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S : Nyeri dada (-) S LAB

: : Nyeri dada (-)

Leu =
Hb =
Ht =
Plt =
RPD
O : : O:
Troponin T =
TD TD
GDS =
N N
RR
Ur =
RR
TO : T Cr =
KEPALA/
TD Na =
KEPALA/
LEHER LEHER
N K=
THORAK THORAK
RR Cl =
PARU PARU
T
JANTUNG PALPASI = THRILL (-) JANTUNG PALPASI = THRILL (-)
KEPALA/
DIAGNOSIS KLINIS:
LEHER AUSKULTASI AUSKULTASI
THORAK MURMUR = MURMUR =
PARU
GALLOP = GALLOP =
JANTUNG PALPASI = THRILL (-) DIAGNOSIS JANTUNG :
ABDOMEN
ABDOMEN AUSKULTASI 1. ETIOLOGI =
MURMUR = 2. ANATOMI =
EKSTREMI
TAS
EKSTREMI GALLOP = 3. FUNGSIONAL =
TAS
EKG
TERAPI : IRAMA =
EKG IRAMA = REGULER =
-
ABDOMEN REGULER = HR =
-
HR = KELAINAN =
-
EKSTREMI KELAINAN =
TAS -

EKG IRAMA =
REGULER = KESIMPULAN =
KESIMPULAN
HR = =
KELAINAN =
NAMA OS : MRS :
USIA : RUANGAN :
ALAMAT : KAMAR :

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