Cholesystitis hahahahahshshdjdjdjdjdj.pptx

Uwjajajwwjwjajajajwwjwkskskskssksksksksjdjdjdjdjdjdjdjddjjdjddseèejsjdjdjdjdjdjdnxnxdjdjdjdjdndndnsnsnnssnnzznzznsdndndndbdbdbdbdbdjdjdjdnsjzndndndndndndndnsnsnsnsndnjwjejsjsjsjsjdjdjsjdjdjdjddjsjsjdjdjdjdjdjdjdjdjdjdjdjsjdjddjdjdjdjdjdjdjddhhdjddjdjjdjfjdjdhffjfjfjfjfjfjfjfjfj

1. CHOLECYSTITIS DEPARTEMEN ILMU BEDAH FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN

2. SCENARIO A fifty year old man arrived with a penetrating scar on his forehead . The pain   comes   and disappears . There are no complaints about defecation or urination . People enjoy eating fried foods and sugar- free foods . The results of the physical examination showed an indication of Murphy (+). The doctor carries out further examinations in the laboratory , such as ALP ( alkaline phosphatase ) and GGT (gamma glutamyl transferase ) examinations , in addition to radiological examinations (USG and CT) to find out whether there is bleeding or pus in the patient's stomach . The patient's relatives asked whether physical examination alone was not enough to establish a diagnosis, considering the limitations of laboratory examinations or abdominal radiology examinations in identifying the patient's disease . DEPARTEMEN ILMU BEDAH FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN

3. QUESTION When  a  patient   with  a Murphy  sign  (+)  is  50  years   old ,  how   does   the   performance   of   radiology   or   laboratory   examinations   compare   to   physical   examinations  in  the  diagnosis  of   cholesystitis   or   cholelithiasis ? PICO Problem : 50-year old   female   patient   with   lower   right  abdomen  pain   and  Murphy  sign  (+) Intervention : Imaging and labs examinations Comparison : physical examination Outcome : Making a  cholecystitis   or   cholelithiasis  diagnosis DEPARTEMEN ILMU BEDAH FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN

4. Pubmed DEPARTEMEN ILMU BEDAH FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN

5. Scholar DEPARTEMEN ILMU BEDAH FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN

6. Zendy research library DEPARTEMEN ILMU BEDAH FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN