iws-mcu Clinic GMC

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

MCU visits / 3 Oct 10:51–13:09

MW

Maryam Widodo

RM-090537 · Female, 64 · born 8 Jul 1962

Visit

3 Oct 10:51–13:09

Examined by

dr. Yuniantika, M.P.H.

Hospital

Sent

MCU conclusion

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

15 results out of range · 4 codes to verify

Vital signs & anthropometry

3 out of range

Respiratory rate	19 /min	12–20
Body temperature	36.9 Cel	36.0–37.5
Heart rate	65 /min	60–100
Blood pressure	125 / 91 mmHg	<140 / <90	H
Lingkar Perut	91 cm	<80	H
IMT (Index Massa Tubuh)	31.11 kg/m2	18.6-24.9	H
Tinggi Badan	150 cm
Berat Badan	70 kg

Hematology

4 out of range

MCH	26.5 pg	27-32	L
Eritrosit	4.66 10*6/uL	3.6-5.8
Hematokrit	44.4 %	37-47
Leukosit	9.3 10*3/uL	4-11
Limfosit %	43 %	20-45
MCV	81.9 fL	76-98
Hemoglobin	15.2 g/dL	11.5-16.5
Eosinofil %	0 %	1-6	L
Basofil %	0 %	0-1
Monosit %	4.8 %	2-8
Trombosit	114 10*3/uL	150-450	L
Neutrofil %	58.5 %	40-75
LED	17 mm/h	<15	H
MCHC	34.1 g/dL	30-35

ECG

all within range

QTc Interval	457 ms	<460
Vent. Rate	83 /min	60-100
QRS Duration	81 ms	<120
PR Interval	167 ms	120-200
EKG Kesimpulan	Sinus rhythm, normoaxis — Normal ECG
QT Interval	378 ms

Chemistry

3 out of range

Asam Urat	4.1 mg/dL	2.4-6.0
SGOT	21 U/L	8-35
HDL	63 mg/dL	>40
SGPT	31 U/L	15-35
Ureum	18.7 mg/dL	10.7-42.8
LDL	114 mg/dL	<100	H
Trigliserida	147 mg/dL	<150
Kreatinine	1.05 mg/dL	0.50-1.10
Kolesterol	211 mg/dL	<200	H
Gula Darah Puasa	103 mg/dL	60-100	H

Urinalysis

2 out of range

Blood	Negatif	Negatif
Kejernihan	Jernih	Jernih
Kristal code to verify	Negatif	Negatif
Eritrosit (sedimen)	0-1	0-3
Reduksi	Negatif	Negatif
Urobilinogen	Normal	Normal
Epitel code to verify	0-1	0-1
Warna	Merah	Kuning	A
Protein	Negatif	Negatif
Bakteri	Negatif	Negatif
Lekosit (sedimen)	5-10	0-2	A
Lekosit Esterase	Negatif	Negatif
Silinder code to verify	Negatif	Negatif
Bilirubin	Negatif	Negatif
Keton	Negatif	Negatif
Nitrit	Negatif	Negatif
Berat Jenis	1.012	1.005-1.030
pH	6 [pH]	4.8-7.4

Physical examination

1 out of range

Tes Buta Warna	Normal	Normal
Paru	Vesikuler, ronkhi (-), wheezing (-)
Mata	Normal, sklera tidak ikterik, konjungtiva tidak anemis
Jantung	Normal, S1-S2 reguler, bising (-)
Visceral Fat code to verify	3	1-12
Abdomen	Datar, supel, bising usus normal, timpani
Body Fat	30.2 %		H

History & lifestyle

2 out of range

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