History taking : Suffer since 1 days ago before admitted to ER.
Firstly there is epigastric pain 2 day ago, then it was going to right lower abdomen. There is fever, nausea, vomiting (+) Defecation and Miction within normal. Fluor Albus (-) Menstruation Period (-) Symptoms & : Pain at Right Lower Abdomen sign Examination : BP 110/80mmHg HR 89x/m RR 23x/m T 37.8 Physical Examination Head and : Anemis -/-, Icteric -/-, Neck Thorax : Simetris +/ + Lung: percussion: sonor/ sonor (-) breath sound: vesicular/ vesicular rales -/-, wheezing -/- Heart: S1S2 single, no murmur, no gallop Abdomen : Mc Burney: Pain (+) Bloomberg sign (+) Flank : CVA -/- Flank Mass -/- Extremities : Within normal LABORATORY RESULT Complete Blood Count
WBC : 17,2 x 103 / μL BT / CT : 3,00’ / 8,00’
RBC : 2,41 x 106 / μL HbsAg : Non Reaktif
HGB : 11,0 g/dL HIV : Non Reaktif HCT : 22,5 % Na : 132 mmo/L PLT : 174 x 103 / μL K : 4,1 mmol/L
RBS : 107 mg/dl Cl : 101 mmol/L
BUN : 35,3 mg/dl
Creatinin : 0,6 mg/dl Laboratories: Urine Lab Value Normal Value Lab Value Normal Value