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NIM : P3.73.20.3.15.006
CLASS : 2 REGULER C
Resume
On Tuesday Tn. Bagas 46th years old treated in the disease in complaints of injury does
not heal. Mr. bagas looks weak and complain of headaches. The patient has a history of DM. the
physical examination seen a large enough and in the wounds are fresh, blood glucose levels,
4.000 mg/dL, blood pressure 140/80 mmHg, the frequency pulse 80x/minutes, the frequency of
breath 20x/minutes, the temperature 38 C.
A. Assement
Check-in date : 9th Mey 2017
Room : Cempaka Atas / Room 5
Diagnose : Diabetes Melitus
1. Subjective Data
Patient complained of injuries does not heal.
Patient complained of headaches
Patient says it him a history of diabetes Mellitus
2. Objective Data
Patient looks weak.
Its fairly wide color of red and fresh.
Blood glucose levels, 4.000 mg/dL.
blood pressure 140/80 mmHg
The frequency pulse 80x/minutes
The frequency of breath 20x/minutes
The temperature 38 C.
C. Diagnosis
D. Intervention
1. Diagnosis 1 :
2. Diagnosis 2 :