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4.5 Tanggapan
Otot
Kimograf merupakan sebuah alat pencatat gerakan,
misalnya kerutan otot, denyut jantung, dan sebagainya.
Alat ini terdiri dari tabung aluminium yang dapat diputar
oleh motor listrik atau oleh per, dan kecepatan putarannya
dapat diatur. Tabung aluminium biasanya ditempeli kertas
licin dan halus yang diberi jelaga.
Kimograf
Kontraksi tunggal adalah
tanggapan yang timbul jika kita
merangsang otot dengan
rangsangan yang cukup kuat.
Kontraksi tunggal di bagi dalam
3 perioda, yaitu:
1) Perioda tersembunyi (laten),
adalah waktu antara saat
pemberian rangsang dengan
permulaan terjadinya
tanggapan
2) Perioda penegangan, adalah
waktu berlangsungnya ototo
memendek.
3) Peroda pengenduran, adalah
lamanya waktu kembalinya
otot pada bentuk dan
ukuran semula.
Kontrasi Tunggal
3 Macam Tanggapan
1. Kontraksi tunggal berturut-turut. Rangsangan yang kedua
diberikan setelah kontraksi yang pertaman selesai, sehingga terjadi
dua buah kontraksi tunggal berturut-turut.
2. Penjumlahan rangsang. Rangsangan kedua diberikan pada waktu
otot berada dalam keadaan refrakter, sehingga rangsangan yang
kedua tidak mengakibatkan pengaruh apapun.
3. Penjumlahan kontraksi. Rangsangan kedua diberikan segera
setelah rangsangan pertama.
Kebanyakan kontraksi otot rangka bersifat
tetanus, bahkan pergerakan yang cepat
seperti misalnya kedip mata juga
melibatkan tetanus. Tanggapan yang
timbul selama tetanus adalah kali atau
lebih dibandingkan dengan selama
kontraksi tunggal.
Frekuensi rangsangan yang
diperlukan untuk
menimbulkan tetanus
sempurna tergantung dari
jenis otot.
Contoh :
• Otot bola mata
membutuhkan 350
rangsangan per detik
• Otot betis katak 30
rangsangan per detik
• Otot betis manusia 100
rangsangan per detik
Setelah otot dirangsang, untuk waktu yang singkat otot kehilangan sifat
iritabilitasnya dan selama waktu ini otot tidak akan menimbulkan
tanggapan bila diberi rangsangan yang kedua. Waktu ini disebut perioda
refrakter.
Perioda refreakter ini sangat
singkat untuk otot rangka, sedikit
lama untuk otot jantung dan lama
untuk otot polos. Setelah
pemberian rangsangan dilakukan
berulang-ulang, nampaklah kuat
kontraksi lambat laun meningkat
meskipun tidak ada penambahan
intensitas rangsang.
Kecapaian (fatigue) adalah suatu keadaan
yang ditandai oleh menurunnya kepekaan
dan kemampuan menegang.
Jika otot yang dalam keadaan capai dialiri
dengan larutan garam fisiologis, keadaan
capai otot akan berkurang.
Hal ini disebabkan karena dibebaskannya
beberapa zat seperti CO2, asam laktat,
asam piruvat dan asam fosfat.
Kecapaian (fatigue)
REVIEW OF SYSTEMS
Select one or more of the patient's symptoms
DIARRHEA
SMELL
THROAT PAIN
FEVER
COUGH
MUSCLE PAIN
FATIGUE
HEADACHE
TASTE
CONGESTION
NAUSEA
VOMITING
STOMACH
CONFUSION
CHEST PAIN
REVIEW OF SYSTEMS
What questions would you like to ask initially?
HOW LONG HAS THIS BEEN GOING ON?
Venus is the second planet from the Sun
WHAT OTHER QUESTIONS WOULD YOU LIKE TO ASK YOUR PATIENT?
Jupiter is the biggest planet in the Solar System
WHAT OTHER SOURCES OF INFORMATION MIGHT BE USEFUL?
Saturn is a gas giant and has several rings
MARS
NEPTUNE
VENUS
MERCURY
Mercury is the closest
planet to the Sun
PHYSICAL EXAMINATION
Venus is the second
planet from the Sun
Mars is actually a very
cold place
It’s the farthest planet
from the Sun
A PICTURE IS WORTH A THOUSAND WORDS
A PICTURE
ALWAYS
REINFORCES
THE CONCEPT
Images reveal large amounts of data, so
remember: use an image instead of a
long text. Your audience will appreciate
it
SATURN
MARS
FINDINGS
Follow the link in the graph to modify its data and then
paste the new one here. For more info, click here
Mars is actually a very
cold place
It’s composed of
hydrogen and helium
VENUS
Venus is the second
planet from the Sun
30%
25%
45%
“Venus has a beautiful
name and is the
second planet from
the Sun”
DR. JENNA
DOE
“Mercury is the
closest planet to the
Sun and the smallest
in the Solar System”
DR. JOHN
JAMES
DR. DANIEL
PATTERSON
“Despite being red,
Mars is actually a cold
place. It’s full of iron
oxide dust”
DISCUSSION
DISCUSSION
SUMMARY
“Mercury is the closest planet
to the Sun and the smallest one
in the Solar System. This
planet's name has nothing to do
with the liquid metal”
JUPITER
MARS
NEPTUNE
MERCURY VENUS
SATURN
Mars is actually a very
cold place
It’s the farthest planet
from the Sun
DIAGNOSIS
It’s the closest planet
to the Sun
Venus is the second
planet from the Sun
Jupiter is the biggest
planet of them all
It’s composed of
hydrogen and helium
What examination (s) would be appropriate in this case?
MARS
VENUS
TREATMENT
Despite being red,
Mars is a cold place
Venus is the second
planet from the Sun
It’s the biggest planet
in the Solar System
Saturn is a gas giant
and has several rings
Medical treatment
JUPITER
SATURN
SYMPTOMS
BASED ON THE
HISTORY
WHAT ARE SOME
KNOWN CAUSES?
SOME SYSTEMIC
CAUSES
FEVER Mercury is the closest
planet to the Sun
Pluto is considered a
dwarf planet
Ceres is in the main
asteroid belt
COUGH Venus has a beautiful
name, but it’s hot
Neptune is far away
from the Sun
The Moon is a
natural satellite
MUSCLE PAIN Earth is the third
planet from the Sun
Saturn is a gas giant
and has rings
Mercury is the
smallest planet
FATIGUE Jupiter is the biggest
planet of them all
Despite being red,
Mars is a cold place
Venus is even hotter
than Mercury
COMPARISON
Differential diagnoses
JUPITER
VENUS
Jupiter is the biggest
planet of them all
PATIENT MONITORING
Venus is the second
planet from the Sun
MARS
Mars is actually a
very cold place
SATURN
Saturn is a gas giant
with rings
W.1 W.4
W.2 W.3
CONTRAINDICATIONS INDICATIONS
INDICATIONS
● You can describe the reason to
follow the treatment here
● You can describe the reason to
follow the treatment here
● You can describe the reason to
follow the treatment here
● You can describe the reason to
follow the treatment here
● You can describe the reason to
stop the treatment here
● You can describe the reason to
stop the treatment here
● You can describe the reason to
stop the treatment here
● You can describe the reason to
stop the treatment here
Contraindications and indications
POST-PREVENTION
NEPTUNE JUPITER
MARS SATURN
Despite being red,
Mars is a cold place
It’s the farthest planet
from the Sun
It’s the biggest planet
in the Solar System
Saturn is a gas giant
and has several rings
VENUS MERCURY
Venus is the second
planet from the Sun
It’s the closest planet
to the Sun
02
01
06
05
04
03
MARS
WEEK 1
NEPTUNE
WEEK 3
JUPITER
WEEK 5
SATURN
WEEK 2
VENUS
WEEK 4
CASE TIMELINE
Despite being red, Mars
is a cold place
Saturn is a gas giant and
has several rings
It’s the farthest planet
from the Sun
Venus is the second
planet from the Sun
It’s the biggest planet in
the Solar System
CLINIC LOCATIONS
JUPITER
SATURN
It’s the biggest planet
in the Solar System
Saturn is a gas giant
and has several rings
MERCURY
It’s the closest planet
to the Sun
CONCLUSIONS
Do you know what helps you make your
point clear?
