CHAPTER 1 First Tutorial: Brain Storming

1.1 SCENARIO Mrs. S, 32 years old comes with main complaint is weakness which is felt 2 days before hospitalized. She felt dyspnea.

ADDITIONAL INFORMATIONS Anamnesis Address Job : Wiguna Barat, Surabaya : housewife

She has hospitalized 3 times for 2 years with same symptoms Her family dont have same symptoms Another symptoms are whirling and pulsating The colour of urine like tea The menstrual cycle is normal Vital sign Heart rate Respiratory rate Temperature Height Weight Blood pressure No edema Warm perfusion There are petechiae on both of arm and foot Physical examination Head and neck Chest : No jaundice and cyanosis Eye and oral mucosa are pale : Symmetric, no retraction Lung on the normal state (no ronchi and wheezing) No murmur Stomach : Intestine sounds is normal : 162 cm : 50 kg : 110/70 mmHg : 90 times/minute : 30 times/minute

PBL Group 6A Medical Faculty of Airlangga University Laboratory Based Diagnostic Module

Liver and spleen are not expand 1.2 MAIN PROBLEM Weakness with dyspnea 1.3 KEYWORDS Woman 32 years old Weakness is felt 2 days before hospitalized Dyspnea

1.4 EARLY HYPHOTHESIS Weakness and dypsnea which is suffered by patient because anemia perniciosa, decreasing erythropoietin production, anemia haemolitic, or hepatitis 1.5 EARLY MIND MAPPING dr. A

a doctor new graduate

open personal practice

unappropriate name's board

medical treatment

doesn't have SIP yet

promoting himself

amputation

commercial practice

ethic

law

ethic 1.6 LEARNING ISSUES I 1. How is pathophysiology of dyspnea? 2. How is pathophysiology of anemia? 3. What are etiology of tea-colored urine? 4. What are etiology of petechiae?

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5. How is interpretation of laboratorys examination result? 6. How is pathophysiology of hepatitis? 7. How is pathophysiology of kidney disorders related to anemia?

PBL Group 6A Medical Faculty of Airlangga University Laboratory Based Diagnostic Module

LABORATORY BASED DIAGNOSTIC MODULE

Group Member: Group Leader : Ahmad Lukma Hakim Secretary : Armedian Oktaviani P Aditya Dias Pradana Sulton Al Amin Suryo H.K. Jeremia Alvian W Faizal Ariffianto S Made Pury Pratiwi Anita Maria Djunaidi Sakinah Putih N Deka Miftalia Anugrah Putri Deni Arifianto Megatri Ratna Safitri (011111108) (011111062) (011111008) (011111039) (011111018) (011111028) (011111038) (011111050) (011111074) (011111086) (011111097) (011111118)

Tutor Dr. dr. Arifa Mustika, M.Si.

MEDICAL FACULTY OF AIRLANGGA UNIVERSITY 2013

PBL Group 6A Medical Faculty of Airlangga University Laboratory Based Diagnostic Module