SKP.docx
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SKP.docx
- 1. Natalia Anwar, Amd.Kep - INPATIENT (Bernadeth II) bell dpjp s: lapor pbm dengan diagnosa kolelitiasis b: pasien mengatakan nyeri perut a: ku lemah kesadaran compos mentis td: 103/81mmhg s: 36 p:20x/mnt n: 80x/mnt skala nyeri sedang lab terlampir thoraks usg abdoment tidak ada r: mohon instruksi selanjutnya rencana operasi besok jam 08:00 tanggal 22-12-2022 laparaskopi chole lapor ok acc asni pre op ambacin 1gr/skin test puasa konsul anastesi dm lanjutkan instruksi