomatic disorders351 (pediatrics) 352 353 354 355 356 357 358 359 360 361 ENT 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378

379 380 381 382 383 NOSE AND SINUSES 384 385 386 387 388 389 390 391 LARYNX AND PHARINX NECK 392 393 394 395 396 TIROID AND PARATYROID GLANDS 397 398 399 400 401 SKIN ECZEMATOUS DERMATITIS 402 403 404 405 406 407 ERITROSQUAMUS LESSION 408 409 410

411 DISSORDERS OF ECRINE AND SEBACEOUS412 GLAND 413 414 415 416 VIRAL SKIN INFECTION 417 418 419 420 BACTERIAL INFECTION 421 422 423 424 425 426 SUPERFICIAL FUNGAL INFECTION INSECTBITE 427 428 429 430 431 ALLERGIC SKIN DISEASE AUTOIMMUNE DISEASE HAIR DISEASE 432 433 434 435 436 437 438 DISORDERS OF KERATINIZING Other nonifectious inflammatory skin disorders DRUG REACTION 439 440 441 442

443 PIGMENTARY DISORDER 444 445 446 447 Reproduction system Infection during pregnancy / delivery 448 449 Drug and harmful substance during pregnancy450 Pregnancy disorders 451 452 453 454 455 456 Delivery 457 458 459 460 461 462 463 464 465 Postpartum Puerperium 466 467 468 469 470 471 472 473 474

475 476 Endocrine, metabolic 477 478 479 480 481 482 483 Nutritional deficiency 484 485 486 Error of metabolism 487 488 489 Infectious and tropical Infections diseases of hand 490 491 492 Infections of the head and neck 493 494 495 496 Staphylococcal and streptococcal infections 497 498 499 500 Streptococcal infection Meningococcal infection (neuro) Gonococcal infections Gram negative bacili 501 502 503 504 505

disorder and nutrition Endocrinological disorders

506 507 508 509 Toxin producing bacteria Mycobacterial diseases 510 511 512 513 514 Spirochetal disease 515 516 517 Viral infections 518 519 520 521 522 523 524 525 526 527 528 529 Protozoal infections 530 531 532 533 534 535 Worm infestations 536 537

538 539 540 541 542

NDONESIA NOMOR 21A/KKI/KEP/IX/2006 DIAGNOSA/PENYAKIT LEVEL KOMPETENSI 3A 3A 3B 3B 3B 3B 3B 3A 4 3A 3B 3B 3A 3A 3A 3A 4 4 3A 3B 3A 3B 3A 3A 3B 4 3B 3B 4 Angina Pectoris unstable angina Miokardial infarction Heart failure Cardiorespiratory rest Supraventricular tachicardia Atrial flutter Ventricular extrasistole Essential hypertension Secondary hypertension Septic syock Hypovolemic Syock Tromboflebitis Lymphangitis Lymphadenitis Lymphedema, primary and secondary Candidiasis Mouth ulcers (apthous, herpes) Glossitis Corrosive lesions of esophageus Reflux esophagitis Ileus Salphingitis Acute appendicitis Appendicular abscess Gastritis Gastric/doodenal ulcers Gastrointestinal bleeding Gartroenteritis

TENSI DOKTER INDONESIA

Fatty liver Hepatitis A Uncomplicated Hepatitis B Amoebic liver abscess Acute cholecystitis Enteritis Irritable bowel syndrome Necrotizing enterocolitis Diverticulosis/diverticulitis Colitis Rectal, anal prolapse Proctitis Hemorrhoids Gastro-esophageal reflux Gastro-enteritis Gastro-enteritis dengan dehidrasi Worms Dehydration Malabsorbsion Foods intolerance Peritonitis tuberculosis Umbilical hernia Hepatitis Cirrosis of the liver Foods allergy Acute glomerulonefritis Chronic glumerulonefritis Renal colic Urinary stone diseases or urinary calculi without colic Urinary tract infection Uncomplicated pyelonefritis Prostatitis

4 4 4 4 3A 4 3A 3A 3A 3A 3A 3A 3A 4 4 3B 4 3B 3A 3A 4 3A 3A 3A 4 3A 3A 3A 3A 4 4 3A

Hypospadia Epispadia Undecenden testes/crytoorchidism Retractile testes Torsion of testis Paraphimosis Rupture urethra Ruptur kandung kencing Ruptur Ginjal Stricture urethra Priapismus Penyakit pyeroni Ekstrophia vesicae Infertility Vulvitis Cyst of bartholin, abses of bartholins gland Abscess of hair folicle or sebaceous gland Condyloma acuminata vaginitis Bacterial vaginosis Foreing body Cervicitis Salphingitis Ovarian cyst Metabolic Encephalopathy Comatous Brain death Tension headache Migraine Cranial arteritis Trigeminal neuralgya

