7/29/2019 case dm dr arif

1/24

Powerpoint Templates

Page 1

Click to edit Master subtitle style

Powerpoint Templates

Diabetesmelitus type2 obese type

with

neuropathydiabetic

Marissa Anggraeni030.08.155

Case Reportdr. Arief Gunawan, Sp.PD

http://www.powerpointstyles.com/http://www.powerpointstyles.com/http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

2/24

Powerpoint Templates

Page 2

Identity

Mrs. D

Kedaljaya 03/20

Elementary School

Category Description

Age

Job

62 Years old

Housewife

Married

Moeslem

Name

Address

Last Education

Religion

Ethnic Sundanese

July 18th, 2012Admitted

Marissa Anggraeni

Marital status

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

3/24

Powerpoint Templates

Page 3

AnamnesisAutoanamnesis on July, 23th 2012

Main Complaint Additional Complaint

Numbnessin the hand and feet

since 6 daybefore hospitalized

q Pain at the upper central ab-domen

q Fatigueq Difficulty moving hand and

feet

q Headache

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

4/24

Powerpoint Templates

Page 4

Picture of The Patient

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

5/24

Powerpoint Templates

Page 5

History of The Disease

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

6/24

Powerpoint Templates

Page 6

History of The Disease

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

7/24

Powerpoint Templates Page 7

History of The PastDisease

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

8/24

Powerpoint Templates Page 8

Habits History

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

9/24

Powerpoint Templates Page 9

Family History

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

10/24

Powerpoint Templates Page 10

General Condition

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

11/24

Powerpoint Templates Page 11

Vital Signs

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

12/24

Powerpoint Templates Page 12

Physical Examination

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

13/24

Powerpoint Templates Page 13

Thorax Examination

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

14/24

Powerpoint Templates Page 14

Abdominal Examination

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

15/24

Powerpoint Templates Page 15

Extremity Examination

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

16/24

Powerpoint Templates Page 16

Laboratory Finding

Blood Results NormalHemoglobin 13,7 12-14 g/dl

Leucocyte 9.500 5000-10.000

Trombocyte 401.000 150.000-450.000

Hematokrit 40 37-43 %

Diifferential counting : Basofil 0 (0-1) %

eosinofil 0 (1-3) %

Batang 0 (2-4)%

Segmen 70 (40-70) %

Limfosit 27 (20-40) %

Monosit 3 (2-8) %

GDS 313 (80-140) mg/dl

Ureum 42,8 (10-45) mg/dl

Creatinin 0,91 (0,4-0,5) mg/dl

July 18th, 2012

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

17/24

Powerpoint Templates Page 17

Laboratory Finding

Date July 18 July 19 July 20 July 21 July 22 July 23

GDS 313 528 411 466 339

GDP 363

GD2pp 570

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

18/24

Powerpoint Templates Page 18

Sign & Symptoms Physical Examination Laboratory

Numbness in the handand feet

pain and stiffness in theknee

pain at the upper centralabdomen. Naussea (+)

headache, fatigue, oftenfeel sleepy

Blurred vision Polidipsi Poliuria Polifagia

q Tenderness at uppercentre abdomen

q Range of Motion ofextremity are limited dueto the pain (numbness)

q GDS 18th =313q GDS 19th = 528q Gdp 20th = 363q Gd2pp 20th =570q Gds 21th = 411q Gds 22th = 466q Gds 23th = 339

Resume

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

19/24

Powerpoint Templates Page 19

Differential Diagnosis

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

20/24

Powerpoint Templates Page 20

Working Diagnosis

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

21/24

Powerpoint Templates Page 21

Suggested Examination

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

22/24

Powerpoint Templates Page 22

Prognosis

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

23/24

Powerpoint Templates Page 23

Therapy

Marissa Anggraeni

http://www.powerpointstyles.com/http://www.powerpointstyles.com/

7/29/2019 case dm dr arif

24/24

Powerpoint Templates Page 24

By: Marissa Anggraeni

Thank You!

http://www.powerpointstyles.com/http://www.powerpointstyles.com/