iws-mcu Clinic GMC

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

MCU visits / 2 Oct 15:42–18:31

T

Tri

RM-090720 · Male, 63 · born 8 Apr 1963

Visit

2 Oct 15:42–18:31

Examined by

dr. Yuniantika, M.P.H.

Hospital

Sent

MCU conclusion

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

9 results out of range · 4 codes to verify

Vital signs & anthropometry

2 out of range

Body temperature	36.6 Cel	36.0–37.5
Blood pressure	109 / 60 mmHg	<140 / <90
Respiratory rate	17 /min	12–20
Heart rate	79 /min	60–100
Tinggi Badan	148 cm
Berat Badan	79 kg
IMT (Index Massa Tubuh)	36.07 kg/m2	18.6-24.9	H
Lingkar Perut	91 cm	<80	H

Hematology

all within range

Neutrofil %	63.7 %	40-75
Hematokrit	44.1 %	37-47
Limfosit %	34.4 %	20-45
Monosit %	4.7 %	2-8
Eosinofil %	1.5 %	1-6
Eritrosit	4.74 10*6/uL	3.6-5.8
MCH	30.7 pg	27-32
Leukosit	4.1 10*3/uL	4-11
Hemoglobin	13.4 g/dL	11.5-16.5
MCHC	31.8 g/dL	30-35
MCV	94.5 fL	76-98
Trombosit	266 10*3/uL	150-450
LED	13 mm/h	<15
Basofil %	0.5 %	0-1

ECG

all within range

QTc Interval	426 ms	<460
EKG Kesimpulan	Sinus rhythm, normoaxis — Normal ECG
QRS Duration	99 ms	<120
PR Interval	127 ms	120-200
Vent. Rate	63 /min	60-100
QT Interval	410 ms

Chemistry

4 out of range

Kolesterol	238 mg/dL	<200	H
LDL	173 mg/dL	<100	H
Gula Darah Puasa	106 mg/dL	60-100	H
Trigliserida	179 mg/dL	<150	H
Kreatinine	0.68 mg/dL	0.50-1.10
HDL	64 mg/dL	>40
Ureum	24.7 mg/dL	10.7-42.8
SGPT	24 U/L	15-35
SGOT	14 U/L	8-35
Asam Urat	3.8 mg/dL	2.4-6.0

Urinalysis

2 out of range

Berat Jenis	1.015	1.005-1.030
Kejernihan	Agak keruh	Jernih	A
Silinder code to verify	Negatif	Negatif
Blood	Negatif	Negatif
Bakteri	Negatif	Negatif
Urobilinogen	Normal	Normal
Bilirubin	Negatif	Negatif
Nitrit	Negatif	Negatif
Reduksi	Negatif	Negatif
Warna	Kuning	Kuning
Lekosit Esterase	Negatif	Negatif
Eritrosit (sedimen)	0-1	0-3
Lekosit (sedimen)	1-2	0-2
Kristal code to verify	Negatif	Negatif
pH	5.9 [pH]	4.8-7.4
Keton	+1	Negatif	A
Protein	Negatif	Negatif
Epitel code to verify	0-1	0-1

Physical examination

all within range

Mata	Normal, sklera tidak ikterik, konjungtiva tidak anemis
Jantung	Normal, S1-S2 reguler, bising (-)
Body Fat	29.4 %
Abdomen	Datar, supel, bising usus normal, timpani
Paru	Vesikuler, ronkhi (-), wheezing (-)
Tes Buta Warna	Normal	Normal
Visceral Fat code to verify	9	1-12

History & lifestyle

1 out of range

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