Lists like this one:
● They’re simple
● You can organize your ideas clearly
● You’ll never forget to buy milk!
And the most important thing: the audience
won’t miss the point of your presentation
REFERENCES
1.AUTHOR (YEAR).
Title of the publication. Publisher
1.AUTHOR (YEAR).
Title of the publication. Publisher
1.AUTHOR (YEAR).
Title of the publication. Publisher
1.AUTHOR (YEAR).
Title of the publication. Publisher
DESKTOP
SOFTWARE
You can replace the image on
the screen with your own work.
Just right-click on it and select
“Replace image”
OUR TEAM
JENNA DOE
You can talk a bit about
this person here
TIMMY JIMMY
You can talk a bit about
this person here
SUSAN BONES
You can talk a bit about
this person here
150,000
Big numbers catch your audience’s attention
9h 55m 23s
It’s Jupiter's rotation perio d
333,000
Earths is the Sun’s mass
386,000 km
It’s the distance between Earth and the Moon
AWESOME
WORDS
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icons by Flaticon, infographics & images by Freepik
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VECTORS
● Medicine elements background in
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● Hand drawn flat sliders collection
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“Despite being red,
Mars is actually a
very cold place”
“Mercury is closest
planet to the Sun
and the smallest”
“Neptune is the
farthest-known
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“Saturn is a gas
giant and has
several rings”
“Venus is the
second planet from
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terribly hot”
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Interactive Clinical Cases Scenarios by Slidesgo (1) (1).pptx

  • 2. Kimograf merupakan sebuah alat pencatat gerakan, misalnya kerutan otot, denyut jantung, dan sebagainya. Alat ini terdiri dari tabung aluminium yang dapat diputar oleh motor listrik atau oleh per, dan kecepatan putarannya dapat diatur. Tabung aluminium biasanya ditempeli kertas licin dan halus yang diberi jelaga. Kimograf
  • 3.
  • 4. Kontraksi tunggal adalah tanggapan yang timbul jika kita merangsang otot dengan rangsangan yang cukup kuat. Kontraksi tunggal di bagi dalam 3 perioda, yaitu: 1) Perioda tersembunyi (laten), adalah waktu antara saat pemberian rangsang dengan permulaan terjadinya tanggapan 2) Perioda penegangan, adalah waktu berlangsungnya ototo memendek. 3) Peroda pengenduran, adalah lamanya waktu kembalinya otot pada bentuk dan ukuran semula. Kontrasi Tunggal
  • 5. 3 Macam Tanggapan 1. Kontraksi tunggal berturut-turut. Rangsangan yang kedua diberikan setelah kontraksi yang pertaman selesai, sehingga terjadi dua buah kontraksi tunggal berturut-turut. 2. Penjumlahan rangsang. Rangsangan kedua diberikan pada waktu otot berada dalam keadaan refrakter, sehingga rangsangan yang kedua tidak mengakibatkan pengaruh apapun. 3. Penjumlahan kontraksi. Rangsangan kedua diberikan segera setelah rangsangan pertama.