3A 3A 3A 3A 3A 4 4 4 4 4 4 4 4 3A 4 4 4 4 4 4 4 4 4 3A 3B 3B 3B 4 3A 3B 3A

Cluster headache TIA Cerebral infarction Intracerebral hematoma Sub arachnoid haemorarge Hypertensive encephalopathy Bels palsy Brain stem lessions Menier's disease Benign paroxymal positional vertigo Vertigo central Parkinsons Diseases Secondary parkinsonism Generalized epilepsy Absence seizure Status epilepticus Complete spinal transection Neurogenic bladder Myelopathy Medulla compression acute Radicular sydrome/HNP Spondilitis TB Carpal Tunnel Syndrone Tarsal Tunnel Syndrome Neurpathy Peronel palsy Guilenbard syndrome Miastenia Gravis Meningitis Encepalithis Malaria serebral Tetanus

4 3B 3B 3B 3B 3B 4 3B 3A 3A 3A 3A 3A 3A 3A 3B 3B 3B 3A 3B 3A 3B 3A 3A 4 4 3B 3B 3B 3B 3B 3B

Serebral toxoplasmosis HIV AIDS Hidrosefalus Meningitis Encepalitis Cerebral Abses Epilepsy Petit mal epilepsy Febril convulsion Poliomyelitis Cerebral palsy Kernicterus Metal retardation Autism ADHD Amnesia pasca trauma Afasia MCI (mild cognitive impairment) Epidural hematom Subdural hematom SAH (sub arachnoid hemorrage) Trauma medula spinalis Tumor primer Tumor Sekunder Buta mendadak Diplopia Arthritis Osteoporosis Physical overload Osteomyelitis acute Artritis Fracture of femure

3A 3B 3B 3B 3B 3B 3A 3A 4 3B 3B 3B 2/3B 2/3B 2/3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 4 3A 3A 3B 4 3A/3B

Fractures, capsule, tendon and ligament lesions of knee Achilles tendonitis Rupture of achilles tendon Instability of ancle Caput succedaneum Drowning Head injury Burning Poisoning Suffocation Bleeding Hipovolemic shock Dislocation of jaw Farcture of jaw Dislocation of knee Dislocation of patella Prepatellar bursitis Fracture of tibia Rib fractures/contusion Injury caused by rib fracture Sternal fracture Fracture of toes Crush injury to the heel (in children) Fracture of fibula Whiplash Fractures, capsules, tendon and ligament lesions of ankle Pneumothorax Hemothorax Injury of peripheral nerves Fractures of shoulder Dislocation of shoulder

3B 3A 3B 3A 4 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B

Injury to spesific internal organs, such as liver, kidney, lung, 3B etc

Ligamentous lessions of shoulder Instability of shoulder Frozen shoulder Fracture of clavicle Fracture of humerus Fracture of radius/ulna Fractures, capsules, tendon, ligament lesion of elbow Fractures, capsules, tendon, ligament lesion of wrist Lateral epicondilitis (tennis elbow) Dislocation of distal radius Dislocation of wrist Progressive inflamation of finhger following injury Olecranon burcitis Carpal tunnel syndrome Injury finger tendon, e.g. Boutonniere-deformity Nail loss Subungual hematom Traumatic vessel injury Head injuries Diffuse brain damages Cerebral concussion and contussion Brain death Extradural hemorarge Subdural hemorarge Basillar fracture scalp Acute traumatic spinal transection Injury of flexus and peripheral nerves Foreign body Conjunctivitis allergy Conjunctivitis viral Conjunctivitis bacterial

3B 3B 3A 3A 3B 3B 3B 3B 3A 3B 3B 3A 3A 3A 3A 4 4 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 3B 4 4 4

Fractures, capsules, tendon, ligament lesion of fingers and tumb 3B

Pterygium Subconjunctival haemorrhage Blepharitis Hordeolum Chalazion Eyelid laceration Eyelid retraction Hyphaema Hypopyon Iridocyclitis, iritis Glaucoma, congenital Simple glaucoma Acute glaucoma Secondary laucoma Cataract Lens dislocation Hypermetropia Myopia Astigmatism Presbyopia Anisometropia Amblyopia Diplopia Suppression Night-blindness Scotoma Hemianopia, bitemporal and homonymus Loss of vision and blindness Papilloedema Optic atrophy Iron deficiency anemia Macrocytic anemia

3A 3B 3A 3A 3A 4 4 3A 3A 3A 3A 3A 3A 3A 3A 3B 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 4 3A

