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  • GIS Modul 3 History Taking & Physical Examination of Diarrhea%

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    89 views3 pages

    GIS Modul 3 History Taking & Physical Examination of Diarrhea%

    Uploaded by

    Windu Kumara
    ghh

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    History Taking & Physical

    Examination of Diarrhea and


    Dehydration
    1. General Objective

    After finishing skill practice of clinical examination of diarrhea, the student will be
    able to perform history taking and physical examination of diarrhea, to determine
    the severity and the management of diarrhea correctly.

    2. Specific Objective :
    At the end of skill practices, the student will be able to perform clinical
    examination and management of diarrhea correctly.

    3. Syllabus Description :
    a. Sub Module Objective
    After finishing skill practice of examination of acute abdomen, the
    student will be able to perform history taking and physical examination
    of acute abdomen correctly.
    b. Expected Competencies
    ▪ Students perform history taking of diarrhea.
    ▪ Students perform physical examination of diarrhea.
    ▪ Students perform management of diarrhea based on the severity.
    c. Topics
    ▪ History taking of diarrhea
    • Greet the patient and parents and confirm identity: train the student
    to perform the informed concent, and collecting the patient data.
    • Chieft complain: Determine the chief complaint and onset of illness,
    train the student to collect data of chief complaint and timeline of
    the symptom.
    • Other related symptoms: train the student to get other information
    related of the symptoms of diarrhea.
    • Collect the previous history, family history, other significant illness,
    and house environment: train the student to find the risk factor of the
    present illness.
    • Collect the history of current medication: to collect data about
    present medication.
    ▪ Physical examination of diarrhea.
    • Preparation: train the students to perform informed consent and
    prepare the patient and also them selve for the physical examination.
    • Implementation
    o General examination: train the students to examine general
    appearance and the signs of dehydration.
    o Decision: train the students to make decision the severity of
    dehydration.
    o Management: train the students to manage the diarrhea based on
    the severity of dehydration.

    Clinical Skill Manual GIS | 9


    d. Methods
    ▪ Presentation
    ▪ Demonstration
    ▪ Coaching
    ▪ Self practices: role - play

    A. Attachment
    1. Instrument, substances and material needed
    Presentation :
    Audiovisual : Slides presentations on LCD projector.
    Demonstration and coaching :
    a. Table
    b. Chairs
    c. Examination couch
    d. Baby manequin
    e. Oral rehydration solution

    2. Assessment:
    Performance scale 0 = Neither mention nor do the procedure
    Performance scale 1 = Only mention the procedure
    Performance scale 2 = Mention and do the procedure

    3. Speciment Handling
    4. Standardized patient& Preparation for the Patient
    This skills not need standardized patient.
    5. Venue
    Skills Laboratory, C5 building fl.1, Faculty of Medicine Universitas Padjadjaran
    6. Reference
    7. Resource Department: Pediatric Department, Faculty of Medicine Universitas
    Padjadjaran

    Clinical Skill Manual GIS | 10


    Learning Guide HTPE Diarrhea

    Performance
    No. Steps Scales
    0 1 2
    HISTORY TAKING
    1 Greet the mother.
    2 Introduce yourself.
    3 Ask the patient’s name and age.
    4 Ask about the reason why she comes to you.
    5 Ask about the onset/duration of diarrhea.
    6 Ask about the frequency and amount of diarrhea.
    7 Ask about the nature of diarrhea: bloody, mucous or watery stool.
    8 Ask about the progression of the complaint.
    Ask related symptoms (9-11)
    9 Nausea and vomiting
    10 Fever and cough
    11 Micturition
    12 Previous history of feeding (breast milk or formula milk feeding)
    Ask about signs of dehydration: irritability, restlessness,lethargy, eager to
    13
    drink
    Tell the mother’s patient about the conclusion of the patient’s history
    14.
    taking.
    PHYSICAL EXAMINATION
    1 Greet the mother.
    2 Introduce yourself.
    3 Wash & dry hand
    4 Ask permission from the mother
    Examine the child’s general appearance (lethargy or unconscious or
    5
    floppy)
    6 Examine the eyes (very sunken)
    7 Observe tears (Absent)
    8 Examine the mouth and tongue (Very dry)
    9 Observe patient when drink (Drinks poorly)
    10 Perform skin pinch (Goes back very slowly)

    Clinical Skill Manual GIS | 11

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