REPORT Tuesday, March 09th 2015 Team in charge ER :MAN Ward : NIC OK : YRM A.W.S General Hospital SAMARINDA
Adm. Date : Nam :Ny. H e Age :31 yo
Chief complain
Femal Sex : e MR :
: Pain at right Upper abdomen
Hystory taking
: Pain at right upper abdomen suffered since 4 month before
admitted to Hospital, the pain felt sharp and radiating to the back of the right shoulder. Initially the pain felt seldomly but on last week the pain felt more often. Fever (+), Nausea (+), Vomiting (-). Urine color changed into tea like color, Feces color is pale. Examination : Physical examination, Laboratory examination, Radiology Exam