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S O A P

•Sensorineural •Clinical findings Labirintitis Viral:


hearing loss •Head and neck • Diazepam dan
•Bacterial
•Tinnitus examinations benzodiazepine 
-serosa
•Aural fullness vestibular suppresant
-supurativa otogenic • Antiinflamasi 
•Otalgia •Kultur kuman -supurativa
•Otorrhea mengurangi inflamasi dan
meningogenic edema
•Vertigo •Neurologic •Virus • Bed rest dan hidrasi, IV
•Fever examinations
fluid and antimimetic
•Malaise •Ocular
•Nausea examination • Bakterial:
•Vomitting • AB sesuai hasil kultur
•Histopatologi kuman, AB spek luas sblm
Penyakit penyerta: hasil kultur,
•ISPA • drainase oma dg efusi
•OMA/OMK atau infeksi mastoid
•Meningitis
• Pengobatan simptomatik
• Surgical care
labyrinthitis
S O A P

•Kesulitan •Head and neck •Pengobatan sesuai


membedakan physical Tuli penyebab
beberapa lafal examinations 1. Konduktif •Eardrum repair
huruf •Tes penala 2. Sensorineural •Eartube insertion
•Suara biasa •Audiometry 3. Campuran •Ossiculoplasty
terdengar keras •Tympanometry •Hearing aids
•Sulit mengikuti •CT-scan/MRI-scan •Sign language
percakapan antara
2orang atau lebih
•Sulit mendengar
pada suasana ribut
•Mendengar suara
seperti bergumam
atau kumur-kumur
•Pusing
•Inbalance
•Tinnitus
•Aural fullness
•Otalgia
S O A P

•Unilateral •Anamnesa ISSHL •Pengobatan sesuai


sensorineural •Head and neck penyebab
hearing loss physical •Hearing aids
•tuli saraf 30 dB examinations •Steroid jk pendek
dlm 3 frekuensi •Audiometry (dexamethasone,
berdekatan dalam •Tympanometry prednisolone) ±
waktu <3 hari •Blood test antiviral (acyclovir,
•Tinnitus •CT-scan/MRI-scan valaciclovir)
•Pusing
•Inbalance
•Otalgia
•Aural fullness
S O A P

•Tidak bisa •Otoscopy Otosclerosis •Conventional


mendengar nada •Diagnostik surgery hearing aids
rendah •Histopatologik •Bone-anchored
•Tidak bisa •Pure-tone hearing aids (BAHA)
mendengar bisikan audiometry •Implant koklea
•Dizziness •CT-scan •Surgery
•Tinnitus
•Gangguan
keseimbangan
S O A P

•Belching •Electrogastrography Motion sickness: •Anticolinergic agent:


•Yawning •CVR-R (coefficient of •Car sickness
Scopolamine
•Pallor variation of R-R •Piperazine
•Air sickness Antihistamine:
•Increase intervals on EGG) •Sea sickness Cinnarizine
salivation •ENG caloric test Dimenhydrinate
•Diaphoresis •Visual supression test Meclizine
•Flushing •OKP test Cyclizine
•Nausea Promethazine
•Vomitting
•Dizziness •Sympatomimetic:
•Sweating Amphetamine
Caffeine
(+promethazine)
Antimimetic
Ondansetron
Benzodiazepine

Source:
http://emedicine.medscape.com/article/2060606-
clinical#b3