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Thorax
Abdomen
Rapid turgor. Normoperistaltic. Liver palpable with 2cm, spleen and renal
unpalpable.
Extremities Pulse 96 bpm, regular, adequate pressure and volume, warm acral,CRT < 3
Genital
Rifampisin 1150mg
INH 1100mg
Pirazinamid 1150mg
Prednisolon 115mg
Vitamin A 1200mg
Thorax
Abdomen
Rapid turgor. Normoperistaltic. Liver palpable with 2cm, spleen and renal
unpalpable.
Extremities Pulse 96 bpm, regular, adequate pressure and volume, warm acral,CRT < 3
Genital
Rifampisin 1150mg
INH 1100mg
Pirazinamid 1150mg
Prednisolon 115mg
Vitamin A 1200mg
Diagnostic Planning:
-
Thorax
Abdomen
Rapid turgor. Normoperistaltic. Liver palpable with 2cm, spleen and renal
unpalpable.
Extremities Pulse 96 bpm, regular, adequate pressure and volume, warm acral,CRT < 3
Genital
Cotrimoxazole 1240mg
Rifampisin 1150mg
INH 1100mg
Pirazinamid 1150mg
Prednisolon 115mg
Vitamin A 1200mg
Thorax
Abdomen
Rapid turgor. Normoperistaltic. Liver palpable with 2cm, spleen and renal
unpalpable.
Extremities Pulse 96 bpm, regular, adequate pressure and volume, warm acral,CRT < 3
Genital
Cotrimoxazole 1240mg
Rifampisin 1150mg
INH 1100mg
Pirazinamid 1150mg
Prednisolon 115mg
Vitamin A 1200mg
Nystatin 41 cc
Thorax
Abdomen
Rapid turgor. Normoperistaltic. Liver palpable with 2cm, spleen and renal
unpalpable.
Extremities Pulse 96 bpm, regular, adequate pressure and volume, warm acral,CRT < 3
Genital
Diet MB 1500 calorie + F 100 /60cc/8 hours (Mineral Mix 3,2 cc)
Cotrimoxazole 1240mg
Rifampisin 1150mg
Etambutol 2200 mg
Vitamin B6 2 10mg
Vitamin A 1200mg
Asam Folat 11 mg
Nystatin 41 cc
Lamivudin 150 mg
Stravudin 30mg
Thorax
Abdomen
Rapid turgor. Normoperistaltic. Liver palpable with 2cm, spleen and renal
unpalpable.
Extremities Pulse 96 bpm, regular, adequate pressure and volume, warm acral,CRT < 3
Genital
Diet MB 1500 calorie + F 100 /60cc/8 hours (Mineral Mix 3,2 cc)
Cotrimoxazole 1240mg
Rifampisin 1150mg
Etambutol 2200 mg
Vitamin B6 2 10mg
Vitamin A 1200mg
Asam Folat 11 mg
Nystatin 41 cc
Lamivudin 150 mg
Stravudin 30mg
Multivitamin without Fe 11 cth
November30th 2014
Short of breathness is decreased (+), Diet is done,Vomiting (-),Diarrhea (-)
Sens: Allert, Pale (+). Jaundice (-). Edema (-). Cyanosis (-) Dyspnoe (-). Body Temperature
:36,80C. Body weight: 4,1 kg, Body length: 55 cm.
Head
Eye: Isochoric pupil (3mm/3mm),light reflex (+/+), inferior palpebra
conjunctiva pale (+/+), icteric sclera (-/-),old man face (+)
Nose, Mouth and Ear were within normal limit
Neck
Thorax
Abdomen
Extremities Pulse 122 bpm, regular, adequate pressure and volume, warm acral,CRT < 3,
muscle hypotrophy,subcutaneous fat getting thinner, baggy pants (+)
Genital
Furosemide 2 x 6 mg
Spironolakton 2 x6,25 mg
DISSCUSION
Theory
Discussion
I. No limitation or symptoms
II. Mild tachypnea or diaphoresis with
feeding in infants, dyspnea on exertion in
older children, no growth failure
III. Marked tachypnea or diaphoresis with
feeds or exertion, prolonged feeding
times, growth failure from CHF
IV. Symptoms at rest with tachypnea,
retractions, grunting, or diaphoresis
angle
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sharp
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