SOB

Diabetes jurnal 22051. Patient was admitted to Saiful Anwar General Hospital referred from Tumpang Primary Health Care because of shorthess of breath on and off that was felt since 3 years ago, and worsening 2 weeks prior to admission. SOB appeared persistently when she was sleeping or in a rest position so that she had to use 2 pillows. She also complained of frequently awake at night due to shortness of breath. She felt that shortness of breath was getting worse if she walked to the kitchen or bathroom that made her lying on bed. Shortness of breath was accompanied with cough, yellowish sputum, and mild grade fever since 3 years ago, worsening 2 weeks prior to admission. Decrease of conciousness was reported this morning when patient was admitted RSSA. Patient looked difficult to communicate to her family when admitted2. Patient suffered from shortness of breath since 1,5 months ago and worsened in 2 days before admission.He felt shortness of breath in rest position. The firstly,he felt shortness of breath since 2 years ago, slept with 2 pillows,woke up in the night because of shortness of breath.Sometimes he felt leg swelling3. Patient suffered from shortness of breath, intermittently, since 1 week before admission. The SOB felt after heavy activities and relieved with rest. She still able to sleep with 1-2 pillows, but sometimes woken up at night due to the SOB. She had been having leg swelling since 5 month ago, getting worse if patient standing or walking. 4. Patient suffered from shortness of breath since 1 month before admission, worsened since 18 hours before admission. Shortness of breath occured when patient take a bath and washing her dress. She slept with 3 pillow and often woke up at night because of shortness of breath5. Patient suffered from shortness of breath since 1 year before admission and getting worse in this last 1 week. 1 year ago, shortness of breath appeared when she walked about 100 meters and relieved with rest, but in this last 2 months shortness of breath was getting worse, appeared when she walked about 50meters and walked up stair. 1 week before admitted to hospital, shortness of breath became more prominent that made her couldnt do her daily activity, only sit.Usually sleep using 3pillows since 2 months before admission and often wake up at night because of shortness of breath6. Patient suffered Shortness of breath after she peformed hemodialised in the afternoon. She also felt SOB when she will performed hemodialized. She slept with 2 pillows

Nausea Vomitting1. Patient was admitted to RSSA due to nausea and vomitting since 4 days prior to admission. Frequency about 5x/day, everytime she had meal she vomitted, contained of fluid and residual food, accompanied with decrease of appetite.2. Patient suffered from nausea and vomiting since 2 days before admission, every ate or drank, frequency 3-6 x/d, consist of food and mucous, volume a half glass every each.She also complained dizziness after vomiting till she felt difficult to walk. 3. She also complained decreased of appetite because nausea and vomiting 12 days before admission, vomiting about 3-5 times/day, consist of mucous, every after ate, volume about glass accompanied with abdominal discomfort.4. He had nausea and decrease of appetite since 3 days ago, so that he only ate3 spoon of pooridge and water. He started feel epigastric pain since 3 days ago, stabbing sensation, and not relieved with meal

DOC1. Patient was admitted to RSSA because of decrease of conciousness that was felt since 1 day before admission, felt gradually, begun with weakness since 1 week ago, unable to stand so that patient was lying on bed, then continued with unable to communicate properly, until patient was totally lost his conciousness.2. Patient suffered from decreased of conciousness since 1 day before admission , gradually on set. Previously he was slurred speech and couldnt communicate3. Patient suffered from decrease of consiousness since 18 hours before admitted to ER saiful anwar. Decrease of consiousness was suddenly onset after patient felt down in his bathroom and then patient was brought to hospital.4. Patient suffered from decrease of consciousness since 6 hours before admission, gradually onset, no seizure. Before that, she complained nausea and vomiting twice a day since 2 days ago, consist of water and foods, accompanied with intermittently fever and shivering5. Patient suffered from decreased of consciousness 2 hour before admission to RSSA. Before it she was admitted at PHC for 3 days due to weakness at her left body, suddenly onset but she was conscious. She also complained wound at her back since 1 week when she started use diapers. 6. Patient was admitted to RSSA because of decrease of consciousness since 12 hours before admission, gradually onset. At the first time there was a slurred of speech and disorrientation. She couldnt communicate with her family.

DIARE1. Patient suffered from diarrhea with a frequency about 5-6 times, yellowish, mucous (+), no blood, - glass each, since 1 day before admission, accompanied by low grade fever, abdominal cramp at the beginning. She also complained about vomiting every times she ate and drank. Since she felt weak, so she had been brought to RSSA2. Patient had diarrhea with a frequency about 5-10 times, yellowish, foamy, no mucous, no blood, glass each, since 1 month before admission, accompanied with abdominal cramp at the beginning.

