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  • Format MR: Dr. Soeparimbo, SP - OT

    Transféré par

    Dina April
    9 vues7 pages
    This medical record document provides a template for documenting a patient case. It includes sections for subjective information, objective findings from examinations, assessments, diagnoses, differential diagnoses, and treatment planning. The template outlines including status generalis and status lokalis examinations and considering diagnostic tests to rule out differential diagnoses.

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    mr

    Titre original

    Format Mr Bedah

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    This medical record document provides a template for documenting a patient case. It includes sections for subjective information, objective findings from examinations, assessments, diagnoses, differential diagnoses, and treatment planning. The template outlines including status generalis and status lokalis examinations and considering diagnostic tests to rule out differential diagnoses.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PPT, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    9 vues7 pages

    Format MR: Dr. Soeparimbo, SP - OT

    Transféré par

    Dina April
    This medical record document provides a template for documenting a patient case. It includes sections for subjective information, objective findings from examinations, assessments, diagnoses, differential diagnoses, and treatment planning. The template outlines including status generalis and status lokalis examinations and considering diagnostic tests to rule out differential diagnoses.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PPT, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 7

    FORMAT MR

    dr. Soeparimbo, Sp.OT


    Subjective Objective
    KU Primary Survey
    MOI A
    RPD B
    RPO C
    D
    RPK
    E Status generalis
    K/L, tho, abd, ext
    (status lokalis)
    Status Lokalis
    Assestment
    DX

    DD
    Planning
    DX --> TX

    DD --> Pemeriksaan Penunjang utk


    singkirkan DD (Lab Rontgen dll)
    Format MR

    dr. Samsul Huda, Sp.B


    Menyusuull

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