Hemolytic anemia Anemia associated with chronic disease Uncomplicated SLE Vasculitis lupus Polymyalgia rheumatica Rheumatoid arthritis Anaphylactic reaction Rheumatoid fever Atopy Immunodeficiency-HIV Leukoplakia Benign prostatic hyperplasia Condyloma accuminata Epithelial cyst Mycosis fungoides Mastocytosis Langerhans' cell histiocytosis Ganglion cyst Liposarcoma Hypothermia Bacteraemia and septicemia Respiratory stress syndrome Bronchopulmonary dysplasia Aspiration pneumonia Pneumothorax Apnea attacks Jaundice of newborn Severe neonatal jaundice (kern icterus) Hypoglycemia Child of diabetic mother Neonatal convulsion Cerebral hemorrhage

3A 3A 4 4 3A 3A 3B 3B 3A 4 3A 3A 3A 3A 3A 3A 3A 4 3A 4 3B 3B 3A 3A 3A 3A 4 3A 3A 3A 3B 3B

Conjunctivitis Infection of umbilicus Sudden infant death syndrome (SIDS) Uncomplicated pulmonary TB TB with HIV Acute bronchitis Bronchiolitis Bronchial asthma Status asthmaticus Lung emphysema Atelectasis Bronchiectasis COPD SARS Pneumonia Pleurisy TBC Pneumothorax Aspiration pneumonia Mental deficiency Autistic disorder Transient tic disorders Intoxication Withdrawal syndrome Delirium Dementia Amnesic syndrome Other organic disorders Misuse of psychoactive drugs Schizophrenia

4 4 3B 4 4 4 3A 4 3B 3A 3B 3A 3A 3B 3B 3A 3B 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3B

Other psychoses including reactive psychosis and puerperal 3B psychosis

Bipolar disorder, manic episode Bipolar disorder, depressive episode Panic disorder with agoraphobia Panic disorder without agoraphobia Agoraphobia without history of panic disorder Social phobia Simple phobia Obsessive compulsive disorder (neurosis) Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified Disorder of body sensation Conversion disorder (hysterical neurosis) Hypochondriasis (hypochondriacal neurosis) Somatisation disorder Somatoform pain disorder Undifferentiated somatoform disorder Somatoform disorder not otherwise classified Multiple personality Fugu states Psychogenic amnesia Depersonalisation disorder or depersonalisation neurosis Dissociative disorder, noc Disorder of sexual desire Disorder of sexual exitement Disorder of orgasm Sexual pain disorders Sexual dysfuctions, noc Sexual disorders, noc Insomnia Hypersomnia

3B 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 4 3A

Psychological factors affecting physical condition Anticholinergic side effects Sedative side effects Pseudoconstipation Encopresis Anorexia nervosa Bulemia Tics, neuropathic behavior Hyperkinetic syndrome Primary infantile autism Disorders of mother-child relationship Disorders due to social deprivation Neurotic disorder of chilhood Breath holding due to exitement Inflamation of auricle Herpes zooster opticus Pre auricular fitule Foreign body in ear Wax/serumen Otitis Externa Acut otitis media Otitis media serose Chronic otitis media Perforated tympani membrane Bolluous myringitis Otosclerosis Tymphanosclerosis Presbyacusis Mastoiditis Benign postural vertigo Motion sickness

3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 3A 4 3A 3A 3A 3A 3A 3A 3A 3A 3A 4 4

Extrapyramidal side effects (eg. Acute dystonia, tradivedyskenia, 3A parkinsonism)

Meniere disease Acute acoustic trauma Trauma of ear Congenital deafness Facial palsy Epistaxis Furuncle of nose Acute rhinitis Furuncle nose Allergic rhinitis Chronic rhinitis Chronic sinusitis Foreign body in nose Pharyngitis Tonsilitis Medial and lateral branchial cyst and fistula Cystic hygroma Torticollis Cyst Goiter Hyperthyroidism Hyperparathyroidism Hypoparathyroidism Contact dermatitis irritant Atopic dermatitis (kecuali recalcitrant) Contact dermatitis allergica Nummular dermatitis Lichen simplex chronicus Napkin eczema Psoriasis vulgaris Plamoplantar pustulosis Seborrheic dermatitis

4 3A 4 4 4 4 4 4 4 4 3A 3A 4 4 4 3A 3A 3A 3A 3A 3A 3A 3A 4 4 3A 4 3A 4 3A 4 4

Pityriasis rosea Acne vulgaris Rosacea Hidradenitis suppurativa Perioral dermatitis Miliaria Verucca Vulgaris Condyloma Acuminanta Moluscum contangiosum Herpes Zooster Impetigo Ulcerative impetigo (ecthyma) Superficial folliculitis Furuncle, carbuncle Erythrasma Erysipelas Pediculosis capitis Pediculosis pubis Scabies Insect bites reactions Urticaria Angioedema Lupus erytromatous Alopecia areata Androgenic alopecia Trichotillomania Telogen eflluvium Ichthyosis vulgaris Lichen planus Granuloma anulare Exanthematous drug eruption

