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8/19/2019 Morning Conference Indah Appendicitis
1/10
Morning Conference
Thursday, 3 March 2016
SB/M/58yo
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8/19/2019 Morning Conference Indah Appendicitis
2/10
Chief complaint : Pain at lower rightabdomen
It has been sufered since 6 hoursbeore admission and
continuously gotworse. Initially !ain was elt ine!igastric region
then reerred to right
lower abdomen. "istory o nausea #$%&omiting #'% e&er #$%
( wee) ago*atus #$% deecation #$% normal
micturition #$% normal.
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8/19/2019 Morning Conference Indah Appendicitis
3/10
General Examination +
• Sensorium + ,om!os mentis
•
Blood Pressure + (-/8 mm"g• "eart rate + 8 0/i
• 1es!iratory 1ate + - 0/i
•
2em!erature + 364 ,
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8/19/2019 Morning Conference Indah Appendicitis
4/10
Generalized State"ead and nec) + no abnormality
,hest + no abnormality 7bdomen + in localied
state
9enitalia + male noabnormality
:0tremities + no abnormality
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8/19/2019 Morning Conference Indah Appendicitis
5/10
;ocalied state +
7bdomen +• I + symmetric distension #'%
• P + Mc Burney sign #$% ro&sing sign #'%blumberg sign #'%
!soas sign #$%
• P + tym!ani
• 7 + !eristaltic #$% normal
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8/19/2019 Morning Conference Indah Appendicitis
6/10
,linical Photo
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8/19/2019 Morning Conference Indah Appendicitis
7/10
;aboratory >inding
• "b/"t/;eu/2ro +(36/3?4/(3.5/35-.
• @9< + (-
• Aeu + 68?
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8/19/2019 Morning Conference Indah Appendicitis
8/10
Working diagnose +
7cute 7!!endicitis
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8/19/2019 Morning Conference Indah Appendicitis
9/10
Management
' I>< with cristalloid *uid
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InC. 7ntibiotics- inC. 7nalgetics
- Pre!are or 7!!endectomy
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8/19/2019 Morning Conference Indah Appendicitis
10/10
THANK YOU
