Patient

 Ms. Rina, 24th years old , a

secretary in a company
 Symptom
 pain in abdominal middle, then
pain in the lower right abdomen
 Other symptoms
 Loss of appetite, bloated, could
not waste gas, nausea and
vomiting, fever
 Past medical history
 often come to the clinic because
of magh
 Social history
 she is single and she was not a
smoker, but she ate irregularly
 Family history
 her sister suffered from acute
magh
 Examination documentary
 with CT Scan or USG found
appendix swells
 Investigation of the result
 her appendix swells because of
the inflamed appendix
 Diagnosis
 appendicitis
 Treatment
 we must discard the inflamed
appendix with operation
 Result
 her stomach no pain anymore ,
but she have to keep her diet