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CASE

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

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