english lapjag bangsal 24-02-16
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7/24/2019 English Lapjag Bangsal 24-02-16
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Case Report24thFebruary 2016
GP on duty :dr. Dea & dr. Fitri
Co-Ass on duty:Coin & !ayu
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Re"apituasi pasien
1. #r. D$ % y.o ' (th day )e*er
2. #r. +$ 4, y.o ' Diarrhea ith se*ere
dehydration%. #r. $ / y.o ' Peura eusion$ suspPneuonia
4. #s. A$ 1 y.o - Diarrhea ith se*eredehydration
(. #s.$ / y.o - Dyspepsia
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Chie) Copaint
Feein5 out o) breath sin7e 1 ee"be)ore adission.
Current #edi7a 8istory : Patient 7opain )eein5 out o) breath
sin7e 1 ee" be)ore adission$
a77opanied ith produ7ti*e 7ou5h.9putu is yeo 7oored$ ithoutbood. Copaint is pro5ressi*e.
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Patient 7opains o) nausea but no*oitus.
Patient aso 7opains o) bein5 )e*erish
sin7e a ee" be)ore adission$ reie*edby ta"in5 para7etao.
rination and de)e7ation is nora.
8istory o) hypertension )or 10 years$7onsue aodipine but not re5uary.
8istory o) diabetes ;-
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Past #edi7a 8istory
8istory o) adission ( years a5o )orpeura =uid aspiration.8istory o) tuber7uosis ( years a5o$7opete re5ient.
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Past #edi7a 8istory
Aer5y ;-est
Test Result Normal Value
p8 /.4%2 /.%/ ' /.4(
pCJ2 %($/ %%-44pJ2 82,4 /1 - 104
!i7arbonate;8CJ%
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