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MORNING REPORT

Laporan jaga tanggal 17 Desember2015

Coass Jaga : Agustian Deny

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Male patients, 23 years ol,!omplaints o" abrasions on t#e

#ea

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$rimary %ur&ey' Air(ay : Clear

' )reat#ing : Clear, rate: 20*+min

' Cir!ulation : Clear, )$: 130+0 mm-g' Disability: .C% /5M, motori:

5+5+5+5, sensory: normal

' / : ulnus e*!oriatum regio "rontal,

!ontusio regio temporal e*tra

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%e!onary %ur&ey

4entity6' ame: 8n9 M

' Age : 23 years ol

' eligion : slam

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%e!onary %ur&ey

4Anamnesis6' Me!#anism o" njury: 8#e !#ie" !omplaint

post stru! by a rum o" iesel (#en t#e

!ar a!!ient9 pingsan' Allergy : 4;6

' Mei!ation : 4;6

' $ast llness : Ast#ma 4;6, DM 4;6, -8 4;6

' Last meal : #ours be"ore amission' /&ent: 8#e #ea stru! by a rum o"

iesel9

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%e!onary %ur&ey 4/*amination -eato 8oe6

' -ea : ormo!ep#al, injury 4

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@eatures

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(oring iagnosis' Meium #ea injury

' ulnus laseratum regio "rontal

' ontusion regio temporal e*tra

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Aitional /*amination' Complete )loo Count 4normal6

' %ull *;ray

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ontgent

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Diagnosis' Mil #ea injury

' ulnus laseratum regio "rontal

' ontusion regio temporal e*tra

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8reatment' on Mei!amentosa:

' .C% obser&ation

' @lesi 300' Mei!amentosa:

' @D L 20 rip per minute

' Antibioti! tab

' Analgeti! tab' Analgeti! inj

' $ira!etam inj

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