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Neck: Thorax: Lung Pale of conjunctiva palpebra (-), icteric sclera (-), Jugularvein preassure (5-2) cmH2O, lymph nodes enlargment (-), tyroid gland enlargment (-). I: symetrical of static and dynamic right and left are equal, hoarseness P: stemfremitus immeasurable P: stony-dull in all area of lung A: vesikuler increassed, rales moist (+) all lung area, wheezing (-) HR= 98x/meinute, murmur (-), gallop (-) Cor Abdomen Ekstremitas A: P: Lung Tuberculosis in wide lesion for new case -Taking a rest, O2 2 l/minute -Diet more calories -IVFD RL -Ambroxol 3x1 -B1B6B12 3x1 Flat, soft, preassure pain (-) Edema (-) January 31st 2013 Breathing difficulty, cough Compos mentis 110/70 mmhg 110x/minute 32x/minute 38C
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Date S: O: General condition Conciousness Blood preassure Pulse rate Respiration rate Temperature Spesific condition Head: Neck: Thorax: Lung
Breathing difficulty, fever, cough Compos mentis 100/70 mmhg 108x/minute 32x/minute 38,4C Pale of conjunctiva palpebra (-), icteric sclera (-), exopthalmus (+) Jugularvein preassure (5-2) cmH2O, lymph nodes enlargment (-), tyroid gland enlargment (-). I: symetrical of static and dynamic right and left are equal, hoarseness P: stemfremitus immeasurable P: stony-dull in all area of lung A: vesikuler increassed, rales moist (+) all lung area, wheezing (-)
HR= 108x/minute, murmur (-), gallop (-) Flat, soft, preassure pain (-) Edema (-) Lung Tuberculosis in wide lesion for new case -Taking a rest -Diet more calorie -IVFD RL -Rifamficin 1x 450
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-INH 1x300 -Pyrazinamide 3x500 -Ethambutol 1x750 -OBH syr 3x1 -B1B6B12 3x1
Date S: O: General condition Conciousness Blood preassure Pulse rate Respiration rate Temperature Spesific condition Head: Neck: Thorax: Lung
August, 30 Breathing difficulty, fever, cough Compos mentis 100/60 mmhg 104x/minute 34x/minute 38,5C Pale of conjunctiva palpebra (-), icteric sclera (-), exopthalmus (+) Jugularvein preassure (5-2) cmH2O, lymph nodes enlargment (-), tyroid gland enlargment (-). I: symetrical of static and dynamic right and left are equal, hoarseness P: stemfremitus immeasurable P: stony-dull in all area of lung A: vesikuler increassed, rales moist (+) all lung area, wheezing (-)
HR= 104x/minute, murmur (-), gallop (-) Flat, soft, preassure pain (-) Edema (-)
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A: P:
Lung Tuberculosis in wide lesion for new case -Taking a rest -Diet more calorie -IVFD RL -Rifamficin 1x 450 -INH 1x300 -Pyrazinamide 3x500 -Ethambutol 1x750 -OBH syr 3x1 -B1B6B12 3x1
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