4 4 3A 4 4 4 4 3A 4 4 4 4 4 4 4 4 4 4 4 4 4 3B 3A 3A 3A 3A 3A 3A 3A 3A 4

Tinea capitisTinea barbaeTinea facialeTinea corporisTinea manusTinea 4 unguinumTinea crurisTinea pedisTinea versico

Fixed drug eruption Vitiligo Melasma Post-inflammatory hyperpigmentation Post-inflammatory hypopigmentation Syphilis Gonorrhoe Mother taking tobacco incompleted spontaneous abortion Completed spontaneous abortion Hyperemesis gravidarum Dysmaturity Polyhydramnion Iron deficiency anaemia Premature contractions Premature delivery Postmature infant Prolonged delivery Primary mild contraction-IMININ Secondary mild contraction Hypoxia of fetus Rupture of perineum Retained placenta Retained placental tissue Postpartum haemorrage Mastitis Cracked nipple Inverted nipple Endometritis Incontinence of urine Incontinence of faeces

4 3A 3A 3A 3A 3A 3A 4 3B 4 3B 3A 3A 4 3A 3A 3A 3A 4 4 3B 4 3A 3B 3B 3A 4 4 4 4 4

Inflammation of pelvis (salpingitis, pelviperitonitis, perimetritis 3A etc)

Post natal psychoses Post natal depression Subinvolution of uterus IDDM NIDDM Complication of DM (acute and chronic) Hypoglycemia Hyperthyroidism Adrenal cortex failure Marasmus Kwashiorkor Vitamin deficiencies Hyperlipoproteinemia Gout Obesity Paronychia Suppurative tenosynovitis Human bite Suppurative parotitis Suppurative cervical adenitis Peritonsilar abscess Ludwig's angina Bezold abscess Superficial infections, including folliculitis, hidradenitis suppurative, carbuncle Osteomyelitis Staphylococcal pneumonia Rheumatic fever Nasopharyngitis Gonorrhea Urinary tract infection (UTI) Typhoid fever

3A 3A 4 3A 4 3A 3B 3A 3B 4 4 4 4 3A 4 4 4 4 4 4 3A 3A 3A 4 3A 4 3A 4 4 4 4

Dysentry bacili Cholera Pertussis Chancroid Diphteria (THT) Tetanus (pediatri) Tuberculosis kutis Leprosy Lepra reaction Syphilis Yaws Leptospirosis Avian influenza Viral gastroenteritis Poliomyelitis Rabies Morbili Varicella Herpes zoster Herpes simplex Mumps CMV infections Dengue hemorrhagik fever (DHF) HIV-AIDS Amoebiasis Malaria Leismaniasis dan tripanosomiasis Toxoplasmosis Giardiasis Trichomoniasis Hookworm disease Strongyloidiasis

4 4 4 3A 3B 3B 4 4 3A 4 4 3A 3B 4 3B 3B 4 4 4 4 4 3A 3A 3A 4 4 3A 3A 3A 3A 4 4

Ascariasis Filariasis Schistomiasis Cutaneus larva migran Taeniasis

4 4 4 4 4

Masalah Individu No Masalah 150 Penyalahgunaan obat (2)

Sistem 2

Diseases berdasarkan SKDI

Mental deficiency Intoxication Withdrawal syndrome Delirium Misuse of psychoactive drugs Anticholinergic side effects Sedative side effects

151

Gangguan belajar

Dementia Social phobia Simple phobia Obsessive compulsive disorder (neurosis) Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified

150 151 152 153

ctive drugs

154 155 156 157 158 159 160 161 162 163 164 165 166

sive disorder (neurosis)

not otherwise classified

Penyalahgunaan obat Gangguan belajar Tidak mau minum obat pada anak-anak Kelelahan

2 2 2 2, 15

Pingsan Perdarahan per vaginam Perdarahan trauma Perdarahan spontan Muntah darah Batuk darah Penurunan berat badan drastis Obesitas Gangguan komunikasi Nyeri dada Nyeri punggung Discharge urethra Gangguan perilaku

1, 2, 11, 14, 18 3, 10, 14, 3 18 7, 16, 3, 13, 16 4, 14, 16 14 1, 2 3, 11, 13, 15 15 4, 9, 1, 2

DAFTAR MASALAH KEPUTUSAN KONSIL KEDOKTERAN INDONESIA NOMOR 21A/KKI/KEP/IX/2006 Masalah Individu Sistem 1

No 117

Masalah Gangguan bicara (1, 16)

118

Pelupa (1,2)

119

Perubahan perilaku (termasuk perilaku agresif) (1, 2, 3)

120

Stress

121

Depresi

122

Cemas

123

Susah tidur

124

Pemarah

125

Ngamuk

126

Penurunan fungsi berpikir (1,2)

127

Perubahan emosi dan mood

128

Gangguan fungsi seksual (2, 9, 14)

