Findings Assessment Therapy Planning- Lower abdominal pain- Epigastric pain- Nausea- micturition pain- Polyuria

Appearance: moderate illness, GCS : E4V5M6, BP: 130/70 mmHg, PR : 82 x/min (adequate,regular) RR : 22 x/min, T: 37,4°C

Eye : conjunctiva anemia -/- sclera icteric -/-Ear nose throat : normalNeck : lymph nodes not enlargedJVP : Distended (-)

THORAX PulmoInspection : symmetricPalpation : vocal fremitus symmetricPercussion : symmetric, sonor soundAuscultation : vesiculer rhonki -/- , whezing -/- Heart Sound S1 S2

Normal, murmur ( – ), gallop ( – )

Abdominal Inspection : abdomen looks flatAuscultation : bowel sounds (+) 5x/minutePalpation : Pressure pain (+) Epigastric, suprapubicPercussion : Tympani, pain (-), regio CVA left pain (+)

Extremitas : warm acral, CR<2”, pitting edema -/- , Turgor normal

• Dyspepsia

• urinary tract infection

Hospitalization

IVFD : I RL / 24 h

Diit : smooth

Mm/ Ranitidine HCl IV 1x50 mgOndancentron IV 1x 8mgSucralfat syr 3x1 C Asam mefenamat 3x 500mg Ceftriaxone 2x1gr

- Hematology- Electrolyte- Urinalisa

Mrs. E, 55 YOJatinegaraCC : Lower left Abdominal pain

TC : Sunday, 8th March 2015CM : 45430600

Findings Assessment Therapy Planning- Fever since 3 days ago- Dizzy- Myalgia- Nausea- fatigue

Appearance: moderate illness, GCS : E4V5M6, BP: 130/80 mmHg, PR : 90 x/min (adequate,regular) RR : 20 x/min, T: 39,5°C

Eye : conjunctiva anemia -/- sclera icteric -/-Ear nose throat : normalNeck : lymph nodes not enlargedJVP : Distended (-)

THORAX PulmoInspection : symmetricPalpation : vocal fremitus symmetricPercussion : symmetric, sonor soundAuscultation : vesiculer rhonki -/- , whezing -/- Heart Sound S1 S2

Normal, murmur ( – ), gallop ( – )

Abdominal Inspection : abdomen looks flatAuscultation : bowel sounds (+) 5x/minutePalpation : Pressure pain (-) Percussion : Tympani, pain (-)

Extremitas : warm acral, CR<2”, pitting edema -/- , Turgor normal

• Dengue Fever Hospitalization

IVFD : I RL / 24 h

Diit : smooth

Mm/ Paracetamol 3x500mg

- Hematology ( Hb, Ht, Leukosit, Trombosit serial )

Mr. D, 32 YO

CC : Fever since 3 days ago

TC : Sunday, 8th March 2015CM : 87760400