iws-mcu Clinic GMC

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

MCU visits / 15 Sep 19:12–21:12

NH

Nanik Hardianto

RM-000102 · Female, 80 · born 20 Jul 1946

Visit

15 Sep 19:12–21:12

Examined by

dr. Yuniantika, M.P.H.

Hospital

Sent

MCU conclusion

E66.3OverweightE78.5Hyperlipidaemia, unspecified

9 results out of range · 5 codes to verify

Vital signs & anthropometry

4 out of range

Blood pressure	128 / 92 mmHg	<140 / <90	H
Body temperature	37.1 Cel	36.0–37.5
Respiratory rate	21 /min	12–20	H
Heart rate	74 /min	60–100
Tinggi Badan	152 cm
Lingkar Perut	89 cm	<80	H
IMT (Index Massa Tubuh)	27.7 kg/m2	18.6-24.9	H
Berat Badan	64 kg

Hematology

1 out of range

Monosit %	7.6 %	2-8
MCHC	34.5 g/dL	30-35
Eritrosit	4.15 10*6/uL	3.6-5.8
Limfosit %	37.3 %	20-45
Eosinofil %	2.5 %	1-6
Hemoglobin	16.1 g/dL	11.5-16.5
Leukosit	6.8 10*3/uL	4-11
MCV	93.4 fL	76-98
Hematokrit	47.5 %	37-47	H
MCH	29.5 pg	27-32
Basofil %	0.1 %	0-1
Neutrofil %	52.2 %	40-75
Trombosit	221 10*3/uL	150-450
LED	7 mm/h	<15

ECG

all within range

PR Interval	169 ms	120-200
QT Interval	361 ms
Vent. Rate	78 /min	60-100
QTc Interval	419 ms	<460
EKG Kesimpulan	Sinus rhythm, normoaxis — Normal ECG
QRS Duration	86 ms	<120

Chemistry

2 out of range

LDL	164 mg/dL	<100	H
HDL	50 mg/dL	>40
Kreatinine	0.74 mg/dL	0.50-1.10
SGOT	27 U/L	8-35
Kolesterol	210 mg/dL	<200	H
Asam Urat	5.5 mg/dL	2.4-6.0
Trigliserida	86 mg/dL	<150
Ureum	25.2 mg/dL	10.7-42.8
SGPT	22 U/L	15-35
Gula Darah Puasa	92 mg/dL	60-100

Urinalysis

1 out of range

pH	6.6 [pH]	4.8-7.4
Protein	Negatif	Negatif
Urobilinogen	Normal	Normal
Lekosit Esterase	Negatif	Negatif
Blood	Negatif	Negatif
Keton	Negatif	Negatif
Bilirubin	Negatif	Negatif
Reduksi	Negatif	Negatif
Bakteri	Negatif	Negatif
Epitel code to verify	>50	0-1	A
Warna	Kuning	Kuning
Silinder code to verify	Negatif	Negatif
Nitrit	Negatif	Negatif
Kejernihan	Jernih	Jernih
Berat Jenis	1.021	1.005-1.030
Eritrosit (sedimen)	0-1	0-3
Kristal code to verify	Negatif	Negatif
Lekosit (sedimen)	1-2	0-2

Physical examination

1 out of range

Jantung	Normal, S1-S2 reguler, bising (-)
Mata	Normal, sklera tidak ikterik, konjungtiva tidak anemis
Visceral Fat code to verify	11	1-12
Abdomen	Datar, supel, bising usus normal, timpani
Tes Buta Warna code to verify	Normal	Normal
Paru	Vesikuler, ronkhi (-), wheezing (-)
Body Fat	33.2 %		H

History & lifestyle

all within range

Riwayat Sakit Keluarga	Tidak ada	Tidak ada
Riwayat Sakit Terdahulu	Tidak ada	Tidak ada
Olahraga	Olahraga rutin	Olahraga rutin