TEMPLATE KOMPETENSI LAYANAN PRIMER,
TOPEK sD Tipe 2, OM Tipe # HAM Het lot
BAGTAN = law Rayalvt alow
HARI/TGL Cay, 2 April 29%
Data Pasien
~ Nama - Umur 2 OL babar
- Alamat -Pekerjaan * luge) YO Halde
~ Suku “
Status Medis Pasien
Anamnesis : KU: Nye tara dou.
- RPS. Myer branes te ple ditt: haven aba Cebvay
ye cai olde Vout lor adieu. banana Sowa duo
har nat Dio wera fr Ioryeabe hel Ain ped
‘| ln Le pevitin weit OM
= RED, Sep Ale eeatc titi ctae fntcdin dont, alan 4
wien Hida perwuls df g Visi YA Turan
TO RPK: Sar eggs dh far’ Jord deg Able “V8
Pemeriksaan Fisis ”
= Vital sign = 10: 0/90 Hy, WegoMli, PewBAle, f° 518°C
> Keadaan Umum + C/A
bgbabarr Hib boron otes Mong
un Se
= Thorax = legals 7 . Wherry ~
- Abdomen = Hepay talen Ver Mowe grew warty
> Extremitas Thval, altval Yorgor
Status lokalis
Assessment - Drebtrty rly Hype 2 dry obbitay
“Bre qusdline
Differential diagnosis
Planning Dx: Gv Gulaly dart pred
Planning Tx:
: ve tae oy eel |
> Gili i [-0-0 (arm
Folie glow io oes
Pemeriksaan Penunjang ;
CBP oor fal
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Prognosis
| Diskusi (Hasil a dari pembimbing)
Diokuey wellitvg FY
Ee praltyes ely i wleinlenry 90-45), O
Jon Atrowuta ol oop Hen linsulin clerk, by
pene dun bode glabray, dural. gory Heng;
Vowsy didlat)
pegs (pln
jb Pvawvesiy * folidip > , poliues U paltegi«
Murra Lemar
| il
yn =~ Beyer boftan erldbl |
L Powerdoon (4 ~ Heynronagal
—Ascigsy
= Pirdorulegn varie |
LL Pewenyaon perwnfe
{ulenraporium = AIT dan ALT, Gilirmbotin wean , OT, ofthat |
dora » POH) pid + | Levdtwarbyr faye, ovate
1. Posdtslog 2 USE CA ftom , fie]
3. Blogs hati
Mengetahui,
Dosen/Dokter Pembimbing Mahasiswa
(Fadil Efendi Azis)
Dipindai dengan CamScannerWrnatelalraragyr :
1 Won farwaledeai + Brunner 66
Kontrol guln daralr
Alalaragen
1. Farton Wuolagi + Witton SK GON
1 1) Faturracteen 1 Aghwon Gayotn . Colb- Cone repart:
pepe a Type a Bralote) Walivee wrrh or abcess d0Ii Hy
Galarnitey Gagal Moda
1.) Fationala A vuots Drabers Melreas Hye %. Jarre)
2
Mafority oa
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