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K02

K02

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Published by Iffah Lailla

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Published by: Iffah Lailla on Aug 28, 2010
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10/21/2013

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SULIT DARIHAL PERUBATAN
JLKN/K/:02/Pin 5/09
PEMERIKSAAN PERUBATAN CALON PROGRAM LATIHAN KHIDMAT NEGARA
DIPENUHI OLEH PEGAWAI PERUBATAN KERAJAAN YANG MEMERIKSA**
Arahan: Setiapmasalahkesihatanyang diperakuiolehpelatihperludisiasatdenganlebihlanjut.
GENERAL
EYE
Ht (cm)Blood PressureWt (kg)TemperatureBMI
OTHER COMMENTS
Vision Without aid6/6/RightLeftUmur JantinaNamaNo Kad PengenalanTarikh Lahir AlamatKemKumpulan PLKNSkinPallor OedemaJaundiceCyanosis
EARCARDIOVASCULARNASAL,ORAL AND THROAT
Vision with aid6/6/HearingTympanic MembraneRightLeftNasal cavitySinusTeethTonsilsPharynxThyroidPulse ratePulse rhythmVaricose veinsApex beatHeart SoundsPupils : Regular / irregular 
SULIT DARIHAL PERUBATAN
1/5
Heart murmurs: Equal / unequalNystagmus: Absent / present
**Sila rujuk m/s 3/5 & 4/5 
 
SULIT DARIHAL PERUBATAN
JLKN/K/:02/Pin 5/09
ABDOMEN
NERVOUS SYSTEMGENITO-URINARY AND PERINEUM
KidneysToneGenitalsMotor Sensory
RESPIRATORY
LungsPEFR (jika perlu) : Liter / minute
OTHER COMMENTSSKELETAL SYSTEMMENTAL FUNCTIONS AND EMOTIONAL STABILITYLABORATORY TESTS
eexesOrientationSpeechSkullSpineLower LimbsUpper LimbsUrine : AlbuminUrine Suga
SULIT DARIHAL PERUBATAN
2/5
FBC / Hb (jika perlu)GaitDeformitiesMoodAppearance /Posture / General behaviour 
 
SULIT DARIHAL PERUBATAN
JLKN/K/:02/Pin 5/09
Jalankan pemeriksaan KlinikalStatus[ ] Akut[ ] KronikDiagnosa(ICD 10) :……………………………………………………………………………………………………………………………………………….[ ] Tidakpastidiagnosa(menunggupenyiasatanlanjutataurujukan)Status[ ] Sihat
GARIS PANDUAN BAGI MEMBUAT KEPUTUSAN KLINIKAL HASIL PEMERIKSAANPERUBATAN CALON PROGRAM LATIHAN KHIDMAT NEGARA
Silatandakandiagnosasertatandakan[ / ] padapetakyang berkenaan.SemakBorangPerakuanKesihatan. Silatelitimasalahkesihatanyang diperakuipelatih.
3/5
SULIT DARIHAL PERUBATAN
[ ] Mild[ ] Moderate/[ ] SevereKeterukan/SeveritySesuaiuntukPLKNStatus[ ] Morbidityeg: Kecacatan
[ ] TakLayak
[ ] Beransur pulih
[ ] Tangguh
[ ] Sesuai
[ ]
TidakSesuai
[ ] Layak*
*Catatan: Keputusankelayakanpelatihperlumengambilkirai.Tahapkesihatanpelatihii.JenisLatihaniii.TahapLatihan,sertaiv.KeupayaanPerkhidmatankesihatandikem
Silabuatulasanpadaruangkeputusandimukasurat4/5denganlebihtelitidanjelasSiladapatkanpengesahankeduaolehPakarPerubatan(jikaperlu) dimukasurat5/5

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