7/21/2019 Case Report Word

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CASE REPORT

1. Identity :

 Name : J.AAge : 3 years 11 month old

Gender : MaleAddress : East Kalibata, South Jakarta. Anamnesis

!atients "ame es"orted by his #arents

$ith "om#laints li%uid de&e"ation ' times

 be&ore entering the hos#ital , de&e"ation is

 bro$nish yello$ li%uid , $ith little

$aste , stink and slime "ontained as mu"h

as ( a%ua glass . !atients also )omited

si* times as mu"h $hite to yello$ish ( +

1' a%ua glass . -e"reased a##etite, ust a

little drinking $ater. -rinking milk 

regularly , but al$ays be le&t ( bottle o& 

// ml . !atients ha)e been gi)en 0a"to

 but "om#laints are not redu"ed .

A""ording to Mrs. #atients $eeks ago

the #atient had ust re#la"e the milk o& 

 #ediasure into 2risian &lag , initially still

in the mi* this $eek , but already one

 #atient only drink milk 2risian 2lag . n

addition the #atients also 34,156 &e)er ,

"ough, runny nose 7 ,urination no

"om#laints .

3. !hysi"al E*amination :