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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%