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FOLLOW UP S O A P Keluhan Status Assesment Penatalaksanaan 09/08/2015 Demam (+) hari ke 5, gusi berdarah, sakit kepala, nyeri perut KU : Tampak Sakit Sedang KS : Compos Mentis HR : 106 x/menit RR : 22 x/menit T : 37,4°C TD : 120/80 mmHg Kepala Muka : Simetris Mata : cekung +/+, konjungtiva anemis (-/-), Edema palpebra (-), sklera ikterik (-), refleks cahaya +/+ Hidung : Septum deviasi (-), NCH (-) Mulut : Candida (-) Paru I : Simetris, retraksi (-) P : Ekspansi Simetris A : Vesikuler +/+, Ronkhi -/- Wheezing -/- Jantung I : Ictus cordis tidak terlihat P : Ictus cordis teraba A : BJ I/II Reguler, Murmur (-) Abdomen I : Datar P : Organomegali (-), lemas, Nyeri Tekan (+) Demam dengue - IUFD RL gtt XX/mnt - Asam traneksamat 1amp/12jam - Dexamethason 1amp - Amati tanda- tanda perdarahan - Cek lab hb, ht, trombosit

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FOLLOW UPS O A PKeluhan Status Assesment Penatalaksanaan09/08/2015Demam (+) harike 5, gusi berdarah, sakit kepala, nyeri perutKU: Tampak Sakit SedangKS: Compos MentisHR: 106 x/menitRR : 22 x/menitT : 37,!CT": 120/#0 mmHgKepa$aM%ka : Simet&is Mata : 'ek%ng (/(, kon)%ngti*a anemis +,/,-, .dema pa$pe/&a +,-, sk$e&a ikte&ik +,-, &e0eks 'a1a2a (/(Hid%ng: Sept%m de*iasi +,-, 3CH +,-M%$%t:Candida +,-4a&%5 : Simet&is, &et&aksi +,-4 :.kspansi Simet&is6 :7esik%$e& (/(, Ronk1i ,/, 81ee9ing ,/,:ant%ng 5 :5't%s 'o&dis tidakte&$i1at4 :5't%s 'o&dis te&a/a6 :;: 5/55 Reg%$e&, M%&m%& +,-6/domen 5 :"ata&4:


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