Beruflich Dokumente
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Deddy-PPDS IPD
MORNING REPORT
PHYSICIANS INCHARGE:
IA : dr. Deddy, dr. Lya , dr. Ike (Cardio)
IB : dr. RifaI, dr. Ade
II : dr. Satriyo
III : dr. Gadis Nurlaela, SpPD
MODERATOR : dr. Ninik Burhan, SpPD-KPTI
Summary of Data Base
Female /24 y.0/w. 26
-She got operated to take pus from mammae dextra in August 2012
- Gastritis (+)
- DM and HT unknown.
Physical examination
BP = 110/70 mmHg PR = 112 bpm RR = 28 tpm Tax : 37.4C
Kusmaul type
General appearance looked severely ill GCS 334
PH 6.0 Cylinder +
Leucocyte - Hyaline -
Erythrocyte 3+ 40 x
Erythrocyte 4.2/hpf
Keton urine 3+ Leukocyte 1.6/hpf
Urobilinogen - Crystal -
Bilirubin + Bacteria 10.1x10 3
BGA
Temp 37 C O2 10 lpm
PH 6.64 7.35-7.45
PCO2 34.6 35 45 mmHg
PO2 102.5 80 100 mmHg
HCO3 3.7 21 28 m mol/L
O2 sat Art 84.7 > 95 %
BE -33.7 (-3) - (+3) m mol/L
True o2
Conclusion :asidosis
ECG (pict)
ECG (13/4/2012)
Sinus tachycardia, heart rate 115 bpm
Frontal Axis :N
Horizontal Axis : CCWR
PR interval : 0.12
QRS complex : 0.08
QT interval : 0. 28
Conclusion:
CUE AND CLUE PL IDx PDx PTx PMo