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Published byJaden Barris Modified over 10 years ago
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Neuro TRIGGER II
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Neuro Trigger II Keadaan umum: sedang, gizi cukup Kesadaran kualitatif: compos mentis Kesadaran kuntitatif: GCS: E4 V5 M6 Tanda vital: Tekanan darah= 120/ 80 mmHg Nadi = 88 x/mnt Respirasi = 20 x/mnt Suhu = 37,9 o C
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Neuro Trigger II Kepala: Konjungtiva tak anemis, si -/- Leher: Limfonodi tak teraba Paru-paru: sonor, vesikuler normal, suara tambahan (-) Jantung: konfigurasi normal, S1-2 murni, bising (-), gallop (-) Abdomen: supel, benjolan (-), peristaltik normal, hepar dan lien tak teraba Ekstremitas: edema (-)
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Neuro PEMERIKSAAN Ekstremitas : GBBK5/5/5 RF++RP-- TT2/2/2 ↑↑++ TnNNTrEECl++ NNEE Sensibilitas: hipestesi setinggi dermatom thorakal V ke bawah Vegetatif: retensi alvi
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Neuro DISCUSS THE ADDITIONAL INFORMATION !
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