HEMAMTEMESIS MELENA + BLOODY VOMITING1. Patient was admitted to RSSA because of bloody vomiting since 1 day prior to admission. Bloody vomiting was began withcoffe ground colur then becaoming fresh blood about 5 x, volume 1 glass each time vomit. He also complained of dark tarry stool since 2 weeks ago as well, frequency was about 1-2x/day, but in a small amount, about 1/2 glass each. He had epigastric pain since 2 weeks ago, stabbing sensation, not releiving with meal. He did not drink any medicine to relieve his pain. Lately, he complained that his ache spreading into whole his abdomen.He complained of abdominal enlargement since 2 months ago, at that moment abdomen was not painful, that is accompanied with yellowish on his eye. Pain was started 2 weeks ago without any fever.Patient became decrease of conciousness in ER, 3 hours after admitted, gradually, he was not breathing, inserted ETT and injected adrenaline, was done resuscitation, and finally breath again with supporting NE drip. 2. Patient had suffered from bloody vomiting since 1 day before admission, 1 glass. Then his family brought him to Public Health and hospitalized there. He was bloody vomiting 3x until he referred to RSSA at 10 am. Amount of bloody vomiting 3 glass. He also had suffered from black tarry stool at morning before admission, 1 glass. Nausea (+) since 4 months before admission sometimes accompanied with vomiting. He underwent to Public Health Center, the doctor said that he got gastritis and only took 2 kinds of pill. Decrease of appetite (+) since 1 day before admission, only consumed 4-5 spoon of porridge 3. Patient suffered from black tarry stool since 4 days ago, 4-5 times per day, like petis, the volume was about 0,5 liter, with nausea, but without vomiting. He also complained about pain at epigastrium spread until right and left upper quadran accompanied with decrease of appetite these 2 days because of nausea. Only ate 2-3 spoon each.

JOINT PAINT1. Patient suffers from joint pain since 1,5 months,continously. Patients felt pain in the digiti on the right and left foot, and also at the ankle. This makes the patient difficult to walk because the pain is very severe. Patients walked wobbly and hold on at the wall. When pain occur was severe, the ankle was swelling.About the last 5 days, patient felt pain in the right and left knee, right and left elbow, and right and left digiti. Right wrist is also swelling at the last 5 days. At the fouth right digiti and the third left digiti is swelling and pain occur when it is bended . Stiffness was happen when he wake up at the morning, about 30 menit or more and relieve when he moves the joint slowly2. Patient suffered from pain in the right knee since 1 year ago, especially when she walked and walked up stair. It worsened since 2 months ago and makes limitation of activity. It was accompanied with swelling on the right knee, inflammed but no pain when pressed, leg edema was negativeCOUGH1. Patient complained about cough since 5 days before admission, cough without sputum, and patient complained about shortness of breath sometimes because he cough continously, so patient cant sleep, sore throat (+).2. Patient also complained about cough since 1 day before admission, cough with whitish sputum, no fever of shortness of breathGENERAL WEAKNESS1. Patient came with general weakness felt since 5 days before admission, patient complained that he felt weak when he does any activities, shortness of breath (-)2. Patient suffered general weakness since 12 days before admission, gradually onset, had been worsening since 2 days agoFEVER1. Patient suffered from fever since 3 days before admission, suddenly onset, high grade at night and low grade at afternoon. He went to private doctor and got paracetamol, solasic and others which he didnt know its name. fever was relieved by medication but get higher soon. Then he went to PHC, checked CBC. Trombocyt was 48.000, so that he is reffered to RSSA. Fever was also accompanied with joint pain and stabbing sensation head ache. He also complained of nausea and vomiting each time he ate since this morning. Vomiting contained of fluid and residual food, about 3x/day volume about glass/vomit. He had decreased of appetite since then. 2. Patient suffered from fever since 9 days before admission, intermittenly, high grade fever, with chills and headache, it was continuely every day.

Wound1. Patient suffered from wound at her right foot since 20 days before admission, initially, she got sprain in the bath room and then patient goes to clinic at pasuruan to check his wound. At the clinic of pasuruan for 10 day, he and his family didnt known about therapy, so the wound more getting wider, swollen, and smelly. So the patient brought by his family to RSSA .2. Patient brought by her family to RSSA because patient suffered from wound at her right foot since 25 days before admission, initially, she got stabbed by pedal bicycle, but didnt feel pain. She had been diagnosed DM since 20 years, routinely took Glibenclamid 1x1 and metformin 2x500 mg, but she didnt routinly check the blood glucose (only oce/six month). History of hypertension since 20 years ago routinly took captopril 3x25 mg, with BPS 140/-Abdominal pain1. Patient suffered from abdominal pain since 1 weeks before admission, the pain was particularly at right side of the stomach, intermittently, squeezing-like sensation. He also complained difificult to defecated and flatus since 1 weeks before admission, defecated only twice per day about 1 spoon. 2. Patient suffered from abdominal pain since 1 weeks ago, and worsened since 2 days ago, accompanied with abdominal enlargement since 1 weeks ago, she felt enlargment more biger gradually day by day. She also complained decreased of appetite because nausea and vomiting 7 days before admission, vomiting about 1-2 times/day, consist of mucous, every after ate, volume about glassRight Upper Quadrant Pain1. Patient suffered from right upper quadrant pain since 4 hours before admission. Pain felt like cramping sensation, until patients couldnt stand up, after that his family brought him to Lawang Hospital, than he referred to RSSA

Intoxication1. Patient suffered dizziness and weakness after drinking Baygon insecticide bottle (500 cc) 3 hours before admission. He was then vomitted about 2x, contained of liquid with volume about 50-100 cc. There is no bloody vomiting nor epigastric pain. He was brought to Panti Nirmala hospital to be performed gastric lavage, and atropinization then referred to RSSA. He did not complained about fever, cough, diarrhea, shortness of breath and decrease of conciousness. He drank that liquid due to psychological distress that he had in his work. He works in finance credit in which his customers refused to pay the loan that caused his manager was angry and pushed him to pay all the loans instead. It costs about millions, and he committed suicides at the moment black tarry stool1. Patient passed black tarry stool since 1 day prior to admission, 4 times/day, glass each, no reports of naussea and vomiting. Also complaint with passing tea color urine since 2 days ago. Previously, she had a same complaint 3 months ago, hospitelized at RST, she didnt know the diagnose. And then she controlled to internist, neurologist and took medicine