iws-mcu Clinic GMC

Synthetic data · no sign-in · not for real patient data

MCU visits / 3 Oct 10:57–12:04

YW

Yudi Wibowo

RM-090793 · Male, 22 · born 12 Jan 2004

Visit

3 Oct 10:57–12:04

Examined by

dr. Yuniantika, M.P.H.

Hospital

Sent

MCU conclusion

E66.9Obesity, unspecifiedE78.5Hyperlipidaemia, unspecifiedR73.0Abnormal glucose tolerance test

11 results out of range · 4 codes to verify

Vital signs & anthropometry

3 out of range

Blood pressure	148 / 81 mmHg	<140 / <90	H
Heart rate	91 /min	60–100
Respiratory rate	13 /min	12–20
Body temperature	36.2 Cel	36.0–37.5
IMT (Index Massa Tubuh)	33.83 kg/m2	18.6-24.9	H
Berat Badan	91 kg
Tinggi Badan	164 cm
Lingkar Perut	84 cm	<80	H

Hematology

3 out of range

Hemoglobin	15 g/dL	11.5-16.5
LED	28 mm/h	<15	H
Neutrofil %	55.2 %	40-75
MCH	29.1 pg	27-32
Leukosit	11.9 10*3/uL	4-11	H
Basofil %	0.4 %	0-1
Eosinofil %	0.6 %	1-6	L
Eritrosit	4.56 10*6/uL	3.6-5.8
MCHC	32.5 g/dL	30-35
Limfosit %	27.2 %	20-45
Hematokrit	43 %	37-47
Monosit %	5.1 %	2-8
Trombosit	264 10*3/uL	150-450
MCV	82.8 fL	76-98

ECG

all within range

Vent. Rate	64 /min	60-100
QTc Interval	414 ms	<460
QT Interval	405 ms
QRS Duration	99 ms	<120
PR Interval	172 ms	120-200
EKG Kesimpulan	Sinus rhythm, normoaxis — Normal ECG

Chemistry

3 out of range

SGOT	30 U/L	8-35
Kreatinine	0.8 mg/dL	0.50-1.10
Gula Darah Puasa	125 mg/dL	60-100	H
LDL	139 mg/dL	<100	H
HDL	37 mg/dL	>40	L
Kolesterol	195 mg/dL	<200
Asam Urat	5.4 mg/dL	2.4-6.0
Ureum	24.1 mg/dL	10.7-42.8
Trigliserida	130 mg/dL	<150
SGPT	24 U/L	15-35

Urinalysis

1 out of range

Bilirubin	Negatif	Negatif
Nitrit	Positif	Negatif	A
Epitel code to verify	0-1	0-1
Blood	Negatif	Negatif
Bakteri	Negatif	Negatif
Protein	Negatif	Negatif
Lekosit Esterase	Negatif	Negatif
Kejernihan	Jernih	Jernih
Keton	Negatif	Negatif
Reduksi	Negatif	Negatif
Eritrosit (sedimen)	0-1	0-3
Urobilinogen	Normal	Normal
pH	6.2 [pH]	4.8-7.4
Berat Jenis	1.016	1.005-1.030
Lekosit (sedimen)	1-2	0-2
Warna	Kuning	Kuning
Silinder code to verify	Negatif	Negatif
Kristal code to verify	Negatif	Negatif

Physical examination

all within range

Jantung	Normal, S1-S2 reguler, bising (-)
Body Fat	28.3 %
Paru	Vesikuler, ronkhi (-), wheezing (-)
Abdomen	Datar, supel, bising usus normal, timpani
Visceral Fat code to verify	11	1-12
Tes Buta Warna	Normal	Normal
Mata	Normal, sklera tidak ikterik, konjungtiva tidak anemis

History & lifestyle

1 out of range

Olahraga	Olahraga rutin	Olahraga rutin
Riwayat Sakit Terdahulu	Tidak ada	Tidak ada
Riwayat Sakit Keluarga	Diabetes mellitus expected: Tidak ada		A