iws-mcu Clinic GMC

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

MCU visits / 3 Oct 15:34–17:54

R

Rudi

RM-091105 · Male, 67 · born 12 Jul 1959

Visit

3 Oct 15:34–17:54

Examined by

dr. Yuniantika, M.P.H.

Hospital

Sent

MCU conclusion

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

13 results out of range · 4 codes to verify

Vital signs & anthropometry

3 out of range

Heart rate	74 /min	60–100
Respiratory rate	20 /min	12–20
Body temperature	36.5 Cel	36.0–37.5
Blood pressure	147 / 76 mmHg	<140 / <90	H
Berat Badan	82 kg
Tinggi Badan	156 cm
IMT (Index Massa Tubuh)	33.69 kg/m2	18.6-24.9	H
Lingkar Perut	86 cm	<80	H

Hematology

3 out of range

Leukosit	7.8 10*3/uL	4-11
Limfosit %	46.5 %	20-45	H
Trombosit	300 10*3/uL	150-450
Monosit %	5.2 %	2-8
MCH	26.6 pg	27-32	L
Hemoglobin	15.4 g/dL	11.5-16.5
LED	16 mm/h	<15	H
Basofil %	0.8 %	0-1
MCV	94.1 fL	76-98
Neutrofil %	55.1 %	40-75
Eritrosit	5.16 10*6/uL	3.6-5.8
Eosinofil %	2.4 %	1-6
Hematokrit	39 %	37-47
MCHC	32.6 g/dL	30-35

ECG

all within range

QTc Interval	421 ms	<460
QT Interval	371 ms
QRS Duration	100 ms	<120
EKG Kesimpulan	Sinus rhythm, normoaxis — Normal ECG
PR Interval	147 ms	120-200
Vent. Rate	76 /min	60-100

Chemistry

3 out of range

Kolesterol	210 mg/dL	<200	H
LDL	126 mg/dL	<100	H
SGOT	12 U/L	8-35
Gula Darah Puasa	108 mg/dL	60-100	H
SGPT	22 U/L	15-35
Ureum	19.2 mg/dL	10.7-42.8
Trigliserida	150 mg/dL	<150
Asam Urat	5.7 mg/dL	2.4-6.0
Kreatinine	0.93 mg/dL	0.50-1.10
HDL	64 mg/dL	>40

Urinalysis

2 out of range

Kejernihan	Keruh	Jernih	A
Lekosit (sedimen)	1-2	0-2
Protein	Negatif	Negatif
Eritrosit (sedimen)	0-1	0-3
Nitrit	Negatif	Negatif
Bilirubin	Negatif	Negatif
pH	5.6 [pH]	4.8-7.4
Warna	Merah	Kuning	A
Keton	Negatif	Negatif
Reduksi	Negatif	Negatif
Blood	Negatif	Negatif
Silinder code to verify	Negatif	Negatif
Lekosit Esterase	Negatif	Negatif
Kristal code to verify	Negatif	Negatif
Epitel code to verify	0-1	0-1
Berat Jenis	1.007	1.005-1.030
Urobilinogen	Normal	Normal
Bakteri	Negatif	Negatif

Physical examination

all within range

Jantung	Normal, S1-S2 reguler, bising (-)
Mata	Normal, sklera tidak ikterik, konjungtiva tidak anemis
Paru	Vesikuler, ronkhi (-), wheezing (-)
Tes Buta Warna	Normal	Normal
Visceral Fat code to verify	12	1-12
Body Fat	27.9 %
Abdomen	Datar, supel, bising usus normal, timpani

History & lifestyle

2 out of range

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