DEPARTEMEN/SMF ILMU PENYAKIT DALAMRUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN

PANDUAN PRAKTIK KLINIK DAN CLINICAL PATHWAYS

1. PANDUAN PRAKTIK KLINIS1.1 DIVISI GASTROENTERO HEPATOLOGI.............................................................

1

Dispepsia Fungsional.................................................................................................

1

Dispepsia....................................................................................................................

3

Obstruksi Jaundice.....................................................................................................

5

Sirosis Hepatis dengan Hepatik Ensefalopati............................................................

8

Sirosis Hepatis dengan Hepatorenal Sindrom...........................................................

11

Sirosis Hepatis dengan Spontaneous Bacterial Peritonitis.........................................

14

Hepatitis B Kronis......................................................................................................

18

Hepatitis C Kronis......................................................................................................

20

Hepatoma....................................................................................................................22

Ca Colorectal...............................................................................................................24

Perdarahan Saluran Cerna Bagian Atas Non Varises..................................................26

Perdarahan Saluran Cerna Bagian Atas Varises..........................................................28

Perdarahan Saluran Makan Bagian Bawah.................................................................30

Sirosis Hepatis dengan Uncomplicated Asites...........................................................321.2 DIVISI HEMATO-ONKOLOGI MEDIK....................................................................36

Leukemia......................................................................................................................361.3 DIVISI KARDIOLOGI..................................................................................................40

Gagal Jantung..............................................................................................................40.

STEMI.........................................................................................................................441.4 DIVISI ENDOKRIN, METABOLIK & ENDOKRIN................................................48

Diabetes Melitus dengan Stres Hiperglikemia.............................................................48

Hiperglikemia Hiperosmolar Non Ketosis (HHNK)...............................................................51

Ketoasidosis Diabetikum (KAD)............................................................................................54

Infeksi Kaki Diabetes..............................................................................................................57

Diabetes Melitus dengan Komplikasi.....................................................................................60

Diabetes Melitus dalam Perioperatif.......................................................................................63

Diabetes Melitus dengan Hipoglikemia .................................................................................66

Tirotoksikosis..........................................................................................................................69

Struma Nodular Non Toksik (SNNT).....................................................................................72