iws-mcu Clinic GMC

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

MCU visits / 7 Oct 11:22–13:32

D

Dwi

RM-091480 · Male, 71 · born 18 Nov 1954

Visit

7 Oct 11:22–13:32

Examined by

dr. Yuniantika, M.P.H.

Hospital

Sent

MCU conclusion

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

10 results out of range · 4 codes to verify

Vital signs & anthropometry

2 out of range

Blood pressure	134 / 85 mmHg	<140 / <90
Heart rate	69 /min	60–100
Respiratory rate	18 /min	12–20
Body temperature	36.5 Cel	36.0–37.5
Tinggi Badan	150 cm
IMT (Index Massa Tubuh)	32 kg/m2	18.6-24.9	H
Lingkar Perut	91 cm	<80	H
Berat Badan	72 kg

Hematology

all within range

Hematokrit	45.1 %	37-47
MCH	27 pg	27-32
Hemoglobin	15.1 g/dL	11.5-16.5
MCV	82.6 fL	76-98
Trombosit	293 10*3/uL	150-450
Limfosit %	25.4 %	20-45
MCHC	31.2 g/dL	30-35
Neutrofil %	66.8 %	40-75
LED	13 mm/h	<15
Basofil %	0.1 %	0-1
Eritrosit	5 10*6/uL	3.6-5.8
Monosit %	3.2 %	2-8
Eosinofil %	1.8 %	1-6
Leukosit	7.7 10*3/uL	4-11

ECG

all within range

QRS Duration	93 ms	<120
QTc Interval	429 ms	<460
QT Interval	358 ms
Vent. Rate	68 /min	60-100
PR Interval	171 ms	120-200
EKG Kesimpulan	Sinus rhythm, normoaxis — Normal ECG

Chemistry

6 out of range

SGPT	32 U/L	15-35
Ureum	30.3 mg/dL	10.7-42.8
LDL	129 mg/dL	<100	H
Kolesterol	222 mg/dL	<200	H
HDL	44 mg/dL	>40
Asam Urat	6.1 mg/dL	2.4-6.0	H
SGOT	36 U/L	8-35	H
Gula Darah Puasa	107 mg/dL	60-100	H
Kreatinine	0.58 mg/dL	0.50-1.10
Trigliserida	257 mg/dL	<150	H

Urinalysis

all within range

Bakteri	Negatif	Negatif
Berat Jenis	1.016	1.005-1.030
Lekosit Esterase	Negatif	Negatif
Blood	Negatif	Negatif
Eritrosit (sedimen)	0-1	0-3
Warna	Kuning	Kuning
pH	4.9 [pH]	4.8-7.4
Protein	Negatif	Negatif
Urobilinogen	Normal	Normal
Lekosit (sedimen)	1-2	0-2
Reduksi	Negatif	Negatif
Epitel code to verify	0-1	0-1
Kristal code to verify	Negatif	Negatif
Bilirubin	Negatif	Negatif
Silinder code to verify	Negatif	Negatif
Keton	Negatif	Negatif
Kejernihan	Jernih	Jernih
Nitrit	Negatif	Negatif

Physical examination

all within range

Jantung	Normal, S1-S2 reguler, bising (-)
Body Fat	23.7 %
Tes Buta Warna	Normal	Normal
Visceral Fat code to verify	11	1-12
Mata	Normal, sklera tidak ikterik, konjungtiva tidak anemis
Abdomen	Datar, supel, bising usus normal, timpani
Paru	Vesikuler, ronkhi (-), wheezing (-)

History & lifestyle

2 out of range

Olahraga	Tidak berolahraga expected: Olahraga rutin		A
Riwayat Sakit Keluarga	Hipertensi	Tidak ada	A
Riwayat Sakit Terdahulu	Tidak ada	Tidak ada