14 129 Pelecehan seksual (2,10) 2

130

Perkosaan (2)

131

Tanda-tanda kehamilan (10)

10

132 133

Hiperemesis (10) Nyeri perut waktu hamil (10)

10 10

134

Perdarahan vagina waktu hamil (10)

10

135

Anyang-anyangan waktu hamil (4, 9, 10)

4 9 10

136 137

Kaki bengkak waktu hamil (10) Kontrasepsi (4, 10)

10 4

10

138

Sulit punya anak (4,9, 10, 14)

10

14

139

Kehamilan tidak diinginkan (10)

10

140

Persalinan prematur (10)

10

141

Ketuban pecah dini (4,10)

10

142

Berat lahir rendah (4,10,12, 14)

10 12

143

Kurang gizi pada balita (4,7,14)

14

144

Tidak nafsu makan pada balita (7)

145

Lecet pada pantat (5)

146 147

Cengeng (12) Gangguan pertumbuhan dan perkembangan pada balita (4,14)

12 4

14

148

Kecelakaan pada balita (3)

149

Kejang demam (1,4,12)

4 12 150 Penyalahgunaan obat (2) 2

151

Gangguan belajar (1,2)

152

Tidak mau minum obat pada anak-anak (1,2)

153

Kelelahan (2,15,18)

2 15 18

154

Pingsan (1, 3,11, 14, 18)

11

14 18 155 Perdarahan per vaginam (3, 10 ) 3 10

156

Perdarahan trauma (1,3,8,9,10,12)

10 12 157 Perdarahan spontan (1,4,7,8,10) 1

4 7 8 10

18 158 Muntah darah (7) 3

159

Batuk darah (3,13,16)

13

160

Penurunan berat badan drastis (4,13,14)

13

14

161 162

Obesitas (14) Gangguan komunikasi (1,2)

14 1

163

Nyeri dada (2,3, 7,11, 13)

11

13

164

Nyeri punggung (1,3,7,11,15,17)

7 11

15

17

165

Discharge urethra (4,9,10)

10 166 Gangguan perilaku (1,2) 1

FTAR MASALAH N INDONESIA NOMOR 21A/KKI/KEP/IX/2006

asalah Individu Diseases berdasarkan SKDI

Cerebral palsy Metal retardation Autism Amnesia pasca trauma Afasia MCI (mild cognitive impairment) Tumor primer Mental deficiency Autistic disorder Dementia Amnesic syndrome Metal retardation Amnesia pasca trauma MCI (mild cognitive impairment) Tumor primer Mental deficiency Dementia Amnesic syndrome Misuse of psychoactive drugs Schizophrenia Multiple personality Psychogenic amnesia Metal retardation Metal retardation Autism ADHD Amnesia pasca trauma Afasia MCI (mild cognitive impairment)

Mental deficiency Autistic disorder Withdrawal syndrome Misuse of psychoactive drugs Schizophrenia Other psychoses including reactive psychosis and puerperal psychosis Panic disorder with agoraphobia Panic disorder without agoraphobia Social phobia Simple phobia Obsessive compulsive disorder (neurosis) Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified Multiple personality Depersonalisation disorder or depersonalisation Disorder of sexual desire Disorder of sexual exitement Sexual disorders, noc Tics, neuropathic behavior Hyperkinetic syndrome Other psychoses including reactive psychosis and puerperal psychosis Bipolar disorder, manic episode Bipolar disorder, depressive episode Panic disorder with agoraphobia Panic disorder without agoraphobia Agoraphobia without history of panic disorder Social phobia Simple phobia Obsessive compulsive disorder (neurosis) Post traumatic stress disorder Diffuse anxiety disorder

Anxiety disorder not otherwise classified neurosis Disorder of orgasm Sexual disorders, noc Insomnia Withdrawal syndrome Bipolar disorder, depressive episode Panic disorder with agoraphobia Panic disorder without agoraphobia Social phobia Simple phobia Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified Panic disorder with agoraphobia Panic disorder without agoraphobia Agoraphobia without history of panic disorder Social phobia Simple phobia Obsessive compulsive disorder (neurosis) Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified Conversion disorder (hysterical neurosis) Panic disorder with agoraphobia Panic disorder without agoraphobia Agoraphobia without history of panic disorder Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified Fugu states Insomnia

Hypersomnia Obsessive compulsive disorder (neurosis) Diffuse anxiety disorder Multiple personality Depersonalisation disorder or depersonalisation Dissociative disorder, noc Panic disorder with agoraphobia Panic disorder without agoraphobia Obsessive compulsive disorder (neurosis) Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified Cerebral infarction Amnesia pasca trauma Afasia MCI (mild cognitive impairment) Mental deficiency Dementia Amnesic syndrome Misuse of psychoactive drugs Schizophrenia Schizophrenia Other psychoses including reactive psychosis and puerperal psychosis Bipolar disorder, manic episode Bipolar disorder, depressive episode Panic disorder with agoraphobia Panic disorder without agoraphobia Agoraphobia without history of panic disorder Social phobia Simple phobia Obsessive compulsive disorder (neurosis) Post traumatic stress disorder

