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    19-02-2017 DM. Nurmalinda Dan DM. Norman

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    HieLdaJanuaria
    The patient is a 51-year-old male who presented to the emergency department with inability to defecate for two days. He reported abdominal discomfort, pain, headache, nausea, and inability to defecate or pass gas. On physical exam, his abdomen was distended and tender. Laboratory tests showed elevated white blood cell count. The diagnosis was constipation. The treatment plan included IV fluids, omeprazole, laxatives, placement of a nasogastric tube, and monitoring of fluid balance.

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    19-02-2017 DM. Nurmalinda Dan DM. Norman

    Uploaded by

    HieLdaJanuaria
    26 views10 pages
    The patient is a 51-year-old male who presented to the emergency department with inability to defecate for two days. He reported abdominal discomfort, pain, headache, nausea, and inability to defecate or pass gas. On physical exam, his abdomen was distended and tender. Laboratory tests showed elevated white blood cell count. The diagnosis was constipation. The treatment plan included IV fluids, omeprazole, laxatives, placement of a nasogastric tube, and monitoring of fluid balance.

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    jurnal

    Original Title

    MR 170219

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    The patient is a 51-year-old male who presented to the emergency department with inability to defecate for two days. He reported abdominal discomfort, pain, headache, nausea, and inability to defecate or pass gas. On physical exam, his abdomen was distended and tender. Laboratory tests showed elevated white blood cell count. The diagnosis was constipation. The treatment plan included IV fluids, omeprazole, laxatives, placement of a nasogastric tube, and monitoring of fluid balance.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    26 views10 pages

    19-02-2017 DM. Nurmalinda Dan DM. Norman

    Uploaded by

    HieLdaJanuaria
    The patient is a 51-year-old male who presented to the emergency department with inability to defecate for two days. He reported abdominal discomfort, pain, headache, nausea, and inability to defecate or pass gas. On physical exam, his abdomen was distended and tender. Laboratory tests showed elevated white blood cell count. The diagnosis was constipation. The treatment plan included IV fluids, omeprazole, laxatives, placement of a nasogastric tube, and monitoring of fluid balance.

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    19-02-2017

    DM. Nurmalinda dan DM. Norman


    IDENTITY

    Name : Tn. WHM
    Age : 51 years old
    Sex : Male
    Address : Air nona
    Anamnesis

    Chief Complaint : Can not defecation
    History (autoanamnesis) :
    Patient come with complaint cant defecation since 2
    days before come to the ED, he felt abdominal
    discomfort and pain all over the abds and the pain
    increasing because cant defecation. Headache (-), nausea
    (+), vomiting (-), defecation (-), flatus (-), urinate (+)
    Physical exam
    Vital sign

    BP : 120/70
    HR : 92 x/min
    RR : 24x/min
    T : 37.1
    Eye : anemic (-/-), pupil isokor (+/+), icteric (-/-)
    Thorax : chest expansion bilateral simetric, pattern of
    respiration is abdominothoracal
    Cor : s1 s2 single, reguler, murmur (-), gallop (-)
    Pulmo : vesicular (+/+), ronchie (-/-), wheezing (-/-)

    Abdomen
    Inspection : distended (+)
    Auscultation : peristaltics (+) 3-4x/min
    Palpation : tenderness pain (+) all abdomen
    Percusion : timpany sound (+)

    RT : sphingter normal, ampula recti normal, mass (-),


    prostat normal, tenderness pain (-), handschoen :
    mucous
    Laboratorium

    CBC :
    Hb 14.4 gr/dL
    RBC 5.57 x 10^6/uL
    Ht 39.8 %
    WBC 13.31 x 10^3/uL
    Plt 303 x 10^3/uL
    Planning diagnosis

    BNO 3 posisi
    Assessment

    Konstipasi
    Planning therapy

    IVFD RL 20 tpm
    Inj Omeprazole 1 vial/ iv
    Dulcolax supp I
    Laxadine syr 3xc1
    Pasang DC dan NGT
    Balance cairan

    THANK YOU

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