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PHYSICIAN INCHARGE:
IB : dr. Intan, dr. Jaja, dr. Meli, dr. Rakhmi
II : dr. Vina, dr. Awan, dr. Arya, dr. Rizal
III : dr. Sri Sunarti, Sp.PD-KGer
Physical Examination
Laboratory Finding
10,000/µL
Hemoglobine 15.20 11.0-16.5 g/dl Potassium 2.94 3.5-5.0 mmol/L
SGPT 11 10-41U/L
Urinalysis
BGA
Value normal
PH 7.35 7,35-7,45
PCO2 33.0 35-45
PO2 71.1 80-100
HCO3 18.4 21-28
O2 saturation 93.3 > 95%
Base Excess -7.5 -3 until +3
Conclussion
7,35-7,45 metabolic acidosis fully compensated
ECG
Sinus Arythmia, HR 88 tpm
Frontal Axis : normal
Horizontal Axis : counterclockwise rotation
PR interval : 0.20”
QRS complex : 0.08”
QT interval : 0.24”
Conclusion : Sinus arythmia with heart rate 88 tpm
CXR
AP position, asymmetric, strong KV, less inspiration, soft tissue and bone normal, intercostalspace
normal, trachea in the middle, left and right phrenico costalis angle was sharp , right and left
hemidiaphragm dome shape.
Lung : broncovascular was normal
Cor : site normal, shape normal, size CTR 60 %,
Conclusion : cardiomegaly