Pemeriksaan Fisik Paru Sistem Respirasi | Keterampilan Klinis | FK Unand

Summary

In a medical role-play at Universitas Andalas, Dr. Taufiq, a pulmonary specialist, examines a 22-year-old patient named Hidayat from Azizi. The patient reports intermittent shortness of breath, especially in cold weather, with no food or dust triggers. A family history of similar symptoms is noted, and the patient has been using inhaler medication since childhood. A comprehensive physical examination is conducted, including inspection, palpation, percussion, and auscultation, to diagnose the respiratory condition.

Takeaways

• 👨‍⚕️ The patient, Mr. Hidayat, is a 22-year-old unmarried male experiencing intermittent shortness of breath, particularly when it's cold.
• 🏠 Mr. Hidayat resides in Azizi and has not been hospitalized for his condition, only visiting a clinic doctor.
• 🏥 He last visited a doctor six months prior to the current consultation and has a family history of similar symptoms, specifically with his mother.
• 💊 Mr. Hidayat has been using inhaler medication since elementary school to manage his symptoms.
• 🎓 Currently, he is a college student financially supported by his parents.
• 👔 The examination by Dr. Taufiq, a pulmonary specialist, includes a general physical check focusing on respiratory disorders and associated organ abnormalities.
• 🔍 The inspection phase of the examination assesses chest shape, symmetry, and any deformities or abnormalities on the chest wall.
• 🤲 Palpation is used to confirm observations from inspection, checking for tracheal deviation, chest wall issues, and fremitus.
• 🥁 Percussion helps identify areas of dullness that should normally resonate, aiding in determining the borders of the heart and lungs.
• 👂 Auscultation involves listening to breath sounds and additional sounds that may indicate pathological processes in the respiratory system.
• 🔁 The examination process is comprehensive, including both the front and back of the patient, with a focus on symmetry and abnormal findings.

Q & A

What is the patient's name and age?

The patient's name is Hidayat, and he is 22 years old.

What is the specialty of the doctor examining the patient?

The doctor is Dr. Taufiq, a pulmonary specialist.

What is the patient's main complaint?

The patient experiences shortness of breath, particularly when it is cold.

Is the patient's shortness of breath influenced by food or dust exposure?

No, the patient's shortness of breath is not influenced by food or dust exposure.

Has the patient's condition recurred before?

Yes, the patient's condition has recurred.

How often has the patient sought medical attention for this condition?

The patient has only seen a clinic doctor and it has been six months since the last visit.

Has the patient been hospitalized for this condition?

No, the patient has not been hospitalized for this condition.

Is there a family history of the same disease?

Yes, the patient's mother has the same symptom of shortness of breath.

What type of medication has the patient been using for their condition?

The patient has been using an inhaler medicine since elementary school.

What is the patient's current occupation?

The patient is currently a college student.

What does the general physical examination related to respiratory disorders aim to identify?

The examination aims to identify any abnormalities in other organs related to the respiratory system, such as edema, cyanosis, lymph node enlargement, and clubbing fingers.