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8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 1/22
8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 2/22
Medico Legal
• relating to, or concerned with
medicine and law.
• pertaining to legal aspects of the
practice of medicine (as malpractice
or patient consent for operations or
patient information)
8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 3/22
Five Special Sense Organs
According to Indonesian Criminal
Law (Kitab Undang Undang
Hukum Pidana)There are 5 special
Sense:
• Sight (Penglihatan)
• Hearing (Pendengaran)
• Smell (Penghiduan)• Taste (Pengecapan)
• Touch (Perabaan)
8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 4/22
• Of five senses, there are only
Sight and Hearing seems to
have important issues relatedwith Medico Legal Aspects
• The other three usually not
raising serious medico legalproblem.
8/12/2019 Medleg Special Sense Organs Rev
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8/12/2019 Medleg Special Sense Organs Rev
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WHO ICD 10th ed:
• Low vision : visual acuity of lessthan 6/18, but equal to or better than3/60, or corresponding visual fieldloss to less than 20 degrees, in thebetter eye with best possiblecorrection.
• Blindness : visual acuity of less than
3/60, or corresponding to visual fieldloss to less than 10 degrees, in thebetter eye with best possiblecorrection
8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 7/22
Visual ImpairmentVisual impairment : Vision witheyeglasses of 20/60 or worse.
Limitation of side vision, abnormalcolor vision, or presence ofdouble vision in one eye also may
determined as visual impairment.
8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 8/22
Visual Disability
• If one can not perform certaintasks because of visualimpairment, then he is
considered visually disabled. This rating or quantification ofthe disability is necessary to
receive worker's compensation,insurance disability benefits,legal claims or certain forms ofgovernment assistance.
8/12/2019 Medleg Special Sense Organs Rev
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Visual Disability
• Visual disability is expressed in
percentages to determine how
much the whole person is disabledby this handicap.
In USA, total loss of vision in both
eyes is a 100% disability of vision,
but only an 85% disability of thewhole person.
8/12/2019 Medleg Special Sense Organs Rev
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8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 11/22
8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 12/22
COLOR BLINDNESS
• Total color blindness
• Partial color blindness
– Red-green
• Dichromacy (protanopia anddeuteranopia)
• Anomalous trichromacy (protanomalyand deuteranomaly)
– Blue-yellow• Dichromacy (tritanopia)
• Anomalous trichromacy (tritanomaly)
8/12/2019 Medleg Special Sense Organs Rev
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COLOR BLINDNESS and MEDICINE
• There is no reason to restrict onewith color blindness to studymedicine (In Western countries youare unlikely to be screened forCCVD), but you should givethought to the specialty you enter
• In some Eastern countries,
admission to medical school maynot be allowed if the deficiency issevere. J apan has recently relaxedsuch rules
CCVD = Congenital Color Vision Deficiency
8/12/2019 Medleg Special Sense Organs Rev
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Hearing Impairment
• Mild:
– for adults: between 25 and 40 dB
– for children: between 15 and 40 dB
• Moderate: between 41 and 55 dB
• Moderately severe: between 56and 70 dB
• Severe: between 71 and 90 dB
• Profound: 90 dB or greater
8/12/2019 Medleg Special Sense Organs Rev
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ARISE of MEDICO LEGAL PROBLEM
• If impairment of the specialsense is a result of trauma,
occupational related or causedby mistreatment – Severity of injury:
• Kehilangan salah satu indera = lukaberat (KUHP art. 90)
– Workman compensation
8/12/2019 Medleg Special Sense Organs Rev
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8/12/2019 Medleg Special Sense Organs Rev
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Anosmia and Gustatory problems
• Loss of smelling ability (olfactoryimpairment) can be a result ofhead trauma, medication or
infection.
• These causes may have medicolegal aspects if resulted from
criminal act (violence etc) orwrong doing by physician
8/12/2019 Medleg Special Sense Organs Rev
http://slidepdf.com/reader/full/medleg-special-sense-organs-rev 18/22
Other Medico Legal Problems
• Restriction to certain education or jobs opportunity: pilot, army etc
• Restriction for obtaining DrivingLicense – Impairment in one eye ? – Color Blindness ?
• Restriction to certain Govermentalposition: president, Governor etc
8/12/2019 Medleg Special Sense Organs Rev
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8/12/2019 Medleg Special Sense Organs Rev
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Pasal 90 KUHP
Luka berat berarti:
– jatuh sakit atau mendapat luka yang tidakmemberi harapan akan sembuh sama sekali,
atau yang menimbulkan bahaya maut;
– tidak mampu terus-menerus untuk
menjalankan tugas jabatan atau pekerjaanpencarian;
– kehilangan salah satu pancaindera;
– mendapat cacat berat;
– menderita sakit lumpuh;
– terganggunya daya pikir selama empat
minggu lebih;
– gugur atau matinya kandungan seorang
perempuan.
8/12/2019 Medleg Special Sense Organs Rev
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Pasal 89 KUHPMembuat orang pingsan atau tidak berdayadisamakan dengan menggunakan kekerasan.
Pasal 352 KUHP
Penganiayaan ringan adalahpenganiayaan yang tidak menimbulkanpenyakit dan atau halangan melakukanpekerjaan jabatan atau matapencaharian sehari-hari