FACULTY OF MEDICINE UMI UNIVERSITY OBJECTIVE STRUCTURED ORAL CASE ANALYSIS SPECIAL SENSE SYSTEM ACADEMIC YEAR 2011-2012

Makassar, December 2012 Case Synopsis Perempuan, B 20 thn dtg ke klinik dengan keluhan pendengaran turun ditelinga kanan sejak 5thn lalu disertai telinga berair dan berbau, kadang-kadang ada keluhan rasa berputar. Keluhan ini sering berulang. Riwayat telah diberikan obat tetapi tidak ada respon.

Pemeriksaan Fisik: KU : Baik, tanda2 vital baik. Inspeksi :D/S Retro aurikuler : kulit tidak ada sikatriks dan fistel. Pre aurikuler : normal Palpasi : D/S Daerah retroaurikuler kesan tlg mastoid tidak melunak, tdk ada abses

Otoskopi : D/ Meatus eksternus penuh sekret mucopurulen, Membran timpani perforasi subtotal, hiperemis, refleks cahaya tidak ada, tampak serpihan putih. Faringoskopi dan Rinoskopi normal Pemeriksaan Laboratorium: Hb 14 g / dl, leukocytes 10,000 g%, LED 45 / 1 j Pemeriksaan Garpu Tala : Weber : lateralisasi ke kanan Rinne : negatif Swabach : memanjang Tes Bing : negatif (telinga kanan) Pemeriksaan Pure Tone Audiometry : D/ : Tuli konduktif berat S/ : Pendengaran Normal Tes Fistula positif Foto Mastoid : air cel mastoid kanan ada perselubungan, air cel mastoid kiri nomal

Mastoid CT-Scan :

Kultur : Pseudomonas, Sensitivity : Ciprofloxacin Sensitif Diagnosis : D/ OMSK maligna + mastoiditis + Labirintitis Therapy : Antibiotics, antiinflammation, Operasi

SPECIAL SENSE SYSTEM ACADEMIC YEAR 2011-2012 Makassar, December 2012

Final Scoring Sheet Case Students Name : Examiner 1 Name : Signature : Students Batch Number : Examiner 2 Name : Signature :

No 1 2 3 4 5 6 7 Case review Concept mapping

Issues to Analyze

Max Score 5 15 5 5 5 10 20

Students Score

Symptoms and signs of hearing disturbance Etiology of chronic supurative otitis media Symptoms and signs of chronic supurative otitis media Pathogenesis of chronic supurative otitis media Pathophysiology of symptoms and signs of chronic supurative otitis media

8 9 10 11 12 13

Principles of management threatened chronic supurative otitis media Prognosis of threatened chronic supurative otitis media Categories of supurative otitis media Differential diagnosis of chronic supurative otitis media BHP (4), CRP (3), PHOP (3) Performance a. Attitude (4) b. systematic presentation (3) c. communication skill (3)

5 3 3 4 10 10

TOTAL SCORE

100