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Diabetes melitus type 2 obese type with neuropathy diabetic

Click to edit Master subtitle style Marissa Anggraeni 030.08.155 Case Report dr. Arief Gunawan, Sp.PD Powerpoint Templates

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Identity
Category Name Age Address Job Last Education Marital status Religion Ethnic Admitted Mrs. D 62 Years old Kedaljaya 03/20 Housewife Elementary School Married Moeslem Sundanese July 18th, 2012 Powerpoint Templates Marissa Anggraeni Description

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Anamnesis
Autoanamnesis on July, 23th 2012

Numbness in the hand and feet since 6 day before hospitalized

Headache

q q

Fatigue Difficulty moving hand and feet


Pain at the upper central abdomen

Main Complaint
Marissa Anggraeni

Additional Complaint
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Picture of The Patient

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History of The Disease

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History of The Disease

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History of The Past Disease

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Habits History

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Family History

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General Condition

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Vital Signs

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Physical Examination

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Thorax Examination

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Abdominal Examination

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Extremity Examination

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Laboratory Finding July 18th, 2012


Blood
Hemoglobin Leucocyte Trombocyte Hematokrit Diifferential counting : Basofil eosinofil Batang Segmen Limfosit Monosit GDS Ureum Creatinin 13,7 9.500 401.000 40 0 0 0 70 27 3 313 42,8 0,91

Results

Normal
12-14 g/dl 5000-10.000 150.000-450.000 37-43 % (0-1) % (1-3) % (2-4)% (40-70) % (20-40) % (2-8) % (80-140) mg/dl (10-45) mg/dl (0,4-0,5) mg/dl

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Laboratory Finding

Date GDS GDP GD2pp

July 18 313

July 19 528

July 20 363 570

July 21 411

July 22 466

July 23 339

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Resume
Sign & Symptoms

Physical Examination
q q q q q q q

Laboratory GDS 18th =313 GDS 19th = 528 Gdp 20th = 363 Gd2pp 20th =570 Gds 21th = 411 Gds 22th = 466 Gds 23th = 339

Numbness in the hand q Tenderness at upper and feet centre abdomen pain and stiffness in the q Range of Motion of knee extremity are limited due pain at the upper central to the pain (numbness) abdomen. Naussea (+) headache, fatigue, often feel sleepy Blurred vision Polidipsi Poliuria Polifagia Powerpoint Templates

Marissa Anggraeni

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Differential Diagnosis

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Working Diagnosis

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Suggested Examination

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Prognosis

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Therapy

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Thank You!
By: Marissa Anggraeni

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