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MORNING REPORT

Supervisor:

dr. Hildebrand Hanoch W., SpP

In!ernal Medicine epar!"en!

Period o# $ Ma% &'() * &+ ul% &'()

-acul!% o# Medicine

hris!ian /niversi!% o# Indonesia

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Pa!ien!0s Iden!i!%1 Na"e : Nn. Rosidah1 Se2 : -e"ale

1 34e : ($ %ears old

1 Occupa!ional : 5

1Reli4ion : Moesle"

1 Educa!ion :

1 3ddress : a6an4 a7ar!a Ti"ur

1 En!r% da!e : '89')9&'()

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ANAMNESIS

3u!o 9 3llo : 3u!oana"nesis

a!e : '89')9&'()

Main co"plain! : -ever

3ddi!ional co"plain!s: o"i!, Nausea, Malaise, i;;%.

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HISTOR5@, 3s!h"a >5@

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Pemeriksaan Fisik

General Situation Looked moderate ill being

36areness o"pos"en!is

GS E+M)B

Clood pressure (='9$'

Pulse D'29"

RR &'29"

Te"pera!ure =D,B

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Head Nor"ocephali P : 595 SI : 595

Nec7 A%"ph nodes no! enlar4ed, is!ended ena Fu4ular >5@

Thora2 I: S%""e!ric ches! 6all "ove"en! le#! ri4h!P: S%""e!ric vocal #re"i!usP: S%""e!ric sonor

3: Casic brea!h sound vesicular, rh ?9?, 6h 595, hear! sound ( & re4ular, "ur"ur >5@, 4allop >5@

3bdo"en I : Aoo7s bi43 : Co6el sounds >?@ +29"inu!eP : T%"pani, pain >5@P : supple, Tenderness >?@ in supra pubic

E2!re"i!ies cold, RT &J, ede"a 5 5 5 5

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Pemeriksaan Penunjang

1 Aabora!or% :

H2TL :

1 He"o4lobin:(=,D 49dl

1 Aeu7osi! : +.) ribu9ul

1 He"a!o7ri! :+&.= K

1 Tro"bosi! : &&& ribu9ul

Widal Test

1 S. T%phose H >?@ (9D'

1 S. Para!%phi 3 H ne4a!i#

1 S. Para!%phi C H ne4a!i#

1 S. Para!%phi H ne4a!i#

1 S. T%phose O >?@ (9()'

1 S. Para!%phi 3 O ne4a!i#

1 S. Para!%phi C O >?@ (9()'

1 S. Para!%phi O >?@ (9D'

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Wor7in4 ia4nosis

Th%poid #ever

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Therap%

1 Hospi!ali;e

1 ie! : So#!

1 I- : III RA9 &+ Fa"

1 MM91 Aevo#lo2acine (2B''"4 >po@

1 O"epra;ole (2+'"4 >I@

1 San"ol =2( >po@

1 Ondance!ron &2+"4 >I@

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THANK Y!