  • 6. Kebanyakan kontraksi otot rangka bersifat tetanus, bahkan pergerakan yang cepat seperti misalnya kedip mata juga melibatkan tetanus. Tanggapan yang timbul selama tetanus adalah kali atau lebih dibandingkan dengan selama kontraksi tunggal. Frekuensi rangsangan yang diperlukan untuk menimbulkan tetanus sempurna tergantung dari jenis otot. Contoh : • Otot bola mata membutuhkan 350 rangsangan per detik • Otot betis katak 30 rangsangan per detik • Otot betis manusia 100 rangsangan per detik
  • 7. Setelah otot dirangsang, untuk waktu yang singkat otot kehilangan sifat iritabilitasnya dan selama waktu ini otot tidak akan menimbulkan tanggapan bila diberi rangsangan yang kedua. Waktu ini disebut perioda refrakter. Perioda refreakter ini sangat singkat untuk otot rangka, sedikit lama untuk otot jantung dan lama untuk otot polos. Setelah pemberian rangsangan dilakukan berulang-ulang, nampaklah kuat kontraksi lambat laun meningkat meskipun tidak ada penambahan intensitas rangsang.
  • 8. Kecapaian (fatigue) adalah suatu keadaan yang ditandai oleh menurunnya kepekaan dan kemampuan menegang. Jika otot yang dalam keadaan capai dialiri dengan larutan garam fisiologis, keadaan capai otot akan berkurang. Hal ini disebabkan karena dibebaskannya beberapa zat seperti CO2, asam laktat, asam piruvat dan asam fosfat. Kecapaian (fatigue)
  • 9. REVIEW OF SYSTEMS Select one or more of the patient's symptoms DIARRHEA SMELL THROAT PAIN FEVER COUGH MUSCLE PAIN FATIGUE HEADACHE TASTE CONGESTION NAUSEA VOMITING STOMACH CONFUSION CHEST PAIN
  • 10. REVIEW OF SYSTEMS What questions would you like to ask initially? HOW LONG HAS THIS BEEN GOING ON? Venus is the second planet from the Sun WHAT OTHER QUESTIONS WOULD YOU LIKE TO ASK YOUR PATIENT? Jupiter is the biggest planet in the Solar System WHAT OTHER SOURCES OF INFORMATION MIGHT BE USEFUL? Saturn is a gas giant and has several rings
  • 11. MARS NEPTUNE VENUS MERCURY Mercury is the closest planet to the Sun PHYSICAL EXAMINATION Venus is the second planet from the Sun Mars is actually a very cold place It’s the farthest planet from the Sun
  • 12. A PICTURE IS WORTH A THOUSAND WORDS
  • 13. A PICTURE ALWAYS REINFORCES THE CONCEPT Images reveal large amounts of data, so remember: use an image instead of a long text. Your audience will appreciate it
  • 14. SATURN MARS FINDINGS Follow the link in the graph to modify its data and then paste the new one here. For more info, click here Mars is actually a very cold place It’s composed of hydrogen and helium VENUS Venus is the second planet from the Sun 30% 25% 45%
  • 15. “Venus has a beautiful name and is the second planet from the Sun” DR. JENNA DOE “Mercury is the closest planet to the Sun and the smallest in the Solar System” DR. JOHN JAMES DR. DANIEL PATTERSON “Despite being red, Mars is actually a cold place. It’s full of iron oxide dust” DISCUSSION
  • 16. DISCUSSION SUMMARY “Mercury is the closest planet to the Sun and the smallest one in the Solar System. This planet's name has nothing to do with the liquid metal”
  • 17. JUPITER MARS NEPTUNE MERCURY VENUS SATURN Mars is actually a very cold place It’s the farthest planet from the Sun DIAGNOSIS It’s the closest planet to the Sun Venus is the second planet from the Sun Jupiter is the biggest planet of them all It’s composed of hydrogen and helium What examination (s) would be appropriate in this case?
