Darmansyah, 45y.o, male, HCU12 • Cc: Decreased of consciousness since 2 days ago.
• Present Illness History
Decreased of consciousness since 2 days ago. initially the patient can be invited to communicate, slowly the patient is a lot sleepy Fatique since 1 week ago Breathlessness Increased since 2 days ago. , was not affected by activity, weather and food. Fever since 2 days ago continuously ,sweating (-) shivering (-) Cough since 2 days ago with white phlegm (+) bloody(-) Nausea (-), vomit (-) History of bleeding: Gum bleeding (-) Skin bleeding/ bluish on the skin (-), nosebleed(-) black defecation before( -) black vomit before (-) Defecation and Micturition was was normal The patient was a referral hospital in the Lunto Field Hospital and had been treated for 1 week • History of HT (-) • History of DM (-) Physical Examination • Consciousness level: Somnolence • BP : 110/60 mmHg
Voice and Communication Therapy For The Transgendergender Diverse Client A Comprehensive Clinical Guide by Sandy Hirsch (Editor) Richard K. Adler (Editor) Jack Pickering (Editor)