iws-mcu Clinic GMC

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

MCU visits / 2 Oct 00:38–02:36

SN

Sulastri Nugroho

RM-090948 · Female, 69 · born 10 Jun 1957

Visit

2 Oct 00:38–02:36

Examined by

dr. Yuniantika, M.P.H.

Hospital

Sent

MCU conclusion

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

7 results out of range · 4 codes to verify

Vital signs & anthropometry

2 out of range

Respiratory rate	19 /min	12–20
Heart rate	71 /min	60–100
Body temperature	36.7 Cel	36.0–37.5
Blood pressure	116 / 80 mmHg	<140 / <90
Berat Badan	91 kg
Lingkar Perut	89 cm	<80	H
IMT (Index Massa Tubuh)	44.5 kg/m2	18.6-24.9	H
Tinggi Badan	143 cm

Hematology

1 out of range

Basofil %	0.5 %	0-1
MCV	91.9 fL	76-98
Trombosit	305 10*3/uL	150-450
Monosit %	5.2 %	2-8
Neutrofil %	53.9 %	40-75
LED	7 mm/h	<15
Limfosit %	39.3 %	20-45
MCHC	35.9 g/dL	30-35	H
Hematokrit	41 %	37-47
Hemoglobin	14 g/dL	11.5-16.5
MCH	28.1 pg	27-32
Eritrosit	4.64 10*6/uL	3.6-5.8
Eosinofil %	4.5 %	1-6
Leukosit	8.4 10*3/uL	4-11

ECG

all within range

QTc Interval	417 ms	<460
PR Interval	145 ms	120-200
QRS Duration	88 ms	<120
Vent. Rate	78 /min	60-100
QT Interval	357 ms
EKG Kesimpulan	Sinus rhythm, normoaxis — Normal ECG

Chemistry

2 out of range

Kreatinine	0.79 mg/dL	0.50-1.10
HDL	55 mg/dL	>40
Kolesterol	136 mg/dL	<200
LDL	131 mg/dL	<100	H
Asam Urat	5.2 mg/dL	2.4-6.0
Gula Darah Puasa	104 mg/dL	60-100	H
Ureum	12.4 mg/dL	10.7-42.8
SGOT	20 U/L	8-35
Trigliserida	117 mg/dL	<150
SGPT	15 U/L	15-35

Urinalysis

all within range

Silinder code to verify	Negatif	Negatif
Keton	Negatif	Negatif
Lekosit Esterase	Negatif	Negatif
Kristal code to verify	Negatif	Negatif
Berat Jenis	1.015	1.005-1.030
Blood	Negatif	Negatif
Bakteri	Negatif	Negatif
Epitel code to verify	0-1	0-1
Protein	Negatif	Negatif
Urobilinogen	Normal	Normal
Eritrosit (sedimen)	0-1	0-3
pH	5.5 [pH]	4.8-7.4
Nitrit	Negatif	Negatif
Kejernihan	Jernih	Jernih
Reduksi	Negatif	Negatif
Lekosit (sedimen)	1-2	0-2
Bilirubin	Negatif	Negatif
Warna	Kuning	Kuning

Physical examination

1 out of range

Mata	Normal, sklera tidak ikterik, konjungtiva tidak anemis
Tes Buta Warna	Normal	Normal
Paru	Vesikuler, ronkhi (-), wheezing (-)
Visceral Fat code to verify	1	1-12
Body Fat	32.2 %		H
Abdomen	Datar, supel, bising usus normal, timpani
Jantung	Normal, S1-S2 reguler, bising (-)

History & lifestyle

1 out of range

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