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WWW Scribd Com Document 352806223 Discharge Medical Report
WWW Scribd Com Document 352806223 Discharge Medical Report
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Discharge Medical Report Document 1 page
Medical.report
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Explanation in Details : Patient came to the clinic with main complaints high fever and joint pain Document 22 pages
since 2 days ago. He explains that fever goes up and down throughout the day due to the Lapkas DF
consumption of paracetamol and ibuprofen. He also mentions several periods of sweating. He Mafisah
also experiences body ache, joint pain, and headache. He experiences no diarrhea, nor stomach
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cramps and vomiting. He felt tired, weak and is losing appetite since yesterday.
(01/07/2017)
As per this morning the patient felt a lot better. He mentioned no periods of fever nor shivering.
Document 10 pages
He also stated that he did not experienced any body ache nor joint pain. He has gained his
appetite and felt energetic. 11111111111111111
Angelo Madjos
The patient came for a follow up of his medical condition. As per this morning he mentioned no
fever, body ache nor joint pain. He felt a lot more energetic and has gained his appetite. The
patient is then discharged.
Document 2 pages
Past Medical History : never had before
ULTRA SOUND
Past Traveling History: The patient have been traveling to Bali in past weeks.
Nikhil Joshi
Allergy : none
Vital Sign : BP = 110/70mmHg; HR = 96x/mnt; RR = 24 x/mnt T = 36,2 C; No ratings yet
Physical Examination : GCS : E4V5M6
Eye: pupil reflect +/+ isocor, anemic-/-, icteric-/-, sunken -/-
Thorax: Pulmo : Breath sound vesicular +/+, rhonchi -/-, wheezing -/-
.Cor : S1 S2 single regular, murmur (-), gallop (-)
Abdomen : Distension (-), bowel sound (+) N, tenderness (-), Hepar/ Lien Document 38 pages
unpalpable, skin turgor normally, upper abdominal pain (-) Rostiana Karim GS Spine
Gerard Benny
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Phone : +62 370 6197510
Fax : +62 370 6197511
Mobile : +62 81 805 237 373
Email : info@blueislandclinic.com
Website : www.blueislandclinic.com
Document 25 pages
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Document 11 pages
EN Upload Dr List
Gili Trawangan – Lombok – Indonesia 24 Hours Medical Service
Telp. +62370 6197510/ +6281805237373 On Call Doctor Hein Linn Aung
Pharmacy & Laboratory
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Laboratory Investigation: (Lab result attached)
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Working Diagnosis
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: Obs. 4th day of fever with mild-moderate dehydration
Differential Diagnosis 1: Unspecified viral infection
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Gili Trawangan – Lombok – Indonesia 24 Hours Medical Service Divina Aquino
On Call Doctor
Telp. +62370 6197510/ +6281805237373 No ratings yet
Pharmacy & Laboratory
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