Diffuse anxiety disorder Anxiety disorder not otherwise classified Disorder of sexual desire Disorder of sexual exitement Disorder of orgasm Sexual pain disorders Sexual dysfuctions, noc Sexual disorders, noc Prostatitis Hypospadia Epispadia Undecenden testes/crytoorchidism Retractile testes Torsion of testis Rupture urethra Stricture urethra Priapismus Infertility Vulvitis vaginitis Cervicitis Salphingitis Ovarian cyst Complication of DM (acute and chronic) Disorder of sexual desire Disorder of sexual exitement Disorder of sexual desire Disorder of sexual exitement Mother taking tobacco incompleted spontaneous abortion Completed spontaneous abortion Hyperemesis gravidarum

Premature contractions Premature delivery Primary mild contraction-IMININ Secondary mild contraction Hyperemesis gravidarum incompleted spontaneous abortion Completed spontaneous abortion Premature contractions Premature delivery Primary mild contraction-IMININ Secondary mild contraction Retained placenta incompleted spontaneous abortion Completed spontaneous abortion Premature delivery Urinary tract infection (UTI) Urinary tract infection Polyhydramnion Premature contractions Postmature infant Primary mild contraction-IMININ Secondary mild contraction

Gonorrhea HIV-AIDS Syphilis Gonorrhoe Herpes simplex CMV infections HIV-AIDS Toxoplasmosis Undecenden testes/crytoorchidism

Torsion of testis Stricture urethra Infertility Salphingitis Ovarian cyst Mother taking tobacco Endometritis Inflammation of pelvis (salpingitis, pelviperitonitis, perimetritis etc) Subinvolution of uterus Complication of DM (acute and chronic) Hyperthyroidism incompleted spontaneous abortion Completed spontaneous abortion Premature contractions Premature delivery Primary mild contraction-IMININ Secondary mild contraction Retained placenta Urinary tract infection (UTI) CMV infections Toxoplasmosis Syphilis Gonorrhoe Premature contractions Inflammation of pelvis (salpingitis, pelviperitonitis, perimetritis etc) CMV infections HIV-AIDS Premature delivery Hypothermia Respiratory stress syndrome Bronchopulmonary dysplasia Aspiration pneumonia

Apnea attacks Jaundice of newborn Hookworm disease Strongyloidiasis Ascariasis Worms Malabsorbsion Foods intolerance Peritonitis tuberculosis Marasmus Kwashiorkor Worms Malabsorbsion Contact dermatitis irritant Contact dermatitis allergica Hypothermia Hypoglycemia Neonatal convulsion Cerebral hemorrhage IDDM Hypoglycemia Marasmus Kwashiorkor Vitamin deficiencies Drowning Head injury Burning Poisoning Meningitis Encepalitis Febril convulsion

Tinea capitisTinea barbaeTinea facialeTinea corporisTinea manusTinea unguinumTinea crurisTinea pedisTinea versico

Morbili Neonatal convulsion Intoxication Withdrawal syndrome Misuse of psychoactive drugs Extrapyramidal side effects (eg. Acute dystonia, tradivedyskenia, parkinsonism) Anticholinergic side effects Sedative side effects Metal retardation Autism ADHD Amnesia pasca trauma Afasia MCI (mild cognitive impairment) Mental deficiency Autistic disorder Dementia Amnesic syndrome Schizophrenia Multiple personality Psychogenic amnesia Primary infantile autism Disorders due to social deprivation Metal retardation Autism ADHD Psychological factors affecting physical condition Physical overload Iron deficiency anemia Anemia associated with chronic disease Metabolic Encephalopathy Comatous

Brain death Cerebral infarction Intracerebral hematoma Sub arachnoid haemorarge Encepalithis Malaria serebral Encepalitis Epidural hematom Tumor primer Head injury Head injuries Diffuse brain damages Brain death Extradural hemorarge Subdural hemorarge Septic syock Hypovolemic Syock Hypoglycemia Iron deficiency anemia Bleeding incompleted spontaneous abortion Completed spontaneous abortion Premature delivery Rupture of perineum Retained placenta Retained placental tissue Postpartum haemorrage Intracerebral hematoma Sub arachnoid haemorarge Epidural hematom Subdural hematom SAH (sub arachnoid hemorrage)

