Marnis, Female, 62 y.o., FW 16 (dr.

Farah)
CC : Wound in left foot since 10 days ago
Present Illness History: Wound in left foot since 10 days ago. Fever (+) 10 days ago for 2 days Fatigue since 6 months ago Often thirsty, hungry and pee in the night since a year ago

Physical Examination: GA: moderate, Consciousness: CMC BP: 110/60 Pulse: 86, RR: 23, Temp: 36,7C

Eyes : anemic-/-, icteric -/Neck : JVP 5-2 cmH2O Thorax : Lung : bronchovesiculer, Wh -/-, Rales -/Cor : regular, murmur (-) Abdomen: liver not palpable Ext : pedis sinistra:
Lab: Hb : 12,7 g/dl , HT : 37% Leukocyte : 31.300/mm3, Trombocite : 304.000/mm3 Na/K/Cl : 129/3,6/100 Ur/Cr : 47/0,8 Glucose: 268 mg/dl

WD : Type 2 DM uncontrolled overweight + Diabetic Ulkus

Therapy: Rest/ Diabetic Diet 1500 kkal IVFD NaCl 0,9% 8 hours/kolf Inj. Ceftriaxon 1x2gr Metronidazol inf 3x500mg Novorapid 3x8u Paracetamol 3x500mg NTR 2x1 Redressing 2x/day

Rahibah, Female, 68 y.o., FW 15 (dr.Farah)

CC : Join pain on waist and genu since 1 week ago
Present Illness History: Swollen and pain on join: leg, waist and shoulder. Breathlessness since 3 days ago. Breathlessness was not affected to activity, weather and food Lost of appetite since 1 week No chest pain No nausea and vomit

Physical Examination: GA: moderate, Consciousness: CMC BP: 150/90 Pulse: 88, RR: 19, Temp: 36,4C

Eyes : anemic-/-, icteric -/Neck : JVP 5+0 cmH2O Thorax : Lung : bronchovesiculer, Wh -/-, Rales -/Cor : murmur (-) Abdomen: liver not palpable Ext : oedem -/Lab: Hb : 100 g/dl , HT : 30% Leukocyte : 4.800/mm3, Trombocite : 191.000/mm3 Na/K/Cl : 137/3,3/105 Ur/Cr : 20/1,1 Glucose: 99 mg/dl

WD : Osteo arthritis Hypertension std 1 Hypertension Heart Disease VES infrequent Hypocalcemia Therapy: Rest/RG II DJ II Sodium Diclofenac 2x50mg Captopril 2x12,5mg HCT 1x12,5 Lansoprazole 1x30mg Sucralfate 3x500mg KSR 1x1