  • 18. MARS VENUS TREATMENT Despite being red, Mars is a cold place Venus is the second planet from the Sun It’s the biggest planet in the Solar System Saturn is a gas giant and has several rings Medical treatment JUPITER SATURN
  • 19. SYMPTOMS BASED ON THE HISTORY WHAT ARE SOME KNOWN CAUSES? SOME SYSTEMIC CAUSES FEVER Mercury is the closest planet to the Sun Pluto is considered a dwarf planet Ceres is in the main asteroid belt COUGH Venus has a beautiful name, but it’s hot Neptune is far away from the Sun The Moon is a natural satellite MUSCLE PAIN Earth is the third planet from the Sun Saturn is a gas giant and has rings Mercury is the smallest planet FATIGUE Jupiter is the biggest planet of them all Despite being red, Mars is a cold place Venus is even hotter than Mercury COMPARISON Differential diagnoses
  • 20. JUPITER VENUS Jupiter is the biggest planet of them all PATIENT MONITORING Venus is the second planet from the Sun MARS Mars is actually a very cold place SATURN Saturn is a gas giant with rings W.1 W.4 W.2 W.3
  • 21. CONTRAINDICATIONS INDICATIONS INDICATIONS ● You can describe the reason to follow the treatment here ● You can describe the reason to follow the treatment here ● You can describe the reason to follow the treatment here ● You can describe the reason to follow the treatment here ● You can describe the reason to stop the treatment here ● You can describe the reason to stop the treatment here ● You can describe the reason to stop the treatment here ● You can describe the reason to stop the treatment here Contraindications and indications
  • 22. POST-PREVENTION NEPTUNE JUPITER MARS SATURN Despite being red, Mars is a cold place It’s the farthest planet from the Sun It’s the biggest planet in the Solar System Saturn is a gas giant and has several rings VENUS MERCURY Venus is the second planet from the Sun It’s the closest planet to the Sun 02 01 06 05 04 03
  • 23. MARS WEEK 1 NEPTUNE WEEK 3 JUPITER WEEK 5 SATURN WEEK 2 VENUS WEEK 4 CASE TIMELINE Despite being red, Mars is a cold place Saturn is a gas giant and has several rings It’s the farthest planet from the Sun Venus is the second planet from the Sun It’s the biggest planet in the Solar System
  • 24. CLINIC LOCATIONS JUPITER SATURN It’s the biggest planet in the Solar System Saturn is a gas giant and has several rings MERCURY It’s the closest planet to the Sun
  • 25. CONCLUSIONS Do you know what helps you make your point clear? Lists like this one: ● They’re simple ● You can organize your ideas clearly ● You’ll never forget to buy milk! And the most important thing: the audience won’t miss the point of your presentation
  • 26. REFERENCES 1.AUTHOR (YEAR). Title of the publication. Publisher 1.AUTHOR (YEAR). Title of the publication. Publisher 1.AUTHOR (YEAR). Title of the publication. Publisher 1.AUTHOR (YEAR). Title of the publication. Publisher
  • 27. DESKTOP SOFTWARE You can replace the image on the screen with your own work. Just right-click on it and select “Replace image”
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  • 29. 150,000 Big numbers catch your audience’s attention
  • 30. 9h 55m 23s It’s Jupiter's rotation perio d 333,000 Earths is the Sun’s mass 386,000 km It’s the distance between Earth and the Moon
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  • 52. Add the title here Text 1 Text 2 Text 3 Text 4 Text 5 Text 6 2016 2017 2018 2019 2020 “Despite being red, Mars is actually a very cold place” “Mercury is closest planet to the Sun and the smallest” “Neptune is the farthest-known planet from the Sun” “Saturn is a gas giant and has several rings” “Venus is the second planet from the Sun and is terribly hot” Premium infographics
  • 53. “Mercury is closest planet to the Sun and the smallest” TITLE 1 75% “Mercury is closest planet to the Sun and the smallest” “Mercury is closest planet to the Sun and the smallest” “Mercury is closest planet to the Sun and the smallest” 75% Premium infographics