Head injury Bleeding Hipovolemic shock Rib fractures/contusion Injury caused by rib fracture Crush injury to the heel (in children) Hemothorax Injury to spesific internal organs, such as liver, kidney, lung, etc Subungual hematom Traumatic vessel injury Head injuries Diffuse brain damages Cerebral concussion and contussion Extradural hemorarge Subdural hemorarge Subconjunctival haemorrhage Hyphaema Rupture urethra Ruptur kandung kencing Ruptur Ginjal Rupture of perineum Cerebral hemorrhage Intracerebral hematoma Sub arachnoid haemorarge Dengue hemorrhagik fever (DHF) Gastrointestinal bleeding Subconjunctival haemorrhage incompleted spontaneous abortion Completed spontaneous abortion Postpartum haemorrage Hemolytic anemia Bleeding

Corrosive lesions of esophageus Gastritis Gastric/doodenal ulcers Gastrointestinal bleeding Cirrosis of the liver Bleeding Traumatic vessel injury Uncomplicated pulmonary TB TB with HIV Bronchiectasis HIV-AIDS Hookworm disease Strongyloidiasis Ascariasis Worms Malabsorbsion Peritonitis tuberculosis Cirrosis of the liver Uncomplicated pulmonary TB TB with HIV Pleurisy TBC IDDM NIDDM Marasmus Kwashiorkor Vitamin deficiencies Obesity Metal retardation Autism ADHD Amnesia pasca trauma Afasia

MCI (mild cognitive impairment) Mental deficiency Autistic disorder Social phobia Multiple personality Disorder of body sensation Somatisation disorder Somatoform pain disorder Undifferentiated somatoform disorder Somatoform disorder not otherwise classified Rib fractures/contusion Injury caused by rib fracture Injury to spesific internal organs, such as liver, kidney, lung, etc Corrosive lesions of esophageus Reflux esophagitis Gastritis Gastro-esophageal reflux Angina Pectoris unstable angina Miokardial infarction Cardiorespiratory rest Uncomplicated pulmonary TB TB with HIV Acute bronchitis Lung emphysema Pneumonia Pleurisy TBC Pneumothorax Complete spinal transection Medulla compression acute Radicular sydrome/HNP Spondilitis TB

Trauma medula spinalis Acute traumatic spinal transection Injury of flexus and peripheral nerves Gastric/doodenal ulcers Angina Pectoris unstable angina Osteoporosis Physical overload Polymyalgia rheumatica Rheumatoid arthritis Gonorrhea Urinary tract infection (UTI) Urinary tract infection Prostatitis Rupture urethra Gonorrhoe Metal retardation Autism ADHD Amnesia pasca trauma Afasia MCI (mild cognitive impairment) Mental deficiency Autistic disorder Withdrawal syndrome Misuse of psychoactive drugs Schizophrenia Other psychoses including reactive psychosis and puerperal psychosis Panic disorder with agoraphobia Panic disorder without agoraphobia Social phobia Simple phobia

Obsessive compulsive disorder (neurosis) Post traumatic stress disorder Diffuse anxiety disorder Anxiety disorder not otherwise classified Multiple personality Depersonalisation disorder or depersonalisation Disorder of sexual desire Disorder of sexual exitement Sexual disorders, noc Tics, neuropathic behavior Hyperkinetic syndrome

a crurisTinea pedisTinea versicolor Mucocutaneous candidiasis

DAFTAR MASALAH KEPUTUSAN KONSIL KEDOKTERAN INDONESIA NOMOR 21A/KKI/KEP/IX/2006 Masalah Individu Keluhan Demam Batuk Sesak napas Sakit Dada Batuk (kering, berdahak, darah) Nyeri ulu hati Kurang gizi pada balita Tidak nafsu makan pada balita Batuk darah Penurunan berat badan drastis Nyeri dada

No Sistem 13 Pulmonologi

14 Endokrin

Demam Diare sakit kepala Gatal-gatal Nyeri perut Perut kembung Muntah Nyeri sendi Pusing (dizziness) Benjolan leher Mulut kering Berdebar-debar Sering buang air kecil pada malam hari Frekuensi urin Nokturia Poliuria Disfungsi ereksi

Gangguan menstruasi Nyeri sendi Sendi (kaku, bengkak, kelainan bentuk) Gerakan terbatas Bengkak pada kaki dan tangan Kaku pada pagi hari Hilang kesadaran Kesemutan Cemas Gangguan fungsi seksual Berat lahir rendah Kurang gizi pada balita Tidak nafsu makan pada balita Cengeng Gangguan pertumbuhan dan perkembangan pada balita Kelelahan Pingsan Penurunan berat badan drastis Obesitas

15 Muskuloskeletal

16 Neoplasma

17 Imunologi

18 Hematologi

ALAH ESIA NOMOR 21A/KKI/KEP/IX/2006

ividu Diseases berdasarkan SKDI

mbangan pada balita

1 Demam 2 Kejang 3 Diare 4 Batuk 5 sesak napas 6 sakit tenggorok 7 sakit kepala 8 Sakit dada 9 Gatal-gatal 10 Nyeri perut 11 Perut kembung 12 Muntah 13 Sulit Buang Air Besar atau sembelit 14 Nyeri sendi 15 Sakit punggung 16 Pusing (dizziness) 17 Kulit kuning 18 Kulit bersisik 19 Kulit merah dan nyeri 20 Kulit berminyak 21 Luka bakar 22 Benjolan leher 23 Wajah kaku 24 Mata merah 25 Mata gatal 26 Mata berair 27 Mata nyeri 28 Belekan (tahi mata) 29 Gangguan penglihatan 30 Timbilan (bintilan) 31 Kelilipan 32 Sakit telinga 33 Kopoken (telinga bernanah) 34 Tuli

61 Ambein 62 Nyeri saat BAB 63 Gatal daerah anus 64 Perdarahan saat BAB 65 Nyeri daerah anus 66 Nyeri saat buang air kecil 67 Anyang-anyangan 68 Sering buang air kecil pada malam hari 69 Kencing mengedan 70 Kencing tidak puas 71 Retensi urin 72 Inkontinensia urin 73 Akhir kencing menetes 74 Pancaran kencing menurun 75 Kencing bercabang 76 Waktu kencing preputium melembung/ballooning 77 Frekuensi urin 78 Disuria 79 Nokturia 80 Urgensi 81 Stranguria 82 Kencing merah (hematuria) 83 Kencing campur udara (pnematuria) 84 Faecaluria 85 Darah pada muara uretra 86 Hemospermia 87 Anuria 88 Poliuria 89 Oliguria 90 Perubahan warna urin 91 Nyeri buah zakar 92 Buah zakar tidak teraba 93 Disfungsi ereksi 94 Keputihan

35 Telinga gatal 36 Pilek (ingusan) 37 Mimisan 38 Bersin-bersin 39 Gangguan penciuman 40 Sakit dan sulit menelan 41 Mulut kering 42 Bau mulut 43 Sakit gigi 44 Sariawan 45 Bibir pecah-pecah 46 Bibir sumbing 47 Batuk (kering, berdahak, darah) 48 Berdebar-debar 49 ASI tidak keluar 50 Benjolan payudara 51 Luka puting 52 Payudara mengencang 53 Retraksi kulit dan puting 54 Benjolan perut 55 Perut kram 56 Sendawa 57 Cegukan 58 Nyeri ulu hati 59 Nyeri sesudah makan 60 Kelainan tinja (lendir, nanah, darah)

95 Vagina (gatal, nyeri, rasa terbakar) 96 Gangguan menstruasi 97 Gangguan menjelang menopause 98 Gangguan menopause 99 Patah tulang 100 Nyeri sendi 101 Sendi (kaku, bengkak, kelainan bentuk) 102 Nyeri pinggang 103 Nyeri otot 104 Gerakan terbatas 105 Bengkak pada kaki dan tangan 106 Kaku pada pagi hari 107 Pusing dan pusing sebelah 108 Hilang kesadaran 109 Epilepsi 110 Kejang 111 Kesemutan 112 Gerakan tidak teratur 113 Gangguan gerak dan koordinasi 114 Gangguan otot 115 Gangguan jalan 116 Lumpuh 117 Gangguan bicara 118 Pelupa 119 Perubahan perilaku (termasuk perilaku agresif) 120 Stress

121 Depresi 122 Cemas 123 Susah tidur 124 Pemarah 125 Ngamuk 126 Penurunan fungsi berpikir 127 Perubahan emosi dan mood 128 Gangguan fungsi seksual 129 Pelecehan seksual 130 Perkosaan 131 Tanda-tanda kehamilan 132 Hiperemesis 133 Nyeri perut waktu hamil 134 Perdarahan vagina waktu hamil 135 Anyang-anyangan waktu hamil 136 Kaki bengkak waktu hamil 137 Kontrasepsi 138 Sulit punya anak 139 Kehamilan tidak diinginkan 140 Persalinan prematur 141 Ketuban pecah dini 142 Berat lahir rendah 143 Kurang gizi pada balita 144 Tidak nafsu makan pada balita 145 Lecet pada pantat 146 Cengeng 147 Gangguan pertumbuhan dan perkembangan pada balita 148 Kecelakaan pada balita 149 Kejang demam 150 Penyalahgunaan obat 151 Gangguan belajar 152 Tidak mau minum obat pada anak-anak 153 Kelelahan 154 Pingsan

155 Perdarahan per vaginam 156 Perdarahan trauma 157 Perdarahan spontan 158 Muntah darah 159 Batuk darah 160 Penurunan berat badan drastis 161 Obesitas 162 Gangguan komunikasi 163 Nyeri dada 164 Nyeri punggung 165 Discharge urethra 166 Gangguan perilaku